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Ba A, Brégeon F, Delliaux S, Cissé F, Samb A, Jammes Y. Cardiopulmonary response to exercise in COPD and overweight patients: relationship between unloaded cycling and maximal oxygen uptake profiles. BIOMED RESEARCH INTERNATIONAL 2015; 2015:378469. [PMID: 25866778 PMCID: PMC4383510 DOI: 10.1155/2015/378469] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/17/2014] [Revised: 09/03/2014] [Accepted: 09/21/2014] [Indexed: 11/25/2022]
Abstract
Cardiopulmonary response to unloaded cycling may be related to higher workloads. This was assessed in male subjects: 18 healthy sedentary subjects (controls), 14 hypoxemic patients with chronic obstructive pulmonary disease (COPD), and 31 overweight individuals (twelve were hypoxemic). They underwent an incremental exercise up to the maximal oxygen uptake (VO2max), preceded by a 2 min unloaded cycling period. Oxygen uptake (VO2), heart rate (HR), minute ventilation (VE), and respiratory frequency (fR) were averaged every 10 s. At the end of unloaded cycling period, HR increase was significantly accentuated in COPD and hypoxemic overweight subjects (resp., +14 ± 2 and +13 ± 1.5 min(-1), compared to +7.5 ± 1.5 min(-1) in normoxemic overweight subjects and +8 ± 1.8 min(-1) in controls). The fR increase was accentuated in all overweight subjects (hypoxemic: +4.5 ± 0.8; normoxemic: +3.9 ± 0.7 min(-1)) compared to controls (+2.5 ± 0.8 min(-1)) and COPDs (+2.0 ± 0.7 min(-1)). The plateau VE increase during unloaded cycling was positively correlated with VE values measured at the ventilatory threshold and VO2max. Measurement of ventilation during unloaded cycling may serve to predict the ventilatory performance of COPD patients and overweight subjects during an exercise rehabilitation program.
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Affiliation(s)
- Abdoulaye Ba
- Service des Explorations Fonctionnelles Respiratoires, Hopital Nord (Assistance Publique-Hôpitaux de Marseille) and UMR MD2, Faculté de Médecine Secteur Nord, Boulevard Pierre Dramard, 13916 Cedex 20 Marseille, France
- Laboratory of Physiology, Faculty of Medicine, University of Cheikh Anta Diop, Dakar, P.O. Box 45698, Dakar Fann, Dakar, Senegal
- Unité Mixte Internationale Environnement, Santé, Sociétés (UMI3189 ESS), Université Cheikh Anta Diop (UCAD), P.O. Box 5005, Dakar Fann, Senegal
| | - Fabienne Brégeon
- Service des Explorations Fonctionnelles Respiratoires, Hopital Nord (Assistance Publique-Hôpitaux de Marseille) and UMR MD2, Faculté de Médecine Secteur Nord, Boulevard Pierre Dramard, 13916 Cedex 20 Marseille, France
| | - Stéphane Delliaux
- Service des Explorations Fonctionnelles Respiratoires, Hopital Nord (Assistance Publique-Hôpitaux de Marseille) and UMR MD2, Faculté de Médecine Secteur Nord, Boulevard Pierre Dramard, 13916 Cedex 20 Marseille, France
| | - Fallou Cissé
- Laboratory of Physiology, Faculty of Medicine, University of Cheikh Anta Diop, Dakar, P.O. Box 45698, Dakar Fann, Dakar, Senegal
| | - Abdoulaye Samb
- Laboratory of Physiology, Faculty of Medicine, University of Cheikh Anta Diop, Dakar, P.O. Box 45698, Dakar Fann, Dakar, Senegal
- Unité Mixte Internationale Environnement, Santé, Sociétés (UMI3189 ESS), Université Cheikh Anta Diop (UCAD), P.O. Box 5005, Dakar Fann, Senegal
| | - Yves Jammes
- Service des Explorations Fonctionnelles Respiratoires, Hopital Nord (Assistance Publique-Hôpitaux de Marseille) and UMR MD2, Faculté de Médecine Secteur Nord, Boulevard Pierre Dramard, 13916 Cedex 20 Marseille, France
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Kelsey CJ, Duffin J. Changes in ventilation in response to ramp changes in treadmill exercise load. EUROPEAN JOURNAL OF APPLIED PHYSIOLOGY AND OCCUPATIONAL PHYSIOLOGY 1992; 65:480-4. [PMID: 1425657 DOI: 10.1007/bf00243518] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
These experiments examined the changes in ventilation during a 40-s ramp increase in exercise load, produced by increasing either the speed of the treadmill or the grade, to equivalent end-points of oxygen uptake. Six subjects underwent five trials each for grade and speed, while ventilation was monitored breath-by-breath. For each subject, ventilation versus time for all five of the speed trials was plotted on a single graph and fitted by linear regression. The data for the grade trials were similarly treated. For all subjects, the slope of the regression line for the speed plots was found to be significantly (P < 0.05) greater than that for the grade plots. We concluded that these experimental results support the hypothesis that the neural drive to ventilation persists as exercise continues and is proportionately related to the frequency of limb movement.
