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Yogev A, Arnold J, Nelson H, Clarke DC, Guenette JA, Sporer BC, Koehle MS. Comparing the reliability of muscle oxygen saturation with common performance and physiological markers across cycling exercise intensity. Front Sports Act Living 2023; 5:1143393. [PMID: 37601168 PMCID: PMC10436610 DOI: 10.3389/fspor.2023.1143393] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2023] [Accepted: 07/11/2023] [Indexed: 08/22/2023] Open
Abstract
Introduction Wearable near-infrared spectroscopy (NIRS) measurements of muscle oxygen saturation (SmO2) demonstrated good test-retest reliability at rest. We hypothesized SmO2 measured with the Moxy monitor at the vastus lateralis (VL) would demonstrate good reliability across intensities. For relative reliability, SmO2 will be lower than volume of oxygen consumption (V̇O2) and heart rate (HR), higher than concentration of blood lactate accumulation ([BLa]) and rating of perceived exertion (RPE). We aimed to estimate the reliability of SmO2 and common physiological measures across exercise intensities, as well as to quantify within-participant agreement between sessions. Methods Twenty-one trained cyclists completed two trials of an incremental multi-stage cycling test with 5 min constant workload steps starting at 1.0 watt per kg bodyweight (W·kg-1) and increasing by 0.5 W kg-1 per step, separated by 1 min passive recovery intervals until maximal task tolerance. SmO2, HR, V̇O2, [BLa], and RPE were recorded for each stage. Continuous measures were averaged over the final 60 s of each stage. Relative reliability at the lowest, median, and highest work stages was quantified as intraclass correlation coefficient (ICC). Absolute reliability and within-subject agreement were quantified as standard error of the measurement (SEM) and minimum detectable change (MDC). Results Comparisons between trials showed no significant differences within each exercise intensity for all outcome variables. ICC for SmO2 was 0.81-0.90 across exercise intensity. ICC for HR, V̇O2, [BLa], and RPE were 0.87-0.92, 0.73-0.97, 0.44-0.74, 0.29-0.70, respectively. SEM (95% CI) for SmO2 was 5 (3-7), 6 (4-9), and 7 (5-10)%, and MDC was 12%, 16%, and 18%. Discussion Our results demonstrate good-to-excellent test-retest reliability for SmO2 across intensity during an incremental multi-stage cycling test. V̇O2 and HR had excellent reliability, higher than SmO2. [BLa] and RPE had lower reliability than SmO2. Muscle oxygen saturation measured by wearable NIRS was found to have similar reliability to V̇O2 and HR, and higher than [BLa] and RPE across exercise intensity, suggesting that it is appropriate for everyday use as a non-invasive method of monitoring internal load alongside other metrics.
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Affiliation(s)
- Assaf Yogev
- Environmental Physiology Laboratory, The University of British Columbia, School of Kinesiology, Vancouver, BC, Canada
| | - Jem Arnold
- Environmental Physiology Laboratory, The University of British Columbia, School of Kinesiology, Vancouver, BC, Canada
| | - Hannah Nelson
- Environmental Physiology Laboratory, The University of British Columbia, School of Kinesiology, Vancouver, BC, Canada
| | - David C. Clarke
- Department of Biomedical Physiology and Kinesiology and Sports Analytics Group, Simon Fraser University, Burnaby, BC, Canada
| | - Jordan A. Guenette
- Deptartment of Physical Therapy, The University of British Columbia, Vancouver, BC, Canada
- Centre for Heart Lung Innovation, Providence Research, The University of British Columbia and St. Paul’s Hospital, Vancouver, BC, Canada
| | - Ben C. Sporer
- Department of Family Practice, Vancouver Whitecaps FC, Vancouver, BC, Canada
- Division of Sport & Exercise Medicine, The University of British Columbia, Vancouver, BC, Canada
| | - Michael S. Koehle
- Environmental Physiology Laboratory, The University of British Columbia, School of Kinesiology, Vancouver, BC, Canada
- Department of Biomedical Physiology and Kinesiology and Sports Analytics Group, Simon Fraser University, Burnaby, BC, Canada
- Division of Sport & Exercise Medicine, The University of British Columbia, Vancouver, BC, Canada
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Contreras-Briceño F, Espinosa-Ramirez M, Keim-Bagnara V, Carreño-Román M, Rodríguez-Villagra R, Villegas-Belmar F, Viscor G, Gabrielli L, Andía ME, Araneda OF, Hurtado DE. Determination of the Respiratory Compensation Point by Detecting Changes in Intercostal Muscles Oxygenation by Using Near-Infrared Spectroscopy. Life (Basel) 2022; 12:life12030444. [PMID: 35330195 PMCID: PMC8954259 DOI: 10.3390/life12030444] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2022] [Revised: 03/07/2022] [Accepted: 03/15/2022] [Indexed: 11/20/2022] Open
Abstract
This study aimed to evaluate if the changes in oxygen saturation levels at intercostal muscles (SmO2-m.intercostales) assessed by near-infrared spectroscopy (NIRS) using a wearable device could determine the respiratory compensation point (RCP) during exercise. Fifteen healthy competitive triathletes (eight males; 29 ± 6 years; height 167.6 ± 25.6 cm; weight 69.2 ± 9.4 kg; V˙O2-máx 58.4 ± 8.1 mL·kg−1·min−1) were evaluated in a cycle ergometer during the maximal oxygen-uptake test (V˙O2-máx), while lung ventilation (V˙E), power output (watts, W) and SmO2-m.intercostales were measured. RCP was determined by visual method (RCPvisual: changes at ventilatory equivalents (V˙E·V˙CO2−1, V˙E·V˙O2−1) and end-tidal respiratory pressure (PetO2, PetCO2) and NIRS method (RCPNIRS: breakpoint of fall in SmO2-m.intercostales). During exercise, SmO2-m.intercostales decreased continuously showing a higher decrease when V˙E increased abruptly. A good agreement between methods used to determine RCP was found (visual vs NIRS) at %V˙O2-máx, V˙O2, V˙E, and W (Bland-Altman test). Correlations were found to each parameters analyzed (r = 0.854; r = 0.865; r = 0.981; and r = 0,968; respectively. p < 0.001 in all variables, Pearson test), with no differences (p < 0.001 in all variables, Student’s t-test) between methods used (RCPvisual and RCPNIRS). We concluded that changes at SmO2-m.intercostales measured by NIRS could adequately determine RCP in triathletes.
