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Mattavelli I, Vignati C, Farina S, Apostolo A, Cattadori G, De Martino F, Pezzuto B, Zaffalon D, Agostoni P. Beyond VO2: the complex cardiopulmonary exercise test. Eur J Prev Cardiol 2023; 30:ii34-ii39. [PMID: 37819225 DOI: 10.1093/eurjpc/zwad154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/06/2023] [Revised: 04/21/2023] [Accepted: 05/06/2023] [Indexed: 10/13/2023]
Abstract
Cardiopulmonary exercise test (CPET) is a valuable diagnostic tool with a specific application in heart failure (HF) thanks to the strong prognostic value of its parameters. The most important value provided by CPET is the peak oxygen uptake (peak VO2), the maximum rate of oxygen consumption attainable during physical exertion. According to the Fick principle, VO2 equals cardiac output (Qc) times the arteriovenous content difference [C(a-v)O2], where Ca is the arterial oxygen and Cv is the mixed venous oxygen content, respectively; therefore, VO2 can be reduced both by impaired O2 delivery (reduced Qc) or extraction (reduced arteriovenous O2 content). However, standard CPET is not capable of discriminating between these different impairments, leading to the need for 'complex' CPET technologies. Among non-invasive methods for Qc measurement during CPET, inert gas rebreathing and thoracic impedance cardiography are the most used techniques, both validated in healthy subjects and patients with HF, at rest and during exercise. On the other hand, the non-invasive assessment of peripheral muscle perfusion is possible with the application of near-infrared spectroscopy, capable of measuring tissue oxygenation. Measuring Qc allows, by having haemoglobin values available, to discriminate how much any VO2 deficit depends on the muscle, anaemia or heart.
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Affiliation(s)
- Irene Mattavelli
- Centro Cardiologico Monzino, IRCCS, Via Parea, 4, Milan 20138, Italy
| | - Carlo Vignati
- Centro Cardiologico Monzino, IRCCS, Via Parea, 4, Milan 20138, Italy
- Department of Clinical Sciences and Community Health, Cardiovascular Section, University of Milan, Milan, Italy
| | - Stefania Farina
- Centro Cardiologico Monzino, IRCCS, Via Parea, 4, Milan 20138, Italy
- Cytogenetics and Medical Genetics, University of Milano-Bicocca, Milan, Italy
| | - Anna Apostolo
- Centro Cardiologico Monzino, IRCCS, Via Parea, 4, Milan 20138, Italy
| | - Gaia Cattadori
- Multimedica IRCCS, Unità Operativa Cardiologia Riabilitativa, Multimedica IRCCS, Milan, Italy
| | - Fabiana De Martino
- Casa di Cura Tortorella, Dipartimento Medico, Unità funzionale di Cardiologia, Casa di Cura Tortorella, Salerno, Italy
| | - Beatrice Pezzuto
- Centro Cardiologico Monzino, IRCCS, Via Parea, 4, Milan 20138, Italy
| | - Denise Zaffalon
- Cardiovascular Department, 'Azienda Sanitaria Universitaria Giuliano-Isontina', Trieste, Italy
| | - Piergiuseppe Agostoni
- Centro Cardiologico Monzino, IRCCS, Via Parea, 4, Milan 20138, Italy
- Department of Clinical Sciences and Community Health, Cardiovascular Section, University of Milan, Milan, Italy
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Martínez-Noguera FJ, Alcaraz PE, Carlos-Vivas J, Marín-Pagán C. 8 weeks of 2 S-hesperidin prevents a decrease in pO 2 at submaximal intensity in amateur cyclists in off-season: randomized controlled trial. Food Funct 2023; 14:2750-2767. [PMID: 36857626 DOI: 10.1039/d2fo03007a] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
Although chronic supplementation with 2S-hesperidin has been shown to improve performance, to date, the possible mechanisms underlying this effect have not been explored. Therefore, the aim of this study was to assess whether changes in gasometry may be associated with improved performance after the intake of 2S-hesperidin (500 mg d-1, 8 weeks). Forty amateur cyclists (n = 20 2S-hesperidin, n = 20 placebo) performed a rectangular test, during which capillary blood samples were taken at the baseline, FatMax1, ventilatory threshold 1 and 2 (VT1 and VT2), power maximum (PMAX), FatMax2 and excess post-exercise O2 consumption (EPOC) to measure gasometry parameters. Significantly increased CO2 and tCO2 was found at FatMax1, VT1, FatMax2 and EPOC (p = <0.05) after 8 weeks of 2S-hesperidin ingestion. Conversely, the placebo group had a significant decrease in pO2 at VT2 (p = 0.04) during the rectangular test, with no changes in the 2S-hesperidin group. Therefore, chronic supplementation with 2S-hesperidin prevents decreases in pO2 at submaximal intensities in amateur cyclists in an off-season period.
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Affiliation(s)
- Francisco Javier Martínez-Noguera
- Research Center for High Performance Sport, Catholic University of Murcia, Campus de los Jerónimos N° 135, UCAM, 30107, Murcia, Spain.
| | - Pedro E Alcaraz
- Research Center for High Performance Sport, Catholic University of Murcia, Campus de los Jerónimos N° 135, UCAM, 30107, Murcia, Spain.
| | - Jorge Carlos-Vivas
- Health, Economy, Motricity and Education Research Group (HEME), Faculty of Sport Sciences, University of Extremadura, Avda. de Elvas, s/n., 06006, Badajoz, Spain.
| | - Cristian Marín-Pagán
- Research Center for High Performance Sport, Catholic University of Murcia, Campus de los Jerónimos N° 135, UCAM, 30107, Murcia, Spain.
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Silva AGD, Albuquerque MR, Brito CJ, Stroppa GM, Oliveira SAF, Sillero-Quintana M, Marins JCB. Effect of Whole-, Upper-, and Lower-Body High-Intensity Rowing Exercise on Skin Temperature Measured by Thermography. RESEARCH QUARTERLY FOR EXERCISE AND SPORT 2023; 94:226-236. [PMID: 35323083 DOI: 10.1080/02701367.2021.1964696] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/09/2020] [Accepted: 08/02/2021] [Indexed: 06/14/2023]
Abstract
Purpose: Despite the growing works analyzing exercise-induced thermoregulatory adjustments through thermography, the skin temperature (Tsk) response of the same muscle groups underwent to different exercise demands has not been investigated. This study analyzed the behavior of Tsk of the same muscle groups when exercised with different demands in rowing. Methods: Eighteen men underwent three performance tests on a rowing ergometer: whole-body 2,000 m test (RTWB), upper-body (RTUB), and lower-body (RTLB) tests. In each condition, thermograms were recorded before (pre), immediately after test (post), and at 10 (REC10), 20 (REC20), and 30 (REC30) minutes post-exercise recovery. Tsk was measured at the pectoral (control body region), upper back, quadriceps, brachial biceps, and forearm. Results: Pectoral-Tsk reduced comparably in response to all testing conditions (p < .05). Upper back-Tsk decreased post (p < .001) and returned to baseline in the RTUB (REC10, p = 1.0) and RTWB (REC30, p = .128), while remained reduced in the RTLB (p < .001). Quadriceps-Tsk reduced post (p < .05) and returned to baseline in the RTWB and RTLB at REC10 (p = 1.0), remaining reduced in the RTUB during recovery (p < .05). Regarding the upper limbs, Tsk increased more markedly in the RTUB versus RTWB during the recovery period (p < .05); in the RTLB, biceps-Tsk remained below baseline over time (p < .05), whereas the forearm-Tsk was restored at REC10 (p = 1.0). Conclusion: Manipulating the muscle groups involved in rowing alters the Tsk response within equal ROI. Exercise-induced Tsk changes can reflect local hemodynamic and thermoregulatory adjustments.
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Muscle oxygenation is associated with bilateral strength asymmetry during isokinetic testing in sport teams. Sci Sports 2023. [DOI: 10.1016/j.scispo.2022.03.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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A Heart Rate Step Function Response Method for the Evaluation of Pulse Wave Velocity as a Predictor of Major Adverse Cardio-Vascular Events. Medicina (B Aires) 2022; 58:medicina58111633. [DOI: 10.3390/medicina58111633] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2022] [Revised: 11/07/2022] [Accepted: 11/09/2022] [Indexed: 11/16/2022] Open
Abstract
Background and Objectives: Cardiovascular diseases are the main cause of death worldwide, and pulse wave velocity (PWV) is considered a predictor of major adverse cardiovascular events. The study intended to be helpful in finding methods for the preliminary assessment of PWV in primary care units. Materials and Methods: The study group consisted of 36 subjects (considered healthy by their own statement) from the medical field (medicine students and residents) aged between 20 and 30 years: 33.3% males and 66.7% females. Two types of measurements were carried out successively: (a) measurements with the arteriograph and (b) measurements on a treadmill effort testing system, where heart rate (HR) was measured over time as a response to step function physical effort (PE). Results: The study allowed for the highlighting of some limits which, if exceeded, can be associated with high PWV values: (i) if after a moderate PE and a resting time of at least 6 min, the HR is larger than 80 b/min; (ii) if the relaxation time in a PE test of moderate intensity is larger than 1 min; (iii) if the HR measured after the subject is raised from the supine to orthostatic position is larger than 100 b/min, and (iv) if the resting HR is larger than 80 b/min. Conclusions: Steady-state HR correlates with PWV and may be used for the preliminary assessment of PWV.
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Martínez-Noguera FJ, Alcaraz PE, Carlos-Vivas J, Marín-Pagán C. Chronic Supplementation of 2S-Hesperidin Improves Acid-Base Status and Decreases Lactate at FatMax, at Ventilatory Threshold 1 and 2 and after an Incremental Test in Amateur Cyclists. BIOLOGY 2022; 11:biology11050736. [PMID: 35625464 PMCID: PMC9138540 DOI: 10.3390/biology11050736] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/18/2022] [Revised: 04/29/2022] [Accepted: 05/06/2022] [Indexed: 11/30/2022]
Abstract
Simple Summary Currently, hesperidin is a molecule found mainly in citrus fruits and is being widely researched in the area of chronic disease, but also in the field of sports nutrition. Some studies have shown its antioxidant, anti-inflammatory, lipid and carbohydrate metabolism modulating effects, including the enhancement of nitric oxide synthesis. However, few human studies have demonstrated a positive effect of hesperidin intake, in particular 2S-hesperidin, on sports performance, particularly in anaerobic and aerobic tests. However, the biochemical mechanisms that may be responsible for this enhanced performance have not yet been described. Therefore, one of the aims of this study was to assess whether an eight-week intake of 2S-hesperidin can improve acid-base status and metabolic status (lactate and glucose) in an incremental test in amateur cyclists. The results showed that amateur cyclists chronically supplemented with 2S-hesperidin improved acid-base status and lactate at FatMax, ventilatory thresholds 1 and 2, and in the acute phase of recovery after maximal effort. Abstract Chronic supplementation with 2S-hesperidin improves performance; however, the mechanisms underlying this effect have not yet been explored. Therefore, the aim of this study was to assess whether changes in acid-base status may be associated with improved performance after 2S-hesperidin supplementation compared to microcellulose (placebo). Forty amateur cyclists (n = 20 per group) underwent a rectangular test where capillary blood samples were taken at baseline, FatMax1, VT1, VT2, PMAX, FatMax2 and EPOC to measure acid-base parameters. After eight weeks of 2S-hesperidin supplementation (500 mg/d) increased HCO3−, SBC, ABE (p ≤ 0.05) and decreased Lac were found at FatMax1, VT1, FatMax2 and EPOC (p ≤ 0.05), while decreased Lac at VT2 was found with a large effect size (ES = 1.15) compared to placebo. Significant group differences in the area under the curve were observed when comparing pre-post-intervention pH changes (p = 0.02) between groups. Chronic supplementation with 2S-hesperidin improved acid-base status and Lac, both at low-moderate and submaximal intensities, improving recovery after exercise-to-exhaustion in amateur cyclists.
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Affiliation(s)
- Francisco Javier Martínez-Noguera
- Research Center for High Performance Sport, Catholic University of Murcia (UCAM), Campus de los Jerónimos Nº 135, 30107 Murcia, Spain; (P.E.A.); (C.M.-P.)
- Correspondence: ; Tel.: +34-968-278-566
| | - Pedro E. Alcaraz
- Research Center for High Performance Sport, Catholic University of Murcia (UCAM), Campus de los Jerónimos Nº 135, 30107 Murcia, Spain; (P.E.A.); (C.M.-P.)
| | - Jorge Carlos-Vivas
- Health, Economy, Motricity and Education Research Group (HEME), Faculty of Sport Sciences, University of Extremadura, Avda. de Elvas, s/n., 06006 Badajoz, Spain;
| | - Cristian Marín-Pagán
- Research Center for High Performance Sport, Catholic University of Murcia (UCAM), Campus de los Jerónimos Nº 135, 30107 Murcia, Spain; (P.E.A.); (C.M.-P.)
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Venturelli M, Rossman MJ, Ives SJ, Weavil JC, Amann M, Wray DW, Richardson RS. Passive leg movement-induced vasodilation and exercise-induced sympathetic vasoconstriction. Auton Neurosci 2022; 239:102969. [DOI: 10.1016/j.autneu.2022.102969] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2021] [Revised: 02/16/2022] [Accepted: 02/28/2022] [Indexed: 10/18/2022]
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Englund EK, Reiter DA, Shahidi B, Sigmund EE. Intravoxel Incoherent Motion Magnetic Resonance Imaging in Skeletal Muscle: Review and Future Directions. J Magn Reson Imaging 2022; 55:988-1012. [PMID: 34390617 PMCID: PMC8841570 DOI: 10.1002/jmri.27875] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2021] [Revised: 07/23/2021] [Accepted: 07/26/2021] [Indexed: 12/29/2022] Open
Abstract
Throughout the body, muscle structure and function can be interrogated using a variety of noninvasive magnetic resonance imaging (MRI) methods. Recently, intravoxel incoherent motion (IVIM) MRI has gained momentum as a method to evaluate components of blood flow and tissue diffusion simultaneously. Much of the prior research has focused on highly vascularized organs, including the brain, kidney, and liver. Unique aspects of skeletal muscle, including the relatively low perfusion at rest and large dynamic range of perfusion between resting and maximal hyperemic states, may influence the acquisition, postprocessing, and interpretation of IVIM data. Here, we introduce several of those unique features of skeletal muscle; review existing studies of IVIM in skeletal muscle at rest, in response to exercise, and in disease states; and consider possible confounds that should be addressed for muscle-specific evaluations. Most studies used segmented nonlinear least squares fitting with a b-value threshold of 200 sec/mm2 to obtain IVIM parameters of perfusion fraction (f), pseudo-diffusion coefficient (D*), and diffusion coefficient (D). In healthy individuals, across all muscles, the average ± standard deviation of D was 1.46 ± 0.30 × 10-3 mm2 /sec, D* was 29.7 ± 38.1 × 10-3 mm2 /sec, and f was 11.1 ± 6.7%. Comparisons of reported IVIM parameters in muscles of the back, thigh, and leg of healthy individuals showed no significant difference between anatomic locations. Throughout the body, exercise elicited a positive change of all IVIM parameters. Future directions including advanced postprocessing models and potential sequence modifications are discussed. LEVEL OF EVIDENCE: 2 TECHNICAL EFFICACY: Stage 2.
