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Duan Y, Li S, Su Q, Xu S, Lu G. Influence of exercise prescription intervention based on WeChat on glycolipid metabolism and fitness of suboptimal-health teachers. Medicine (Baltimore) 2024; 103:e38167. [PMID: 38788028 PMCID: PMC11124765 DOI: 10.1097/md.0000000000038167] [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: 03/03/2024] [Accepted: 04/17/2024] [Indexed: 05/26/2024] Open
Abstract
Exercise is an effective means to promote health, but adherence is low. Due to the advantages of immediacy, economy and effectiveness, the use of WeChat social software has permeated into every aspect in daily life in China. To explore the influence of WeChat-based exercise prescription intervention mode on glycolipid metabolism and fitness of suboptimal-health teachers. 293 suboptimal-health teachers with senior professional titles were randomized to a control group (CG) or an experimental group (e.g.). The CG exercised on its own, while the e.g. adopted the exercise prescription intervention based on WeChat. The intervention period was 6 months. Finally, 264 cases were adhered to and completed, including 132 cases in the CG and 132 cases in the e.g.. The Suboptimal-Health Status Questionnaires-25 scores (SHSQ-25 scores), exercise adherence, subjective feelings, physical fitness, blood glucose and blood lipids were detected before and after intervention and compared between 2 groups. After the intervention, the SHSQ-25 scores in the e.g. was significantly decreased than those in the CG (P < .01). The complete exercise adherence in the e.g. was significantly higher than those in the CG (P < .01). After intervention, the subjective feelings of e.g. were significantly improved compared to CG (P < .05). The body shape, body function and physical quality in the e.g. was higher than those in the CG (P < .05). Total cholesterol (TC), triglyceride (TG), low-density lipoprotein cholesterol (LDL-C) decreased significantly in the e.g. but not in the CG (P < .05). Fasting blood glucose (FBG) decreased significantly in the e.g. but not in the CG, with a significant difference between groups (P < .05). The subjects in the e.g. were very satisfied with WeChat management. WeChat-based exercise prescription intervention could improve SHS, exercise adherence, subjective feelings, physical fitness and glycolipid metabolism.
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Affiliation(s)
- Yimei Duan
- Institute of Sports Medicine and Health, Chengdu Sports University, Chengdu, Sichuan, China
- College of Physical Education, Sichuan Normal University, Chengdu, Sichuan, China
| | - Shunchang Li
- Institute of Sports Medicine and Health, Chengdu Sports University, Chengdu, Sichuan, China
| | - Quansheng Su
- Institute of Sports Medicine and Health, Chengdu Sports University, Chengdu, Sichuan, China
| | - Simao Xu
- College of Physical Education, Guangxi Normal University, Guilin, Guangxi, China
| | - Guotian Lu
- College of Physical Education, Sichuan Normal University, Chengdu, Sichuan, China
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2
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Nyberg M, Jones AM. Matching of O2 Utilization and O2 Delivery in Contracting Skeletal Muscle in Health, Aging, and Heart Failure. Front Physiol 2022; 13:898395. [PMID: 35774284 PMCID: PMC9237395 DOI: 10.3389/fphys.2022.898395] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2022] [Accepted: 05/05/2022] [Indexed: 12/12/2022] Open
Abstract
Skeletal muscle is one of the most dynamic metabolic organs as evidenced by increases in metabolic rate of >150-fold from rest to maximal contractile activity. Because of limited intracellular stores of ATP, activation of metabolic pathways is required to maintain the necessary rates of ATP re-synthesis during sustained contractions. During the very early phase, phosphocreatine hydrolysis and anaerobic glycolysis prevails but as activity extends beyond ∼1 min, oxidative phosphorylation becomes the major ATP-generating pathway. Oxidative metabolism of macronutrients is highly dependent on the cardiovascular system to deliver O2 to the contracting muscle fibres, which is ensured through a tight coupling between skeletal muscle O2 utilization and O2 delivery. However, to what extent O2 delivery is ideal in terms of enabling optimal metabolic and contractile function is context-dependent and determined by a complex interaction of several regulatory systems. The first part of the review focuses on local and systemic mechanisms involved in the regulation of O2 delivery and how integration of these influences the matching of skeletal muscle O2 demand and O2 delivery. In the second part, alterations in cardiovascular function and structure associated with aging and heart failure, and how these impact metabolic and contractile function, will be addressed. Where applicable, the potential of exercise training to offset/reverse age- and disease-related cardiovascular declines will be highlighted in the context of skeletal muscle metabolic function. The review focuses on human data but also covers animal observations.
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Affiliation(s)
- Michael Nyberg
- Vascular Biology, Global Drug Discovery, Novo Nordisk A/S, Maaloev, Denmark
- *Correspondence: Michael Nyberg,
| | - Andrew M. Jones
- Department of Sport and Health Sciences, University of Exeter, Exeter, United Kingdom
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3
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Gee CM, Eves ND, Sheel AW, West CR. How does cervical spinal cord injury impact the cardiopulmonary response to exercise? Respir Physiol Neurobiol 2021; 293:103714. [PMID: 34118435 DOI: 10.1016/j.resp.2021.103714] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2020] [Revised: 05/26/2021] [Accepted: 06/07/2021] [Indexed: 11/26/2022]
Abstract
We compared cardiopulmonary responses to arm-ergometry in individuals with cervical spinal cord injury (C-SCI) and able-bodied controls. We hypothesized that individuals with C-SCI would have higher respiratory frequency (fb) but lower tidal volume (VT) at a given work rate and dynamically hyperinflate during exercise, whereas able-bodied individuals would not. Participants completed pulmonary function testing, an arm-ergometry test to exhaustion, and a sub-maximal exercise test consisting of four-minute stages at 20, 40, 60, and 80% peak work rate. Able-bodied individuals completed a further sub-maximal test with absolute work rate matched to C-SCI. During work rate matched sub-maximal exercise, C-SCI had smaller VT (main effect p < 0.001) compensated by an increased fb (main effect p = 0.009). C-SCI had increased end-expiratory lung volume at 80% peak work rate vs. rest (p < 0.003), whereas able-bodied did not. In conclusion, during arm-ergometry, individuals with C-SCI exhibit altered ventilatory patterns characterized by reduced VT, higher fb, and dynamic hyperinflation that may contribute to the observed reduced aerobic exercise capacity.
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Affiliation(s)
- C M Gee
- International Collaboration on Repair Discoveries, Vancouver, BC, V5Z 1M9, Canada; School of Kinesiology, University of British Columbia, Vancouver, BC, V6T 1Z3, Canada; Canadian Sport Institute - Pacific, Victoria, BC, V9E 2C5, Canada
| | - N D Eves
- Centre for Heart Lung & Vascular Health, University of British Columbia, Kelowna, BC, V1V 1V7, Canada
| | - A W Sheel
- International Collaboration on Repair Discoveries, Vancouver, BC, V5Z 1M9, Canada; School of Kinesiology, University of British Columbia, Vancouver, BC, V6T 1Z3, Canada
| | - C R West
- International Collaboration on Repair Discoveries, Vancouver, BC, V5Z 1M9, Canada; Canadian Sport Institute - Pacific, Victoria, BC, V9E 2C5, Canada; Faculty of Medicine, University of British Columbia, Kelowna, BC, V1Y 1T3, Canada.
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Bellinger P, Desbrow B, Derave W, Lievens E, Irwin C, Sabapathy S, Kennedy B, Craven J, Pennell E, Rice H, Minahan C. Muscle fiber typology is associated with the incidence of overreaching in response to overload training. J Appl Physiol (1985) 2020; 129:823-836. [DOI: 10.1152/japplphysiol.00314.2020] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
Variability in the performance responses following an overload training period and subsequent taper was associated with the variation in the muscle fiber typology of the gastrocnemius. Runners with an estimated higher proportion of type I fibers (i.e., lower carnosine z-score) were able to maintain performance in response to an overload training period and subsequently achieve a superior performance supercompensation. These findings show that muscle fiber typology contributes to the variability in performance responses following training.
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Affiliation(s)
- Phillip Bellinger
- Griffith Sports Physiology and Performance, Griffith University, Gold Coast, Australia
- Sports Performance Innovation and Knowledge Excellence (SPIKE), Queensland Academy of Sport, Brisbane, Australia
| | - Ben Desbrow
- School of Allied Health Sciences, Griffith University, Gold Coast, Australia
| | - Wim Derave
- Department of Movement and Sports Sciences, Ghent University, Ghent, Belgium
| | - Eline Lievens
- Department of Movement and Sports Sciences, Ghent University, Ghent, Belgium
| | - Chris Irwin
- School of Allied Health Sciences, Griffith University, Gold Coast, Australia
| | - Surendran Sabapathy
- School of Allied Health Sciences, Griffith University, Gold Coast, Australia
| | - Ben Kennedy
- Qscan Radiology Clinics, Queensland, Australia
| | - Jonathan Craven
- School of Allied Health Sciences, Griffith University, Gold Coast, Australia
| | - Evan Pennell
- School of Medical Science, Griffith University, Gold Coast, Australia
| | - Hal Rice
- Qscan Radiology Clinics, Queensland, Australia
| | - Clare Minahan
- Griffith Sports Physiology and Performance, Griffith University, Gold Coast, Australia
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Skattebo Ø, Calbet JAL, Rud B, Capelli C, Hallén J. Contribution of oxygen extraction fraction to maximal oxygen uptake in healthy young men. Acta Physiol (Oxf) 2020; 230:e13486. [PMID: 32365270 PMCID: PMC7540168 DOI: 10.1111/apha.13486] [Citation(s) in RCA: 37] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2020] [Revised: 04/22/2020] [Accepted: 04/23/2020] [Indexed: 12/16/2022]
Abstract
We analysed the importance of systemic and peripheral arteriovenous O2 difference (
a-v¯O2 difference and a‐vfO2 difference, respectively) and O2 extraction fraction for maximal oxygen uptake (
V˙O2max). Fick law of diffusion and the Piiper and Scheid model were applied to investigate whether diffusion versus perfusion limitations vary with
V˙O2max. Articles (n = 17) publishing individual data (n = 154) on
V˙O2max, maximal cardiac output (
Q˙max; indicator‐dilution or the Fick method),
a-v¯O2 difference (catheters or the Fick equation) and systemic O2 extraction fraction were identified. For the peripheral responses, group‐mean data (articles: n = 27; subjects: n = 234) on leg blood flow (LBF; thermodilution), a‐vfO2 difference and O2 extraction fraction (arterial and femoral venous catheters) were obtained.
Q˙max and two‐LBF increased linearly by 4.9‐6.0 L · min–1 per 1 L · min–1 increase in
V˙O2max (R2 = .73 and R2 = .67, respectively; both P < .001). The
a-v¯O2 difference increased from 118‐168 mL · L–1 from a
V˙O2max of 2‐4.5 L · min–1 followed by a reduction (second‐order polynomial: R2 = .27). After accounting for a hypoxemia‐induced decrease in arterial O2 content with increasing
V˙O2max (R2 = .17; P < .001), systemic O2 extraction fraction increased up to ~90% (
V˙O2max: 4.5 L · min–1) with no further change (exponential decay model: R2 = .42). Likewise, leg O2 extraction fraction increased with
V˙O2max to approach a maximal value of ~90‐95% (R2 = .83). Muscle O2 diffusing capacity and the equilibration index Y increased linearly with
V˙O2max (R2 = .77 and R2 = .31, respectively; both P < .01), reflecting decreasing O2 diffusional limitations and accentuating O2 delivery limitations. In conclusion, although O2 delivery is the main limiting factor to
V˙O2max, enhanced O2 extraction fraction (≥90%) contributes to the remarkably high
V˙O2max in endurance‐trained individuals.
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Affiliation(s)
- Øyvind Skattebo
- Department of Physical Performance Norwegian School of Sport Sciences Oslo Norway
| | - Jose A. L. Calbet
- Department of Physical Performance Norwegian School of Sport Sciences Oslo Norway
- Department of Physical Education and Research Institute of Biomedical and Health Sciences (IUIBS) University of Las Palmas de Gran Canaria Gran Canaria Spain
| | - Bjarne Rud
- Department of Physical Performance Norwegian School of Sport Sciences Oslo Norway
| | - Carlo Capelli
- Department of Physical Performance Norwegian School of Sport Sciences Oslo Norway
- Department of Neurosciences, Biomedicine and Movement Sciences University of Verona Verona Italy
| | - Jostein Hallén
- Department of Physical Performance Norwegian School of Sport Sciences Oslo Norway
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Skattebo Ø, Capelli C, Rud B, Auensen M, Calbet JAL, Hallén J. Increased oxygen extraction and mitochondrial protein expression after small muscle mass endurance training. Scand J Med Sci Sports 2020; 30:1615-1631. [PMID: 32403173 DOI: 10.1111/sms.13707] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2020] [Revised: 04/06/2020] [Accepted: 05/04/2020] [Indexed: 12/14/2022]
Abstract
When exercising with a small muscle mass, the mass-specific O2 delivery exceeds the muscle oxidative capacity resulting in a lower O2 extraction compared with whole-body exercise. We elevated the muscle oxidative capacity and tested its impact on O2 extraction during small muscle mass exercise. Nine individuals conducted six weeks of one-legged knee extension (1L-KE) endurance training. After training, the trained leg (TL) displayed 45% higher citrate synthase and COX-IV protein content in vastus lateralis and 15%-22% higher pulmonary oxygen uptake ( V ˙ O 2 peak ) and peak power output ( W ˙ peak ) during 1L-KE than the control leg (CON; all P < .05). Leg O2 extraction (catheters) and blood flow (ultrasound Doppler) were measured while both legs exercised simultaneously during 2L-KE at the same submaximal power outputs (real-time feedback-controlled). TL displayed higher O2 extraction than CON (main effect: 1.7 ± 1.6% points; P = .010; 40%-83% of W ˙ peak ) with the largest between-leg difference at 83% of W ˙ peak (O2 extraction: 3.2 ± 2.2% points; arteriovenous O2 difference: 7.1 ± 4.8 mL· L-1 ; P < .001). At 83% of W ˙ peak , muscle O2 conductance (DM O2 ; Fick law of diffusion) and the equilibration index Y were higher in TL (P < .01), indicating reduced diffusion limitations. The between-leg difference in O2 extraction correlated with the between-leg ratio of citrate synthase and COX-IV (r = .72-.73; P = .03), but not with the difference in the capillary-to-fiber ratio (P = .965). In conclusion, endurance training improves O2 extraction during small muscle mass exercise by elevating the muscle oxidative capacity and the recruitment of DM O2, especially evident during high-intensity exercise exploiting a larger fraction of the muscle oxidative capacity.