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Affiliation(s)
- Felipe Contreras-Briceño
- Laboratory of Exercise Physiology, Department of Health Science, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago 7820436, Chile; (M.E.-R.); (V.K.-B.); (M.C.-R.); (R.R.-V.); (F.V.-B.); (L.G.)
- Physiology Section, Department of Cell Biology, Physiology and Immunology, Faculty of Biology, Universitat de Barcelona, 08028 Barcelona, Spain;
- Advanced Center for Chronic Diseases (ACCDiS), Division of Cardiovascular Diseases, Facultad de Medicina, Pontificia Universidad Católica de Chile, Marcoleta #367, Santiago 8380000, Chile
- Biomedical Imaging Center, School of Medicine, Pontificia Universidad Católica de Chile, Santiago 7820436, Chile;
- Correspondence: ; Tel.: +56-22-3541512
| | - Maximiliano Espinosa-Ramirez
- Laboratory of Exercise Physiology, Department of Health Science, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago 7820436, Chile; (M.E.-R.); (V.K.-B.); (M.C.-R.); (R.R.-V.); (F.V.-B.); (L.G.)
- Biomedical Imaging Center, School of Medicine, Pontificia Universidad Católica de Chile, Santiago 7820436, Chile;
| | - Vicente Keim-Bagnara
- Laboratory of Exercise Physiology, Department of Health Science, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago 7820436, Chile; (M.E.-R.); (V.K.-B.); (M.C.-R.); (R.R.-V.); (F.V.-B.); (L.G.)
| | - Matías Carreño-Román
- Laboratory of Exercise Physiology, Department of Health Science, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago 7820436, Chile; (M.E.-R.); (V.K.-B.); (M.C.-R.); (R.R.-V.); (F.V.-B.); (L.G.)
| | - Rafael Rodríguez-Villagra
- Laboratory of Exercise Physiology, Department of Health Science, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago 7820436, Chile; (M.E.-R.); (V.K.-B.); (M.C.-R.); (R.R.-V.); (F.V.-B.); (L.G.)
| | - Fernanda Villegas-Belmar
- Laboratory of Exercise Physiology, Department of Health Science, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago 7820436, Chile; (M.E.-R.); (V.K.-B.); (M.C.-R.); (R.R.-V.); (F.V.-B.); (L.G.)
| | - Ginés Viscor
- Physiology Section, Department of Cell Biology, Physiology and Immunology, Faculty of Biology, Universitat de Barcelona, 08028 Barcelona, Spain;
| | - Luigi Gabrielli
- Laboratory of Exercise Physiology, Department of Health Science, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago 7820436, Chile; (M.E.-R.); (V.K.-B.); (M.C.-R.); (R.R.-V.); (F.V.-B.); (L.G.)
- Advanced Center for Chronic Diseases (ACCDiS), Division of Cardiovascular Diseases, Facultad de Medicina, Pontificia Universidad Católica de Chile, Marcoleta #367, Santiago 8380000, Chile
| | - Marcelo E. Andía
- Biomedical Imaging Center, School of Medicine, Pontificia Universidad Católica de Chile, Santiago 7820436, Chile;
| | - Oscar F. Araneda
- Laboratory of Integrative Physiology of Biomechanics and Physiology of Effort (LIBFE), Kinesiology School, Faculty of Medicine, Universidad de los Andes, Santiago 7620001, Chile;
| | - Daniel E. Hurtado
- Department of Structural and Geotechnical Engineering, School of Engineering, Pontificia Universidad Católica de Chile, Santiago 7820436, Chile;
- Schools of Engineering, Medicine and Biological Sciences, Institute for Biological and Medical Engineering, Pontificia Universidad Católica de Chile, Santiago 7820436, Chile
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Hasnan N, Mohamad Saadon NS, Hamzaid NA, Teoh MXH, Ahmadi S, Davis GM. Muscle oxygenation during hybrid arm and functional electrical stimulation-evoked leg cycling after spinal cord injury. Medicine (Baltimore) 2018; 97:e12922. [PMID: 30412097 PMCID: PMC6221724 DOI: 10.1097/md.0000000000012922] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
This study compared muscle oxygenation (StO2) during arm cranking (ACE), functional electrical stimulation-evoked leg cycling (FES-LCE), and hybrid (ACE+FES-LCE) exercise in spinal cord injury individuals. Eight subjects with C7-T12 lesions performed exercises at 3 submaximal intensities. StO2 was measured during rest and exercise at 40%, 60%, and 80% of subjects' oxygen uptake (VO2) peak using near-infrared spectroscopy. StO2 of ACE showed a decrease whereas in ACE+FES-LCE, the arm muscles demonstrated increasing StO2 from rest in all of VO2) peak respectively. StO2 of FES-LCE displayed a decrease at 40% VO2 peak and steady increase for 60% and 80%, whereas ACE+FES-LCE revealed a steady increase from rest at all VO2 peak. ACE+FES-LCE elicited greater StO2 in both limbs which suggested that during this exercise, upper- and lower-limb muscles have higher blood flow and improved oxygenation compared to ACE or FES-LCE performed alone.