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Affiliation(s)
- Erin K. Englund
- Department of Radiology, University of Colorado Anschutz Medical Campus
| | | | | | - Eric E. Sigmund
- Department of Radiology, New York University Grossman School of Medicine, NYU Langone Health
- Center for Advanced Imaging and Innovation (CAIR), Bernard and Irene Schwarz Center for Biomedical Imaging (CBI), NYU Langone Health
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Diaz-Canestro C, Pentz B, Sehgal A, Montero D. Blood withdrawal acutely impairs cardiac filling, output and aerobic capacity in proportion to induced hypovolemia in middle-aged and older women. Appl Physiol Nutr Metab 2021; 47:1-8. [PMID: 34875180 DOI: 10.1139/apnm-2021-0196] [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: 11/22/2022]
Abstract
Blood donation entails acute reductions of cardiorespiratory fitness in healthy men. Whether these effects can be extrapolated to blood donor populations comprising women remains uncertain. The purpose of this study was to comprehensively assess the acute impact of blood withdrawal on cardiac function, central hemodynamics and aerobic capacity in women throughout the mature adult lifespan. Transthoracic echocardiography and O2 uptake were assessed at rest and throughout incremental exercise (cycle ergometry) in healthy women (n = 30, age: 47-77 yr). Left ventricular end-diastolic volume (LVEDV), stroke volume (SV), cardiac output (Q̇) and peak O2 uptake (V̇O2peak), and blood volume (BV) were determined with established methods. Measurements were repeated following a 10% reduction of BV within a week period. Individuals were non-smokers, non-obese and moderately fit (V̇O2peak = 31.4 ± 7.3 mL·min-1·kg-1). Hematocrit and BV ranged from 38.0 to 44.8% and from 3.8 to 6.6 L, respectively. The standard 10% reduction in BV resulted in 0.5 ± 0.1 L withdrawal of blood, which did not alter hematocrit (P = 0.953). Blood withdrawal substantially reduced cardiac LVEDV and SV at rest as well as during incremental exercise (≥10% decrements, P ≤ 0.009). Peak Q̇ was proportionally decreased after blood withdrawal (P < 0.001). Blood withdrawal induced a 10% decrement in V̇O2peak (P < 0.001). In conclusion, blood withdrawal impairs cardiac filling, Q̇ and aerobic capacity in proportion to the magnitude of hypovolemia in healthy mature women. Novelty: The filling of the heart and therefore cardiac output are impaired by blood withdrawal in women. Oxygen delivery and aerobic capacity are reduced in proportion to blood withdrawal.
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Affiliation(s)
- Candela Diaz-Canestro
- Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
- Libin Cardiovascular Institute of Alberta, University of Calgary, Calgary, Alberta, Canada
| | - Brandon Pentz
- Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada
| | - Arshia Sehgal
- Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada
| | - David Montero
- Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
- Libin Cardiovascular Institute of Alberta, University of Calgary, Calgary, Alberta, Canada
- Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada
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Ksoll KSH, Mühlberger A, Stöcker F. Central and Peripheral Oxygen Distribution in Two Different Modes of Interval Training. Metabolites 2021; 11:metabo11110790. [PMID: 34822448 PMCID: PMC8623252 DOI: 10.3390/metabo11110790] [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: 10/28/2021] [Revised: 11/12/2021] [Accepted: 11/15/2021] [Indexed: 11/21/2022] Open
Abstract
In high-intensity interval training the interval duration can be adjusted to optimize training results in oxygen uptake, cardiac output, and local oxygen supply. This study aimed to compare these variables in two interval trainings (long intervals HIIT3m: 3 min work, 3 min active rest vs. short intervals HIIT30s: 30 s work, 30 s active rest) at the same overall work rate and training duration. 24 participants accomplished both protocols, (work: 80% power output at VO2peak, relief: 85% power output at gas exchange threshold) in randomized order. Spirometry, impedance cardiography, and near-infrared spectroscopy were used to analyze the physiological stress of the cardiopulmonary system and muscle tissue. Although times above gas exchange threshold were shorter in HIIT3m (HIIT3m 1669.9 ± 310.9 s vs. HIIT30s 1769.5 ± 189.0 s, p = 0.034), both protocols evoked similar average fractional utilization of VO2peak (HIIT3m 65.23 ± 4.68% VO2peak vs. HIIT30s 64.39 ± 6.78% VO2peak, p = 0.261). However, HIIT3m resulted in higher cardiovascular responses during the loaded phases (VO2p < 0.001, cardiac output p < 0.001). Local hemodynamics were not different between both protocols. Average physiological responses were not different in both protocols owning to incomplete rests in HIIT30s and large response amplitudes in HIIT3m. Despite lower acute cardiovascular stress in HIIT30s, short submaximal intervals may also trigger microvascular and metabolic adaptions similar to HIIT3m. Therefore, the adaption of interval duration is an important tool to adjust the goals of interval training to the needs of the athlete or patient.
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Affiliation(s)
- Korbinian Sebastian Hermann Ksoll
- Institute of Sport Sciences, Department of Human Sciences, Universität der Bundeswehr Munich, 85579 Neubiberg, Germany
- Professorship of Biomechanics in Sports, Department of Sport and Health Sciences, Technical University of Munich, 80992 Munich, Germany
- Correspondence:
| | - Alexander Mühlberger
- Prevention Center, Department of Sport and Health Sciences, Technical University of Munich, 80992 Munich, Germany; (A.M.); (F.S.)
| | - Fabian Stöcker
- Prevention Center, Department of Sport and Health Sciences, Technical University of Munich, 80992 Munich, Germany; (A.M.); (F.S.)
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Khor YM, Dorbala S. SPECT/CT quantification of lower limb perfusion: The next frontier in radionuclide perfusion imaging? J Nucl Cardiol 2020; 27:1934-1938. [PMID: 31939040 DOI: 10.1007/s12350-019-02020-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2019] [Accepted: 11/27/2019] [Indexed: 10/25/2022]
Affiliation(s)
- Yiu Ming Khor
- Department of Nuclear Medicine and Molecular Imaging, Singapore General Hospital, 16 College Road, Block 2 Basement 1, Singapore, 169854, Singapore.
| | - Sharmila Dorbala
- Division of Nuclear Medicine, Department of Radiology, Brigham and Women's Hospital, Boston, MA, USA
- Cardiac Amyloidosis Program, Division of Cardiology, Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA
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Hearon CM, Richards JC, Racine ML, Luckasen GJ, Larson DG, Dinenno FA. Augmentation of endothelium-dependent vasodilatory signalling improves functional sympatholysis in contracting muscle of older adults. J Physiol 2020; 598:2323-2336. [PMID: 32306393 DOI: 10.1113/jp279462] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2019] [Accepted: 04/14/2020] [Indexed: 11/08/2022] Open
Abstract
KEY POINTS The ability of contracting skeletal muscle to attenuate sympathetic vasoconstriction (functional sympatholysis) is critical for maintaining blood flow during exercise-mediated sympathoexcitation. Functional sympatholysis and endothelial function are impaired with ageing, resulting in compromised blood flow and oxygen delivery to contracting skeletal muscle during exercise. In the present study, intra-arterial infusion of ACh or ATP to augment endothelium-dependent signalling during exercise attenuated α1 -adrenergic vasoconstriction in the contracting muscle of older adults. The vascular signalling mechanisms capable of functional sympatholysis are preserved in healthy ageing, and thus the age-related impairment in functional sympatholysis probably results from the loss of a functional signal (e.g. plasma [ATP]) as opposed to an intrinsic endothelial dysfunction. ABSTRACT The ability of contracting skeletal muscle to attenuate sympathetic α-adrenergic vasoconstriction ('functional sympatholysis') is impaired with age. In young adults, increasing endothelium-dependent vasodilatory signalling during mild exercise augments sympatholysis. In the present study, we tested the hypothesis that increasing endothelium-dependent signalling during exercise in older adults can improve sympatholysis. In 16 older individuals (Protocol 1, n = 8; Protocol 2, n = 8), we measured forearm blood flow (Doppler ultrasound) and calculated changes in vascular conductance (FVC) to local intra-arterial infusion of phenylephrine (PE; α1 -agonist) during (i) infusion of an endothelium-dependent vasodilator alone (Protocol 1: ACh or Protocol 2: low dose ATP); (ii) mild handgrip exercise (5% maximum voluntary contraction; MVC); (iii) moderate handgrip exercise (15% MVC); and (iv) mild or moderate handgrip exercise + infusion of ACh or ATP to augment endothelium-dependent signalling. PE caused robust vasoconstriction in resting skeletal muscle during control vasodilator infusions (ΔFVC: ACh: -31 ± 3 and ATP: -30 ± 4%). PE-mediated vasoconstriction was not attenuated by mild or moderate intensity exercise (ΔFVC: 5% MVC: -30 ± 9; 15% MVC: -33 ± 8%; P > 0.05 vs. control ACh and ATP), indicative of impaired sympatholysis, and ACh or ATP infusion during mild exercise did not impact this response. However, augmentation of endothelium-dependent signalling via infusion of ACh or ATP during moderate intensity exercise attenuated PE-mediated vasoconstriction (ΔFVC: -13 ± 1 and -19 ± 5%, respectively; P < 0.05 vs. all conditions). Our findings demonstrate that, given a sufficient stimulus, endothelium-dependent sympatholysis remains intact in older adults. Strategies aimed at activating such pathways represent a viable approach for improving sympatholysis and thus tissue blood flow and oxygen delivery in older adults.
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Affiliation(s)
- Christopher M Hearon
- Human Cardiovascular Physiology Laboratory, Department of Health and Exercise Science, Colorado State University, Fort Collins, CO, USA
| | - Jennifer C Richards
- Human Cardiovascular Physiology Laboratory, Department of Health and Exercise Science, Colorado State University, Fort Collins, CO, USA
| | - Mathew L Racine
- Human Cardiovascular Physiology Laboratory, Department of Health and Exercise Science, Colorado State University, Fort Collins, CO, USA
| | - Gary J Luckasen
- Medical Center of the Rockies Foundation, University of Colorado Health System, Loveland, CO, USA
| | - Dennis G Larson
- Medical Center of the Rockies Foundation, University of Colorado Health System, Loveland, CO, USA
| | - Frank A Dinenno
- Human Cardiovascular Physiology Laboratory, Department of Health and Exercise Science, Colorado State University, Fort Collins, CO, USA.,Center for Cardiovascular Research, Colorado State University, Fort Collins, CO, USA
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Accalai E, Vignati C, Salvioni E, Pezzuto B, Contini M, Cadeddu C, Meloni L, Agostoni P. Non-invasive estimation of stroke volume during exercise from oxygen in heart failure patients. Eur J Prev Cardiol 2020; 28:280-286. [PMID: 33611434 DOI: 10.1177/2047487320920755] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/28/2020] [Accepted: 03/31/2020] [Indexed: 11/16/2022]
Abstract
AIMS In heart failure, oxygen uptake and cardiac output measurements at peak and during exercise are important in defining heart failure severity and prognosis. Several cardiopulmonary exercise test-derived parameters have been proposed to estimate stroke volume during exercise, including the oxygen pulse (oxygen uptake/heart rate). Data comparing measured stroke volume and the oxygen pulse or stroke volume estimates from the oxygen pulse at different stages of exercise in a sizeable population of healthy individuals and heart failure patients are lacking. METHODS We analysed 1007 subjects, including 500 healthy and 507 heart failure patients, who underwent cardiopulmonary exercise testing with stroke volume determination by the inert gas rebreathing technique. Stroke volume measurements were made at rest, submaximal (∼50% of exercise) and peak exercise. At each stage of exercise, stroke volume estimates were obtained considering measured haemoglobin at rest, predicted exercise-induced haemoconcentration and peripheral oxygen extraction according to heart failure severity. RESULTS A strong relationship between oxygen pulse and measured stroke volume was observed in healthy and heart failure subjects at submaximal (R2 = 0.6437 and R2 = 0.6723, respectively), and peak exercise (R2 = 0.6614 and R2 = 0.5662) but not at rest. In healthy and heart failure subjects, agreement between estimated and measured stroke volume was observed at submaximal (-3 ± 37 and -11 ± 72 ml, respectively) and peak exercise (1 ± 31 and 6 ± 29 ml, respectively) but not at rest. CONCLUSION In heart failure patients, stroke volume estimation and oxygen pulse during exercise represent stroke volume, albeit with a relevant individual data dispersion so that both can be used for population studies but cannot be reliably applied to a single subject. Accordingly, whenever needed stroke volume must be measured directly.