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Affiliation(s)
- Øyvind Skattebo
- Department of Physical Performance, Norwegian School of Sport Sciences, Oslo, Norway
| | - Carlo Capelli
- Department of Physical Performance, Norwegian School of Sport Sciences, Oslo, Norway
| | - Bjarne Rud
- Department of Physical Performance, Norwegian School of Sport Sciences, Oslo, Norway
| | - Marius Auensen
- Department of Physical Performance, Norwegian School of Sport Sciences, Oslo, Norway
| | - Jose A L Calbet
- Department of Physical Performance, Norwegian School of Sport Sciences, Oslo, Norway.,Department of Physical Education, University of Las Palmas de Gran Canaria, Spain.,Research Institute of Biomedical and Health Sciences (IUIBS), Las Palmas de Gran Canaria, Spain
| | - Jostein Hallén
- Department of Physical Performance, Norwegian School of Sport Sciences, Oslo, Norway
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7
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Zamani P, Proto EA, Mazurek JA, Prenner SB, Margulies KB, Townsend RR, Kelly DP, Arany Z, Poole DC, Wagner PD, Chirinos JA. Peripheral Determinants of Oxygen Utilization in Heart Failure With Preserved Ejection Fraction: Central Role of Adiposity. ACTA ACUST UNITED AC 2020; 5:211-225. [PMID: 32215346 PMCID: PMC7091498 DOI: 10.1016/j.jacbts.2020.01.003] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2019] [Revised: 12/27/2019] [Accepted: 01/02/2020] [Indexed: 01/04/2023]
Abstract
ΔAVo2 during exercise is a complex metric that incorporates into its calculation skeletal muscle blood flow and DmO2 across the skeletal muscle capillary membrane. Although ΔAVo2 was reduced in patients with HFpEF during both systemic and local (forearm) exercise, there was no difference in forearm DmO2 among subjects with HFpEF, those with hypertension, and healthy control subjects; therefore, abnormalities in forearm DmO2 cannot explain the reduced forearm ΔAVo2 seen in subjects with HFpEF. Local forearm exercise performance predicted about one-third of the variability in systemic aerobic capacity, demonstrating that peripheral factors are important in determining whole-body exercise tolerance. Degree of adiposity strongly correlated with ΔAVo2 during both local and whole-body exercise, suggesting that adipose tissue may play an active role in limiting exercise capacity in subjects with HFpEF.
The aim of this study was to determine the arteriovenous oxygen content difference (ΔAVo2) in adult subjects with and without heart failure with preserved ejection fraction (HFpEF) during systemic and forearm exercise. Subjects with HFpEF had reduced ΔAVo2. Forearm diffusional conductance for oxygen, a lumped conductance parameter that incorporates all impediments to the movement of oxygen from red blood cells in skeletal muscle capillaries into the mitochondria within myocytes, was estimated. Forearm diffusional conductance for oxygen was not different among adults with HFpEF, those with hypertension, and healthy control subjects; therefore, diffusional conductance cannot explain the reduced forearm ΔAVo2. Instead, adiposity was strongly associated with ΔAVo2, suggesting an active role for adipose tissue in reducing exercise capacity in patients with HFpEF.
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Key Words
- CO, cardiac output
- DEXA, dual-energy x-ray absorptiometry
- DmO2, skeletal muscle diffusional conductance for oxygen
- FIo2, fraction of inspired oxygen
- HFpEF
- HFpEF, heart failure with preserved ejection fraction
- MVC, maximal voluntary contraction force
- NT-proBNP, N-terminal pro–brain natriuretic peptide
- Po2, partial pressure of oxygen
- Vo2, oxygen consumption
- adiposity
- aerobic capacity
- exercise
- oxygen transport
- ΔAVo2, arteriovenous oxygen content difference
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Affiliation(s)
- Payman Zamani
- Division of Cardiovascular Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania
| | - Elizabeth A Proto
- Division of Cardiovascular Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania
| | - Jeremy A Mazurek
- Division of Cardiovascular Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania
| | - Stuart B Prenner
- Division of Cardiovascular Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania
| | - Kenneth B Margulies
- Division of Cardiovascular Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania
| | - Raymond R Townsend
- Division of Nephrology/Hypertension, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania
| | - Daniel P Kelly
- Division of Cardiovascular Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania
| | - Zoltan Arany
- Division of Cardiovascular Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania
| | - David C Poole
- Departments of Kinesiology, Anatomy, and Physiology, Kansas State University, Manhattan, Kansas
| | - Peter D Wagner
- Division of Pulmonary Medicine, University of California-San Diego, San Diego, California
| | - Julio A Chirinos
- Division of Cardiovascular Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania
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Blood volume expansion does not explain the increase in peak oxygen uptake induced by 10 weeks of endurance training. Eur J Appl Physiol 2020; 120:985-999. [PMID: 32172291 PMCID: PMC7181565 DOI: 10.1007/s00421-020-04336-2] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2019] [Accepted: 02/25/2020] [Indexed: 12/20/2022]
Abstract
Purpose The endurance training (ET)-induced increases in peak oxygen uptake (\documentclass[12pt]{minimal}
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\begin{document}$$\dot{V}$$\end{document}V˙O2peak) and cardiac output (\documentclass[12pt]{minimal}
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\begin{document}$$\dot{Q}$$\end{document}Q˙peak) during upright cycling are reversed to pre-ET levels after removing the training-induced increase in blood volume (BV). We hypothesised that ET-induced improvements in \documentclass[12pt]{minimal}
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\begin{document}$$\dot{V}$$\end{document}V˙O2peak and \documentclass[12pt]{minimal}
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\begin{document}$$\dot{Q}$$\end{document}Q˙peak are preserved following phlebotomy of the BV gained with ET during supine but not during upright cycling. Arteriovenous O2 difference (a-\documentclass[12pt]{minimal}
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\begin{document}$$\bar{\text{v}}$$\end{document}v¯O2diff; \documentclass[12pt]{minimal}
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\begin{document}$$\dot{V}$$\end{document}V˙O2/\documentclass[12pt]{minimal}
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\begin{document}$$\dot{Q}$$\end{document}Q˙), cardiac dimensions and muscle morphology were studied to assess their role for the \documentclass[12pt]{minimal}
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\begin{document}$$\dot{V}$$\end{document}V˙O2peak improvement. Methods Twelve untrained subjects (\documentclass[12pt]{minimal}
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\begin{document}$$\dot{V}$$\end{document}V˙O2peak: 44 ± 6 ml kg−1 min−1) completed 10 weeks of supervised ET (3 sessions/week). Echocardiography, muscle biopsies, haemoglobin mass (Hbmass) and BV were assessed pre- and post-ET. \documentclass[12pt]{minimal}
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\begin{document}$$\dot{V}$$\end{document}V˙O2peak and \documentclass[12pt]{minimal}
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\begin{document}$$\dot{Q}$$\end{document}Q˙peak during upright and supine cycling were measured pre-ET, post-ET and immediately after Hbmass was reversed to the individual pre-ET level by phlebotomy. Results ET increased the Hbmass (3.3 ± 2.9%; P = 0.005), BV (3.7 ± 5.6%; P = 0.044) and \documentclass[12pt]{minimal}
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\begin{document}$$\dot{V}$$\end{document}V˙O2peak during upright and supine cycling (11 ± 6% and 10 ± 8%, respectively; P ≤ 0.003). After phlebotomy, improvements in \documentclass[12pt]{minimal}
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\begin{document}$$\dot{V}$$\end{document}V˙O2peak compared with pre-ET were preserved in both postures (11 ± 4% and 11 ± 9%; P ≤ 0.005), as was \documentclass[12pt]{minimal}
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\begin{document}$$\dot{Q}$$\end{document}Q˙peak (9 ± 14% and 9 ± 10%; P ≤ 0.081). The increased \documentclass[12pt]{minimal}
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\begin{document}$$\bar{\text{v}}$$\end{document}v¯O2diff accounted for 70% and 30% of the \documentclass[12pt]{minimal}
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\begin{document}$$\dot{V}$$\end{document}V˙O2peak improvements, respectively. Markers of mitochondrial density (CS and COX-IV; P ≤ 0.007) and left ventricular mass (P = 0.027) increased. Conclusion The ET-induced increase in \documentclass[12pt]{minimal}
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\begin{document}$$\dot{V}$$\end{document}V˙O2peak was preserved despite removing the increases in Hbmass and BV by phlebotomy, independent of posture. \documentclass[12pt]{minimal}
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\begin{document}$$\dot{V}$$\end{document}V˙O2peak increased primarily through elevated \documentclass[12pt]{minimal}
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\begin{document}$$\dot{Q}$$\end{document}Q˙peak but also through a widened a-\documentclass[12pt]{minimal}
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\begin{document}$$\bar{\text{v}}$$\end{document}v¯O2diff, potentially mediated by cardiac remodelling and mitochondrial biogenesis.
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Houstis NE. Decoding the Pathophysiology of HFpEF With High-Resolution Phenotyping. JACC Basic Transl Sci 2020; 5:226-228. [PMID: 32215376 PMCID: PMC7091496 DOI: 10.1016/j.jacbts.2020.02.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- Nicholas E. Houstis
- Cardiology Division, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts
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Guirgis L, Khraiche D, Ladouceur M, Iserin L, Bonnet D, Legendre A. Cardiac performance assessment during cardiopulmonary exercise test can improve the management of children with repaired congenital heart disease. Int J Cardiol 2020; 300:121-126. [DOI: 10.1016/j.ijcard.2019.10.032] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/16/2019] [Revised: 09/03/2019] [Accepted: 10/18/2019] [Indexed: 11/30/2022]
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11
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Willis SJ, Borrani F, Millet GP. Leg- vs arm-cycling repeated sprints with blood flow restriction and systemic hypoxia. Eur J Appl Physiol 2019; 119:1819-1828. [PMID: 31187281 DOI: 10.1007/s00421-019-04171-0] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2019] [Accepted: 06/03/2019] [Indexed: 02/04/2023]
Abstract
PURPOSE The aim was to compare changes in peripheral and cerebral oxygenation, as well as metabolic and performance responses during conditions of blood flow restriction (BFR, bilateral vascular occlusion at 0% vs. 45% of resting pulse elimination pressure) and systemic hypoxia (~ 400 m, FIO2 20.9% vs. ~ 3800 m normobaric hypoxia, FIO2 13.1 ± 0.1%) during repeated sprint tests to exhaustion (RST) between leg- and arm-cycling exercises. METHODS Seven participants (26.6 ± 2.9 years old; 74.0 ± 13.1 kg; 1.76 ± 0.09 m) performed four sessions of RST (10-s maximal sprints with 20-s recovery until exhaustion) during both leg and arm cycling to measure power output and metabolic equivalents as well as oxygenation (near-infrared spectroscopy) of the muscle tissue and prefrontal cortex. RESULTS Mean power output was lower in arms than legs (316 ± 118 vs. 543 ± 127 W; p < 0.001) and there were no differences between conditions for a given limb. Arms demonstrated greater changes in concentration of deoxyhemoglobin (∆[HHb], - 9.1 ± 6.1 vs. - 6.5 ± 5.6 μm) and total hemoglobin concentration (∆[tHb], 15.0 ± 10.8 vs. 11.9 ± 7.9 μm), as well as the absolute maximum tissue saturation index (TSI, 62.0 ± 8.3 vs. 59.3 ± 8.1%) than legs, respectively (p < 0.001), demonstrating a greater capacity for oxygen extraction. Further, there were greater changes in tissue blood volume [tHb] during BFR only compared to all other conditions (p < 0.01 for all). CONCLUSIONS The combination of BFR and/or hypoxia led to increased changes in [HHb] and [tHb] likely due to greater vascular resistance, to which arms were more responsive than legs.