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Affiliation(s)
- C J Kelsey
- Department of Anaesthesia, University of Toronto, Ontario, Canada
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Maillard D, Delpuech C, Hatzfeld C. Ventilatory adjustments during sustained resistive unloading in exercising humans. EUROPEAN JOURNAL OF APPLIED PHYSIOLOGY AND OCCUPATIONAL PHYSIOLOGY 1990; 60:120-6. [PMID: 2335169 DOI: 10.1007/bf00846031] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
Effect of He-O2-breathing (79.1%:20.9%) compared to air-breathing on inspiratory ventilation (VI) and its different components [tidal volume (VT), the duration of the phases of each respiratory cycle (tI, tTOT)] as well as on inspiratory mouth occlusion pressure (P0.1) were studied in six normal men at rest and during 72 constant-load exercises (90 W) over a much longer period than in previous studies. Results showed that, irrespective of the order of administration of the two gases (7 min air----7 min He-O2 or vice versa): at rest, P0.1 decreased during He-O2 inhalation but no changes in VI and breathing pattern were detectable; during exercise, sustained He-induced hyperventilation was observed without any change in the absolute value of P0.1; increase in P0.1 between the resting period and exercise (delta P0.1) was significantly higher during He-O2-breathing than during air breathing; this He-induced hyperventilation was associated with a sustained increase in VT/tI, but with constant tI/tTOT. Helium-breathing during exercise cannot be a simple situation of resistance unloading, as has been suggested. We conclude that He-O2-breathing, after the initial compensation period, induces reflex changes in ventilatory control with an increase in inspiratory neural drive. Moreover, it appears that exercise P0.1 is not a legitimate index of inspiratory neural drive whenever rest P0.1 changes according to the nature of the inhaled gas mixture.
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Affiliation(s)
- D Maillard
- Laboratoire de Physiologie, Faculté de Médecine Saint-Antoine, Paris, France
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Rieu M, Miladi J, Ferry A, Duvallet A. Blood lactate during submaximal exercises. Comparison between intermittent incremental exercises and isolated exercises. EUROPEAN JOURNAL OF APPLIED PHYSIOLOGY AND OCCUPATIONAL PHYSIOLOGY 1989; 59:73-9. [PMID: 2583153 DOI: 10.1007/bf02396583] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
Values of oxygen consumption, carbon dioxide production, ventilation and blood lactate concentration were determined in eight active male subjects during the minute following submaximal square-wave exercise on a treadmill under two sets of conditions. Square-wave exercise was (1) integrated in a series of intermittent incremental exercises of 4-min duration separated by 1-min rest periods; (2) isolated, of 4- and 12-min duration, and of intensity corresponding to each of the intermittent incremental periods of exercise. For square-wave exercise of the same duration (4 min) and intensity, no significant differences in the above-mentioned parameters were noted between intermittent incremental exercise and isolated exercise. Only at high work rate (greater than 92% maximal oxygen uptake), were blood lactate levels in three subjects slightly higher after 12-min of isolated exercise than after the 4-min periods of isolated exercise. Examination of these results suggests that (1) 80-90% of the blood lactate concentration observed under our experimental conditions results from the accumulation of lactate in the blood during the period of oxygen deficit; (2) therefore the blood lactate concentration/exercise intensity relationship, for the most part, appears to represent the lactate accumulated early in the periods of intermittent incremental exercise.
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Affiliation(s)
- M Rieu
- Laboratoire de Physiologie des Adaptations, Université Paris V, France
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Casey K, Duffin J, Kelsey CJ, McAvoy GV. The effect of treadmill speed on ventilation at the start of exercise in man. J Physiol 1987; 391:13-24. [PMID: 3127577 PMCID: PMC1192198 DOI: 10.1113/jphysiol.1987.sp016722] [Citation(s) in RCA: 28] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023] Open
Abstract
1. The change in ventilation at the start of exercise was determined during both hyperoxic rebreathing and air breathing in four volunteers. 2. In order to differentiate between the effects of limb-movement frequency and exercise load in terms of oxygen uptake, three treadmill exercises were tested: E1, at an oxygen uptake of 1 l/min on a level treadmill; E2, at 2 l/min on an inclined treadmill at the same speed as E1; E3, at 2 l/min on a level treadmill at a higher speed. All of the exercises were performed at a walking pace. 3. Prior to rebreathing, hyperventilation for 5 min to 20 mmHg was used to reduce carbon dioxide to below the central chemoreceptor threshold. From eleven to fourteen rebreathing experiments were done on each volunteer for each of the three exercises, with the treadmill started at carbon dioxide levels which ranged from 36 (below threshold) to 58 mmHg (above threshold). 4. Ten experiments were performed on each volunteer for each of the three exercises during air breathing, with the treadmill started after 5 min of rest. 5. In both the rebreathing experiments and the air breathing experiments it was found that the change in ventilation at the start of exercise was the same for exercises E1 and E2, and significantly greater for exercise E3. 6. It was concluded that the frequency of limb movement, rather than exercise load (oxygen consumption) is a determinant of the change in ventilation at the start of exercise.
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Affiliation(s)
- K Casey
- Department of Physiology, University of Toronto, Ontario, Canada
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