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Affiliation(s)
- Emanuele Accalai
- Università degli studi di Cagliari, UOC di Cardiologia-UTIC, Italy
| | - Carlo Vignati
- Centro Cardiologico Monzino, IRCCS, Italy.,Dipartimento di Scienze Cliniche e di Comunità, Università di Milano, Italy
| | | | | | | | | | - Luigi Meloni
- Università degli studi di Cagliari, UOC di Cardiologia-UTIC, Italy
| | - Piergiuseppe Agostoni
- Centro Cardiologico Monzino, IRCCS, Italy.,Dipartimento di Scienze Cliniche e di Comunità, Università di Milano, Italy
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14
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Zarębska EA, Kusy K, Słomińska EM, Kruszyna Ł, Zieliński J. Alterations in Exercise-Induced Plasma Adenosine Triphosphate Concentration in Highly Trained Athletes in a One-Year Training Cycle. Metabolites 2019; 9:metabo9100230. [PMID: 31623086 PMCID: PMC6836270 DOI: 10.3390/metabo9100230] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2019] [Revised: 10/13/2019] [Accepted: 10/14/2019] [Indexed: 12/18/2022] Open
Abstract
This study aimed to assess the effect of training loads on plasma adenosine triphosphate responsiveness in highly trained athletes in a 1 y cycle. Highly trained futsal players (11 men, age range 20–31 y), endurance athletes (11 men, age range 18–31 y), sprinters (11 men, age range 21–30 y), and control group (11 men, age range 22–34 y) were examined across four characteristic training phases in response to an incremental treadmill test until exhaustion. A considerably higher exercise and post-exercise plasma adenosine triphosphate concentrations were observed in consecutive training phases in highly trained athletes, with the highest values reached after the competitive period. No differences in plasma adenosine triphosphate concentrations were found in the control group during the 1 y cycle. Sprinters showed a higher absolute and net increase in plasma adenosine triphosphate concentration by 60–114% during exercise in consecutive training phases than futsal players (63–101%) and endurance athletes (64–95%). In this study, we demonstrated that exercise-induced adenosine triphosphate concentration significantly changes in highly trained athletes over an annual training cycle. The obtained results showed that high-intensity but not low- to moderate-intensity training leads to an increased adenosine triphosphate response to exercise, suggesting an important role of ATP for vascular plasticity.
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Affiliation(s)
- Ewa Anna Zarębska
- Department of Athletics, Strength and Conditioning, Poznan University of Physical Education, Królowej Jadwigi 27/39, 61-871 Poznan, Poland.
| | - Krzysztof Kusy
- Department of Athletics, Strength and Conditioning, Poznan University of Physical Education, Królowej Jadwigi 27/39, 61-871 Poznan, Poland.
| | - Ewa Maria Słomińska
- Department of Biochemistry, Medical University of Gdansk, Dębinki 1, 80-211 Gdansk, Poland.
| | - Łukasz Kruszyna
- Department of General and Vascular Surgery, Poznan University of Medical Sciences, Długa 1/2, 61-848 Poznan, Poland.
| | - Jacek Zieliński
- Department of Athletics, Strength and Conditioning, Poznan University of Physical Education, Królowej Jadwigi 27/39, 61-871 Poznan, Poland.
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15
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Nguyen T, Davidson BP. Contrast Enhanced Ultrasound Perfusion Imaging in Skeletal Muscle. J Cardiovasc Imaging 2019; 27:163-177. [PMID: 31161755 PMCID: PMC6669180 DOI: 10.4250/jcvi.2019.27.e31] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2019] [Accepted: 04/21/2019] [Indexed: 12/14/2022] Open
Abstract
The ability to accurately evaluate skeletal muscle microvascular blood flow has broad clinical applications for understanding the regulation of skeletal muscle perfusion in health and disease states. Contrast-enhanced ultrasound (CEU) perfusion imaging, a technique originally developed to evaluate myocardial perfusion, is one of many techniques that have been applied to evaluate skeletal muscle perfusion. Among the advantages of CEU perfusion imaging of skeletal muscle is that it is rapid, safe and performed with equipment already present in most vascular medicine laboratories. The aim of this review is to discuss the use of CEU perfusion imaging in skeletal muscle. This article provides details of the protocols for CEU imaging in skeletal muscle, including two predominant methods for bolus and continuous infusion destruction-replenishment techniques. The importance of stress perfusion imaging will be highlighted, including a discussion of the methods used to produce hyperemic skeletal muscle blood flow. A broad overview of the disease states that have been studied in humans using CEU perfusion imaging of skeletal muscle will be presented including: (1) peripheral arterial disease; (2) sickle cell disease; (3) diabetes; and (4) heart failure. Finally, future applications of CEU imaging in skeletal muscle including therapeutic CEU imaging will be discussed along with technological developments needed to advance the field.
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Affiliation(s)
- TheAnh Nguyen
- Knight Cardiovascular Institute, Oregon Health & Science University, Portland, OR, USA
| | - Brian P Davidson
- Knight Cardiovascular Institute, Oregon Health & Science University, Portland, OR, USA.,Veterans Affairs Portland Health Care System, Portland, OR, USA.
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16
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Kwon OS, Andtbacka RHI, Hyngstrom JR, Richardson RS. Vasodilatory function in human skeletal muscle feed arteries with advancing age: the role of adropin. J Physiol 2019; 597:1791-1804. [PMID: 30690728 PMCID: PMC6441888 DOI: 10.1113/jp277410] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2018] [Accepted: 01/11/2019] [Indexed: 01/01/2023] Open
Abstract
KEY POINTS The present study aimed to determine the impact of ageing on endogenous adropin levels in human skeletal muscle feed arteries (SMFAs) and the role of adropin in age-related vascular dysfunction. Adropin protein expression falls progressively with advancing age in the human peripheral vasculature. Endothelial-dependent vasodilatation, typically attenuated with age, was strongly correlated with SMFA adropin protein levels. Adropin incubation restored age-related endothelial-dependent vasodilatory dysfunction and increased the phosphorylated endothelial nitric oxide synthase (eNOS)/eNOS ratio in an age-dependent manner in the SMFAs. The role of nitric oxide bioavailability was additionally indicated by NOS blockade ablating both the positive vascular effects of adropin incubation and the relationship between endothelial function and adropin protein expression. Additional evidence of a mechanistic link between declining adropin and age-related endothelial dysfunction was documented by a progressively increasing magnitude of effect of adropin-induced eNOS-mediated vasodilatation with ageing. Adropin appears to be a novel therapeutic target for facilitating the restoration of endothelial function with ageing. ABSTRACT The present study aimed to determine the impact of advancing age on endogenous adropin levels in human skeletal muscle feed arteries (SMFAs) and the role of adropin in age-related vascular dysfunction. Adropin protein expression and vasodilatory capacity was assesed in SMFAs from Young (27 ± 2 years, n = 10), Middle Aged (54 ± 2 years, n = 10) and Old (75 ± 2 years, n = 16) subjects. Endothelial-dependent vasodilatation, with and without adropin incubation, was assessed in response to flow-induced shear stress and ACh. Both SMFA adropin protein expression and endothelial-dependent vasodilatory function exhibited a progressive, age-related, reduction (Flow: Y: 65 ± 3%; Middle Aged: 36 ± 3%; Old: 15 ± 2%; ACh: Young: 63 ± 2%, Middle Aged: 34 ± 3%; Old: 23 ± 3%, P < 0.05). There was a strong positive correlation between SMFA adropin protein expression and both flow (r = 0.81, P < 0.05) and ACh (r = 0.78, P < 0.05). Adropin incubation in the Middle Aged and Old SMFAs restored the vasodilatory response to flow (Middle Aged + Adropin: 59 ± 3%; Old + Adropin: 47 ± 3%, P < 0.05) and ACh (Middle Aged + Adropin: 59 ± 3%; Old + Adropin: 49 ± 2%, P < 0.05). A mechanistic link between adropin and nitric oxide (NO) biovavailabilty was supported by (i) increased phosphorylated endothelial NO synthase (eNOS)/eNOS protein expression with adropin incubation only in the Middle Aged and Old SMFAs; (ii) eNOS blockade ablating both the positive vascular effects of adropin incubation and the relationship between endothelial function and adropin protein expression and (iii) a progressive increase in the magnitude of effect of adropin-induced eNOS-mediated vasodilatation with advancing age. Adropin could be a novel therapeutic target for facilitating the restoration of endothelial function via increased NO bioavailability, with advancing age.
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Affiliation(s)
- Oh Sung Kwon
- Department of KinesiologyUniversity of ConnecticutStorrsCTUSA
| | | | - John R. Hyngstrom
- Department of SurgeryHuntsman Cancer HospitalUniversity of UtahSalt Lake CityUTUSA
| | - Russell S. Richardson
- Geriatric Research, Education, and Clinical CenterGeorge E. Whalen VA Medical CenterSalt Lake CityUTUSA
- Department of Internal MedicineDivision of GeriatricsUniversity of UtahSalt Lake CityUTUSA
- Department of Nutrition and Integrative PhysiologyUniversity of UtahSalt Lake CityUTUSA
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17
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Detection of Muscle Tension Dysphonia Using Eulerian Video Magnification: A Pilot Study. J Voice 2019; 34:622-628. [PMID: 30917886 DOI: 10.1016/j.jvoice.2019.02.006] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2018] [Revised: 01/14/2019] [Accepted: 02/13/2019] [Indexed: 11/20/2022]
Abstract
OBJECTIVE To determine whether Eulerian Video Magnification software is useful in diagnosis of muscle tension dysphonia (MTD). STUDY DESIGN Prospective. METHODS Adult patients scheduled in a tertiary care laryngology practice for evaluation of dysphonia were recruited between November 2016 and March 2017. Demographic and clinical data were extracted from patient charts. Diagnosis of MTD was confirmed with videostroboscopic and physical exam and by a speech-language pathologist. Eighteen MTD patients were video recorded while at rest and with phonation. Five patients without MTD also were analyzed as controls. Videos were analyzed using Eulerian Video Magnification software (Massachusetts Institute of Technology) to assess change in blood flow at the forehead, infrahyoid muscles, and sternocleidomastoid muscles, while using the values of the background wall as a control value. RESULTS Patients with MTD demonstrated little change in perfusion to the infrahyoid muscles of the neck while phonating (+1% ± 55%). Control subjects demonstrated an increase in perfusion to the infrahyoid muscles while phonating (+102% ± 164%), with this change being significant when comparing the two groups (P = 0.04, t = 2.189, df = 21). A change in perfusion of 0% or less to infrahyoid muscles was 75% sensitive and 70% specific for diagnosis of MTD. No differences in perfusion were found between other regions assessed. Patient age and gender did not correlate with any change in perfusion between rest and phonation. CONCLUSION Our data suggest that Eulerian Video Magnification can be used in the diagnosis of MTD by focusing on the difference in perfusion to the infrahyoid muscles between rest and phonation.
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18
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Koshy A, Okwose NC, Nunan D, Toms A, Brodie DA, Doherty P, Seferovic P, Ristic A, Velicki L, Filipovic N, Popovic D, Skinner J, Bailey K, MacGowan GA, Jakovljevic DG. Association between heart rate variability and haemodynamic response to exercise in chronic heart failure. SCAND CARDIOVASC J 2019; 53:77-82. [PMID: 30835563 DOI: 10.1080/14017431.2019.1590629] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
OBJECTIVES Heart rate variability (HRV) and haemodynamic response to exercise (i.e. peak cardiac power output) are strong predictors of mortality in heart failure. The present study assessed the relationship between measures of HRV and peak cardiac power output. DESIGN In a prospective observational study of 33 patients (age 54 ± 16 years) with chronic heart failure with reduced left ventricular ejection fraction (29 ± 11%), measures of the HRV (i.e. R-R interval and standard deviation of normal R-R intervals, SDNN) were recorded in a supine position. All patients underwent maximal graded cardiopulmonary exercise testing with non-invasive (inert gas rebreathing) cardiac output assessment. Cardiac power output, expressed in watts, was calculated as the product of cardiac output and mean arterial blood pressure. RESULTS The mean RR and SDNN were 837 ± 166 and 96 ± 29 ms, peak exercise cardiac power output 2.28 ± 0.85 watts, cardiac output 10.34 ± 3.14 L/min, mean arterial blood pressure 98 ± 14 mmHg, stroke volume 91.43 ± 40.77 mL/beat, and oxygen consumption 19.0 ± 5.6 mL/kg/min. There was a significant but only moderate relationship between the RR interval and peak exercise cardiac power output (r = 0.43, p = .013), cardiac output (r = 0.35, p = .047), and mean arterial blood pressure (r = 0.45, p = .009). The SDNN correlated with peak cardiac power output (r = 0.42, p = .016), mean arterial blood arterial (r = 0.41, p = .019), and stroke volume (r = 0.35, p = .043). CONCLUSIONS Moderate strength of the relationship between measures of HRV and cardiac response to exercise suggests that cardiac autonomic function is not good indicator of overall function and pumping capability of the heart in chronic heart failure.