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Affiliation(s)
- Sarah J Willis
- Institute of Sport Sciences, Building Synathlon, Quarter UNIL-Centre, Faculty of Biology and Medicine, University of Lausanne, 1015, Lausanne, Switzerland.
| | - Fabio Borrani
- Institute of Sport Sciences, Building Synathlon, Quarter UNIL-Centre, Faculty of Biology and Medicine, University of Lausanne, 1015, Lausanne, Switzerland
| | - Grégoire P Millet
- Institute of Sport Sciences, Building Synathlon, Quarter UNIL-Centre, Faculty of Biology and Medicine, University of Lausanne, 1015, Lausanne, Switzerland
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12
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Chrøis KM, Dohlmann TL, Søgaard D, Hansen CV, Dela F, Helge JW, Larsen S. Mitochondrial adaptations to high intensity interval training in older females and males. Eur J Sport Sci 2019; 20:135-145. [DOI: 10.1080/17461391.2019.1615556] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Affiliation(s)
- Karoline Maise Chrøis
- Xlab, Center for Healthy Aging, Department of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Tine Lovsø Dohlmann
- Xlab, Center for Healthy Aging, Department of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Ditte Søgaard
- Xlab, Center for Healthy Aging, Department of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Camilla Vestergaard Hansen
- Xlab, Center for Healthy Aging, Department of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Flemming Dela
- Xlab, Center for Healthy Aging, Department of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark
- Department of Geriatrics, Bispebjerg University Hospital, Copenhagen, Denmark
| | - Jørn Wulff Helge
- Xlab, Center for Healthy Aging, Department of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Steen Larsen
- Xlab, Center for Healthy Aging, Department of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark
- Clinical Research Centre, Medical University of Bialystok, Bialystok, Poland
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13
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Garten RS, Hogwood AC, Weggen J, Decker K, Darling A, Maniyar R, Michael A. Examining Arm Vascular Function and Blood Flow Regulation in Row-trained Males. Med Sci Sports Exerc 2019; 51:2058-2066. [PMID: 31009422 DOI: 10.1249/mss.0000000000002014] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Vascular function and blood flow responses to upper limb exercise are differentially altered in response to different exercise training modalities. Rowing is a unique exercise modality that incorporates the upper limbs and can significantly augment upper limb endurance, strength, and power capacity. PURPOSE This study sought to determine whether vascular function and blood flow regulation during handgrip exercise are altered in row-trained males. METHODS Nine young row-trained males (ROW, 20 ± 1 yr; V˙O2peak = 51 ± 2 mL·kg·min) and 14 recreationally active male controls (C: 22 ± 1 yr; V˙O2peak = 37 ± 2 mL·kg·min) were recruited for this study. Subjects performed multiple bouts of progressive rhythmic handgrip exercise. Brachial artery (BA) diameter, blood flow, shear rate, and mean arterial pressure were measured at rest and during the last minute of each exercise workload. RESULTS Resting values for BA diameter, blood flow, shear rate, and mean arterial pressure were not different between groups. During handgrip exercise, the ROW group reported significantly lower BA blood flow (ROW vs C: 4 kg [146 ± 21 vs 243 ± 13 mL·min], 8 kg [248 ± 29 vs 375 ± 17 mL·min], 12 kg [352 ± 43 vs 490 ± 22 mL·min]) across all workloads when compared with controls. The examination of BA dilation, when controlled for the shear rate stimulus and evaluated across all workloads, was revealed to be significantly greater in ROW group versus controls. CONCLUSION This study revealed that vascular function and blood flow regulation were significantly different in row-trained males when compared with untrained controls evidenced by greater shear-induced BA dilation and lower arm blood flow during progressive handgrip exercise.
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Affiliation(s)
- Ryan S Garten
- Department of Kinesiology and Health Sciences, Virginia Commonwealth University, Richmond, VA
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14
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Cardinale DA, Larsen FJ, Jensen-Urstad M, Rullman E, Søndergaard H, Morales-Alamo D, Ekblom B, Calbet JAL, Boushel R. Muscle mass and inspired oxygen influence oxygen extraction at maximal exercise: Role of mitochondrial oxygen affinity. Acta Physiol (Oxf) 2019; 225:e13110. [PMID: 29863764 DOI: 10.1111/apha.13110] [Citation(s) in RCA: 30] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2017] [Revised: 05/30/2018] [Accepted: 05/31/2018] [Indexed: 01/12/2023]
Abstract
AIM We examined the Fick components together with mitochondrial O2 affinity (p50mito ) in defining O2 extraction and O2 uptake during exercise with large and small muscle mass during normoxia (NORM) and hyperoxia (HYPER). METHODS Seven individuals performed 2 incremental exercise tests to exhaustion on a bicycle ergometer (BIKE) and 2 on a 1-legged knee extension ergometer (KE) in NORM or HYPER. Leg blood flow and VO2 were determined by thermodilution and the Fick method. Maximal ADP-stimulated mitochondrial respiration (OXPHOS) and p50mito were measured ex vivo in isolated mitochondria. Mitochondrial excess capacity in the leg was determined from OXPHOS in permeabilized fibres and muscle mass measured with magnetic resonance imaging in relation to peak leg O2 delivery. RESULTS The ex vivo p50mito increased from 0.06 ± 0.02 to 0.17 ± 0.04 kPa with varying substrate supply and O2 flux rates from 9.84 ± 2.91 to 16.34 ± 4.07 pmol O2 ·s-1 ·μg-1 respectively. O2 extraction decreased from 83% in BIKE to 67% in KE as a function of a higher O2 delivery and lower mitochondrial excess capacity. There was a significant relationship between O2 extraction and mitochondrial excess capacity and p50mito that was unrelated to blood flow and mean transit time. CONCLUSION O2 extraction varies with mitochondrial respiration rate, p50mito and O2 delivery. Mitochondrial excess capacity maintains a low p50mito which enhances O2 diffusion from microvessels to mitochondria during exercise.
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Affiliation(s)
- D. A. Cardinale
- Åstrand Laboratory of Work Physiology; The Swedish School of Sport and Health Sciences; Stockholm Sweden
- Elite Performance Centre; Bosön, Swedish Sports Confederation; Lidingö Sweden
| | - F. J. Larsen
- Åstrand Laboratory of Work Physiology; The Swedish School of Sport and Health Sciences; Stockholm Sweden
| | - M. Jensen-Urstad
- Department of Cardiology; Karolinska Institute; Karolinska University Hospital; Stockholm Sweden
| | - E. Rullman
- Department of Cardiology; Karolinska Institute; Karolinska University Hospital; Stockholm Sweden
- Department of Laboratory Medicine; Clinical Physiology; Karolinska Institutet; Huddinge Sweden
| | - H. Søndergaard
- The Copenhagen Muscle Research Centre; Rigshospitalet; Copenhagen N Denmark
| | - D. Morales-Alamo
- Department of Physical Education; University of Las Palmas de Gran Canaria; Las Palmas de Gran Canaria Spain
- Research Institute of Biomedical and Health Sciences (IUIBS); Las Palmas de Gran Canaria Spain
| | - B. Ekblom
- Åstrand Laboratory of Work Physiology; The Swedish School of Sport and Health Sciences; Stockholm Sweden
| | - J. A. L. Calbet
- Department of Physical Education; University of Las Palmas de Gran Canaria; Las Palmas de Gran Canaria Spain
- Research Institute of Biomedical and Health Sciences (IUIBS); Las Palmas de Gran Canaria Spain
| | - R. Boushel
- Åstrand Laboratory of Work Physiology; The Swedish School of Sport and Health Sciences; Stockholm Sweden
- School of Kinesiology; University of British Columbia; Vancouver BC Canada
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15
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Larsen S, W Helge J, Dela F. Is there plasticity in mitochondrial cristae density with endurance training? J Physiol 2018; 595:2985. [PMID: 28452137 DOI: 10.1113/jp273793] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Affiliation(s)
- Steen Larsen
- Xlab, Center for Healthy Aging, Department of Biomedical Sciences, University of Copenhagen, Blegdamsvej 3b, Copenhagen, Denmark
| | - Jørn W Helge
- Xlab, Center for Healthy Aging, Department of Biomedical Sciences, University of Copenhagen, Blegdamsvej 3b, Copenhagen, Denmark
| | - Flemming Dela
- Xlab, Center for Healthy Aging, Department of Biomedical Sciences, University of Copenhagen, Blegdamsvej 3b, Copenhagen, Denmark
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Sagelv EH, Engseth TP, Pedersen S, Pettersen SA, Mathisen G, Heitmann KA, Welde B, Thomassen TO, Stöggl TL. Physiological Comparisons of Elite Male Visma Ski Classics and National Level Cross-Country Skiers During Uphill Treadmill Roller Skiing. Front Physiol 2018; 9:1523. [PMID: 30505276 PMCID: PMC6250767 DOI: 10.3389/fphys.2018.01523] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2018] [Accepted: 10/11/2018] [Indexed: 11/23/2022] Open
Abstract
Longer distance cross-country ski (14–220 km) races such as the Visma Ski Classics (VSC) has recently gained attention in addition to the traditional Olympic distances (5–50 km) associated with cross-country (XC) skiing. These long-distance races are characterized by extensive use of the upper body while double poling (DP). While there is a substantial amount of research on Olympic distance XC skiing, the physiological capacities of VSC skiers has not yet been explored. We recruited seven elite male VSC skiers and seven well-trained national level male XC skiers to undergo three tests in the laboratory: (1) a one repetition maximum (1RM) strength test in a cable pulldown; (2) roller skiing tests on a treadmill (10.5% inclination) for determination of gross efficiency (GE) at submaximal speeds (8 and 10 km·h−1) in DP and diagonal stride (DS); (3) two ramp protocols to exhaustion (15% inclination, starting speed 7 km·h−1) in DP and DS for the assessment of peak and maximal oxygen uptake (V.O2peak and V.O2max), respectively. Compared with the national level XC skiers, the VSC skiers performed similar in the 1RM cable pulldown, displayed 12.2% higher GE in DP at 8 km·h−1 but did not display any difference at 10 km·h−1, and had lower blood lactate concentration and heart rate at both submaximal speeds. The VSC skiers had longer time to exhaustion compared with the national level XC skiers during the two ramp protocols in DS (18%) and in DP (29%). The V.O2max was 10% higher in DS compared with DP, with no differences between the groups. The V.O2peak/V.O2max-ratio of 90% did not differ between the two groups. In conclusion, the main differences were lower cardiorespiratory and metabolic responses at submaximal speeds as well as longer time to exhaustion in VSC skiers compared with national level XC skiers. This suggest efficiency to be the main difference between VSC and national level XC skiers.
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Affiliation(s)
- Edvard H Sagelv
- School of Sport Sciences, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway
| | - Tina P Engseth
- School of Sport Sciences, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway
| | - Sigurd Pedersen
- School of Sport Sciences, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway
| | - Svein A Pettersen
- School of Sport Sciences, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway
| | - Gunnar Mathisen
- Department of Teaching and Pedagogy, Faculty of Humanities, Social Sciences and Teaching, UiT The Arctic University of Norway, Tromsø, Norway
| | - Kim A Heitmann
- School of Sport Sciences, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway
| | - Boye Welde
- School of Sport Sciences, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway
| | - Tor O Thomassen
- School of Sport Sciences, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway
| | - Thomas L Stöggl
- Department of Sport and Exercise Science, University of Salzburg, Salzburg, Austria
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17
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Vanden Wyngaert K, Van Craenenbroeck AH, Van Biesen W, Dhondt A, Tanghe A, Van Ginckel A, Celie B, Calders P. The effects of aerobic exercise on eGFR, blood pressure and VO2peak in patients with chronic kidney disease stages 3-4: A systematic review and meta-analysis. PLoS One 2018; 13:e0203662. [PMID: 30204785 PMCID: PMC6133282 DOI: 10.1371/journal.pone.0203662] [Citation(s) in RCA: 43] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2018] [Accepted: 08/26/2018] [Indexed: 01/22/2023] Open
Abstract
BACKGROUND CKD is associated with several comorbidities, cardiovascular disease being the most significant. Aerobic training has a beneficial effect on cardiovascular health in healthy and some well-defined non-healthy populations. However, the effect of aerobic training on glomerular filtration rate in patients with CKD stages 3-4 is unclear. OBJECTIVE To review the effects of aerobic exercise training on kidney and cardiovascular function in patients with chronic kidney disease (CKD) stages 3-4. METHODS A random-effects meta-analysis was performed to analyse published randomized controlled trials through February 2018 on the effect of aerobic training on estimated glomerular filtration rate, blood pressure and exercise tolerance in patients with CKD stages 3-4. Web of Science, PubMed and Embase databases were searched for eligible studies. RESULTS 11 randomized controlled trials were selected including 362 participants in total. Favourable effects were observed on estimated glomerular filtration rate (+2.16 ml/min per 1.73m2; [0.18; 4.13]) and exercise tolerance (+2.39 ml/kg/min; [0.99; 3.79]) following an on average 35-week aerobic training program when compared to standard care. No difference in change in blood pressure was found. CONCLUSIONS There is a small beneficial effect of aerobic training on estimated glomerular filtration rate and exercise tolerance, but not on blood pressure, in patients with CKD stages 3-4. However, data are limited and pooled findings were rated as of low to moderate quality.
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Affiliation(s)
- Karsten Vanden Wyngaert
- Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
| | - Amaryllis H. Van Craenenbroeck
- Department of Nephrology, Antwerp University Hospital, Antwerp, Belgium
- Laboratory of Experimental Medicine and Paediatrics, University of Antwerp, Antwerp, Belgium
| | - Wim Van Biesen
- Department of Internal Medicine, Renal Division, Ghent University Hospital, Ghent, Belgium
| | - Annemieke Dhondt
- Department of Internal Medicine, Renal Division, Ghent University Hospital, Ghent, Belgium
| | - Anouk Tanghe
- Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
| | - Ans Van Ginckel
- Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
| | - Bert Celie
- Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
| | - Patrick Calders
- Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
- * E-mail:
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18
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Ørtenblad N, Nielsen J, Boushel R, Söderlund K, Saltin B, Holmberg HC. The Muscle Fiber Profiles, Mitochondrial Content, and Enzyme Activities of the Exceptionally Well-Trained Arm and Leg Muscles of Elite Cross-Country Skiers. Front Physiol 2018; 9:1031. [PMID: 30116201 PMCID: PMC6084043 DOI: 10.3389/fphys.2018.01031] [Citation(s) in RCA: 62] [Impact Index Per Article: 10.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2018] [Accepted: 07/11/2018] [Indexed: 01/11/2023] Open
Abstract
As one of the most physically demanding sports in the Olympic Games, cross-country skiing poses considerable challenges with respect to both force generation and endurance during the combined upper- and lower-body effort of varying intensity and duration. The isoforms of myosin in skeletal muscle have long been considered not only to define the contractile properties, but also to determine metabolic capacities. The current investigation was designed to explore the relationship between these isoforms and metabolic profiles in the arms (triceps brachii) and legs (vastus lateralis) as well as the range of training responses in the muscle fibers of elite cross-country skiers with equally and exceptionally well-trained upper and lower bodies. The proportion of myosin heavy chain (MHC)-1 was higher in the leg (58 ± 2% [34-69%]) than arm (40 ± 3% [24-57%]), although the mitochondrial volume percentages [8.6 ± 1.6 (leg) and 9.0 ± 2.0 (arm)], and average number of capillaries per fiber [5.8 ± 0.8 (leg) and 6.3 ± 0.3 (arm)] were the same. In these comparable highly trained leg and arm muscles, the maximal citrate synthase (CS) activity was the same. Still, 3-hydroxy-acyl-CoA-dehydrogenase (HAD) capacity was 52% higher (P < 0.05) in the leg compared to arm muscles, suggesting a relatively higher capacity for lipid oxidation in leg muscle, which cannot be explained by the different fiber type distributions. For both limbs combined, HAD activity was correlated with the content of MHC-1 (r2 = 0.32, P = 0.011), whereas CS activity was not. Thus, in these highly trained cross-country skiers capillarization of and mitochondrial volume in type 2 fiber can be at least as high as in type 1 fibers, indicating a divergence between fiber type pattern and aerobic metabolic capacity. The considerable variability in oxidative metabolism with similar MHC profiles provides a new perspective on exercise training. Furthermore, the clear differences between equally well-trained arm and leg muscles regarding HAD activity cannot be explained by training status or MHC distribution, thereby indicating an intrinsic metabolic difference between the upper and lower body. Moreover, trained type 1 and type 2A muscle fibers exhibited similar aerobic capacity regardless of whether they were located in an arm or leg muscle.