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Affiliation(s)
- Nazirah Hasnan
- Department of Rehabilitation Medicine, Faculty of Medicine
| | | | - Nur Azah Hamzaid
- Department of Biomedical Engineering, Faculty of Engineering, University of Malaya, Kuala Lumpur, Malaysia
| | - Mira Xiao-Hui Teoh
- Department of Biomedical Engineering, Faculty of Engineering, University of Malaya, Kuala Lumpur, Malaysia
| | - Sirous Ahmadi
- Clinical Exercise and Rehabilitation Unit, Discipline of Exercise and Sport Sciences, Faculty of Health Sciences, The University of Sydney, Sydney, Australia
| | - Glen M. Davis
- Clinical Exercise and Rehabilitation Unit, Discipline of Exercise and Sport Sciences, Faculty of Health Sciences, The University of Sydney, Sydney, Australia
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Combes A, Dekerle J, Bougault V, Daussin FN. Physiological comparison of intensity-controlled, isocaloric intermittent and continuous exercise. Eur J Sport Sci 2018; 18:1368-1375. [PMID: 29975588 DOI: 10.1080/17461391.2018.1491627] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
VO2 fluctuations are argued to be an important mechanism underpinning chronic adaptations following interval training. We compared the effect of exercise modality, continuous vs. intermittent realized at a same intensity, on electrical muscular activity, muscular oxygenation and on whole body oxygen uptake. Twelve participants (24 ± 5 years; VO2peak: 43 ± 6 mL· min-1·kg-1) performed (i) an incremental test to exhaustion to determine peak work rate (WRpeak); two randomized isocaloric exercises at 70%WRpeak; (ii) 1 bout of 30 min; (iii) 30 bouts of 1 min work intercepted with 1 min passive recovery. For electromyography, only the CON exercise showed change for the vastus lateralis root-mean-square (+6.4 ± 5.1%, P < .01, 95%CI 3.2, 8.3) and mean power frequency (-5.2 ± 4.8, P < .01, 95%CI -8.2, -3.5). Metabolic fluctuations (i.e. Oxygen Fluctuation Index and HHb Fluctuation Index) were higher in the intermittent modality, while post-exercise blood lactate concentrations (4.80 ± 1.50 vs. 2.32 ± 1.21 mM, respectively, for the CON and INT, P < .01, 95%CI 1.72, 3.12) and the time spent over 90% of VO2 target (1644 ± 152 vs. 356 ± 301 sec, respectively, for the CON and INT, P < .01, 95%CI 1130, 1446) were higher in the continuous modality. In conclusion, despite a similar energy expenditure and intensity, intermittent and continuous exercises showed two very different physiological responses. The intermittent modality would lead to a larger recruitment of fast twitch fibres that are less mitochondria-equipped and therefore may be more likely respondent to mitochondrial adaptations. In addition, this modality induces greater metabolic variations, a stimulus who could lead to mitochondrial development.
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Affiliation(s)
- Adrien Combes
- a Unité de Recherche Pluridisciplinaire Sport Santé Société - EA 7369 - URePSSS, Univ. Lille, Univ. Artois, Univ. Littoral Côte d'Opale , Lille , France
| | - Jeanne Dekerle
- b Centre for Sport, Exercise Science and Medicine (SESAME) , University of Brighton , Eastbourne , UK
| | - Valérie Bougault
- a Unité de Recherche Pluridisciplinaire Sport Santé Société - EA 7369 - URePSSS, Univ. Lille, Univ. Artois, Univ. Littoral Côte d'Opale , Lille , France
| | - Frédéric N Daussin
- a Unité de Recherche Pluridisciplinaire Sport Santé Société - EA 7369 - URePSSS, Univ. Lille, Univ. Artois, Univ. Littoral Côte d'Opale , Lille , France
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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: 0.8] [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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Molinari F, Joy Martis R, Acharya UR, Meiburger KM, De Luca R, Petraroli G, Liboni W. Empirical mode decomposition analysis of near-infrared spectroscopy muscular signals to assess the effect of physical activity in type 2 diabetic patients. Comput Biol Med 2015; 59:1-9. [PMID: 25658504 DOI: 10.1016/j.compbiomed.2015.01.011] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2014] [Revised: 01/12/2015] [Accepted: 01/13/2015] [Indexed: 12/25/2022]
Abstract
Type 2 diabetes is a metabolic disorder that may cause major problems to several physiological systems. Exercise has proven to be very effective in the prevention, management and improvement of this pathology in patients. Muscle metabolism is often studied with near-infrared spectroscopy (NIRS), a noninvasive technique that can measure changes in the concentration of oxygenated (O2Hb) and reduced hemoglobin (HHb) of tissues. These NIRS signals are highly non-stationary, non-Gaussian and nonlinear in nature. The empirical mode decomposition (EMD) is used as a nonlinear adaptive model to extract information present in the NIRS signals. NIRS signals acquired from the tibialis anterior muscle of controls and type 2 diabetic patients are processed by EMD to yield three intrinsic mode functions (IMF). The sample entropy (SE), fractal dimension (FD), and Hurst exponent (HE) are computed from these IMFs. Subjects are monitored at the beginning of the study and after one year of a physical training programme. Following the exercise programme, we observed an increase in the SE and FD and a decrease in the HE in all diabetic subjects. Our results show the influence of physical exercise program in improving muscle performance and muscle drive by the central nervous system in the patients. A multivariate analysis of variance performed at the end of the training programme also indicated that the NIRS metabolic patterns of controls and diabetic subjects are more similar than at the beginning of the study. Hence, the proposed EMD technique applied to NIRS signals may be very useful to gain a non-invasive understanding of the neuromuscular and vascular impairment in diabetic subjects.