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Affiliation(s)
- Aaron Koshy
- a Faculty of Medical Sciences, Cardiovascular Research Centre, Institutes of Cellular and Genetic Medicine , Newcastle University, and Newcastle upon Tyne Hospitals , Newcastle upon Tyne , UK
| | - Nduka C Okwose
- a Faculty of Medical Sciences, Cardiovascular Research Centre, Institutes of Cellular and Genetic Medicine , Newcastle University, and Newcastle upon Tyne Hospitals , Newcastle upon Tyne , UK
| | - David Nunan
- b Department of Primary Care Health Sciences , University of Oxford , Oxford , UK
| | - Anet Toms
- a Faculty of Medical Sciences, Cardiovascular Research Centre, Institutes of Cellular and Genetic Medicine , Newcastle University, and Newcastle upon Tyne Hospitals , Newcastle upon Tyne , UK
| | - David A Brodie
- c Cardiovascular Research Centre , Buckinghamshire New University , London , UK
| | - Patrick Doherty
- d Department of Health Sciences , University of York , York , UK
| | - Petar Seferovic
- e Faculty of Medicine, University of Belgrade, and Cardiology Department , Clinical Centre Serbia , Belgrade , Serbia
| | - Arsen Ristic
- e Faculty of Medicine, University of Belgrade, and Cardiology Department , Clinical Centre Serbia , Belgrade , Serbia
| | - Lazar Velicki
- f Faculty of Medicine, University of Novi Sad, and Department of Cardiovascular Surgery , Institute of Cardiovascular Diseases Vojvodina , Novi Sad , Serbia
| | - Nenad Filipovic
- g Research and Development Center for Bioengineering, BioIRC, Kragujevac, Serbia; Faculty of Engineering , University of Kragujevac , Kragujevac , Serbia
| | - Dejana Popovic
- e Faculty of Medicine, University of Belgrade, and Cardiology Department , Clinical Centre Serbia , Belgrade , Serbia
| | - Jane Skinner
- h Newcastle upon Tyne Hospitals NHS Foundation Trust , Royal Victoria Infirmary , Newcastle upon Tyne , UK
| | - Kristian Bailey
- h Newcastle upon Tyne Hospitals NHS Foundation Trust , Royal Victoria Infirmary , Newcastle upon Tyne , UK
| | - Guy A MacGowan
- a Faculty of Medical Sciences, Cardiovascular Research Centre, Institutes of Cellular and Genetic Medicine , Newcastle University, and Newcastle upon Tyne Hospitals , Newcastle upon Tyne , UK
| | - Djordje G Jakovljevic
- a Faculty of Medical Sciences, Cardiovascular Research Centre, Institutes of Cellular and Genetic Medicine , Newcastle University, and Newcastle upon Tyne Hospitals , Newcastle upon Tyne , UK
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19
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Plasma Nucleotide Dynamics during Exercise and Recovery in Highly Trained Athletes and Recreationally Active Individuals. BIOMED RESEARCH INTERNATIONAL 2018; 2018:4081802. [PMID: 30402475 PMCID: PMC6198572 DOI: 10.1155/2018/4081802] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/13/2018] [Revised: 08/14/2018] [Accepted: 09/16/2018] [Indexed: 01/04/2023]
Abstract
Circulating plasma ATP is able to regulate local skeletal muscle blood flow and 02 delivery causing considerable vasodilatation during exercise. We hypothesized that sport specialization and specific long-term training stimuli have an impact on venous plasma [ATP] and other nucleotides concentration. Four athletic groups consisting of sprinters (n=11; age range 21–30 yr), endurance-trained athletes (n=16; age range 18–31 yr), futsal players (n=14; age range 18–30 yr), and recreationally active individuals (n=12; age range 22–33 yr) were studied. Venous blood samples were collected at rest, during an incremental treadmill test, and during recovery. Baseline [ATP] was 759±80 nmol·l−1 in competitive athletes and 680±73 nmol·l−1 in controls and increased during exercise by ~61% in competitive athletes and by ~31% in recreationally active participants. We demonstrated a rapid increase in plasma [ATP] at exercise intensities of 83–87% of VO2max in competitive athletes and 94% in controls. Concentrations reported after 30 minutes of recovery were distinct from those obtained preexercise in competitive athletes (P < 0.001) but not in controls (P = 0.61). We found a correlation between total-body skeletal muscle mass and resting and maximal plasma [ATP] in competitive athletes (r=0.81 and r=0.75, respectively). In conclusion, sport specialization is significantly related to plasma [ATP] at rest, during exercise, and during maximal effort. Intensified exercise-induced plasma [ATP] increases may contribute to more effective vessel dilatation during exercise in highly trained athletes than in recreational runners. The most rapid increase in ATP concentration was associated with the respiratory compensation point. No differences between groups of competitive athletes were observed during the recovery period suggesting a similar pattern of response after exercise. Total-body skeletal muscle mass is indirectly related to plasma [ATP] in highly trained athletes.
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20
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Brocherie F, Girard O, Faiss R, Millet GP. Effects of Repeated-Sprint Training in Hypoxia on Sea-Level Performance: A Meta-Analysis. Sports Med 2018; 47:1651-1660. [PMID: 28194720 DOI: 10.1007/s40279-017-0685-3] [Citation(s) in RCA: 109] [Impact Index Per Article: 18.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
BACKGROUND Repeated-sprint training in hypoxia (RSH) is a recent intervention regarding which numerous studies have reported effects on sea-level physical performance outcomes that are debated. No previous study has performed a meta-analysis of the effects of RSH. OBJECTIVE We systematically reviewed the literature and meta-analyzed the effects of RSH versus repeated-sprint training in normoxia (RSN) on key components of sea-level physical performance, i.e., best and mean (all sprint) performance during repeated-sprint exercise and aerobic capacity (i.e., maximal oxygen uptake [[Formula: see text]]). METHODS The PubMed/MEDLINE, SportDiscus®, ProQuest, and Web of Science online databases were searched for original articles-published up to July 2016-assessing changes in physical performance following RSH and RSN. The meta-analysis was conducted to determine the standardized mean difference (SMD) between the effects of RSH and RSN on sea-level performance outcomes. RESULTS After systematic review, nine controlled studies were selected, including a total of 202 individuals (mean age 22.6 ± 6.1 years; 180 males). After data pooling, mean performance during repeated sprints (SMD = 0.46, 95% confidence interval [CI] -0.02 to 0.93; P = 0.05) was further enhanced with RSH when compared with RSN. Although non-significant, additional benefits were also observed for best repeated-sprint performance (SMD = 0.31, 95% CI -0.03 to 0.89; P = 0.30) and [Formula: see text] (SMD = 0.18, 95% CI -0.25 to 0.61; P = 0.41). CONCLUSION Based on current scientific literature, RSH induces greater improvement for mean repeated-sprint performance during sea-level repeated sprinting than RSN. The additional benefit observed for best repeated-sprint performance and [Formula: see text] for RSH versus RSN was not significantly different.
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Affiliation(s)
- Franck Brocherie
- ISSUL, Institute of Sports Sciences, University of Lausanne, Building Geopolis, Campus Dorigny, 1015, Lausanne, Switzerland. .,Laboratory Sport, Expertise and Performance (EA 7370), Research Department, French Institute of Sport (INSEP), Paris, France.
| | - Olivier Girard
- ISSUL, Institute of Sports Sciences, University of Lausanne, Building Geopolis, Campus Dorigny, 1015, Lausanne, Switzerland.,Aspetar Orthopaedic and Sports Medicine Hospital, Athlete Health and Performance Research Centre, Doha, Qatar
| | - Raphaël Faiss
- ISSUL, Institute of Sports Sciences, University of Lausanne, Building Geopolis, Campus Dorigny, 1015, Lausanne, Switzerland
| | - Grégoire P Millet
- ISSUL, Institute of Sports Sciences, University of Lausanne, Building Geopolis, Campus Dorigny, 1015, Lausanne, Switzerland
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21
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Gelabert-Rebato M, Wiebe JC, Martin-Rincon M, Gericke N, Perez-Valera M, Curtelin D, Galvan-Alvarez V, Lopez-Rios L, Morales-Alamo D, Calbet JAL. Mangifera indica L. Leaf Extract in Combination With Luteolin or Quercetin Enhances VO 2peak and Peak Power Output, and Preserves Skeletal Muscle Function During Ischemia-Reperfusion in Humans. Front Physiol 2018; 9:740. [PMID: 29937737 PMCID: PMC6002676 DOI: 10.3389/fphys.2018.00740] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2018] [Accepted: 05/28/2018] [Indexed: 12/15/2022] Open
Abstract
It remains unknown whether polyphenols such as luteolin (Lut), mangiferin and quercetin (Q) have ergogenic effects during repeated all-out prolonged sprints. Here we tested the effect of Mangifera indica L. leaf extract (MLE) rich in mangiferin (Zynamite®) administered with either quercetin (Q) and tiger nut extract (TNE), or with luteolin (Lut) on sprint performance and recovery from ischemia-reperfusion. Thirty young volunteers were randomly assigned to three treatments 48 h before exercise. Treatment A: placebo (500 mg of maltodextrin/day); B: 140 mg of MLE (60% mangiferin) and 50 mg of Lut/day; and C: 140 mg of MLE, 600 mg of Q and 350 mg of TNE/day. After warm-up, subjects performed two 30 s Wingate tests and a 60 s all-out sprint interspaced by 4 min recovery periods. At the end of the 60 s sprint the circulation of both legs was instantaneously occluded for 20 s. Then, the circulation was re-opened and a 15 s sprint performed, followed by 10 s recovery with open circulation, and another 15 s final sprint. MLE supplements enhanced peak (Wpeak) and mean (Wmean) power output by 5.0-7.0% (P < 0.01). After ischemia, MLE+Q+TNE increased Wpeak by 19.4 and 10.2% compared with the placebo (P < 0.001) and MLE+Lut (P < 0.05), respectively. MLE+Q+TNE increased Wmean post-ischemia by 11.2 and 6.7% compared with the placebo (P < 0.001) and MLE+Lut (P = 0.012). Mean VO2 during the sprints was unchanged, suggesting increased efficiency or recruitment of the anaerobic capacity after MLE ingestion. In women, peak VO2 during the repeated sprints was 5.8% greater after the administration of MLE, coinciding with better brain oxygenation. MLE attenuated the metaboreflex hyperpneic response post-ischemia, may have improved O2 extraction by the Vastus Lateralis (MLE+Q+TNE vs. placebo, P = 0.056), and reduced pain during ischemia (P = 0.068). Blood lactate, acid-base balance, and plasma electrolytes responses were not altered by the supplements. In conclusion, a MLE extract rich in mangiferin combined with either quercetin and tiger nut extract or luteolin exerts a remarkable ergogenic effect, increasing muscle power in fatigued subjects and enhancing peak VO2 and brain oxygenation in women during prolonged sprinting. Importantly, the combination of MLE+Q+TNE improves skeletal muscle contractile function during ischemia/reperfusion.
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Affiliation(s)
- Miriam Gelabert-Rebato
- Department of Physical Education and Research Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain
- Nektium Pharma, Las Palmas de Gran Canaria, Spain
| | | | - Marcos Martin-Rincon
- Department of Physical Education and Research Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain
| | | | - Mario Perez-Valera
- Department of Physical Education and Research Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain
| | - David Curtelin
- Department of Physical Education and Research Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain
| | - Victor Galvan-Alvarez
- Department of Physical Education and Research Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain
| | - Laura Lopez-Rios
- Department of Physical Education and Research Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain
| | - David Morales-Alamo
- Department of Physical Education and Research Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain
| | - Jose A. L. Calbet
- Department of Physical Education and Research Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain
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22
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Heres HM, Schoots T, Tchang BCY, Rutten MCM, Kemps HMC, van de Vosse FN, Lopata RGP. Perfusion dynamics assessment with Power Doppler ultrasound in skeletal muscle during maximal and submaximal cycling exercise. Eur J Appl Physiol 2018; 118:1209-1219. [PMID: 29569054 DOI: 10.1007/s00421-018-3850-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2017] [Accepted: 03/17/2018] [Indexed: 10/24/2022]
Abstract
PURPOSE Assessment of limitations in the perfusion dynamics of skeletal muscle may provide insight in the pathophysiology of exercise intolerance in, e.g., heart failure patients. Power doppler ultrasound (PDUS) has been recognized as a sensitive tool for the detection of muscle blood flow. In this volunteer study (N = 30), a method is demonstrated for perfusion measurements in the vastus lateralis muscle, with PDUS, during standardized cycling exercise protocols, and the test-retest reliability has been investigated. METHODS Fixation of the ultrasound probe on the upper leg allowed for continuous PDUS measurements. Cycling exercise protocols included a submaximal and an incremental exercise to maximal power. The relative perfused area (RPA) was determined as a measure of perfusion. Absolute and relative reliability of RPA amplitude and kinetic parameters during exercise (onset, slope, maximum value) and recovery (overshoot, decay time constants) were investigated. RESULTS A RPA increase during exercise followed by a signal recovery was measured in all volunteers. Amplitudes and kinetic parameters during exercise and recovery showed poor to good relative reliability (ICC ranging from 0.2-0.8), and poor to moderate absolute reliability (coefficient of variation (CV) range 18-60%). CONCLUSIONS A method has been demonstrated which allows for continuous (Power Doppler) ultrasonography and assessment of perfusion dynamics in skeletal muscle during exercise. The reliability of the RPA amplitudes and kinetics ranges from poor to good, while the reliability of the RPA increase in submaximal cycling (ICC = 0.8, CV = 18%) is promising for non-invasive clinical assessment of the muscle perfusion response to daily exercise.
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Affiliation(s)
- H M Heres
- Cardiovascular Biomechanics Group, Department of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, The Netherlands.
| | - T Schoots
- Department of Cardiology, Máxima Medical Centre, Veldhoven, The Netherlands
| | - B C Y Tchang
- Cardiovascular Biomechanics Group, Department of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, The Netherlands
| | - M C M Rutten
- Cardiovascular Biomechanics Group, Department of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, The Netherlands
| | - H M C Kemps
- Department of Cardiology, Máxima Medical Centre, Veldhoven, The Netherlands
| | - F N van de Vosse
- Cardiovascular Biomechanics Group, Department of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, The Netherlands
| | - R G P Lopata
- Cardiovascular Biomechanics Group, Department of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, The Netherlands
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23
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Stöcker F, Von Oldershausen C, Paternoster FK, Schulz T, Oberhoffer R. Does postexercise modelled capillary blood flow accurately reflect cardiovascular effects by different exercise intensities? Clin Physiol Funct Imaging 2018; 38:431-438. [PMID: 28444930 DOI: 10.1111/cpf.12434] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2016] [Accepted: 03/16/2017] [Indexed: 11/28/2022]
Abstract
Blood flow (BF) in exercising muscles is an important factor for exercise capacity. Recently, a non-invasive method to estimate capillary BF (Qcap ) was introduced. Using this method, the Fick principle is re-arranged by using relative differences in deoxygenated haemoglobin (ΔHHb) as a surrogate for arteriovenous O2 difference and pulmonary oxygen uptake (VO2 ) instead of muscular oxygen uptake. The aim of this study was to examine (I) the relationship between Qcap and exercise intensity during and following exercise, and (II) to critically reflect the Qcap approach. Seventeen male subjects completed six bouts of cycling exercise with different exercise intensities (40-90% peak oxygen uptake, VO2peak ) in randomized order. VO2 and ΔHHb were monitored continuously during the trail. Qcap was modelled bi-exponentially, and mean response time (MRT) was calculated during recovery as well as the dissociation of modelled VO2 and Qcap recovery kinetics (MRT/τVO2 ). End-exercise Qcap increased continuously with exercise intensity. This also applied to MRT. Postexercise MRT/τVO2 increased from 40 to 60% VO2peak but remained stable thereafter. The results show that Qcap response to exercise is linearly related to exercise intensity. This is presumably due to vasoactive factors like shear-stress or endothelial-mediated vasodilation. MRT/τVO2 shows that postexercise Qcap is elevated for a longer period than VO2 , which is representative for metabolic demand following exercise ≥70% VO2peak . This is a hint for prolonged local vasodilation. According to previous studies, Qcap could not be modelled properly in some cases, which is a limitation to the method and therefore has to be interpreted with caution.