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Affiliation(s)
- Niels Ørtenblad
- Department of Sports Science and Clinical Biomechanics, SDU Muscle Research Cluster, University of Southern Denmark, Odense, Denmark.,School of Kinesiology, University of British Columbia, Vancouver, BC, Canada
| | - Joachim Nielsen
- Department of Sports Science and Clinical Biomechanics, SDU Muscle Research Cluster, University of Southern Denmark, Odense, Denmark
| | - Robert Boushel
- School of Kinesiology, University of British Columbia, Vancouver, BC, Canada
| | - Karin Söderlund
- Åstrand Laboratory, The Swedish School of Sport and Health Sciences, Stockholm, Sweden
| | - Bengt Saltin
- Copenhagen Muscle Research Centre, Copenhagen, Denmark
| | - Hans-Christer Holmberg
- Swedish Winter Sports Research Centre, Mid Sweden University, Östersund, Sweden.,School of Sport Sciences, UiT The Arctic University of Norway, Tromsø, Norway
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19
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Sheel AW, Boushel R, Dempsey JA. Competition for blood flow distribution between respiratory and locomotor muscles: implications for muscle fatigue. J Appl Physiol (1985) 2018; 125:820-831. [PMID: 29878876 DOI: 10.1152/japplphysiol.00189.2018] [Citation(s) in RCA: 76] [Impact Index Per Article: 12.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023] Open
Abstract
Sympathetically induced vasoconstrictor modulation of local vasodilation occurs in contracting skeletal muscle during exercise to ensure appropriate perfusion of a large active muscle mass and to maintain also arterial blood pressure. In this synthesis, we discuss the contribution of group III-IV muscle afferents to the sympathetic modulation of blood flow distribution to locomotor and respiratory muscles during exercise. This is followed by an examination of the conditions under which diaphragm and locomotor muscle fatigue occur. Emphasis is given to those studies in humans and animal models that experimentally changed respiratory muscle work to evaluate blood flow redistribution and its effects on locomotor muscle fatigue, and conversely, those that evaluated the influence of coincident limb muscle contraction on respiratory muscle blood flow and fatigue. We propose the concept of a "two-way street of sympathetic vasoconstrictor activity" emanating from both limb and respiratory muscle metaboreceptors during exercise, which constrains blood flow and O2 transport thereby promoting fatigue of both sets of muscles. We end with considerations of a hierarchy of blood flow distribution during exercise between respiratory versus locomotor musculatures and the clinical implications of muscle afferent feedback influences on muscle perfusion, fatigue, and exercise tolerance.
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Affiliation(s)
- A William Sheel
- School of Kinesiology, University of British Columbia , Vancouver, British Columbia , Canada
| | - Robert Boushel
- School of Kinesiology, University of British Columbia , Vancouver, British Columbia , Canada
| | - Jerome A Dempsey
- Department of Population Health Sciences, John Rankin Laboratory of Pulmonary Medicine, School of Medicine and Public Health, University of Wisconsin , Madison, Wisconsin
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20
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Houstis NE, Eisman AS, Pappagianopoulos PP, Wooster L, Bailey CS, Wagner PD, Lewis GD. Exercise Intolerance in Heart Failure With Preserved Ejection Fraction: Diagnosing and Ranking Its Causes Using Personalized O 2 Pathway Analysis. Circulation 2018; 137:148-161. [PMID: 28993402 PMCID: PMC5760316 DOI: 10.1161/circulationaha.117.029058] [Citation(s) in RCA: 160] [Impact Index Per Article: 26.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/20/2017] [Accepted: 09/19/2017] [Indexed: 12/31/2022]
Abstract
BACKGROUND Heart failure with preserved ejection fraction (HFpEF) is a common syndrome with a pressing shortage of therapies. Exercise intolerance is a cardinal symptom of HFpEF, yet its pathophysiology remains uncertain. METHODS We investigated the mechanism of exercise intolerance in 134 patients referred for cardiopulmonary exercise testing: 79 with HFpEF and 55 controls. We performed cardiopulmonary exercise testing with invasive monitoring to measure hemodynamics, blood gases, and gas exchange during exercise. We used these measurements to quantify 6 steps of oxygen transport and utilization (the O2 pathway) in each patient with HFpEF, identifying the defective steps that impair each one's exercise capacity (peak Vo2). We then quantified the functional significance of each O2 pathway defect by calculating the improvement in exercise capacity a patient could expect from correcting the defect. RESULTS Peak Vo2 was reduced by 34±2% (mean±SEM, P<0.001) in HFpEF compared with controls of similar age, sex, and body mass index. The vast majority (97%) of patients with HFpEF harbored defects at multiple steps of the O2 pathway, the identity and magnitude of which varied widely. Two of these steps, cardiac output and skeletal muscle O2 diffusion, were impaired relative to controls by an average of 27±3% and 36±2%, respectively (P<0.001 for both). Due to interactions between a given patient's defects, the predicted benefit of correcting any single one was often minor; on average, correcting a patient's cardiac output led to a 7±0.5% predicted improvement in exercise intolerance, whereas correcting a patient's muscle diffusion capacity led to a 27±1% improvement. At the individual level, the impact of any given O2 pathway defect on a patient's exercise capacity was strongly influenced by comorbid defects. CONCLUSIONS Systematic analysis of the O2 pathway in HFpEF showed that exercise capacity was undermined by multiple defects, including reductions in cardiac output and skeletal muscle diffusion capacity. An important source of disease heterogeneity stemmed from variation in each patient's personal profile of defects. Personalized O2 pathway analysis could identify patients most likely to benefit from treating a specific defect; however, the system properties of O2 transport favor treating multiple defects at once, as with exercise training.
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Affiliation(s)
- Nicholas E Houstis
- Cardiology Division, Department of Medicine, Massachusetts General Hospital, Boston (N.E.H., A.S.E., P.P.P., L.W., C.S.B., G.D.L.)
| | - Aaron S Eisman
- Cardiology Division, Department of Medicine, Massachusetts General Hospital, Boston (N.E.H., A.S.E., P.P.P., L.W., C.S.B., G.D.L.)
| | - Paul P Pappagianopoulos
- Cardiology Division, Department of Medicine, Massachusetts General Hospital, Boston (N.E.H., A.S.E., P.P.P., L.W., C.S.B., G.D.L.)
| | - Luke Wooster
- Cardiology Division, Department of Medicine, Massachusetts General Hospital, Boston (N.E.H., A.S.E., P.P.P., L.W., C.S.B., G.D.L.)
| | - Cole S Bailey
- Cardiology Division, Department of Medicine, Massachusetts General Hospital, Boston (N.E.H., A.S.E., P.P.P., L.W., C.S.B., G.D.L.)
| | - Peter D Wagner
- School of Medicine, University of California, San Diego (P.D.W.)
| | - Gregory D Lewis
- Cardiology Division, Department of Medicine, Massachusetts General Hospital, Boston (N.E.H., A.S.E., P.P.P., L.W., C.S.B., G.D.L.)
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21
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Berg OK, Nyberg SK, Windedal TM, Wang E. Maximal strength training-induced improvements in forearm work efficiency are associated with reduced blood flow. Am J Physiol Heart Circ Physiol 2017; 314:H853-H862. [PMID: 29351462 DOI: 10.1152/ajpheart.00435.2017] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
Maximal strength training (MST) improves work efficiency. However, since blood flow is greatly dictated by muscle contractions in arms during exercise and vascular conductance is lower, it has been indicated that arms rely more upon adapting oxygen extraction than legs in response to the enhanced work efficiency. Thus, to investigate if metabolic and vascular responses are arm specific, we used Doppler-ultrasound and a catheter placed in the subclavian vein to measure blood flow and the arteriovenous oxygen difference during steady-state work in seven young men [24 ± 3 (SD) yr] following 6 wk of handgrip MST. As expected, MST improved maximal strength (49 ± 9 to 62 ± 10 kg) and the rate of force development (923 ± 224 to 1,086 ± 238 N/s), resulting in a reduced submaximal oxygen uptake (30 ± 9 to 24 ± 10 ml/min) and concomitantly increased work efficiency (9.3 ± 2.5 to 12.4 ± 3.9%) (all P < 0.05). In turn, the work efficiency improvement was associated with reduced blood flow (486 ± 102 to 395 ± 114 ml/min), mediated by a lower blood velocity (43 ± 8 to 32 ± 6 cm/s) (all P < 0.05). Conduit artery diameter and the arteriovenous oxygen difference remained unaltered. The maximal work test revealed an increased time to exhaustion (949 ± 239 to 1,102 ± 292 s) and maximal work rate (both P < 0.05) but no change in peak oxygen uptake. In conclusion, despite prior indications of metabolic and vascular limb-specific differences, these results reveal that improved work efficiency after small muscle mass strength training in the upper extremities is accompanied by a blood flow reduction and coheres with what has been documented for lower extremities. NEW & NOTEWORTHY Maximal strength training increases skeletal muscle work efficiency. Oxygen extraction has been indicated to be the adapting component with this increased work efficiency in arms. However, we document that decreased blood flow, achieved by blood velocity reduction, is the adapting mechanism responding to the improved aerobic metabolism in the forearm musculature.
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Affiliation(s)
- Ole Kristian Berg
- Faculty of Health and Social Sciences, Molde University College, Molde, Norway
| | - Stian Kwak Nyberg
- Department of Circulation and Medical Imaging, Faculty of Medicine, Norwegian University of Science and Technology , Trondheim , Norway
| | - Tobias Midtvedt Windedal
- Department of Circulation and Medical Imaging, Faculty of Medicine, Norwegian University of Science and Technology , Trondheim , Norway
| | - Eivind Wang
- Faculty of Health and Social Sciences, Molde University College, Molde, Norway.,Department of Circulation and Medical Imaging, Faculty of Medicine, Norwegian University of Science and Technology , Trondheim , Norway.,Department of Internal Medicine, University of Utah , Salt Lake City, Utah
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22
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Bellenger CR, Fuller JT, Thomson RL, Davison K, Robertson EY, Buckley JD. Monitoring Athletic Training Status Through Autonomic Heart Rate Regulation: A Systematic Review and Meta-Analysis. Sports Med 2017; 46:1461-86. [PMID: 26888648 DOI: 10.1007/s40279-016-0484-2] [Citation(s) in RCA: 159] [Impact Index Per Article: 22.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
BACKGROUND Autonomic regulation of heart rate (HR) as an indicator of the body's ability to adapt to an exercise stimulus has been evaluated in many studies through HR variability (HRV) and post-exercise HR recovery (HRR). Recently, HR acceleration has also been investigated. OBJECTIVE The aim of this systematic literature review and meta-analysis was to evaluate the effect of negative adaptations to endurance training (i.e., a period of overreaching leading to attenuated performance) and positive adaptations (i.e., training leading to improved performance) on autonomic HR regulation in endurance-trained athletes. METHODS We searched Ovid MEDLINE, Embase, CINAHL, SPORTDiscus, PubMed, and Academic Search Premier databases from inception until April 2015. Included articles examined the effects of endurance training leading to increased or decreased exercise performance on four measures of autonomic HR regulation: resting and post-exercise HRV [vagal-related indices of the root-mean-square difference of successive normal R-R intervals (RMSSD), high frequency power (HFP) and the standard deviation of instantaneous beat-to-beat R-R interval variability (SD1) only], and post-exercise HRR and HR acceleration. RESULTS Of the 5377 records retrieved, 27 studies were included in the systematic review and 24 studies were included in the meta-analysis. Studies inducing increases in performance showed small increases in resting RMSSD [standardised mean difference (SMD) = 0.58; P < 0.001], HFP (SMD = 0.55; P < 0.001) and SD1 (SMD = 0.23; P = 0.16), and moderate increases in post-exercise RMSSD (SMD = 0.60; P < 0.001), HFP (SMD = 0.90; P < 0.04), SD1 (SMD = 1.20; P = 0.04), and post-exercise HRR (SMD = 0.63; P = 0.002). A large increase in HR acceleration (SMD = 1.34) was found in the single study assessing this parameter. Studies inducing decreases in performance showed a small increase in resting RMSSD (SMD = 0.26; P = 0.01), but trivial changes in resting HFP (SMD = 0.04; P = 0.77) and SD1 (SMD = 0.04; P = 0.82). Post-exercise RMSSD (SMD = 0.64; P = 0.04) and HFP (SMD = 0.49; P = 0.18) were increased, as was HRR (SMD = 0.46; P < 0.001), while HR acceleration was decreased (SMD = -0.48; P < 0.001). CONCLUSIONS Increases in vagal-related indices of resting and post-exercise HRV, post-exercise HRR, and HR acceleration are evident when positive adaptation to training has occurred, allowing for increases in performance. However, increases in post-exercise HRV and HRR also occur in response to overreaching, demonstrating that additional measures of training tolerance may be required to determine whether training-induced changes in these parameters are related to positive or negative adaptations. Resting HRV is largely unaffected by overreaching, although this may be the result of methodological issues that warrant further investigation. HR acceleration appears to decrease in response to overreaching training, and thus may be a potential indicator of training-induced fatigue.