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Affiliation(s)
- Filippo Molinari
- Biolab, Department of Electronics and Telecommunications, Politecnico di Torino, Torino, Italy.
| | - Roshan Joy Martis
- Department of Electronics and Communication Engineering, St. Joseph Engineering College, Mangalore, India
| | - U Rajendra Acharya
- Department of Electronics and Computer Engineering, Ngee Ann Polytechnic, Singapore 599489, Singapore; Department of Biomedical Engineering, SIM University, Singapore, Singapore
| | - Kristen M Meiburger
- Biolab, Department of Electronics and Telecommunications, Politecnico di Torino, Torino, Italy
| | - Riccardo De Luca
- Diabetes Health Districts 8-9-10 Diabetes Unit ASL TO1 di Torino, Torino, Italy
| | - Giuliana Petraroli
- Diabetes Health Districts 8-9-10 Diabetes Unit ASL TO1 di Torino, Torino, Italy
| | - William Liboni
- "Un passo insieme" ONLUS Foundation, Valdellatorre, Torino, Italy
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Adami A, Fagoni N, Ferretti G. The Q˙-V˙O2 diagram: an analytical interpretation of oxygen transport in arterial blood during exercise in humans. Respir Physiol Neurobiol 2014; 193:55-61. [PMID: 24440436 DOI: 10.1016/j.resp.2014.01.007] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2013] [Revised: 01/07/2014] [Accepted: 01/08/2014] [Indexed: 10/25/2022]
Abstract
A new analysis of the relationship between cardiac output (Q˙) and oxygen consumption V˙O2 is presented (Q˙-V˙O2 diagram). Data from different sources in the literature have been used for validation in three conditions: exercise and rest in normoxia, and exercise in hypoxia. The effects of changes in arterial oxygen concentration CaO2 on Q˙ are discussed, as well as the effects of predominant sympathetic or vagal stimulation. Differences appear depending on whether CaO2 is varied by means of changes in blood haemoglobin concentration or changes in arterial oxygen saturation. The present Q˙-V˙O2 diagram allows comprehensive description of oxygen transport in exercising humans; it expands applicability of the historical Q˙-V˙O2 relationship to include CaO2 variations; it opens new pathways for understanding underlying mechanisms; it allows computation of Q˙ from CaO2 and V˙O2 measurements, when Q˙ cannot be measured.
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Affiliation(s)
- Alessandra Adami
- Département de Neurosciences Fondamentales, Université de Genève, 1 Rue Michel Servet, CH-1211 Genève 4, Switzerland
| | - Nazzareno Fagoni
- Dipartimento di Scienze Cliniche e Sperimentali, Università di Brescia, Viale Europa 11, I-25123 Brescia, Italy
| | - Guido Ferretti
- Département de Neurosciences Fondamentales, Université de Genève, 1 Rue Michel Servet, CH-1211 Genève 4, Switzerland; Dipartimento di Scienze Cliniche e Sperimentali, Università di Brescia, Viale Europa 11, I-25123 Brescia, Italy.
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Molinari F, Acharya UR, Martis RJ, De Luca R, Petraroli G, Liboni W. Entropy analysis of muscular near-infrared spectroscopy (NIRS) signals during exercise programme of type 2 diabetic patients: quantitative assessment of muscle metabolic pattern. COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE 2013; 112:518-528. [PMID: 24075080 DOI: 10.1016/j.cmpb.2013.08.018] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/03/2013] [Revised: 08/27/2013] [Accepted: 08/30/2013] [Indexed: 06/02/2023]
Abstract
Diabetes mellitus (DM) is a metabolic disorder that is widely rampant throughout the world population these days. The uncontrolled DM may lead to complications of eye, heart, kidney and nerves. The most common type of diabetes is the type 2 diabetes or insulin-resistant DM. Near-infrared spectroscopy (NIRS) technology is widely used in non-invasive monitoring of physiological signals. Three types of NIRS signals are used in this work: (i) variation in the oxygenated haemoglobin (O2Hb) concentration, (ii) deoxygenated haemoglobin (HHb), and (iii) ratio of oxygenated over the sum of the oxygenated and deoxygenated haemoglobin which is defined as: tissue oxygenation index (TOI) to analyze the effect of exercise on diabetes subjects. The NIRS signal has the characteristics of non-linearity and non-stationarity. Hence, the very small changes in this time series can be efficiently extracted using higher order statistics (HOS) method. Hence, in this work, we have used sample and HOS entropies to analyze these NIRS signals. These computer aided techniques will assist the clinicians to diagnose and monitor the health accurately and easily without any inter or intra observer variability. Results showed that after a one-year of physical exercise programme, all diabetic subjects increased the sample entropy of the NIRS signals, thus revealing a better muscle performance and an improved recruitment by the central nervous system. Moreover, after one year of physical therapy, diabetic subjects showed a NIRS muscular metabolic pattern that was not distinguished from that of controls. We believe that sample and bispectral entropy analysis is need when the aim is to compare the inner structure of the NIRS signals during muscle contraction, particularly when dealing with neuromuscular impairments.