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Affiliation(s)
- F Stöcker
- Center for Teaching and Learning, Technical University Munich, Munich, Germany
| | - C Von Oldershausen
- Center for Teaching and Learning, Technical University Munich, Munich, Germany
| | - F K Paternoster
- Department for Biomechanics in Sports, Technical University Munich, Munich, Germany
| | - T Schulz
- Department for Preventive Pediatrics, Technical University Munich, Munich, Germany
| | - R Oberhoffer
- Department for Preventive Pediatrics, Technical University Munich, Munich, Germany
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Bizjak DA, Jacko D, Zimmer P, Gehlert S, Bloch W, Grau M. Acute alterations in the hematological and hemorheological profile induced by resistance training and possible implication for microvascular functionality. Microvasc Res 2018; 118:137-143. [PMID: 29559378 DOI: 10.1016/j.mvr.2018.03.007] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2017] [Revised: 03/16/2018] [Accepted: 03/16/2018] [Indexed: 12/24/2022]
Abstract
Depending on the exercise variables and training design, resistance exercise can be applied to gain muscle mass, prevent diseases like osteoporosis and sarcopenia or generally increase strength capacity. But the influence on blood flow parameters and possible consequences in health and disease are less understood. To examine the possible impact of resistance exercise of different duration on hemorheology, oxidative stress and microvascular function, participants (n = 6) performed lower-limb resistance exercise of the quadriceps femoris. Loading consisted of 1 (S1), 5 (S5) and 10 (S10) sets, on separated days, at the individual 10 repetition maximum. Blood samples were taken before (Pre) and after (Post0) each set as well after a 25-min recovery period (Post25). Hemograms were measured to analyze hematocrit, white blood cell (WBC) count and red blood cell (RBC) count. RBC deformability and aggregation were measured by ektacytometry and syllectometry to determine hemorheological responses. Plasma and RBC nitrate were measured by chemiluminescence detection to determine nitric oxide production. Formation of N-tyrosine and plasma malondialdehyde to determine oxidative stress and lipid peroxidation were measured by immunostaining and ELISA, respectively. Hematocrit, RBC, WBC count and aggregation increased Post0 in each protocol with subsequently decreased values Post25 below Pre values. High effect size was observed regarding deformability during the different sets. RBC nitrite analysis revealed effect size alterations between the trainings, whereas plasma nitrite was not affected. Effects size was evident in lipid peroxidation, whereas N-tyrosine concentration was not altered. Lower-limb resistance exercise induced acute changes in hematological and hemorheological parameters, whereby intermittent hemodilution and plasma shifts seemed the major contributor. The acute adaptations of RBC function seen during short duration resistance exercise might contribute to beneficial effects on microvascular circulation with a low oxidative stress response.
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Affiliation(s)
- Daniel A Bizjak
- Department of Molecular and Cellular Sports Medicine, German Sport University Cologne, Cologne, Germany.
| | - Daniel Jacko
- Department of Molecular and Cellular Sports Medicine, German Sport University Cologne, Cologne, Germany; Olympic Training Centre Rhineland, Cologne, Germany.
| | - Philipp Zimmer
- Department of Molecular and Cellular Sports Medicine, German Sport University Cologne, Cologne, Germany; Division of Physical Activity, Prevention and Cancer, National Center for Tumor Diseases (NCT) and German Cancer Research Center, Heidelberg, Germany.
| | - Sebastian Gehlert
- Department of Molecular and Cellular Sports Medicine, German Sport University Cologne, Cologne, Germany.
| | - Wilhelm Bloch
- Department of Molecular and Cellular Sports Medicine, German Sport University Cologne, Cologne, Germany; The German Research Centre of Elite Sport, German Sport University Cologne, Cologne, Germany.
| | - Marijke Grau
- Department of Molecular and Cellular Sports Medicine, German Sport University Cologne, Cologne, Germany.
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De Smet S, D'Hulst G, Poffé C, Van Thienen R, Berardi E, Hespel P. High-intensity interval training in hypoxia does not affect muscle HIF responses to acute hypoxia in humans. Eur J Appl Physiol 2018; 118:847-862. [PMID: 29423544 DOI: 10.1007/s00421-018-3820-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2017] [Accepted: 01/31/2018] [Indexed: 12/14/2022]
Abstract
PURPOSE The myocellular response to hypoxia is primarily regulated by hypoxia-inducible factors (HIFs). HIFs thus conceivably are implicated in muscular adaptation to altitude training. Therefore, we investigated the effect of hypoxic versus normoxic training during a period of prolonged hypoxia ('living high') on muscle HIF activation during acute ischaemia. METHODS Ten young male volunteers lived in normobaric hypoxia for 5 weeks (5 days per week, ~ 15.5 h per day, FiO2: 16.4-14.0%). One leg was trained in hypoxia (TRHYP, 12.3% FiO2) whilst the other leg was trained in normoxia (TRNOR, 20.9% FiO2). Training sessions (3 per week) consisted of intermittent unilateral knee extensions at 20-25% of the 1-repetition maximum. Before and after the intervention, a 10-min arterial occlusion and reperfusion of the leg was performed. Muscle oxygenation status was continuously measured by near-infrared spectroscopy. Biopsies were taken from m. vastus lateralis before and at the end of the occlusion. RESULTS Irrespective of training, occlusion elevated the fraction of HIF-1α expressing myonuclei from ~ 54 to ~ 64% (P < 0.05). However, neither muscle HIF-1α or HIF-2α protein abundance, nor the expression of HIF-1α or downstream targets selected increased in any experimental condition. Training in both TRNOR and TRHYP raised muscular oxygen extraction rate upon occlusion by ~ 30%, whilst muscle hyperperfusion immediately following the occlusion increased by ~ 25% in either group (P < 0.05). CONCLUSION Ten minutes of arterial occlusion increased HIF-1α-expressing myonuclei. However, neither normoxic nor hypoxic training during 'living high' altered muscle HIF translocation, stabilisation, or transcription in response to acute hypoxia induced by arterial occlusion.
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Affiliation(s)
- Stefan De Smet
- Exercise Physiology Research Group, Department of Movement Sciences, KU Leuven, Tervuursevest 101, 3001, Leuven, Belgium
| | - Gommaar D'Hulst
- Exercise Physiology Research Group, Department of Movement Sciences, KU Leuven, Tervuursevest 101, 3001, Leuven, Belgium.,Laboratory of Exercise and Health, Department of Health Sciences and Technology, ETH Zurich, Zurich, Switzerland
| | - Chiel Poffé
- Exercise Physiology Research Group, Department of Movement Sciences, KU Leuven, Tervuursevest 101, 3001, Leuven, Belgium
| | - Ruud Van Thienen
- Exercise Physiology Research Group, Department of Movement Sciences, KU Leuven, Tervuursevest 101, 3001, Leuven, Belgium
| | - Emanuele Berardi
- Exercise Physiology Research Group, Department of Movement Sciences, KU Leuven, Tervuursevest 101, 3001, Leuven, Belgium
| | - Peter Hespel
- Exercise Physiology Research Group, Department of Movement Sciences, KU Leuven, Tervuursevest 101, 3001, Leuven, Belgium. .,Bakala Academy-Athletic Performance Center, KU Leuven, Leuven, Belgium.
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Lundsgaard AM, Fritzen AM, Kiens B. Molecular Regulation of Fatty Acid Oxidation in Skeletal Muscle during Aerobic Exercise. Trends Endocrinol Metab 2018; 29:18-30. [PMID: 29221849 DOI: 10.1016/j.tem.2017.10.011] [Citation(s) in RCA: 86] [Impact Index Per Article: 14.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/15/2017] [Revised: 10/28/2017] [Accepted: 10/30/2017] [Indexed: 01/21/2023]
Abstract
This review summarizes how fatty acid (FA) oxidation is regulated in skeletal muscle during exercise. From the available evidence it seems that acetyl-CoA availability in the mitochondrial matrix adjusts FA oxidation to exercise intensity and duration. This is executed at the step of mitochondrial fatty acyl import, as the extent of acetyl group sequestration by carnitine determines the availability of carnitine for the carnitine palmitoyltransferase 1 (CPT1) reaction. The rate of glycolysis seems therefore to be central to the amount of β-oxidation-derived acetyl-CoA that is oxidized in the tricarboxylic acid (TCA) cycle. FA oxidation during exercise is also determined by FA availability to mitochondria, dependent on trans-sarcolemmal FA uptake via cluster of differentiation 36/SR-B2 (CD36) and FAs mobilized from myocellular lipid droplets.
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Affiliation(s)
- Anne-Marie Lundsgaard
- Section of Molecular Physiology, Department of Nutrition, Exercise, and Sports, Faculty of Science, University of Copenhagen, Copenhagen, Denmark
| | - Andreas Mæchel Fritzen
- Section of Molecular Physiology, Department of Nutrition, Exercise, and Sports, Faculty of Science, University of Copenhagen, Copenhagen, Denmark
| | - Bente Kiens
- Section of Molecular Physiology, Department of Nutrition, Exercise, and Sports, Faculty of Science, University of Copenhagen, Copenhagen, Denmark.
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Recruitment and Deoxygenation of Selected Respiratory and Skeletal Muscles During Incremental Loading in Stable COPD Patients. J Cardiopulm Rehabil Prev 2017; 36:279-87. [PMID: 27337606 DOI: 10.1097/hcr.0000000000000185] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
PURPOSE To evaluate changes in oxygenated (O2Hb), deoxygenated (HHb), and total hemoglobin (tHb) of the sternocleidomastoid (SCM), parasternal (PS), biceps (BC), and tibialis anterior (TA) using near-infrared spectroscopy during incremental loading of the inspiratory muscles and the elbow flexors in people with stable chronic obstructive pulmonary disease. METHODS Fifteen participants with obstructive pulmonary disease were recruited in a repeated-measures crossover design. Near-infrared spectroscopy optodes were applied over the SCM, PS, BC, and TA to measure O2Hb, HHb, and tHb. Participants were randomly assigned to perform incremental inspiratory threshold loading or elbow flexor loading that imposed higher loads every 2 minutes until task failure. At least 1 week later, participants performed the other test. Arterial oxygen saturation (SpO2) was monitored continuously. RESULTS O2Hb of the main agonist muscles, SCM and BC, decreased compared with the other muscles during inspiratory threshold loading and elbow flexor loading, respectively. SCM O2Hb and BC O2Hb decreased at higher loads compared with baseline. SCM tHb and HHb increased, whereas TA tHb decreased during inspiratory threshold loading. tHb did not change among any muscles during elbow flexor loading. SpO2 did not change from baseline to task failure. CONCLUSIONS Our data suggest that the SCM was recruited progressively during incremental inspiratory threshold loading; however, O2Hb was not maintained in this muscle. Similarly, O2Hb was not maintained in the biceps during elbow flexor loading. This regional deoxygenation in SCM and BC during incremental loading protocols was not reflected by a decrease in SpO2.
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28
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Del Torto A, Corrieri N, Vignati C, Gentile P, Cattadori G, Paolillo S, Agostoni P. Contribution of central and peripheral factors at peak exercise in heart failure patients with progressive severity of exercise limitation. Int J Cardiol 2017; 248:252-256. [DOI: 10.1016/j.ijcard.2017.07.071] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/09/2017] [Revised: 06/21/2017] [Accepted: 07/14/2017] [Indexed: 01/10/2023]
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Hong KS, Kim K. Skeletal muscle contraction-induced vasodilation in the microcirculation. J Exerc Rehabil 2017; 13:502-507. [PMID: 29114523 PMCID: PMC5667595 DOI: 10.12965/jer.1735114.557] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2017] [Accepted: 10/08/2017] [Indexed: 11/22/2022] Open
Abstract
Maximal whole body exercise leads skeletal muscle blood flow to markedly increase to match metabolic demands, a phenomenon termed exercise hyperaemia that is accomplished by increasing vasodilation. However, local vasodilatory mechanisms in response to skeletal muscle contraction remain uncertain. This review highlights metabolic vasodilators released from contracting skeletal muscle, endothelium, or blood cells. As a considerable skeletal muscle vasodilation potentially results in hypotension, sympathetic nerve activity needs to be augmented to elevate cardiac output and blood pressure during dynamic exercise. However, since the enhanced sympathetic vasoconstriction restrains skeletal muscle blood flow, intramuscular arteries have an indispensable ability to blunt sympathetic activity for exercise hyperaemia. In addition, we discuss that mechanical compression of the intramuscular vasculature contributes to causing the initial phase of increasing vasodilation following a single muscle contraction. We have also chosen to focus on conducted (or ascending) electrical signals that evoke vasodilation of proximal feed arteries to elevate blood flow in the microcirculation of skeletal muscle. Endothelial hyperpolarization originating within distal arterioles ascends into the proximal feed arteries, thereby increasing total blood flow in contracting skeletal muscle. This brief review summarizes molecular mechanisms underlying the regulation of skeletal muscle blood flow to a single or sustained muscle contraction.