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Affiliation(s)
- Clint R Bellenger
- Alliance for Research in Exercise, Nutrition and Activity (ARENA), Sansom Institute for Health Research, University of South Australia, GPO Box 2471, Adelaide, SA, 5001, Australia.
| | - Joel T Fuller
- Alliance for Research in Exercise, Nutrition and Activity (ARENA), Sansom Institute for Health Research, University of South Australia, GPO Box 2471, Adelaide, SA, 5001, Australia
| | - Rebecca L Thomson
- Alliance for Research in Exercise, Nutrition and Activity (ARENA), Sansom Institute for Health Research, University of South Australia, GPO Box 2471, Adelaide, SA, 5001, Australia
| | - Kade Davison
- Alliance for Research in Exercise, Nutrition and Activity (ARENA), Sansom Institute for Health Research, University of South Australia, GPO Box 2471, Adelaide, SA, 5001, Australia
| | | | - Jonathan D Buckley
- Alliance for Research in Exercise, Nutrition and Activity (ARENA), Sansom Institute for Health Research, University of South Australia, GPO Box 2471, Adelaide, SA, 5001, Australia
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23
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Grassi B, Majerczak J, Bardi E, Buso A, Comelli M, Chlopicki S, Guzik M, Mavelli I, Nieckarz Z, Salvadego D, Tyrankiewicz U, Skórka T, Bottinelli R, Zoladz JA, Pellegrino MA. Exercise training in Tgα q*44 mice during the progression of chronic heart failure: cardiac vs. peripheral (soleus muscle) impairments to oxidative metabolism. J Appl Physiol (1985) 2017; 123:326-336. [PMID: 28522765 DOI: 10.1152/japplphysiol.00342.2017] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2017] [Revised: 05/15/2017] [Accepted: 05/16/2017] [Indexed: 12/16/2022] Open
Abstract
Cardiac function, skeletal (soleus) muscle oxidative metabolism, and the effects of exercise training were evaluated in a transgenic murine model (Tgαq*44) of chronic heart failure during the critical period between the occurrence of an impairment of cardiac function and the stage at which overt cardiac failure ensues (i.e., from 10 to 12 mo of age). Forty-eight Tgαq*44 mice and 43 wild-type FVB controls were randomly assigned to control groups and to groups undergoing 2 mo of intense exercise training (spontaneous running on an instrumented wheel). In mice evaluated at the beginning and at the end of training we determined: exercise performance (mean distance covered daily on the wheel); cardiac function in vivo (by magnetic resonance imaging); soleus mitochondrial respiration ex vivo (by high-resolution respirometry); muscle phenotype [myosin heavy chain (MHC) isoform content; citrate synthase (CS) activity]; and variables related to the energy status of muscle fibers [ratio of phosphorylated 5'-AMP-activated protein kinase (AMPK) to unphosphorylated AMPK] and mitochondrial biogenesis and function [peroxisome proliferative-activated receptor-γ coactivator-α (PGC-1α)]. In the untrained Tgαq*44 mice functional impairments of exercise performance, cardiac function, and soleus muscle mitochondrial respiration were observed. The impairment of mitochondrial respiration was related to the function of complex I of the respiratory chain, and it was not associated with differences in CS activity, MHC isoforms, p-AMPK/AMPK, and PGC-1α levels. Exercise training improved exercise performance and cardiac function, but it did not affect mitochondrial respiration, even in the presence of an increased percentage of type 1 MHC isoforms. Factors "upstream" of mitochondria were likely mainly responsible for the improved exercise performance.NEW & NOTEWORTHY Functional impairments in exercise performance, cardiac function, and soleus muscle mitochondrial respiration were observed in transgenic chronic heart failure mice, evaluated in the critical period between the occurrence of an impairment of cardiac function and the terminal stage of the disease. Exercise training improved exercise performance and cardiac function, but it did not affect the impaired mitochondrial respiration. Factors "upstream" of mitochondria, including an enhanced cardiovascular O2 delivery, were mainly responsible for the functional improvement.
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Affiliation(s)
- Bruno Grassi
- Department of Medicine, University of Udine, Udine, Italy; .,Institute of Bioimaging and Molecular Physiology, National Research Council, Milan, Italy
| | - Joanna Majerczak
- Department of Muscle Physiology, Faculty of Rehabilitation, University School of Physical Education, Krakow, Poland
| | - Eleonora Bardi
- Department of Molecular Medicine, University of Pavia, Pavia, Italy
| | - Alessia Buso
- Department of Medicine, University of Udine, Udine, Italy
| | - Marina Comelli
- Department of Medicine, University of Udine, Udine, Italy
| | - Stefan Chlopicki
- Jagiellonian Centre for Experimental Therapeutics, Jagiellonian University Medical College, Krakow, Poland.,Chair of Pharmacology, Jagiellonian University Medical College, Krakow, Poland
| | - Magdalena Guzik
- Department of Muscle Physiology, Faculty of Rehabilitation, University School of Physical Education, Krakow, Poland
| | - Irene Mavelli
- Department of Medicine, University of Udine, Udine, Italy
| | - Zenon Nieckarz
- Institute of Physics, Jagiellonian University, Krakow, Poland; and
| | - Desy Salvadego
- Department of Medicine, University of Udine, Udine, Italy
| | - Urszula Tyrankiewicz
- Department of Magnetic Resonance Imaging, Institute of Nuclear Physics, Polish Academy of Sciences, Krakow, Poland
| | - Tomasz Skórka
- Department of Magnetic Resonance Imaging, Institute of Nuclear Physics, Polish Academy of Sciences, Krakow, Poland
| | | | - Jerzy A Zoladz
- Jagiellonian Centre for Experimental Therapeutics, Jagiellonian University Medical College, Krakow, Poland
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24
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Montero D, Lundby C. Refuting the myth of non-response to exercise training: 'non-responders' do respond to higher dose of training. J Physiol 2017; 595:3377-3387. [PMID: 28133739 DOI: 10.1113/jp273480] [Citation(s) in RCA: 218] [Impact Index Per Article: 31.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2016] [Accepted: 01/06/2017] [Indexed: 02/06/2023] Open
Abstract
KEY POINTS The prevalence of cardiorespiratory fitness (CRF) non-response gradually declines in healthy individuals exercising 60, 120, 180, 240 or 300 min per week for 6 weeks. Following a successive identical 6-week training period but comprising 120 min of additional exercise per week, CRF non-response is universally abolished. The magnitude of CRF improvement is primarily attributed to changes in haemoglobin mass. The potential for CRF improvement may be present and unveiled with appropriate exercise training stimuli in healthy individuals without exception. ABSTRACT One in five adults following physical activity guidelines are reported to not demonstrate any improvement in cardiorespiratory fitness (CRF). Herein, we sought to establish whether CRF non-response to exercise training is dose-dependent, using a between- and within-subject study design. Seventy-eight healthy adults were divided into five groups (1-5) respectively comprising one, two, three, four and five 60 min exercise sessions per week but otherwise following an identical 6-week endurance training (ET) programme. Non-response was defined as any change in CRF, determined by maximal incremental exercise power output (Wmax ), within the typical error of measurement (±3.96%). Participants classified as non-responders after the ET intervention completed a successive 6-week ET period including two additional exercise sessions per week. Maximal oxygen consumption (V̇O2 max ), haematology and muscle biopsies were assessed prior to and after each ET period. After the first ET period, Wmax increased (P < 0.05) in groups 2, 3, 4 and 5, but not 1. In groups 1, 2, 3, 4 and 5, 69%, 40%, 29%, 0% and 0% of individuals, respectively, were non-responders. After the second ET period, non-response was eliminated in all individuals. The change in V̇O2 max with exercise training independently determined Wmax response (partial correlation coefficient, rpartial ≥ 0.74, P < 0.001). In turn, total haemoglobin mass was the strongest independent determinant of V̇O2 max (rpartial = 0.49, P < 0.001). In conclusion, individual CRF non-response to exercise training is abolished by increasing the dose of exercise and primarily a function of haematological adaptations in oxygen-carrying capacity.
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Affiliation(s)
- David Montero
- Zurich Center for Integrative Human Physiology (ZIHP), Institute of Physiology, University of Zurich, Switzerland.,Department of Cardiology, University Hospital Zurich, Switzerland
| | - Carsten Lundby
- Zurich Center for Integrative Human Physiology (ZIHP), Institute of Physiology, University of Zurich, Switzerland
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25
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Nielsen J, Gejl KD, Hey‐Mogensen M, Holmberg H, Suetta C, Krustrup P, Elemans CPH, Ørtenblad N. Plasticity in mitochondrial cristae density allows metabolic capacity modulation in human skeletal muscle. J Physiol 2017; 595:2839-2847. [PMID: 27696420 PMCID: PMC5407961 DOI: 10.1113/jp273040] [Citation(s) in RCA: 125] [Impact Index Per Article: 17.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2016] [Accepted: 09/28/2016] [Indexed: 11/08/2022] Open
Abstract
KEY POINTS In human skeletal muscles, the current view is that the capacity for mitochondrial energy production, and thus endurance capacity, is set by the mitochondria volume. However, increasing the mitochondrial inner membrane surface comprises an alternative mechanism for increasing the energy production capacity. In the present study, we show that mitochondrial inner membranes in leg muscles of endurance-trained athletes have an increased ratio of surface per mitochondrial volume. We show a positive correlation between this ratio and whole body oxygen uptake and muscle fibre mitochondrial content. The results obtained in the present study help us to understand modulation of mitochondrial function, as well as how mitochondria can increase their oxidative capacity with increased demand. ABSTRACT Mitochondrial energy production involves the movement of protons down a large electrochemical gradient via ATP synthase located on the folded inner membrane, known as cristae. In mammalian skeletal muscle, the density of cristae in mitochondria is assumed to be constant. However, recent experimental studies have shown that respiration per mitochondria varies. Modelling studies have hypothesized that this variation in respiration per mitochondria depends on plasticity in cristae density, although current evidence for such a mechanism is lacking. In the present study, we confirm this hypothesis by showing that, in human skeletal muscle, and in contrast to the current view, the mitochondrial cristae density is not constant but, instead, exhibits plasticity with long-term endurance training. Furthermore, we show that frequently recruited mitochondria-enriched fibres have significantly increased cristae density and that, at the whole-body level, muscle mitochondrial cristae density is a better predictor of maximal oxygen uptake rate than muscle mitochondrial volume. Our findings establish an elevating mitochondrial cristae density as a regulatory mechanism for increasing metabolic power in human skeletal muscle. We propose that this mechanism allows evasion of the trade-off between cell occupancy by mitochondria and other cellular constituents, as well as improved metabolic capacity and fuel catabolism during prolonged elevated energy requirements.
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Affiliation(s)
- Joachim Nielsen
- Department of Sports Science and Clinical BiomechanicsSDU Muscle Research Cluster, University of Southern DenmarkOdenseDenmark
- Department of PathologySDU Muscle Research ClusterOdense University HospitalOdenseDenmark
| | - Kasper D. Gejl
- Department of Sports Science and Clinical BiomechanicsSDU Muscle Research Cluster, University of Southern DenmarkOdenseDenmark
| | - Martin Hey‐Mogensen
- Department of Sports Science and Clinical BiomechanicsSDU Muscle Research Cluster, University of Southern DenmarkOdenseDenmark
| | - Hans‐Christer Holmberg
- Swedish Winter Sports Research CentreDepartment of Health SciencesMid Sweden UniversityÖstersundSweden
| | - Charlotte Suetta
- Department of Clinical PhysiologyNuclear Medicine & PETRigshospitaletUniversity of CopenhagenCopenhagenDenmark
| | - Peter Krustrup
- Department of Sports Science and Clinical BiomechanicsSDU Muscle Research Cluster, University of Southern DenmarkOdenseDenmark
- Sport and Health SciencesCollege of Life and Environmental SciencesUniversity of ExeterExeterUnited Kingdom
| | | | - Niels Ørtenblad
- Department of Sports Science and Clinical BiomechanicsSDU Muscle Research Cluster, University of Southern DenmarkOdenseDenmark
- Swedish Winter Sports Research CentreDepartment of Health SciencesMid Sweden UniversityÖstersundSweden
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26
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Nielsen J, Gejl KD, Ørtenblad N. Reply from Joachim Nielsen, Kasper D. Gejl and Niels Ørtenblad. J Physiol 2017; 595:2987-2988. [PMID: 28452134 DOI: 10.1113/jp273880] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Affiliation(s)
- Joachim Nielsen
- Department of Sports Science and Clinical Biomechanics, SDU Muscle Research Cluster, University of Southern Denmark, Odense, Denmark.,Department of Pathology, SDU Muscle Research Cluster, Odense University Hospital, Odense, Denmark
| | - Kasper D Gejl
- Department of Sports Science and Clinical Biomechanics, SDU Muscle Research Cluster, University of Southern Denmark, Odense, Denmark
| | - Niels Ørtenblad
- Department of Sports Science and Clinical Biomechanics, SDU Muscle Research Cluster, University of Southern Denmark, Odense, Denmark.,Swedish Winter Sports Research Centre, Department of Health Sciences, Mid Sweden University, Östersund, Sweden
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27
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Ade CJ, Broxterman RM, Moore AD, Barstow TJ. Decreases in maximal oxygen uptake following long-duration spaceflight: Role of convective and diffusive O 2 transport mechanisms. J Appl Physiol (1985) 2017; 122:968-975. [PMID: 28153941 DOI: 10.1152/japplphysiol.00280.2016] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2016] [Revised: 12/19/2016] [Accepted: 01/19/2017] [Indexed: 01/22/2023] Open
Abstract
We have previously predicted that the decrease in maximal oxygen uptake (V̇o2max) that accompanies time in microgravity reflects decrements in both convective and diffusive O2 transport to the mitochondria of the contracting myocytes. The aim of this investigation was therefore to quantify the relative changes in convective O2 transport (Q̇o2) and O2 diffusing capacity (Do2) following long-duration spaceflight. In nine astronauts, resting hemoglobin concentration ([Hb]), V̇o2max, maximal cardiac output (Q̇Tmax), and differences in arterial and venous O2 contents ([Formula: see text]-[Formula: see text]) were obtained retrospectively for International Space Station Increments 19-33 (April 2009-November 2012). Q̇o2 and Do2 were calculated from these variables via integration of Fick's Principle of Mass Conservation and Fick's Law of Diffusion. V̇o2max significantly decreased from pre- to postflight (-53.9 ± 45.5%, P = 0.008). The significant decrease in Q̇Tmax (-7.8 ± 9.1%, P = 0.05), despite an unchanged [Hb], resulted in a significantly decreased Q̇o2 (-11.4 ± 10.5%, P = 0.02). Do2 significantly decreased from pre- to postflight by -27.5 ± 24.5% (P = 0.04), as did the peak [Formula: see text]-[Formula: see text] (-9.2 ± 7.5%, P = 0.007). With the use of linear regression analysis, changes in V̇o2max were significantly correlated with changes in Do2 (R2 = 0.47; P = 0.04). These data suggest that spaceflight decreases both convective and diffusive O2 transport. These results have practical implications for future long-duration space missions and highlight the need to resolve the specific mechanisms underlying these spaceflight-induced changes along the O2 transport pathway.NEW & NOTEWORTHY Long-duration spaceflight elicited a significant decrease in maximal oxygen uptake. Given the adverse physiological adaptations to microgravity along the O2 transport pathway that have been reported, an integrative approach to the determinants of postflight maximal oxygen uptake is needed. We demonstrate that both convective and diffusive oxygen transport are decreased following ~6 mo International Space Station missions.