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Affiliation(s)
- Filippo Molinari
- Biolab, Department of Electronics and Telecommunications, Politecnico di Torino, Torino, Italy.
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Peltonen JE, Hägglund H, Koskela-Koivisto T, Koponen AS, Aho JM, Rissanen APE, Shoemaker JK, Tiitinen A, Tikkanen HO. Alveolar gas exchange, oxygen delivery and tissue deoxygenation in men and women during incremental exercise. Respir Physiol Neurobiol 2013; 188:102-12. [DOI: 10.1016/j.resp.2013.05.014] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2013] [Revised: 04/24/2013] [Accepted: 05/13/2013] [Indexed: 01/08/2023]
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10
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Koizumi K, Fujita Y, Muramatsu S, Manabe M, Ito M, Nomura J. Active recovery effects on local oxygenation level during intensive cycling bouts. J Sports Sci 2011; 29:919-26. [DOI: 10.1080/02640414.2011.572990] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Wang B, Tian Q, Zhang Z, Gong H. Comparisons of local and systemic aerobic fitness parameters between finswimmers with different athlete grade levels. Eur J Appl Physiol 2011; 112:567-78. [PMID: 21611824 DOI: 10.1007/s00421-011-2007-z] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2010] [Accepted: 05/10/2011] [Indexed: 11/30/2022]
Abstract
To study the relationship between the local and systemic aerobic fitness parameters, and between the muscle oxygenation and aerobic performance, 16 female finswimmers were recruited and divided into high-level (HL) group and low-level group. Cardiorespiratory function, blood lactate concentration and near infrared spectroscopy muscle oxygenation in the vastus lateralis (VL) were monitored simultaneously during a maximal incremental exercise. We found that the break point (Bp) of the oxygenation index (OI) in the VL (BpVL) had significant correlations with lactate threshold (LT) and gas exchange threshold (GET), and the appearance sequence of the three thresholds was BpVL ≈ LT ≤ GET. When considering different levels, the [Formula: see text] at BpVL, LT and GET were higher in the HL group. During intensive exercise, there were significantly faster [Formula: see text] increase and evidently slower OI decrease in the HL group, suggesting that faster [Formula: see text] increase in the HL group slowed down the muscle deoxygenation and facilitated subjects to cycle to higher workloads. In conclusion, multi-modality approaches combining local and systemic physiological monitoring technologies might provide better explanations of the relationship between local and systemic aerobic fitness parameters, and might be a novel way to analyze the difference between groups of different levels.
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Affiliation(s)
- Bangde Wang
- Britton Chance Center for Biomedical Photonics, Wuhan National Laboratory for Optoelectronics, Huazhong University of Science and Technology, Wuhan 430074, China
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Périard JD, Cramer MN, Chapman PG, Caillaud C, Thompson MW. Cardiovascular strain impairs prolonged self-paced exercise in the heat. Exp Physiol 2010; 96:134-44. [PMID: 20851861 DOI: 10.1113/expphysiol.2010.054213] [Citation(s) in RCA: 144] [Impact Index Per Article: 9.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
It has been proposed that self-paced exercise in the heat is regulated by an anticipatory reduction in work rate based on the rate of heat storage. However, performance may be impaired by the development of hyperthermia and concomitant rise in cardiovascular strain increasing relative exercise intensity. This study evaluated the influence of thermal strain on cardiovascular function and power output during self-paced exercise in the heat. Eight endurance-trained cyclists performed a 40 km simulated time trial in hot (35°C) and thermoneutral conditions (20°C), while power output, mean arterial pressure, heart rate, oxygen uptake and cardiac output were measured. Time trial duration was 64.3 ± 2.8 min (242.1 W) in the hot condition and 59.8 ± 2.6 min (279.4 W) in the thermoneutral condition (P < 0.01). Power output in the heat was depressed from 20 min onwards compared with exercise in the thermoneutral condition (P < 0.05). Rectal temperature reached 39.8 ± 0.3 (hot) and 38.9 ± 0.2°C (thermoneutral; P < 0.01). From 10 min onwards, mean skin temperature was ~7.5°C higher in the heat, and skin blood flow was significantly elevated (P < 0.01). Heart rate was ~8 beats min(-1) higher throughout hot exercise, while stroke volume, cardiac output and mean arterial pressure were significantly depressed compared with the thermoneutral condition (P < 0.05). Peak oxygen uptake measured during the final kilometre of exercise at maximal effort reached 77 (hot) and 95% (thermoneutral) of pre-experimental control values (P < 0.01). We conclude that a thermoregulatory-mediated rise in cardiovascular strain is associated with reductions in sustainable power output, peak oxygen uptake and maximal power output during prolonged, intense self-paced exercise in the heat.