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Affiliation(s)
- Kwang-Seok Hong
- Robert M. Berne Cardiovascular Research Center, University of Virginia-School of Medicine, Charlottesville, VA, USA
| | - Kijeong Kim
- School of Exercise & Sport Science, College of Natural Sciences, University of Ulsan, Ulsan, Korea
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De Smet S, van Herpt P, D'Hulst G, Van Thienen R, Van Leemputte M, Hespel P. Physiological Adaptations to Hypoxic vs. Normoxic Training during Intermittent Living High. Front Physiol 2017; 8:347. [PMID: 28620311 PMCID: PMC5449743 DOI: 10.3389/fphys.2017.00347] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2017] [Accepted: 05/11/2017] [Indexed: 12/16/2022] Open
Abstract
In the setting of “living high,” it is unclear whether high-intensity interval training (HIIT) should be performed “low” or “high” to stimulate muscular and performance adaptations. Therefore, 10 physically active males participated in a 5-week “live high-train low or high” program (TR), whilst eight subjects were not engaged in any altitude or training intervention (CON). Five days per week (~15.5 h per day), TR was exposed to normobaric hypoxia simulating progressively increasing altitude of ~2,000–3,250 m. Three times per week, TR performed HIIT, administered as unilateral knee-extension training, with one leg in normobaric hypoxia (~4,300 m; TRHYP) and with the other leg in normoxia (TRNOR). “Living high” elicited a consistent elevation in serum erythropoietin concentrations which adequately predicted the increase in hemoglobin mass (r = 0.78, P < 0.05; TR: +2.6%, P < 0.05; CON: −0.7%, P > 0.05). Muscle oxygenation during training was lower in TRHYP vs. TRNOR (P < 0.05). Muscle homogenate buffering capacity and pH-regulating protein abundance were similar between pretest and posttest. Oscillations in muscle blood volume during repeated sprints, as estimated by oscillations in NIRS-derived tHb, increased from pretest to posttest in TRHYP (~80%, P < 0.01) but not in TRNOR (~50%, P = 0.08). Muscle capillarity (~15%) as well as repeated-sprint ability (~8%) and 3-min maximal performance (~10–15%) increased similarly in both legs (P < 0.05). Maximal isometric strength increased in TRHYP (~8%, P < 0.05) but not in TRNOR (~4%, P > 0.05). In conclusion, muscular and performance adaptations were largely similar following normoxic vs. hypoxic HIIT. However, hypoxic HIIT stimulated adaptations in isometric strength and muscle perfusion during intermittent sprinting.
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Affiliation(s)
- Stefan De Smet
- Department of Kinesiology, Exercise Physiology Research Group, KU LeuvenLeuven, Belgium
| | - Paul van Herpt
- Department of Kinesiology, Exercise Physiology Research Group, KU LeuvenLeuven, Belgium
| | - Gommaar D'Hulst
- Department of Kinesiology, Exercise Physiology Research Group, KU LeuvenLeuven, Belgium
| | - Ruud Van Thienen
- Department of Kinesiology, Exercise Physiology Research Group, KU LeuvenLeuven, Belgium
| | - Marc Van Leemputte
- Department of Kinesiology, Exercise Physiology Research Group, KU LeuvenLeuven, Belgium
| | - Peter Hespel
- Department of Kinesiology, Exercise Physiology Research Group, KU LeuvenLeuven, Belgium.,Athletic Performance Center, Bakala Academy, KU LeuvenLeuven, Belgium
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Nyberg SK, Berg OK, Helgerud J, Wang E. Blood flow regulation and oxygen uptake during high-intensity forearm exercise. J Appl Physiol (1985) 2017; 122:907-917. [PMID: 28057820 DOI: 10.1152/japplphysiol.00983.2016] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2016] [Revised: 12/20/2016] [Accepted: 01/03/2017] [Indexed: 12/29/2022] Open
Abstract
The vascular strain is very high during heavy handgrip exercise, but the intensity and kinetics to reach peak blood flow, and peak oxygen uptake, are uncertain. We included 9 young (25 ± 2 yr) healthy males to evaluate blood flow and oxygen uptake responses during continuous dynamic handgrip exercise with increasing intensity. Blood flow was measured using Doppler-ultrasound, and venous blood was drawn from a deep forearm vein to determine arteriovenous oxygen difference (a-vO2diff) during 6-min bouts of 60, 80, and 100% of maximal work rate (WRmax), respectively. Blood flow and oxygen uptake increased (P < 0.05) from 60%WRmax [557 ± 177(SD) ml/min; 56.0 ± 21.6 ml/min] to 80%WRmax (679 ± 190 ml/min; 70.6 ± 24.8 ml/min), but no change was seen from 80%WRmax to 100%WRmax Blood velocity (49.5 ± 11.5 to 58.1 ± 11.6 cm/s) and brachial diameter (0.49 ± 0.05 to 0.50 ± 0.06 cm) showed concomitant increases (P < 0.05) with blood flow from 60% to 80%WRmax, whereas no differences were observed in a-vO2diff Shear rate also increased (P < 0.05) from 60% (822 ± 196 s-1) to 80% (951 ± 234 s-1) of WRmax The mean response time (MRT) was slower (P < 0.05) for blood flow (60%WRmax 50 ± 22 s; 80%WRmax 51 ± 20 s; 100%WRmax 51 ± 23 s) than a-vO2diff (60%WRmax 29 ± 9 s; 80%WRmax 29 ± 5 s; 100%WRmax 20 ± 5 s), but not different from oxygen uptake (60%WRmax 44 ± 25 s; 80%WRmax 43 ± 14 s; 100%WRmax 41 ± 32 s). No differences were observed in MRT for blood flow or oxygen uptake with increased exercise intensity. In conclusion, when approaching maximal intensity, oxygen uptake appeared to reach a critical level at ~80% of WRmax and be regulated by blood flow. This implies that high, but not maximal, exercise intensity may be an optimal stimulus for shear stress-induced small muscle mass training adaptations.NEW & NOTEWORTHY This study evaluated blood flow regulation and oxygen uptake during small muscle mass forearm exercise with high to maximal intensity. Despite utilizing only a fraction of cardiac output, blood flow reached a plateau at 80% of maximal work rate and regulated peak oxygen uptake. Furthermore, the results revealed that muscle contractions dictated bulk oxygen delivery and yielded three times higher peak blood flow in the relaxation phase compared with mean values.
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Affiliation(s)
- S K Nyberg
- Department of Circulation and Medical Imaging, Faculty of Medicine, the Norwegian University of Science and Technology, Trondheim, Norway
| | - O K Berg
- Faculty of Health and Social Sciences, Molde University College, Molde, Norway
| | - J Helgerud
- Department of Circulation and Medical Imaging, Faculty of Medicine, the Norwegian University of Science and Technology, Trondheim, Norway.,Hokksund Medical Rehabilitation Centre, Hokksund, Norway.,Department of Sports and Outdoor Life Studies, Telemark University College, Bø, Norway
| | - E Wang
- Department of Circulation and Medical Imaging, Faculty of Medicine, the Norwegian University of Science and Technology, Trondheim, Norway; .,Department of Medicine, University of Utah, Salt Lake City, Utah; and.,Department of Research and Development, St. Olav's University Hospital, Trondheim, Norway
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Calbet JAL, González-Alonso J, Helge JW, Søndergaard H, Munch-Andersen T, Saltin B, Boushel R. Central and peripheral hemodynamics in exercising humans: leg vs arm exercise. Scand J Med Sci Sports 2016; 25 Suppl 4:144-57. [PMID: 26589128 DOI: 10.1111/sms.12604] [Citation(s) in RCA: 51] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/04/2015] [Indexed: 12/22/2022]
Abstract
In humans, arm exercise is known to elicit larger increases in arterial blood pressure (BP) than leg exercise. However, the precise regulation of regional vascular conductances (VC) for the distribution of cardiac output with exercise intensity remains unknown. Hemodynamic responses were assessed during incremental upright arm cranking (AC) and leg pedalling (LP) to exhaustion (Wmax) in nine males. Systemic VC, peak cardiac output (Qpeak) (indocyanine green) and stroke volume (SV) were 18%, 23%, and 20% lower during AC than LP. The mean BP, the rate-pressure product and the associated myocardial oxygen demand were 22%, 12%, and 14% higher, respectively, during maximal AC than LP. Trunk VC was reduced to similar values at Wmax. At Wmax, muscle mass-normalized VC and fractional O2 extraction were lower in the arm than the leg muscles. However, this was compensated for during AC by raising perfusion pressure to increase O2 delivery, allowing a similar peak VO2 per kg of muscle mass in both extremities. In summary, despite a lower Qpeak during arm cranking the cardiovascular strain is much higher than during leg pedalling. The adjustments of regional conductances during incremental exercise to exhaustion depend mostly on the relative intensity of exercise and are limb-specific.
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Affiliation(s)
- J A L Calbet
- Department of Physical Education and Research Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria, Canary Islands, Spain.,The Copenhagen Muscle Research Centre, Rigshospitalet, Copenhagen N, Denmark
| | - J González-Alonso
- The Copenhagen Muscle Research Centre, Rigshospitalet, Copenhagen N, Denmark.,Centre for Sports Medicine and Human Performance, Brunel University London, Uxbridge, UK
| | - J W Helge
- The Copenhagen Muscle Research Centre, Rigshospitalet, Copenhagen N, Denmark.,Centre for Healthy Ageing, Department of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - H Søndergaard
- The Copenhagen Muscle Research Centre, Rigshospitalet, Copenhagen N, Denmark
| | - T Munch-Andersen
- The Copenhagen Muscle Research Centre, Rigshospitalet, Copenhagen N, Denmark
| | - B Saltin
- The Copenhagen Muscle Research Centre, Rigshospitalet, Copenhagen N, Denmark
| | - R Boushel
- The Copenhagen Muscle Research Centre, Rigshospitalet, Copenhagen N, Denmark.,School of Kinesiology, University of British Columbia, Vancouver, British Columbia, Canada
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Gouzi F, Maury J, Bughin F, Blaquière M, Ayoub B, Mercier J, Perez-Martin A, Pomiès P, Hayot M. Impaired training-induced adaptation of blood pressure in COPD patients: implication of the muscle capillary bed. Int J Chron Obstruct Pulmon Dis 2016; 11:2349-2357. [PMID: 27703345 PMCID: PMC5038574 DOI: 10.2147/copd.s113657] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022] Open
Abstract
Background and aims Targeting the early mechanisms in exercise-induced arterial hypertension (which precedes resting arterial hypertension in its natural history) may improve cardiovascular morbidity and mortality in COPD patients. Capillary rarefaction, an early event in COPD before vascular remodeling, is a potential mechanism of exercise-induced and resting arterial hypertension. Impaired training-induced capillarization was observed earlier in COPD patients; thus, this study compares the changes in blood pressure (BP) during exercise in COPD patients and matches control subjects (CSs) after a similar exercise training program, in relationship with muscle capillarization. Methods Resting and maximal exercise diastolic pressure (DP) and systolic pressure (SP) were recorded during a standardized cardiopulmonary exercise test, and a quadriceps muscle biopsy was performed before and after training. Results A total of 35 CSs and 49 COPD patients (forced expiratory volume in 1 second =54%±22% predicted) completed a 6-week rehabilitation program and improved their symptom-limited maximal oxygen uptake (VO2SL: 25.8±6.1 mL/kg per minute vs 27.9 mL/kg per minute and 17.0±4.7 mL/kg per minute vs 18.3 mL/kg per minute; both P<0.001). The improvement in muscle capillary-to-fiber (C/F) ratio was significantly greater in CSs vs COPD patients (+11%±9% vs +23%±21%; P<0.05). Although maximal exercise BP was reduced in CSs (DP: 89±10 mmHg vs 85±9 mmHg; P<0.001/SP: 204±25 mmHg vs 196±27 mmHg; P<0.05), it did not change in COPD patients (DP: 94±14 mmHg vs 97±16 mmHg; P=0.46/SP: 202±27 mmHg vs 208±24 mmHg; P=0.13). The change in muscle C/F ratio was negatively correlated with maximal exercise SP in CSs and COPD patients (r=−0.41; P=0.02). Conclusion COPD patients showed impaired training-induced BP adaptation related to a change in muscle capillarization, suggesting the possibility of blunted angiogenesis.
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Affiliation(s)
- Fares Gouzi
- PhyMedExp, INSERM U1046, CNRS UMR 9214, University of Montpellier; Department of Clinical Physiology, Montpellier University Hospital, Montpellier
| | - Jonathan Maury
- PhyMedExp, INSERM U1046, CNRS UMR 9214, University of Montpellier; Pulmonary Rehabilitation Center "La Solane", 5 Santé Group, Osséja
| | - François Bughin
- PhyMedExp, INSERM U1046, CNRS UMR 9214, University of Montpellier; Department of Clinical Physiology, Montpellier University Hospital, Montpellier
| | - Marine Blaquière
- PhyMedExp, INSERM U1046, CNRS UMR 9214, University of Montpellier; Department of Clinical Physiology, Montpellier University Hospital, Montpellier
| | - Bronia Ayoub
- PhyMedExp, INSERM U1046, CNRS UMR 9214, University of Montpellier; Department of Clinical Physiology, Montpellier University Hospital, Montpellier
| | - Jacques Mercier
- PhyMedExp, INSERM U1046, CNRS UMR 9214, University of Montpellier; Department of Clinical Physiology, Montpellier University Hospital, Montpellier
| | - Antonia Perez-Martin
- Dysfunction of Vascular Interfaces Laboratory, EA 2992, University of Montpellier; Department of Vascular Medicine and Investigations, Nîmes University Hospital, Nîmes, France
| | - Pascal Pomiès
- PhyMedExp, INSERM U1046, CNRS UMR 9214, University of Montpellier
| | - Maurice Hayot
- PhyMedExp, INSERM U1046, CNRS UMR 9214, University of Montpellier; Department of Clinical Physiology, Montpellier University Hospital, Montpellier
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Haddock B, Holm S, Poulsen JM, Enevoldsen LH, Larsson HBW, Kjær A, Suetta C. Assessment of muscle function using hybrid PET/MRI: comparison of 18F-FDG PET and T2-weighted MRI for quantifying muscle activation in human subjects. Eur J Nucl Med Mol Imaging 2016; 44:704-711. [PMID: 27604791 PMCID: PMC5323465 DOI: 10.1007/s00259-016-3507-1] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2016] [Accepted: 08/29/2016] [Indexed: 12/13/2022]
Abstract
Purpose The aim of this study was to determine the relationship between relative glucose uptake and MRI T2 changes in skeletal muscles following resistance exercise using simultaneous PET/MRI scans. Methods Ten young healthy recreationally active men (age 21 – 28 years) were injected with 18F-FDG while activating the quadriceps of one leg with repeated knee extension exercises followed by hand-grip exercises for one arm. Immediately following the exercises, the subjects were scanned simultaneously with 18F-FDG PET/MRI and muscle groups were evaluated for increases in 18F-FDG uptake and MRI T2 values. Results A significant linear correlation between 18F-FDG uptake and changes in muscle T2 (R2 = 0.71) was found. for both small and large muscles and in voxel to voxel comparisons. Despite large intersubject differences in muscle recruitment, the linear correlation between 18F-FDG uptake and changes in muscle T2 did not vary among subjects. Conclusion This is the first assessment of skeletal muscle activation using hybrid PET/MRI and the first study to demonstrate a high correlation between 18F-FDG uptake and changes in muscle T2 with physical exercise. Accordingly, it seems that changes in muscle T2 may be used as a surrogate marker for glucose uptake and lead to an improved insight into the metabolic changes that occur with muscle activation. Such knowledge may lead to improved treatment strategies in patients with neuromuscular pathologies such as stroke, spinal cord injuries and muscular dystrophies.