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Affiliation(s)
- C J Ade
- Department of Health and Exercise Science, University of Oklahoma, Norman, Oklahoma; .,Department of Kinesiology, Kansas State University, Manhattan, Kansas
| | - R M Broxterman
- Department of Internal Medicine, University of Utah, Salt Lake City, Utah
| | - A D Moore
- Department of Health and Kinesiology, Lamar University, Beaumont, Texas; and
| | - T J Barstow
- Department of Kinesiology, Kansas State University, Manhattan, Kansas
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28
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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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29
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Casuso RA, Aragón-Vela J, López-Contreras G, Gomes SN, Casals C, Barranco-Ruiz Y, Mercadé JJ, Huertas JR. Does Swimming at a Moderate Altitude Favor a Lower Oxidative Stress in an Intensity-Dependent Manner? Role of Nonenzymatic Antioxidants. High Alt Med Biol 2016; 18:46-55. [PMID: 27906593 DOI: 10.1089/ham.2016.0046] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023] Open
Abstract
Casuso, Rafael A., Jerónimo Aragón-Vela, Gracia López-Contreras, Silvana N. Gomes, Cristina Casals, Yaira Barranco-Ruiz, Jordi J. Mercadé, and Jesus R. Huertas. Does swimming at a moderate altitude favor a lower oxidative stress in an intensity-dependent manner? Role of nonenzymatic antioxidants. High-Alt Med Biol. 18:46-55, 2017.-we aimed to describe oxidative damage and enzymatic and nonenzymatic antioxidant responses to swimming at different intensities in hypoxia. We recruited 12 highly experienced swimmers who have been involved in competitive swimming for at least 9 years. They performed a total of six swimming sessions carried out at low (LOW), moderate (MOD), or high (HIGH) intensity at low altitude (630 m) and at 2320 m above sea level. Blood samples were collected before the session (Pre), after the cool down (Post), and after 15 minutes of recovery (Rec). Blood lactate (BL) and heart rate were recorded throughout the main part of the session. Average velocities did not change between hypoxia and normoxia. We found a higher BL in response to MOD intensity in hypoxia. Plasmatic hydroperoxide level decreased at all intensities when swimming in hypoxia. This effect coincided with a lower glutation peroxidase activity and a marked mobilization of the circulating levels of α-tocopherol and coenzyme Q10 in an intensity-dependent manner. Our results suggest that, regardless of the intensity, no oxidative damage is found in response to hypoxic swimming in well-trained swimmers. Indeed, swimmers show a highly efficient antioxidant system by stimulating the mobilization of nonenzymatic antioxidants.
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Affiliation(s)
- Rafael A Casuso
- 1 Institute of Nutrition and Food Technology, Biomedical Research Centre, Department of Physiology, Faculty of Sport Sciences, University of Granada , Granada, Spain
| | - Jerónimo Aragón-Vela
- 1 Institute of Nutrition and Food Technology, Biomedical Research Centre, Department of Physiology, Faculty of Sport Sciences, University of Granada , Granada, Spain
| | - Gracia López-Contreras
- 2 Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada , Granada, Spain
| | - Silvana N Gomes
- 1 Institute of Nutrition and Food Technology, Biomedical Research Centre, Department of Physiology, Faculty of Sport Sciences, University of Granada , Granada, Spain
| | - Cristina Casals
- 1 Institute of Nutrition and Food Technology, Biomedical Research Centre, Department of Physiology, Faculty of Sport Sciences, University of Granada , Granada, Spain
| | - Yaira Barranco-Ruiz
- 3 Department of Physical Culture, Faculty of Health Sciences, School of Health Sciences, National University of Chimborazo Riobamba , Riobamba, Ecuador
| | - Jordi J Mercadé
- 4 Department of Athletic and Sport Management. University of Granada , Granada, Spain
| | - Jesus R Huertas
- 1 Institute of Nutrition and Food Technology, Biomedical Research Centre, Department of Physiology, Faculty of Sport Sciences, University of Granada , Granada, Spain
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30
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Kim DH, Jang SH. Effects of an upper-limb exercise program for improving muscular strength and range of movement on respiratory function of stroke patients. J Phys Ther Sci 2016; 28:2785-2788. [PMID: 27821935 PMCID: PMC5088126 DOI: 10.1589/jpts.28.2785] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2016] [Accepted: 06/16/2016] [Indexed: 11/24/2022] Open
Abstract
[Purpose] This study aims to investigate the effects of upper-limb exercises on the
respiratory functions of stroke patients. [Subjects and Methods] This study was performed
with 25 stroke patients. The subjects were divided into the control group (n=12) which did
not perform upper arm training and the experimental group (n=13) which conducted upper arm
training. Forced vital capacity and forced expiratory volume in the first second, both of
which are used in this study, are well-known indicators of respiratory capabilities. Peak
cough flow is used to indicate cough capability. [Results] Concerning changes in forced
vital capacity, forced expiratory volume in the first second and the peak cough flow of
each group after the exercise, while the control group did not show significant
differences, the experimental group showed statistically significant increases.
[Conclusion] The results of the study indicate that exercise programs that increase the
mobility of upper limbs and increase muscular strength have the effect of normalizing
vertebral alignment for stroke patients, and thus can provide effective interventions for
improving respiratory function.
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Affiliation(s)
- Dong-Hyun Kim
- Department of Occupational Therapy, Gimcheon University, Republic of Korea
| | - Sang-Hun Jang
- Department of Physical Therapy, Gimcheon University, Republic of Korea
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Zinner C, Morales-Alamo D, Ørtenblad N, Larsen FJ, Schiffer TA, Willis SJ, Gelabert-Rebato M, Perez-Valera M, Boushel R, Calbet JAL, Holmberg HC. The Physiological Mechanisms of Performance Enhancement with Sprint Interval Training Differ between the Upper and Lower Extremities in Humans. Front Physiol 2016; 7:426. [PMID: 27746738 PMCID: PMC5043010 DOI: 10.3389/fphys.2016.00426] [Citation(s) in RCA: 50] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2016] [Accepted: 09/08/2016] [Indexed: 01/15/2023] Open
Abstract
To elucidate the mechanisms underlying the differences in adaptation of arm and leg muscles to sprint training, over a period of 11 days 16 untrained men performed six sessions of 4–6 × 30-s all-out sprints (SIT) with the legs and arms, separately, with a 1-h interval of recovery. Limb-specific VO2peak, sprint performance (two 30-s Wingate tests with 4-min recovery), muscle efficiency and time-trial performance (TT, 5-min all-out) were assessed and biopsies from the m. vastus lateralis and m. triceps brachii taken before and after training. VO2peak and Wmax increased 3–11% after training, with a more pronounced change in the arms (P < 0.05). Gross efficiency improved for the arms (+8.8%, P < 0.05), but not the legs (−0.6%). Wingate peak and mean power outputs improved similarly for the arms and legs, as did TT performance. After training, VO2 during the two Wingate tests was increased by 52 and 6% for the arms and legs, respectively (P < 0.001). In the case of the arms, VO2 was higher during the first than second Wingate test (64 vs. 44%, P < 0.05). During the TT, relative exercise intensity, HR, VO2, VCO2, VE, and Vt were all lower during arm-cranking than leg-pedaling, and oxidation of fat was minimal, remaining so after training. Despite the higher relative intensity, fat oxidation was 70% greater during leg-pedaling (P = 0.017). The aerobic energy contribution in the legs was larger than for the arms during the Wingate tests, although VO2 for the arms was enhanced more by training, reducing the O2 deficit after SIT. The levels of muscle glycogen, as well as the myosin heavy chain composition were unchanged in both cases, while the activities of 3-hydroxyacyl-CoA-dehydrogenase and citrate synthase were elevated only in the legs and capillarization enhanced in both limbs. Multiple regression analysis demonstrated that the variables that predict TT performance differ for the arms and legs. The primary mechanism of adaptation to SIT by both the arms and legs is enhancement of aerobic energy production. However, with their higher proportion of fast muscle fibers, the arms exhibit greater plasticity.
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Affiliation(s)
- Christoph Zinner
- Department of Sport Science, Julius Maximilians University WürzburgWürzburg, Germany; Swedish Winter Sports Research Centre, Mid Sweden UniversityÖstersund, Sweden
| | - David Morales-Alamo
- Research Institute of Biomedical and Health Sciences (IUIBS) and Department of Physical Education, University of Las Palmas de Gran Canaria Las Palmas, Spain
| | - Niels Ørtenblad
- Swedish Winter Sports Research Centre, Mid Sweden UniversityÖstersund, Sweden; Institute of Sports Science and Clinical Biomechanics, University of Southern DenmarkOdense, Denmark
| | - Filip J Larsen
- Swedish School of Sport and Health Sciences Stockholm, Sweden
| | - Tomas A Schiffer
- Department of Medical and Health Sciences, Linköping University Linköping, Sweden
| | - Sarah J Willis
- Swedish Winter Sports Research Centre, Mid Sweden University Östersund, Sweden
| | - Miriam Gelabert-Rebato
- Research Institute of Biomedical and Health Sciences (IUIBS) and Department of Physical Education, University of Las Palmas de Gran Canaria Las Palmas, Spain
| | - Mario Perez-Valera
- Research Institute of Biomedical and Health Sciences (IUIBS) and Department of Physical Education, University of Las Palmas de Gran Canaria Las Palmas, Spain
| | - Robert Boushel
- School of Kinesiology, University of British Columbia Vancouver, BC, Canada
| | - Jose A L Calbet
- Research Institute of Biomedical and Health Sciences (IUIBS) and Department of Physical Education, University of Las Palmas de Gran CanariaLas Palmas, Spain; School of Kinesiology, University of British ColumbiaVancouver, BC, Canada
| | - Hans-Christer Holmberg
- Swedish Winter Sports Research Centre, Mid Sweden UniversityÖstersund, Sweden; School of Kinesiology, University of British ColumbiaVancouver, BC, Canada; School of Sport Sciences, UiT Arctic University of NorwayTromsø, Norway
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32
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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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33
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Gnaiger E, Boushel R, Søndergaard H, Munch-Andersen T, Damsgaard R, Hagen C, Díez-Sánchez C, Ara I, Wright-Paradis C, Schrauwen P, Hesselink M, Calbet JAL, Christiansen M, Helge JW, Saltin B. Mitochondrial coupling and capacity of oxidative phosphorylation in skeletal muscle of Inuit and Caucasians in the arctic winter. Scand J Med Sci Sports 2016; 25 Suppl 4:126-34. [PMID: 26589126 DOI: 10.1111/sms.12612] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/08/2015] [Indexed: 01/02/2023]
Abstract
During evolution, mitochondrial DNA haplogroups of arctic populations may have been selected for lower coupling of mitochondrial respiration to ATP production in favor of higher heat production. We show that mitochondrial coupling in skeletal muscle of traditional and westernized Inuit habituating northern Greenland is identical to Danes of western Europe haplogroups. Biochemical coupling efficiency was preserved across variations in diet, muscle fiber type, and uncoupling protein-3 content. Mitochondrial phenotype displayed plasticity in relation to lifestyle and environment. Untrained Inuit and Danes had identical capacities to oxidize fat substrate in arm muscle, which increased in Danes during the 42 days of acclimation to exercise, approaching the higher level of the Inuit hunters. A common pattern emerges of mitochondrial acclimatization and evolutionary adaptation in humans at high latitude and high altitude where economy of locomotion may be optimized by preservation of biochemical coupling efficiency at modest mitochondrial density, when submaximum performance is uncoupled from VO2max and maximum capacities of oxidative phosphorylation.