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Affiliation(s)
- Julien D Périard
- Discipline of Exercise and Sport Science, The University of Sydney, 75 East Street, Lidcombe, Australia.
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Kennedy MD, Haykowsky MJ, Boliek CA, Esch BTA, Scott JM, Warburton DER. Regional muscle oxygenation differences in vastus lateralis during different modes of incremental exercise. DYNAMIC MEDICINE : DM 2006; 5:8. [PMID: 16817964 PMCID: PMC1524724 DOI: 10.1186/1476-5918-5-8] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/28/2006] [Accepted: 07/03/2006] [Indexed: 11/10/2022]
Abstract
BACKGROUND Near infrared spectroscopy (NIRS) is used to assess muscle oxygenation (MO) within skeletal muscle at rest and during aerobic exercise. Previous investigations have used a single probe placement to measure MO during various forms of exercise. However, regional MO differences have been shown to exist within the same muscle which suggests that different areas of the same muscle may have divergent MO. Thus, the aim of this study was to examine whether regional differences in MO exist within the same muscle during different types of incremental (rest, 25, 50, 75, 100 % of maximum) exercise (1 leg knee extension (KE), 2 leg KE, or cycling). METHODS Nineteen healthy active males (Mean +/- SD: Age 27 +/- 4 yrs; VO2max: 55 +/- 11 mL/kg/min) performed incremental exercise to fatigue using each mode of exercise. NIRS probes were placed on the distal and proximal portion of right leg vastus lateralis (VL). Results were analyzed with a 3-way mixed model ANOVA (probe x intensity x mode). RESULTS Differences in MO exist within the VL for each mode of exercise, however these differences were not consistent for each level of intensity. Comparison of MO revealed that the distal region of VL was significantly lower throughout KE exercise (1 leg KE proximal MO - distal MO = 9.9 %; 2 leg KE proximal MO - distal MO = 13 %). In contrast, the difference in MO between proximal and distal regions of VL was smaller in cycling and was not significantly different at heavy workloads (75 and 100 % of maximum). CONCLUSION MO is different within the same muscle and the pattern of the difference will change depending on the mode and intensity of exercise. Future investigations should limit conclusions on MO to the area under assessment as well as the type and intensity of exercise employed.
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Affiliation(s)
- Michael D Kennedy
- Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Alberta, Canada
| | - Mark J Haykowsky
- Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Alberta, Canada
| | - Carol A Boliek
- Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Alberta, Canada
| | - Ben TA Esch
- Cardiovascular Physiology and Rehabilitation Laboratory, University of British Columbia, Vancouver, British Columbia, Canada
| | - Jessica M Scott
- Cardiovascular Physiology and Rehabilitation Laboratory, University of British Columbia, Vancouver, British Columbia, Canada
| | - Darren ER Warburton
- Cardiovascular Physiology and Rehabilitation Laboratory, University of British Columbia, Vancouver, British Columbia, Canada
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Kawaguchi K, Hayashi Y, Sekikawa K, Tabusadani M, Inamizu T, Onari K, Bhambhani Y. Vastus lateralis oxygenation during prolonged cycling in healthy males. Appl Physiol Nutr Metab 2006; 31:48-55. [PMID: 16604141 DOI: 10.1139/h05-001] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
This study examined the relationship between acute cardiorespiratory and muscle oxygenation and blood volume changes during prolonged exercise. Eight healthy male volunteers (mean maximum oxygen uptake ([Formula: see text]O2max) = 41.6 ± 2.4 mL/kg/min) performed 60 min submaximal cycling at 50% [Formula: see text]O2max. Oxygen uptake ([Formula: see text]O2) was measured by indirect spirometry, cardiac output (CO) was estimated using a PortapresTM, and right vastus lateralis oxyhemoglobin/ myoglobin (oxyHb/Mb), deoxyhemoglobin/myoglobin (deoxyHb/Mb), and total hemoglobin/myoglobin (total Hb/Mb) were recorded using near-infrared spectroscopy (NIRS). After 40 min of exercise, there was a significant increase in [Formula: see text]O2 due to a significantly higher arteriovenous oxygen difference ((a - v)O2diff). After 30 min of exercise CO remained unchanged, but there was a significant decrease in stroke volume and a proportionate increase in heart rate, thus indicating the occurrence of cardiovascular drift. During the first few minutes of exercise, there was a decline in oxyHb/Mb and total Hb/Mb, whereas deoxyHb/Mb remained unchanged. Thereafter, oxyHb/Mb and total Hb/Mb increased systematically until the termination of exercise while deoxyHb/Mb declined. After 40 min of exercise, these changes were significantly different from the baseline values. There were no significant correlations between the changes in the NIRS variables and systemic [Formula: see text]O2 or mixed (a - v)O2diff during exercise. These results suggest that factors other than localized changes in muscle oxygenation and blood volume account for the increased [Formula: see text]O2 during prolonged submaximal exercise. Key words: near infrared spectroscopy, cardiovascular drift, systemic oxygen consumption.