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Affiliation(s)
- Bryan Haddock
- Department of Clinical Physiology, Nuclear Medicine & PET, Rigshospitalet Glostrup, Copenhagen University Hospital, Ndr. Ringvej 57, DK2600, Glostrup, Denmark.
| | - Søren Holm
- Department of Clinical Physiology, Nuclear Medicine & PET, Rigshospitalet Glostrup, Copenhagen University Hospital, Ndr. Ringvej 57, DK2600, Glostrup, Denmark
| | - Jákup M Poulsen
- Department of Clinical Physiology, Nuclear Medicine & PET, Rigshospitalet Glostrup, Copenhagen University Hospital, Ndr. Ringvej 57, DK2600, Glostrup, Denmark
| | - Lotte H Enevoldsen
- Department of Clinical Physiology, Nuclear Medicine & PET, Rigshospitalet Glostrup, Copenhagen University Hospital, Ndr. Ringvej 57, DK2600, Glostrup, Denmark
| | - Henrik B W Larsson
- Department of Clinical Physiology, Nuclear Medicine & PET, Rigshospitalet Glostrup, Copenhagen University Hospital, Ndr. Ringvej 57, DK2600, Glostrup, Denmark
| | - Andreas Kjær
- Department of Clinical Physiology, Nuclear Medicine & PET, Rigshospitalet Glostrup, Copenhagen University Hospital, Ndr. Ringvej 57, DK2600, Glostrup, Denmark
| | - Charlotte Suetta
- Department of Clinical Physiology, Nuclear Medicine & PET, Rigshospitalet Glostrup, Copenhagen University Hospital, Ndr. Ringvej 57, DK2600, Glostrup, Denmark
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Dipla K, Kousoula D, Zafeiridis A, Karatrantou K, Nikolaidis MG, Kyparos A, Gerodimos V, Vrabas IS. Exaggerated haemodynamic and neural responses to involuntary contractions induced by whole-body vibration in normotensive obeseversuslean women. Exp Physiol 2016; 101:717-30. [DOI: 10.1113/ep085556] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2015] [Accepted: 04/06/2016] [Indexed: 01/17/2023]
Affiliation(s)
- Konstantina Dipla
- Laboratory of Exercise Physiology and Biochemistry, Department of Physical Education and Sports Science at Serres; Aristotle University of Thessaloniki; Agios Ioannis 62110 Serres Greece
| | - Dimitra Kousoula
- Laboratory of Exercise Physiology and Biochemistry, Department of Physical Education and Sports Science at Serres; Aristotle University of Thessaloniki; Agios Ioannis 62110 Serres Greece
| | - Andreas Zafeiridis
- Laboratory of Exercise Physiology and Biochemistry, Department of Physical Education and Sports Science at Serres; Aristotle University of Thessaloniki; Agios Ioannis 62110 Serres Greece
| | - Konstantina Karatrantou
- Department of Physical Education and Sport Sciences; University of Thessaly; Karyes 42100 Trikala Greece
| | - Michalis G. Nikolaidis
- Laboratory of Exercise Physiology and Biochemistry, Department of Physical Education and Sports Science at Serres; Aristotle University of Thessaloniki; Agios Ioannis 62110 Serres Greece
| | - Antonios Kyparos
- Laboratory of Exercise Physiology and Biochemistry, Department of Physical Education and Sports Science at Serres; Aristotle University of Thessaloniki; Agios Ioannis 62110 Serres Greece
| | - Vassilis Gerodimos
- Department of Physical Education and Sport Sciences; University of Thessaly; Karyes 42100 Trikala Greece
| | - Ioannis S. Vrabas
- Laboratory of Exercise Physiology and Biochemistry, Department of Physical Education and Sports Science at Serres; Aristotle University of Thessaloniki; Agios Ioannis 62110 Serres Greece
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36
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Vanhatalo A, Black MI, DiMenna FJ, Blackwell JR, Schmidt JF, Thompson C, Wylie LJ, Mohr M, Bangsbo J, Krustrup P, Jones AM. The mechanistic bases of the power-time relationship: muscle metabolic responses and relationships to muscle fibre type. J Physiol 2016; 594:4407-23. [PMID: 26940850 DOI: 10.1113/jp271879] [Citation(s) in RCA: 126] [Impact Index Per Article: 15.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2015] [Accepted: 03/01/2016] [Indexed: 11/08/2022] Open
Abstract
KEY POINTS The power-asymptote (critical power; CP) of the hyperbolic power-time relationship for high-intensity exercise defines a threshold between steady-state and non-steady-state exercise intensities and the curvature constant (W') indicates a fixed capacity for work >CP that is related to a loss of muscular efficiency. The present study reports novel evidence on the muscle metabolic underpinnings of CP and W' during whole-body exercise and their relationships to muscle fibre type. We show that the W' is not correlated with muscle fibre type distribution and that it represents an elevated energy contribution from both oxidative and glycolytic/glycogenolytic metabolism. We show that there is a positive correlation between CP and highly oxidative type I muscle fibres and that muscle metabolic steady-state is attainable <CP but not >CP. Our findings indicate a mechanistic link between the bioenergetic characteristics of muscle fibre types and the power-time relationship for high-intensity exercise. ABSTRACT We hypothesized that: (1) the critical power (CP) will represent a boundary separating steady-state from non-steady-state muscle metabolic responses during whole-body exercise and (2) that the CP and the curvature constant (W') of the power-time relationship for high-intensity exercise will be correlated with type I and type IIx muscle fibre distributions, respectively. Four men and four women performed a 3 min all-out cycling test for the estimation of CP and constant work rate (CWR) tests slightly >CP until exhaustion (Tlim ), slightly <CP for 24 min and until the >CP Tlim isotime to test the first hypothesis. Eleven men performed 3 min all-out tests and donated muscle biopsies to test the second hypothesis. Below CP, muscle [PCr] [42.6 ± 7.1 vs. 49.4 ± 6.9 mmol (kg d.w.)(-1) ], [La(-) ] [34.8 ± 12.6 vs. 35.5 ± 13.2 mmol (kg d.w.)(-1) ] and pH (7.11 ± 0.08 vs. 7.10 ± 0.11) remained stable between ∼12 and 24 min (P > 0.05 for all), whereas these variables changed with time >CP such that they were greater [[La(-) ] 95.6 ± 14.1 mmol (kg d.w.)(-1) ] and lower [[PCr] 24.2 ± 3.9 mmol (kg d.w.)(-1) ; pH 6.84 ± 0.06] (P < 0.05) at Tlim (740 ± 186 s) than during the <CP trial. The CP (234 ± 53 W) was correlated with muscle type I (r = 0.67, P = 0.025) and inversely correlated with muscle type IIx fibre proportion (r = -0.76, P = 0.01). There was no relationship between W' (19.4 ± 6.3 kJ) and muscle fibre type. These data indicate a mechanistic link between the bioenergetic characteristics of different muscle fibre types and the power-duration relationship. The CP reflects the bioenergetic characteristics of highly oxidative type I muscle fibres, such that a muscle metabolic steady-state is attainable below and not above CP.
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Affiliation(s)
- Anni Vanhatalo
- College of Life and Environmental Sciences, St Luke's Campus, University of Exeter, Exeter, UK
| | - Matthew I Black
- College of Life and Environmental Sciences, St Luke's Campus, University of Exeter, Exeter, UK
| | - Fred J DiMenna
- Teachers College, Department of Biobehavioral Sciences, Columbia University, New York, NY, USA
| | - Jamie R Blackwell
- College of Life and Environmental Sciences, St Luke's Campus, University of Exeter, Exeter, UK
| | - Jakob Friis Schmidt
- Department of Nutrition, Exercise and Sports, The August Krogh Building, University of Copenhagen, Copenhagen, Denmark
| | - Christopher Thompson
- College of Life and Environmental Sciences, St Luke's Campus, University of Exeter, Exeter, UK
| | - Lee J Wylie
- College of Life and Environmental Sciences, St Luke's Campus, University of Exeter, Exeter, UK
| | - Magni Mohr
- Faculty of Natural and Health Sciences, University of the Faroe Islands, Tórshavn, Faroe Islands.,Center of Health and Human Performance, Department of Food and Nutrition, and Sport Science, University of Gothenburg, Gothenburg, Sweden
| | - Jens Bangsbo
- Department of Nutrition, Exercise and Sports, The August Krogh Building, University of Copenhagen, Copenhagen, Denmark
| | - Peter Krustrup
- College of Life and Environmental Sciences, St Luke's Campus, University of Exeter, Exeter, UK.,Department of Nutrition, Exercise and Sports, The August Krogh Building, University of Copenhagen, Copenhagen, Denmark
| | - Andrew M Jones
- College of Life and Environmental Sciences, St Luke's Campus, University of Exeter, Exeter, UK
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Stöcker F, Von Oldershausen C, Paternoster FK, Schulz T, Oberhoffer R. Relationship of post-exercise muscle oxygenation and duration of cycling exercise. BMC Sports Sci Med Rehabil 2016; 8:9. [PMID: 27087981 PMCID: PMC4832476 DOI: 10.1186/s13102-016-0036-y] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2015] [Accepted: 04/08/2016] [Indexed: 11/10/2022]
Abstract
BACKGROUND Aerobic adaptations following interval training are supposed to be mediated by increased local blood supply. However, knowledge is scarce on the detailed relationship between exercise duration and local post-exercise blood supply and oxygen availability. This study aimed to examine the effect of five different exercise durations, ranging from 30 to 240 s, on post-exercise muscle oxygenation and relative changes in hemoglobin concentration. METHODS Healthy male subjects (N = 18) performed an experimental protocol of five exercise bouts (30, 60, 90, 120, and 240 s) at 80 % of peak oxygen uptake [Formula: see text] in a randomized order, separated by 5-min recovery periods. To examine the influence of aerobic fitness, we compared subjects with gas exchange thresholds (GET) above 60 % [Formula: see text] (GET60+) with subjects reaching GET below 60 % [Formula: see text] (GET60-). [Formula: see text] and relative changes in concentrations of oxygenated hemoglobin, deoxygenated hemoglobin, and total hemoglobin were continuously measured with near-infrared spectroscopy of the vastus lateralis muscle. RESULTS Post-exercise oxygen availability and local blood supply increased significantly until the 90-s exercise duration and reached a plateau thereafter. Considering aerobic fitness, the GET60+ group reached maximum post-exercise oxygen availability earlier (60 s) than the GET60- group (90 s). CONCLUSIONS Our results suggest that (1) 90 s has evolved as the minimum interval duration to enhance local oxygen availability and blood supply following cycling exercise at 80 % [Formula: see text]; whereas (2) 60 s is sufficient to trigger the same effects in subjects with GET60 + .
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Affiliation(s)
- Fabian Stöcker
- Center for Teaching and Learning, Technische Universität München, Connollystraße 32, 80809 München, Germany
| | - Christoph Von Oldershausen
- Center for Teaching and Learning, Technische Universität München, Connollystraße 32, 80809 München, Germany
| | | | - Thorsten Schulz
- Department for Preventive Pediatrics, Technische Universität München, München, Germany
| | - Renate Oberhoffer
- Department for Preventive Pediatrics, Technische Universität München, München, Germany
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Holmberg H. The elite cross‐country skier provides unique insights into human exercise physiology. Scand J Med Sci Sports 2015; 25 Suppl 4:100-9. [DOI: 10.1111/sms.12601] [Citation(s) in RCA: 64] [Impact Index Per Article: 7.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/01/2015] [Indexed: 01/01/2023]
Affiliation(s)
- H.‐C. Holmberg
- Swedish Winter Sports Research Centre Department of Health Sciences Mid Sweden University Östersund Sweden
- Swedish Olympic Committee Stockholm Sweden
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39
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Stöcker F, Von Oldershausen C, Paternoster FK, Schulz T, Oberhoffer R. End-exercise ΔHHb/ΔVO 2 and post-exercise local oxygen availability in relation to exercise intensity. Clin Physiol Funct Imaging 2015; 37:384-393. [PMID: 26576503 DOI: 10.1111/cpf.12314] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2015] [Accepted: 09/28/2015] [Indexed: 12/31/2022]
Abstract
Increased local blood supply is thought to be one of the mechanisms underlying oxidative adaptations to interval training regimes. The relationship of exercise intensity with local blood supply and oxygen availability has not been sufficiently evaluated yet. The aim of this study was to examine the effect of six different intensities (40-90% peak oxygen uptake, VO2peak ) on relative changes in oxygenated, deoxygenated and total haemoglobin (ΔO2 Hb, ΔHHb, ΔTHb) concentration after exercise as well as end-exercise ΔHHb/ΔVO2 as a marker for microvascular O2 distribution. Seventeen male subjects performed an experimental protocol consisting of 3 min cycling bouts at each exercise intensity in randomized order, separated by 5 min rests. ΔO2 Hb and ΔHHb were monitored with near-infrared spectroscopy of the vastus lateralis muscle, and VO2 was assessed. ΔHHb/ΔVO2 increased significantly from 40% to 60% VO2 peak and decreased from 60% to 90% VO2 peak. Post-exercise ΔTHb and ΔO2 Hb showed an overshoot in relation to pre-exercise values, which was equal after 40-60% VO2peak and rose significantly thereafter. A plateau was reached following exercise at ≥80% VO2peak . The results suggest that there is an increasing mismatch of local O2 delivery and utilization during exercise up to 60% VO2peak . This insufficient local O2 distribution is progressively improved above that intensity. Further, exercise intensities of ≥80% VO2peak induce highest local post-exercise O2 availability. These effects are likely due to improved microvascular perfusion by enhanced vasodilation, which could be mediated by higher lactate production and the accompanying acidosis.