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Affiliation(s)
- E Gnaiger
- Department of Visceral, Transplant and Thoracic Surgery, D. Swarovski Research Laboratory, Medical University of Innsbruck, Innsbruck, Austria
| | - R Boushel
- The Copenhagen Muscle Research Centre, Copenhagen, Denmark.,School of Kinesiology, University of British Columbia, Vancouver, BC, Canada
| | - H Søndergaard
- The Copenhagen Muscle Research Centre, Copenhagen, Denmark
| | | | - R Damsgaard
- The Copenhagen Muscle Research Centre, Copenhagen, Denmark
| | - C Hagen
- National Serum Institute, Copenhagen, Denmark
| | - C Díez-Sánchez
- Department of Biochemistry and Molecular and Cell Biology, University of Zaragoza, Zaragoza, Spain
| | - I Ara
- GENUD Toledo Research Group, University of Castilla-La Mancha, Toledo, Spain
| | - C Wright-Paradis
- Department of Exercise Science, Concordia University, Montreal, QC, Canada
| | - P Schrauwen
- NUTRIM - School for Nutrition, Toxicology and Metabolism, Department of Human Biology, Maastricht University Medical Center, Maastricht, The Netherlands
| | - M Hesselink
- NUTRIM - School for Nutrition, Toxicology and Metabolism, Department of Human Biology, Maastricht University Medical Center, Maastricht, The Netherlands
| | - J A L Calbet
- Department of Physical Education, Research Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria, Las Palmas, Spain
| | | | - J W Helge
- The Copenhagen Muscle Research Centre, Copenhagen, Denmark.,X-Lab, Department of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - B Saltin
- The Copenhagen Muscle Research Centre, Copenhagen, Denmark
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34
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Boushel R. Linking skeletal muscle blood flow and metabolism to the limits of human performance. Appl Physiol Nutr Metab 2016; 42:111-115. [PMID: 28006435 DOI: 10.1139/apnm-2016-0393] [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] [Indexed: 12/27/2022]
Abstract
Over the last 50 years, Bengt Saltin's contributions to our understanding of physiology of the circulation, the matching of the circulation to muscle metabolism, and the underlying mechanisms that set the limits for exercise performance were enormous. His research addressed the key questions in the field using sophisticated experimental methods including field expeditions. From the Dallas Bedrest Study to the 1-leg knee model to the physiology of lifelong training, his prodigious body of work was foundational in the field of exercise physiology and his leadership propelled integrative human physiology into the mainstream of biological sciences.
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Affiliation(s)
- Robert Boushel
- School of Kinesiology, University of British Columbia, 210-6100 University Boulevard, Vancouver, BC V6T 1Z1, Canada.,School of Kinesiology, University of British Columbia, 210-6100 University Boulevard, Vancouver, BC V6T 1Z1, Canada
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35
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Sperlich B, Calbet JAL, Boushel R, Holmberg HC. Is the use of hyperoxia in sports effective, safe and ethical? Scand J Med Sci Sports 2016; 26:1268-1272. [PMID: 27539548 DOI: 10.1111/sms.12746] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- B Sperlich
- Integrative and Experimental Training Science, Institute for Sport Sciences, Julius-Maximilians University Würzburg, Würzburg, Germany.
| | - J A L Calbet
- Department of Physical Education, University of Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain.,Research Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain.,School of Kinesiology, University of British Columbia, Vancouver, British Columbia, Canada
| | - R Boushel
- School of Kinesiology, University of British Columbia, Vancouver, British Columbia, Canada
| | - H-C Holmberg
- School of Kinesiology, University of British Columbia, Vancouver, British Columbia, Canada.,Swedish Winter Sports Research Centre, Department of Health Sciences, Mid Sweden University, Östersund, Sweden.,School of Sport Sciences, University of Tromsø - The Arctic University of Norway, Tromsø, Norway
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36
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Volianitis S, Secher NH. Cardiovascular control during whole body exercise. J Appl Physiol (1985) 2016; 121:376-90. [PMID: 27311439 PMCID: PMC5007320 DOI: 10.1152/japplphysiol.00674.2015] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2015] [Accepted: 06/10/2016] [Indexed: 12/25/2022] Open
Abstract
It has been considered whether during whole body exercise the increase in cardiac output is large enough to support skeletal muscle blood flow. This review addresses four lines of evidence for a flow limitation to skeletal muscles during whole body exercise. First, even though during exercise the blood flow achieved by the arms is lower than that achieved by the legs (∼160 vs. ∼385 ml·min(-1)·100 g(-1)), the muscle mass that can be perfused with such flow is limited by the capacity to increase cardiac output (42 l/min, highest recorded value). Secondly, activation of the exercise pressor reflex during fatiguing work with one muscle group limits flow to other muscle groups. Another line of evidence comes from evaluation of regional blood flow during exercise where there is a discrepancy between flow to a muscle group when it is working exclusively and when it works together with other muscles. Finally, regulation of peripheral resistance by sympathetic vasoconstriction in active muscles by the arterial baroreflex is critical for blood pressure regulation during exercise. Together, these findings indicate that during whole body exercise muscle blood flow is subordinate to the control of blood pressure.
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Affiliation(s)
- Stefanos Volianitis
- Department of Health Science and Technology, Aalborg University, Aalborg, Denmark; and
| | - Niels H Secher
- The Copenhagen Muscle Research Center, Department of Anesthesiology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark
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37
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Affiliation(s)
- P B Persson
- Institute of Vegetative Physiology, Charité-Universitaetsmedizin Berlin, Berlin, Germany.
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38
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Ade CJ, Broxterman RM, Barstow TJ. VO(2max) and Microgravity Exposure: Convective versus Diffusive O(2) Transport. Med Sci Sports Exerc 2016; 47:1351-61. [PMID: 25380479 DOI: 10.1249/mss.0000000000000557] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
Exposure to a microgravity environment decreases the maximal rate of O2 uptake (VO(2max)) in healthy individuals returning to a gravitational environment. The magnitude of this decrease in VO(2max) is, in part, dependent on the duration of microgravity exposure, such that long exposure may result in up to a 38% decrease in VO(2max). This review identifies the components within the O(2) transport pathway that determine the decrease in postmicrogravity VO(2max) and highlights the potential contributing physiological mechanisms. A retrospective analysis revealed that the decline in VO(2max) is initially mediated by a decrease in convective and diffusive O(2) transport that occurs as the duration of microgravity exposure is extended. Mechanistically, the attenuation of O(2) transport is the combined result of a deconditioning across multiple organ systems including decreases in total blood volume, red blood cell mass, cardiac function and mass, vascular function, skeletal muscle mass, and, potentially, capillary hemodynamics, which become evident during exercise upon re-exposure to the head-to-foot gravitational forces of upright posture on Earth. In summary, VO(2max) is determined by the integration of central and peripheral O(2) transport mechanisms, which, if not maintained during microgravity, will have a substantial long-term detrimental impact on space mission performance and astronaut health.
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Affiliation(s)
- Carl J Ade
- 1Department of Health and Exercise Science, University of Oklahoma, Norman, OK; 2Department of Kinesiology, Kansas State University, Manhattan, KS; and 3Department of Anatomy and Physiology, Kansas State University, Manhattan, KS
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39
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Boushel R, Gnaiger E, Larsen FJ, Helge JW, González-Alonso J, Ara I, Munch-Andersen T, van Hall G, Søndergaard H, Saltin B, Calbet JAL. Maintained peak leg and pulmonary VO2despite substantial reduction in muscle mitochondrial capacity. Scand J Med Sci Sports 2015; 25 Suppl 4:135-43. [DOI: 10.1111/sms.12613] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/08/2015] [Indexed: 01/12/2023]
Affiliation(s)
- R. Boushel
- The Copenhagen Muscle Research Centre; Copenhagen Denmark
- School of Kinesiology; University of British Columbia; Vancouver BC Canada
| | - E. Gnaiger
- Department of Visceral, Transplant and Thoracic Surgery; D. Swarovski Research Laboratory; Medical University of Innsbruck; Innsbruck Austria
| | - F. J. Larsen
- Åstrand Laboratory; The Swedish School of Sport and Health Sciences; Stockholm Sweden
| | - J. W. Helge
- The Copenhagen Muscle Research Centre; Copenhagen Denmark
- X-Lab; Department of Biomedical Sciences; University of Copenhagen; Copenhagen Denmark
| | - J. González-Alonso
- The Copenhagen Muscle Research Centre; Copenhagen Denmark
- Centre for Sports Medicine and Human Performance; Brunel University, London; Uxbridge UK
| | - I. Ara
- The Copenhagen Muscle Research Centre; Copenhagen Denmark
- GENUD Toledo Research Group; Universidad de Castilla-La Mancha (UCLM); Spain
| | | | - G. van Hall
- The Copenhagen Muscle Research Centre; Copenhagen Denmark
- Biomedical Sciences, Health & Medical Sciences; University of Copenhagen & Clinical Biochemistry, Rigshospitalet; Copenhagen Denmark
| | - H. Søndergaard
- The Copenhagen Muscle Research Centre; Copenhagen Denmark
| | - B. Saltin
- The Copenhagen Muscle Research Centre; Copenhagen Denmark
| | - J. A. L. Calbet
- The Copenhagen Muscle Research Centre; Copenhagen Denmark
- Department of Physical Education, and Research Institute of Biomedical and Health Sciences (IUIBS); University of Las Palmas de Gran Canaria; Las Palmas Spain
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40
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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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41
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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: 56] [Impact Index Per Article: 6.2] [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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42
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Larsen FJ, Schiffer TA, Ørtenblad N, Zinner C, Morales‐Alamo D, Willis SJ, Calbet JA, Holmberg H, Boushel R. High‐intensity sprint training inhibits mitochondrial respiration through aconitase inactivation. FASEB J 2015; 30:417-27. [DOI: 10.1096/fj.15-276857] [Citation(s) in RCA: 49] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2015] [Accepted: 09/14/2015] [Indexed: 01/09/2023]
Affiliation(s)
- Filip J. Larsen
- Department of Physiology and PharmacologyKarolinska InstituteStockholmSweden
- Swedish School of Sport and Health SciencesStockholmSweden
| | - Tomas A. Schiffer
- Department of Physiology and PharmacologyKarolinska InstituteStockholmSweden
| | - Niels Ørtenblad
- Institute of Sports Science and Clinical BiomechanicsMuscle Research ClusterUniversity of Southern DenmarkOdenseDenmark
| | - Christoph Zinner
- Swedish Winter Sports Research Centre, Department of Health SciencesMid Sweden UniversityÖstersundSweden
- Department of Sport ScienceJulius Maximilians UniversityWürzburgGermany
| | - David Morales‐Alamo
- Research Institute of Biomedical and Health Sciences (IUIBS)Las Palmas de Gran CanariaCanary IslandsSpain
| | - Sarah J. Willis
- Swedish Winter Sports Research Centre, Department of Health SciencesMid Sweden UniversityÖstersundSweden
| | - Jose A. Calbet
- Research Institute of Biomedical and Health Sciences (IUIBS)Las Palmas de Gran CanariaCanary IslandsSpain
| | - Hans‐Christer Holmberg
- Swedish Winter Sports Research Centre, Department of Health SciencesMid Sweden UniversityÖstersundSweden
| | - Robert Boushel
- Swedish School of Sport and Health SciencesStockholmSweden
- School of Kinesiology, University of British ColumbiaVancouverBritish ColumbiaCanada
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43
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González-Alonso J, Calbet JAL, Boushel R, Helge JW, Søndergaard H, Munch-Andersen T, van Hall G, Mortensen SP, Secher NH. Blood temperature and perfusion to exercising and non-exercising human limbs. Exp Physiol 2015; 100:1118-31. [PMID: 26268717 PMCID: PMC5049637 DOI: 10.1113/ep085383] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2015] [Accepted: 08/07/2015] [Indexed: 12/11/2022]
Abstract
NEW FINDINGS What is the central question of this study? Temperature-sensitive mechanisms are thought to contribute to blood-flow regulation, but the relationship between exercising and non-exercising limb perfusion and blood temperature is not established. What is the main finding and its importance? The close coupling among perfusion, blood temperature and aerobic metabolism in exercising and non-exercising extremities across different exercise modalities and activity levels and the tight association between limb vasodilatation and increases in plasma ATP suggest that both temperature- and metabolism-sensitive mechanisms are important for the control of human limb perfusion, possibly by activating ATP release from the erythrocytes. Temperature-sensitive mechanisms may contribute to blood-flow regulation, but the influence of temperature on perfusion to exercising and non-exercising human limbs is not established. Blood temperature (TB ), blood flow and oxygen uptake (V̇O2) in the legs and arms were measured in 16 healthy humans during 90 min of leg and arm exercise and during exhaustive incremental leg or arm exercise. During prolonged exercise, leg blood flow (LBF) was fourfold higher than arm blood flow (ABF) in association with higher TB and limb V̇O2. Leg and arm vascular conductance during exercise compared with rest was related closely to TB (r(2) = 0.91; P < 0.05), plasma ATP (r(2) = 0.94; P < 0.05) and limb V̇O2 (r(2) = 0.99; P < 0.05). During incremental leg exercise, LBF increased in association with elevations in TB and limb V̇O2, whereas ABF, arm TB and V̇O2 remained largely unchanged. During incremental arm exercise, both ABF and LBF increased in relationship to similar increases in V̇O2. In 12 trained males, increases in femoral TB and LBF during incremental leg exercise were mirrored by similar pulmonary artery TB and cardiac output dynamics, suggesting that processes in active limbs dominate central temperature and perfusion responses. The present data reveal a close coupling among perfusion, TB and aerobic metabolism in exercising and non-exercising extremities and a tight association between limb vasodilatation and increases in plasma ATP. These findings suggest that temperature and V̇O2 contribute to the regulation of limb perfusion through control of intravascular ATP.