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Affiliation(s)
- Kotaro Kawaguchi
- Division of Physical Therapy and Occupational Therapy Sciences, Graduate School of Health Sciences, Hiroshima University, Japan
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Neary JP, McKenzie DC, Bhambhani YN. Muscle oxygenation trends after tapering in trained cyclists. DYNAMIC MEDICINE : DM 2005; 4:4. [PMID: 15790400 PMCID: PMC1079910 DOI: 10.1186/1476-5918-4-4] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/10/2004] [Accepted: 03/24/2005] [Indexed: 11/10/2022]
Abstract
BACKGROUND: This study examined muscle deoxygenation trends before and after a 7-day taper using non-invasive near infrared spectroscopy (NIRS). METHODS: Eleven cyclists performed an incremental cycle ergometer test to determine maximal oxygen consumption (VO2max = 4.68 +/- 0.57 L.min-1) prior to the study, and then completed two or three high intensity (85-90% VO2max) taper protocols after being randomly assigned to a taper group: T30 (n = 5), T50 (n = 5), or T80 (n = 5) [30%, 50%, 80% reduction in training volume, respectively]. Physiological measurements were recorded during a simulated 20 km time trials (20TT) performed on a set of wind-loaded rollers. RESULTS AND DISCUSSION: The results showed that the physiological variables of oxygen consumption (VO2), carbon dioxide (VCO2) and heart rate (HR) were not significantly different after tapering, except for a decreased ventilatory equivalent for oxygen (VE/VO2) in T50 (p = 0.05). However, during the 20TT muscle deoxygenation measured continuously in the vastus medialis was significantly lower (-749 +/- 324 vs. -1140 +/- 465 mV) in T50 after tapering, which was concomitant with a 4.53% improvement (p = 0.057) in 20TT performance time, and a 0.18 L.min-1 (4.5%) increase in VO2. Furthermore, when changes in performance time and tissue deoxygenation (post- minus pre-taper) were plotted (n = 11), a moderately high correlation was found (r = 0.82). CONCLUSION: It was concluded that changes in simulated 20TT performance appeared to be related, in part, to changes in muscle deoxygenation following tapering, and that NIRS can be used effectively to monitor muscle deoxygenation during a taper period.
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Affiliation(s)
- J Patrick Neary
- Faculty of Kinesiology, University of New Brunswick, Fredericton, New Brunswick, Canada
| | - Donald C McKenzie
- Faculty of Human Kinetics, Allan McGavin Sports Medicine Centre, University of British Columbia, Vancouver, British Columbia, Canada
| | - Yagesh N Bhambhani
- Faculty of Rehabilitation Medicine, Department of Occupational Therapy, University of Alberta, Edmonton, Alberta, Canada
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Heiden M, Lyskov E, Djupsjöbacka M, Hellström F, Crenshaw AG. Effects of time pressure and precision demands during computer mouse work on muscle oxygenation and position sense. Eur J Appl Physiol 2005; 94:97-106. [PMID: 15682326 DOI: 10.1007/s00421-004-1295-y] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2004] [Accepted: 11/19/2004] [Indexed: 10/25/2022]
Abstract
The present study investigated the effects of time pressure and precision demands during computer mouse work on muscle oxygenation and position sense in the upper extremity. Twenty-four healthy subjects (12 males and 12 females) performed a 45-min standardized mouse-operated computer task on two occasions. The task consisted of painting rectangles that were presented on the screen. On one occasion, time pressure and precision demands were imposed (more demanding task, MDT), whereas, on the other occasion, no such restraints were added (less demanding task, LDT). The order of the two task versions was randomized. Tissue oxygen saturation in the trapezius and extensor carpi radialis muscles was recorded throughout, and the position-matching ability of the wrist was measured before and after the tasks. In addition, measurements of autonomic nervous system reactivity and subjective ratings of tenseness and physical fatigue were obtained. Performance was measured in terms of the number of rectangles that were painted during the task. During MDT, oxygen saturation in extensor carpi radialis decreased (P < 0.05) compared to LDT. These data were paralleled by increased electrodermal activity (P < 0.05), skin blood flow (P < 0.05), ratings of tenseness and fatigue (P < 0.01), and increased performance (P < 0.01) during MDT. Females exhibited lower oxygen saturation than males, during rest as well as during the computer tasks (P < 0.01). Wrist repositioning error increased following LDT as compared to MDT (P < 0.05). In conclusion, computer mouse work under time pressure and precision demands caused a decrease in forearm muscle oxygenation, but did not affect wrist position sense accuracy. We attribute our changes in oxygenation more to increased oxygen consumption as a result of enhanced performance, than to vasoconstriction.