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Affiliation(s)
- F Stöcker
- Center for Teaching and Learning, Technische Universität München, München, Germany
| | - C Von Oldershausen
- Center for Teaching and Learning, Technische Universität München, München, Germany
| | - F K Paternoster
- Department of Biomechanics in Sports, Technische Universität München, München, Germany
| | - T Schulz
- Department for Preventive Pediatrics, Technische Universität München, Germany
| | - R Oberhoffer
- Department for Preventive Pediatrics, Technische Universität München, Germany
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40
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Faiss R, Willis S, Born DP, Sperlich B, Vesin JM, Holmberg HC, Millet GP. Repeated double-poling sprint training in hypoxia by competitive cross-country skiers. Med Sci Sports Exerc 2015; 47:809-17. [PMID: 25083727 DOI: 10.1249/mss.0000000000000464] [Citation(s) in RCA: 58] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
PURPOSE Repeated-sprint training in hypoxia (RSH) was recently shown to improve repeated-sprint ability (RSA) in cycling. This phenomenon is likely to reflect fiber type-dependent, compensatory vasodilation, and therefore, our hypothesis was that RSH is even more beneficial for activities involving upper body muscles, such as double poling during cross-country skiing. METHODS In a double-blinded fashion, 17 competitive cross-country skiers performed six sessions of repeated sprints (each consisting of four sets of five 10-s sprints, with 20-s intervals of recovery) either in normoxia (RSN, 300 m; FiO2, 20.9%; n = 8) or normobaric hypoxia (RSH, 3000 m; FiO2, 13.8 %; n = 9). Before (pre) and after (post) training, performance was evaluated with an RSA test (10-s all-out sprints-20-s recovery, until peak power output declined by 30%) and a simulated team sprint (team sprint, 3 × 3-min all-out with 3-min rest) on a double-poling ergometer. Triceps brachii oxygenation was measured by near-infrared spectroscopy. RESULTS From pretraining to posttraining, peak power output in the RSA was increased (P < 0.01) to the same extent (29% ± 13% vs 26% ± 18%, nonsignificant) in RSH and in RSN whereas the number of sprints performed was enhanced in RSH (10.9 ± 5.2 vs 17.1 ± 6.8, P < 0.01) but not in RSN (11.6 ± 5.3 vs 11.7 ± 4.3, nonsignificant). In addition, the amplitude in total hemoglobin variations during sprints throughout RSA rose more in RSH (P < 0.01). Similarly, the average power output during all team sprints improved by 11% ± 9% in RSH and 15% ± 7% in RSN. CONCLUSIONS Our findings reveal greater improvement in the performance of repeated double-poling sprints, together with larger variations in the perfusion of upper body muscles in RSH compared with those in RSN.
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Affiliation(s)
- Raphael Faiss
- 1Institute of Sport Sciences, University of Lausanne, Lausanne, SWITZERLAND; 2Department of Physiology, Faculty of Biology and Medicine, University of Lausanne, Lausanne, SWITZERLAND; 3Nationellt Vintersport Centrum, Swedish Winter Sports Research Centre, Mid Sweden University, Östersund, SWEDEN; 4Department of Sport Science, University of Wuppertal, Wuppertal, GERMANY; and 5Applied Signal Processing Group, Swiss Federal Institute of Technology, Ecole Polytechnique Fédérale de Lausanne, Lausanne, SWITZERLAND
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41
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Morales-Alamo D, Losa-Reyna J, Torres-Peralta R, Martin-Rincon M, Perez-Valera M, Curtelin D, Ponce-González JG, Santana A, Calbet JAL. What limits performance during whole-body incremental exercise to exhaustion in humans? J Physiol 2015; 593:4631-48. [PMID: 26250346 DOI: 10.1113/jp270487] [Citation(s) in RCA: 73] [Impact Index Per Article: 8.1] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2015] [Accepted: 07/29/2015] [Indexed: 12/13/2022] Open
Abstract
To determine the mechanisms causing task failure during incremental exercise to exhaustion (IE), sprint performance (10 s all-out isokinetic) and muscle metabolites were measured before (control) and immediately after IE in normoxia (P(IO2) 143 mmHg) and hypoxia (P(IO2): 73 mmHg) in 22 men (22 ± 3 years). After IE, subjects recovered for either 10 or 60 s, with open circulation or bilateral leg occlusion (300 mmHg) in random order. This was followed by a 10 s sprint with open circulation. Post-IE peak power output (W(peak)) was higher than the power output reached at exhaustion during IE (P < 0.05). After 10 and 60 s recovery in normoxia, W(peak) was reduced by 38 ± 9 and 22 ± 10% without occlusion, and 61 ± 8 and 47 ± 10% with occlusion (P < 0.05). Following 10 s occlusion, W(peak) was 20% higher in hypoxia than normoxia (P < 0.05), despite similar muscle lactate accumulation ([La]) and phosphocreatine and ATP reduction. Sprint performance and anaerobic ATP resynthesis were greater after 60 s compared with 10 s occlusions, despite the higher [La] and [H(+)] after 60 s compared with 10 s occlusion recovery (P < 0.05). The mean rate of ATP turnover during the 60 s occlusion was 0.180 ± 0.133 mmol (kg wet wt)(-1) s(-1), i.e. equivalent to 32% of leg peak O2 uptake (the energy expended by the ion pumps). A greater degree of recovery is achieved, however, without occlusion. In conclusion, during incremental exercise task failure is not due to metabolite accumulation or lack of energy resources. Anaerobic metabolism, despite the accumulation of lactate and H(+), facilitates early recovery even in anoxia. This points to central mechanisms as the principal determinants of task failure both in normoxia and hypoxia, with lower peripheral contribution in hypoxia.
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Affiliation(s)
- David Morales-Alamo
- Department of Physical Education, University of Las Palmas de Gran Canaria, Campus Universitario de Tafira s/n, 35017, Las Palmas de Gran Canaria, Spain.,Research Institute of Biomedical and Health Sciences (IUIBS), Las Palmas de Gran Canaria, Spain
| | - José Losa-Reyna
- Department of Physical Education, University of Las Palmas de Gran Canaria, Campus Universitario de Tafira s/n, 35017, Las Palmas de Gran Canaria, Spain.,Research Institute of Biomedical and Health Sciences (IUIBS), Las Palmas de Gran Canaria, Spain
| | - Rafael Torres-Peralta
- Department of Physical Education, University of Las Palmas de Gran Canaria, Campus Universitario de Tafira s/n, 35017, Las Palmas de Gran Canaria, Spain.,Research Institute of Biomedical and Health Sciences (IUIBS), Las Palmas de Gran Canaria, Spain
| | - Marcos Martin-Rincon
- Research Institute of Biomedical and Health Sciences (IUIBS), Las Palmas de Gran Canaria, Spain.,Department of Sports and Informatics, Pablo de Olavide University, Seville, Spain
| | - Mario Perez-Valera
- Department of Physical Education, University of Las Palmas de Gran Canaria, Campus Universitario de Tafira s/n, 35017, Las Palmas de Gran Canaria, Spain.,Research Institute of Biomedical and Health Sciences (IUIBS), Las Palmas de Gran Canaria, Spain
| | - David Curtelin
- Research Institute of Biomedical and Health Sciences (IUIBS), Las Palmas de Gran Canaria, Spain.,Emergency Medicine Department, Complejo Hospitalario Universitario Insular-Materno Infantil de Las Palmas de Gran Canaria, Avenida Marítima del Sur, s/n, 35016, Las Palmas de Gran Canaria, Spain
| | - Jesús Gustavo Ponce-González
- Department of Physical Education, University of Las Palmas de Gran Canaria, Campus Universitario de Tafira s/n, 35017, Las Palmas de Gran Canaria, Spain
| | - Alfredo Santana
- Department of Physical Education, University of Las Palmas de Gran Canaria, Campus Universitario de Tafira s/n, 35017, Las Palmas de Gran Canaria, Spain.,Research Institute of Biomedical and Health Sciences (IUIBS), Las Palmas de Gran Canaria, Spain.,Clinical Genetics Unit, Complejo Hospitalario Universitario Insular-Materno Infantil de Las Palmas de Gran Canaria, Avenida Marítima, del Sur, s/n, 35016, Las Palmas de Gran Canaria, Spain
| | - José A L Calbet
- Department of Physical Education, University of Las Palmas de Gran Canaria, Campus Universitario de Tafira s/n, 35017, Las Palmas de Gran Canaria, Spain.,Research Institute of Biomedical and Health Sciences (IUIBS), Las Palmas de Gran Canaria, Spain
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Rogan A, McGregor G, Weston C, Krishnan N, Higgins R, Zehnder D, Ting SMS. Exaggerated blood pressure response to dynamic exercise despite chronic refractory hypotension: results of a human case study. BMC Nephrol 2015; 16:81. [PMID: 26055191 PMCID: PMC4460705 DOI: 10.1186/s12882-015-0076-7] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2014] [Accepted: 05/21/2015] [Indexed: 01/18/2023] Open
Abstract
BACKGROUND Chronic refractory hypotension is a rare but significant mortality risk in renal failure patients. Such aberrant physiology usually deems patient unfit for renal transplant surgery. Exercise stimulates the mechano-chemoreceptors in the skeletal muscle thereby modulating the sympathetic effects on blood pressure regulation. The haemodynamic response to dynamic exercise in such patients has not been previously investigated. We present a case with severe chronic hypotension who underwent exercise testing before and after renal transplantation, with marked differences in blood pressure response to exercise. CASE PRESENTATION A 40-year old haemodialysis-dependent patient with a 2 year history of refractory hypotension (≤80/50 mmHg) was referred for living donor renal transplantation at our tertiary centre. Each dialysis session was often less than 2 h and 30 min due to symptomatic hypotension. As part of the cardiovascular assessment, she underwent haemodynamic evaluation with cardiopulmonary exercise testing. Blood pressure normalized during unloaded pedalling but was exaggerated at maximal workload whereby it rose from 82/50 mmHg to a peak of 201/120 mmHg. Transthoracic echocardiography, tonometric measure of central vascular compliance and myocardial perfusion scan were normal. She subsequently underwent an antibody-incompatible renal transplantation and was vasopressor reliant for 14 days during the post-operative period. Eight weeks following transplant, resting blood pressure was normal and a physiological exercise-haemodynamic response was observed during a repeat cardiopulmonary exercise testing. CONCLUSION This case highlights the potential therapeutic role of unloaded leg cycling exercise during dialysis session to correct chronic hypotension, allowing patients to have greater tolerance to fluid shift. It also adds to existing evidence that sympathetic dysfunction is reversible with renal transplant. Furthermore chronic hypotension with preserved exercise-haemodynamic response and cardiovascular reserve should not preclude these patients from renal transplant surgery.
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Affiliation(s)
- Alice Rogan
- Departments of Renal Medicine and Transplantation, University Hospital Coventry and Warwickshire NHS Trust, Clifford Bridge Road, Coventry, CV2 2DX, UK.
| | - Gordon McGregor
- Departments of Renal Medicine and Transplantation, University Hospital Coventry and Warwickshire NHS Trust, Clifford Bridge Road, Coventry, CV2 2DX, UK. .,Departments of Cardiac Exercise Physiology, University Hospital Coventry and Warwickshire NHS Trust, Coventry, UK.
| | - Charles Weston
- Department of Nephrology, Dorset County Hospital NHS Foundation Trust, Dorchester, UK.
| | - Nithya Krishnan
- Departments of Renal Medicine and Transplantation, University Hospital Coventry and Warwickshire NHS Trust, Clifford Bridge Road, Coventry, CV2 2DX, UK.
| | - Robert Higgins
- Departments of Renal Medicine and Transplantation, University Hospital Coventry and Warwickshire NHS Trust, Clifford Bridge Road, Coventry, CV2 2DX, UK.
| | - Daniel Zehnder
- Departments of Renal Medicine and Transplantation, University Hospital Coventry and Warwickshire NHS Trust, Clifford Bridge Road, Coventry, CV2 2DX, UK. .,Division of Metabolic and Vascular Health, The University of Warwick, Coventry, UK.
| | - Stephen M S Ting
- Departments of Renal Medicine and Transplantation, University Hospital Coventry and Warwickshire NHS Trust, Clifford Bridge Road, Coventry, CV2 2DX, UK. .,Division of Metabolic and Vascular Health, The University of Warwick, Coventry, UK.
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Schlütter JM, Hatt L, Bach C, Kirkegaard I, Kølvraa S, Uldbjerg N. The cell-free fetal DNA fraction in maternal blood decreases after physical activity. Prenat Diagn 2014; 34:341-4. [PMID: 24496666 DOI: 10.1002/pd.4306] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2013] [Revised: 12/11/2013] [Accepted: 12/13/2013] [Indexed: 12/27/2022]
Abstract
OBJECTIVE If noninvasive prenatal testing using next generation sequencing is to be effective for pregnant women, a cell-free fetal DNA (cffDNA) fraction above 4% is essential unless the depth of sequencing is increased. This study's objective is to determine whether physical activity has an effect on the proportion of cell-free DNA (cfDNA) arising from the fetus (fetal fraction). METHODS Nine pregnant women carrying male fetuses at gestational age 12(+0) weeks to 14(+6) weeks were included. Plasma from nine pregnant women was drawn prior to, immediately after, and 30 min after 30 min of cycling with a pulse-rate of 150 beats per minute. The concentrations of cffDNA (DYS14) and cfDNA (RASSF1A) were assessed using quantitative real-time polymerase chain reaction. RESULTS The fetal fraction decreased significantly in all participants after physical activity (p < 0.01), a decrease varying from 1-17 percentage points. This was due to a significant increase in the concentration of cfDNA (p < 0.01), whereas the concentration of cffDNA remained the same. This alteration of the fetal fraction was not present 30 min after physical activity. CONCLUSION When planning the timing of noninvasive prenatal diagnosis based on the fetal fraction, physical activity prior to sampling should be avoided.
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Affiliation(s)
- Jacob Mørup Schlütter
- Department of Obstetrics and Gynecology, Aarhus University Hospital, Skejby, Aarhus, Denmark
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44
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Lundby C. Blood flow regulation: from rest to maximal exercise. J Physiol 2012; 590:6267. [PMID: 23241922 DOI: 10.1113/jphysiol.2012.246934] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
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