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Affiliation(s)
- José González-Alonso
- Centre for Sports Medicine and Human Performance, Brunel University London, Uxbridge, UK.,The Copenhagen Muscle Research Centre, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark
| | - José A L Calbet
- The Copenhagen Muscle Research Centre, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.,Department of Physical Education, and Research Institute of Biomedical and Health Sciences, University of Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain
| | - Robert Boushel
- The Copenhagen Muscle Research Centre, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.,School of Kinesiology, University of British Columbia, Vancouver, Canada
| | - Jørn W Helge
- The Copenhagen Muscle Research Centre, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.,Centre for Healthy Ageing, Department of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Hans Søndergaard
- The Copenhagen Muscle Research Centre, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark
| | - Thor Munch-Andersen
- The Copenhagen Muscle Research Centre, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark
| | - Gerrit van Hall
- The Copenhagen Muscle Research Centre, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark
| | - Stefan P Mortensen
- The Copenhagen Muscle Research Centre, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.,Department of Cardiovascular and Renal Research, University of Southern Denmark, Odense, Denmark
| | - Niels H Secher
- The Copenhagen Muscle Research Centre, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.,Department of Anaesthesia, Rigshospitalet, University of Copenhagen, Denmark
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Calbet JAL, Losa-Reyna J, Torres-Peralta R, Rasmussen P, Ponce-González JG, Sheel AW, de la Calle-Herrero J, Guadalupe-Grau A, Morales-Alamo D, Fuentes T, Rodríguez-García L, Siebenmann C, Boushel R, Lundby C. Limitations to oxygen transport and utilization during sprint exercise in humans: evidence for a functional reserve in muscle O2 diffusing capacity. J Physiol 2015; 593:4649-64. [PMID: 26258623 DOI: 10.1113/jp270408] [Citation(s) in RCA: 65] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2015] [Accepted: 08/05/2015] [Indexed: 12/14/2022] Open
Abstract
To determine the contribution of convective and diffusive limitations to V̇(O2peak) during exercise in humans, oxygen transport and haemodynamics were measured in 11 men (22 ± 2 years) during incremental (IE) and 30 s all-out cycling sprints (Wingate test, WgT), in normoxia (Nx, P(IO2): 143 mmHg) and hypoxia (Hyp, P(IO2): 73 mmHg). Carboxyhaemoglobin (COHb) was increased to 6-7% before both WgTs to left-shift the oxyhaemoglobin dissociation curve. Leg V̇(O2) was measured by the Fick method and leg blood flow (BF) with thermodilution, and muscle O2 diffusing capacity (D(MO2)) was calculated. In the WgT mean power output, leg BF, leg O2 delivery and leg V̇(O2) were 7, 5, 28 and 23% lower in Hyp than Nx (P < 0.05); however, peak WgT D(MO2) was higher in Hyp (51.5 ± 9.7) than Nx (20.5 ± 3.0 ml min(-1) mmHg(-1), P < 0.05). Despite a similar P(aO2) (33.3 ± 2.4 and 34.1 ± 3.3 mmHg), mean capillary P(O2) (16.7 ± 1.2 and 17.1 ± 1.6 mmHg), and peak perfusion during IE and WgT in Hyp, D(MO2) and leg V̇(O2) were 12 and 14% higher, respectively, during WgT than IE in Hyp (both P < 0.05). D(MO2) was insensitive to COHb (COHb: 0.7 vs. 7%, in IE Hyp and WgT Hyp). At exhaustion, the Y equilibration index was well above 1.0 in both conditions, reflecting greater convective than diffusive limitation to the O2 transfer in both Nx and Hyp. In conclusion, muscle V̇(O2) during sprint exercise is not limited by O2 delivery, O2 offloading from haemoglobin or structure-dependent diffusion constraints in the skeletal muscle. These findings reveal a remarkable functional reserve in muscle O2 diffusing capacity.
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Affiliation(s)
- José A L Calbet
- Department of Physical Education, University of Las Palmas de Gran Canaria, Campus Universitario de Tafira s/n, Las Palmas de Gran Canaria, Canary Islands, 35017, Spain.,Research Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria, 35016 Las Palmas de Gran Canaria, Canary Islands, Spain
| | - José Losa-Reyna
- Department of Physical Education, University of Las Palmas de Gran Canaria, Campus Universitario de Tafira s/n, Las Palmas de Gran Canaria, Canary Islands, 35017, Spain.,Research Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria, 35016 Las Palmas de Gran Canaria, Canary Islands, Spain
| | - Rafael Torres-Peralta
- Department of Physical Education, University of Las Palmas de Gran Canaria, Campus Universitario de Tafira s/n, Las Palmas de Gran Canaria, Canary Islands, 35017, Spain.,Research Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria, 35016 Las Palmas de Gran Canaria, Canary Islands, Spain
| | - Peter Rasmussen
- Center for Integrative Human Physiology, Institute of Physiology, University of Zürich, Zürich, Switzerland
| | - Jesús Gustavo Ponce-González
- Department of Physical Education, University of Las Palmas de Gran Canaria, Campus Universitario de Tafira s/n, Las Palmas de Gran Canaria, Canary Islands, 35017, Spain.,Research Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria, 35016 Las Palmas de Gran Canaria, Canary Islands, Spain
| | - A William Sheel
- School of Kinesiology, University of British Columbia, Vancouver, British Columbia, Canada
| | - Jaime de la Calle-Herrero
- Department of Physical Education, University of Las Palmas de Gran Canaria, Campus Universitario de Tafira s/n, Las Palmas de Gran Canaria, Canary Islands, 35017, Spain
| | - Amelia Guadalupe-Grau
- Department of Physical Education, University of Las Palmas de Gran Canaria, Campus Universitario de Tafira s/n, Las Palmas de Gran Canaria, Canary Islands, 35017, Spain.,Research Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria, 35016 Las Palmas de Gran Canaria, Canary Islands, Spain
| | - David Morales-Alamo
- Department of Physical Education, University of Las Palmas de Gran Canaria, Campus Universitario de Tafira s/n, Las Palmas de Gran Canaria, Canary Islands, 35017, Spain.,Research Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria, 35016 Las Palmas de Gran Canaria, Canary Islands, Spain
| | - Teresa Fuentes
- Department of Physical Education, University of Las Palmas de Gran Canaria, Campus Universitario de Tafira s/n, Las Palmas de Gran Canaria, Canary Islands, 35017, Spain
| | - Lorena Rodríguez-García
- Department of Physical Education, University of Las Palmas de Gran Canaria, Campus Universitario de Tafira s/n, Las Palmas de Gran Canaria, Canary Islands, 35017, Spain
| | - Christoph Siebenmann
- Center for Integrative Human Physiology, Institute of Physiology, University of Zürich, Zürich, Switzerland
| | - Robert Boushel
- School of Kinesiology, University of British Columbia, Vancouver, British Columbia, Canada.,Åstrand Laboratory, Swedish School of Sport and Health Sciences, Stockholm, Sweden
| | - Carsten Lundby
- Center for Integrative Human Physiology, Institute of Physiology, University of Zürich, Zürich, Switzerland
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Hirai DM, Musch TI, Poole DC. Exercise training in chronic heart failure: improving skeletal muscle O2 transport and utilization. Am J Physiol Heart Circ Physiol 2015; 309:H1419-39. [PMID: 26320036 DOI: 10.1152/ajpheart.00469.2015] [Citation(s) in RCA: 111] [Impact Index Per Article: 12.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/16/2015] [Accepted: 08/23/2015] [Indexed: 01/13/2023]
Abstract
Chronic heart failure (CHF) impairs critical structural and functional components of the O2 transport pathway resulting in exercise intolerance and, consequently, reduced quality of life. In contrast, exercise training is capable of combating many of the CHF-induced impairments and enhancing the matching between skeletal muscle O2 delivery and utilization (Q̇mO2 and V̇mO2 , respectively). The Q̇mO2 /V̇mO2 ratio determines the microvascular O2 partial pressure (PmvO2 ), which represents the ultimate force driving blood-myocyte O2 flux (see Fig. 1). Improvements in perfusive and diffusive O2 conductances are essential to support faster rates of oxidative phosphorylation (reflected as faster V̇mO2 kinetics during transitions in metabolic demand) and reduce the reliance on anaerobic glycolysis and utilization of finite energy sources (thus lowering the magnitude of the O2 deficit) in trained CHF muscle. These adaptations contribute to attenuated muscle metabolic perturbations (e.g., changes in [PCr], [Cr], [ADP], and pH) and improved physical capacity (i.e., elevated critical power and maximal V̇mO2 ). Preservation of such plasticity in response to exercise training is crucial considering the dominant role of skeletal muscle dysfunction in the pathophysiology and increased morbidity/mortality of the CHF patient. This brief review focuses on the mechanistic bases for improved Q̇mO2 /V̇mO2 matching (and enhanced PmvO2 ) with exercise training in CHF with both preserved and reduced ejection fraction (HFpEF and HFrEF, respectively). Specifically, O2 convection within the skeletal muscle microcirculation, O2 diffusion from the red blood cell to the mitochondria, and muscle metabolic control are particularly susceptive to exercise training adaptations in CHF. Alternatives to traditional whole body endurance exercise training programs such as small muscle mass and inspiratory muscle training, pharmacological treatment (e.g., sildenafil and pentoxifylline), and dietary nitrate supplementation are also presented in light of their therapeutic potential. Adaptations within the skeletal muscle O2 transport and utilization system underlie improvements in physical capacity and quality of life in CHF and thus take center stage in the therapeutic management of these patients.
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Affiliation(s)
- Daniel M Hirai
- Department of Medicine, Queen's University, Kingston, Ontario, Canada; Department of Medicine, Federal University of São Paulo (UNIFESP), São Paulo, São Paulo, Brazil; and
| | - Timothy I Musch
- Departments of Anatomy and Physiology and Kinesiology, Kansas State University, Manhattan, Kansas
| | - David C Poole
- Departments of Anatomy and Physiology and Kinesiology, Kansas State University, Manhattan, Kansas
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Effect of regional muscle location but not adiposity on mitochondrial biogenesis-regulating proteins. Eur J Appl Physiol 2015; 116:11-8. [DOI: 10.1007/s00421-015-3232-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2015] [Accepted: 07/31/2015] [Indexed: 01/06/2023]
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Calbet JAL, Mortensen SP, Munch GDW, Curtelin D, Boushel R. Constant infusion transpulmonary thermodilution for the assessment of cardiac output in exercising humans. Scand J Med Sci Sports 2015; 26:518-27. [PMID: 25919489 DOI: 10.1111/sms.12473] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/16/2015] [Indexed: 12/29/2022]
Abstract
To determine the accuracy and precision of constant infusion transpulmonary thermodilution cardiac output (CITT-Q) assessment during exercise in humans, using indocyanine green (ICG) dilution and bolus transpulmonary thermodilution (BTD) as reference methods, cardiac output (Q) was determined at rest and during incremental one- and two-legged pedaling on a cycle ergometer, and combined arm cranking with leg pedaling to exhaustion in 15 healthy men. Continuous infusions of iced saline in the femoral vein (n = 41) or simultaneously in the femoral and axillary (n = 66) veins with determination of temperature in the femoral artery were used for CITT-Q assessment. CITT-Q was linearly related to ICG-Q (r = 0.82, CITT-Q = 0.876 × ICG-Q + 3.638, P < 0.001; limits of agreement ranging from -1.43 to 3.07 L/min) and BTD-Q (r = 0.91, CITT-Q = 0.822 × BTD + 4.481 L/min, P < 0.001; limits of agreement ranging from -1.01 to 2.63 L/min). Compared with ICG-Q and BTD-Q, CITT-Q overestimated cardiac output by 1.6 L/min (≈ 10% of the mean ICG and BTD-Q values, P < 0.05). For Q between 20 and 28 L/min, we estimated an overestimation < 5%. The coefficient of variation of 23 repeated CITT-Q measurements was 6.0% (CI: 6.1-11.1%). In conclusion, cardiac output can be precisely and accurately determined with constant infusion transpulmonary thermodilution in exercising humans.
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Affiliation(s)
- J A L Calbet
- Department of Physical Education, Research Institute of Biomedical and Health Sciences, IUIBS, University of Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain.,Copenhagen Muscle Research Center, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark
| | - S P Mortensen
- Copenhagen Muscle Research Center, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.,The Centre of Inflammation and Metabolism, Centre for Physical Activity Research, Department of Infectious Diseases, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.,Department of Cardiovascular and Renal Research, Institute of Molecular Medicine, University of Southern Denmark, Odense, Denmark
| | - G D W Munch
- Copenhagen Muscle Research Center, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.,The Centre of Inflammation and Metabolism, Centre for Physical Activity Research, Department of Infectious Diseases, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark
| | - D Curtelin
- Department of Physical Education, Research Institute of Biomedical and Health Sciences, IUIBS, University of Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain.,Emergency Medicine Department, Insular Universitary Hospital of Gran Canaria, Las Palmas de Gran Canaria, Spain
| | - R Boushel
- Copenhagen Muscle Research Center, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.,Åstrand Laboratory, The Swedish School of Sport and Health Sciences, Stockholm, Sweden
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Boushel R, Lundby C, Qvortrup K, Sahlin K. Mitochondrial plasticity with exercise training and extreme environments. Exerc Sport Sci Rev 2015; 42:169-74. [PMID: 25062000 DOI: 10.1249/jes.0000000000000025] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
Mitochondria form a reticulum in skeletal muscle. Exercise training stimulates mitochondrial biogenesis, yet an emerging hypothesis is that training also induces qualitative regulatory changes. Substrate oxidation, oxygen affinity, and biochemical coupling efficiency may be regulated differentially with training and exposure to extreme environments. Threshold training doses inducing mitochondrial upregulation remain to be elucidated considering fitness level.
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Affiliation(s)
- Robert Boushel
- 1Åstrand Laboratory, The Swedish School of Sport and Health Sciences, Stockholm, Sweden; 2Center for Integrative Human Physiology, Institute of Physiology, University of Zurich, Zurich, Switzerland; and 3Department of Biomedical Sciences, Core Facility for Integrated Microscopy, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
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