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Affiliation(s)
- M Heiden
- Centre for Musculoskeletal Research, Umeå, Sweden
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Bhambhani YN. Muscle Oxygenation Trends During Dynamic Exercise Measured by Near Infrared Spectroscopy. ACTA ACUST UNITED AC 2004; 29:504-23. [PMID: 15328597 DOI: 10.1139/h04-033] [Citation(s) in RCA: 94] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
During the last decade, NIRS has been used extensively to evaluate the changes in muscle oxygenation and blood volume during a variety of exercise modes. The important findings from this research are as follows: (a) There is a strong correlation between the lactate (ventilatory) threshold during incremental cycle exercise and the exaggerated reduction in muscle oxygenation measured by NIRS. (b) The delay in steady-state oxygen uptake during constant work rate exercise at intensities above the lactate/ventilatory threshold is closely related to changes in muscle oxygenation measured by NIRS. (c) The degree of muscle deoxygenation at the same absolute oxygen uptake is significantly lower in older persons compared younger persons; however, these changes are negated when muscle oxygenation is expressed relative to maximal oxygen uptake values. (d) There is no significant difference between the rate of biceps brachii and vastus lateralis deoxygenation during arm cranking and leg cycling exercise, respectively, in males and females. (e) Muscle deoxygenation trends recorded during short duration, high-intensity exercise such as the Wingate test indicate that there is a substantial degree of aerobic metabolism during such exercise. Recent studies that have used NIRS at multiple sites, such as brain and muscle tissue, provide useful information pertaining to the regional changes in oxygen availability in these tissues during dynamic exercise. Key words: blood volume, noninvasive measurement
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Affiliation(s)
- Yagesh N Bhambhani
- Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Canada
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Neary JP, McKenzie DC, Bhambhani YN. Effects of short-term endurance training on muscle deoxygenation trends using NIRS. Med Sci Sports Exerc 2002; 34:1725-32. [PMID: 12439075 DOI: 10.1097/00005768-200211000-00006] [Citation(s) in RCA: 39] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
PURPOSE This study examined changes in cardiorespiratory responses and muscle deoxygenation trends to test the hypothesis that both central and peripheral adaptations would contribute to the improvements in VO(2max) and simulated cycling performance after short-term high-intensity training. METHODS Eight male cyclists performed an incremental cycle ergometer test to voluntary exhaustion, and a simulated 20-km time trial (20TT) on wind-loaded rollers before and after training (60 min x 5 d x wk(-1) x 3 wk at 85-90% VO(2max). Near-infrared spectroscopy (NIRS) was used to evaluate the trend in vastus medialis hemoglobin/myoglobin deoxygenation (Hb/Mb-O(2) during both tests pre- and post-training. RESULTS Training induced significant increases (P </= 0.05) in maximal power output (367 +/- 63 to 383 +/- 60 W), VO(2max) (4.39 +/- 0.66 to 4.65 +/- 0.57 L x min(-1)), and maximal O(2) pulse (22.7 +/- 3.2 to 24.6 +/- 2.8 mL O(2) x beat(-1)) during the incremental test, but maximal muscle deoxygenation was unchanged. 20TT performance was significantly faster (27:32 +/- 1:43 to 25:46 +/- 1:44 min:s; P </= 0.05) after training without a significant increase (P > 0.05) in the VO(2) (4.02 +/- 0.52 to 4.04 +/- 0.51), heart rate (176 +/- 9 to 173 +/- 8 beats x min ) or O pulse (22.4 +/- 3.2 to 23.5 +/- 2.8 mL O(2) x beat(-1)). However, mean muscle deoxygenation during the 20TT was significantly lower after training (-550 +/- 292 to -707 +/- 227 mV, P </= 0.05), and maximal deoxygenation showed a trend toward significance (-807 +/- 344 to -1,009 +/- 331 mV, P = 0.08), suggesting a greater release of oxygen from Hb/Mb-O(2) via the Bohr effect. CONCLUSION The significant improvement in VO(max) induced by short-term endurance training in well-trained cyclists was due primarily to central adaptations, whereas the simulated 20TT performance was enhanced due to localized changes in muscle oxygenation.
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Affiliation(s)
- J Patrick Neary
- Faculty of Kinesiology, University of New Brunswick, Fredericton, Canada.
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Docherty D, Sporer B. A proposed model for examining the interference phenomenon between concurrent aerobic and strength training. Sports Med 2000; 30:385-94. [PMID: 11132121 DOI: 10.2165/00007256-200030060-00001] [Citation(s) in RCA: 104] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
Abstract
A review of the current research on the interference phenomenon between concurrent aerobic and strength training indicates modest support for the model proposed in this article. However, it is clear that without a systematic approach to the investigation of the phenomenon there is lack of control and manipulation of the independent variables, which makes it difficult to test the validity of the model. To enhance the understanding of the interference phenomenon, it is important that researchers are precise and deliberate in their choice of training protocols. Clear definition of the specific training objectives for strength (muscle hypertrophy or neural adaptation) and aerobic power (maximal aerobic power or anaerobic threshold) are required. In addition, researchers should equate training volumes as much as possible for all groups. Care needs to be exercised to avoid overtraining individuals. There should be adequate recovery and regeneration between the concurrent training sessions as well as during the training cycle. The model should be initially tested by maintaining the same protocols throughout the duration of the study. However, it is becoming common practice to use a periodised approach in a training mesocycle in which there is a shift from high volume and moderate intensity training to tower volume and higher intensity. The model should be evaluated in the context of a periodised mesocycle provided the investigators are sensitive to the potential impact of the loading parameters on the interference phenomenon. It may be that the periodised approach is one way of maintaining the training stimulus and minimising the amount of interference. The effects of gender, training status, duration and frequency of training, and the mode of training need to be regarded as potential factors effecting the training response when investigating the interference phenomenon. Other experimental design factors such as unilateral limb training or training the upper body for one attribute and the lower body for another attribute, may help establish the validity of the model.
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Affiliation(s)
- D Docherty
- School of Physical Education, University of Victoria, British Columbia, Canada.
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