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Liu Y, Zhou A, Li F, Yue T, Xia Y, Yao Y, Zhou X, Zhang Y, Wang Y. Aerobic capacity and [Formula: see text] kinetics adaptive responses to short-term high-intensity interval training and detraining in untrained females. Eur J Appl Physiol 2023; 123:1685-1699. [PMID: 36995431 DOI: 10.1007/s00421-023-05182-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2022] [Accepted: 03/14/2023] [Indexed: 03/31/2023]
Abstract
PURPOSE This study investigated the physical fitness and oxygen uptake kinetics (τ[Formula: see text]) along with the O2 delivery and utilization (heart rate kinetics, τHR; deoxyhemoglobin/[Formula: see text] ratio, ∆[HHb]/[Formula: see text]) adaptations of untrained female participants responding to 4 weeks of high-intensity interval training (HIIT) and 2 weeks of detraining. METHODS Participants were randomly assigned to HIIT (n = 11, 4 × 4 protocol) or nonexercising control (n = 9) groups. Exercising group engaged 4 weeks of treadmill HIIT followed by 2 weeks of detraining while maintaining daily activity level. Ramp-incremental (RI) tests and step-transitions to moderate-intensity exercise were performed. Aerobic capacity and performance (maximal oxygen uptake, [Formula: see text]; gas-exchange threshold, GET; power output, PO), body composition (skeletal muscle mass, SMM; body fat percentage, BF%), muscle oxygenation status (∆[HHb]), [Formula: see text], and HR kinetics were assessed. RESULTS HIIT elicited improvements in aerobic capacity ([Formula: see text], + 0.17 ± 0.04 L/min; GET, + 0.18 ± 0.05 L/min, P < 0.01; PO-[Formula: see text], ± 23.36 ± 8.37 W; PO-GET, + 17.18 ± 3.07 W, P < 0.05), body composition (SMM, + 0.92 ± 0.17 kg; BF%, - 3.08% ± 0.58%, P < 0.001), and speed up the τ[Formula: see text] (- 8.04 ± 1.57 s, P < 0.001) significantly, extending to better ∆[HHb]/[Formula: see text] ratio (1.18 ± 0.08 to 1.05 ± 0.14). After a period of detraining, the adaptation in body composition and aerobic capacity, as well as the accelerated τ[Formula: see text] were maintained in the HIIT group, but the PO-[Formula: see text] and PO-GET declined below the post-training level (P < 0.05), whereas no changes were reported in controls (P > 0.05). Four weeks of HIIT induced widespread physiological adaptations in females, and the majority of improvements were preserved after 2 weeks of detraining except for power output corresponding to [Formula: see text] and GET.
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Affiliation(s)
- Yujie Liu
- School of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, 100084, China
| | - Aiyi Zhou
- School of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, 100084, China
| | - Fengya Li
- School of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, 100084, China
| | - Tian Yue
- School of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, 100084, China
| | - Yuncan Xia
- School of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, 100084, China
| | - Yibing Yao
- School of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, 100084, China
| | - Xiaoxiao Zhou
- School of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, 100084, China
| | - Yihong Zhang
- School of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, 100084, China
| | - Yan Wang
- School of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, 100084, China.
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Korzeniewski B. V̇O 2 (non-)linear increase in ramp-incremental exercise vs. V̇O 2 slow component in constant-power exercise: Underlying mechanisms. Respir Physiol Neurobiol 2023; 311:104023. [PMID: 36731708 DOI: 10.1016/j.resp.2023.104023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2022] [Revised: 12/31/2022] [Accepted: 01/28/2023] [Indexed: 02/01/2023]
Abstract
A computer model of the skeletal muscle bioenergetic system involving the Pi double-threshold mechanism of muscle fatigue was used to study the V̇O2 (non-)linear increase in time in ramp-incremental exercise as compared to the V̇O2 slow component in constant-power exercise. The Pi double-threshold mechanism applies to both constant-power and ramp-incremental exercise. The additional ATP usage is initiated at a significantly higher ATP usage activity (power output), determining the moderate/heavy exercise border, in ramp-incremental, than in constant-power exercise. A significantly lowered additional ATP usage activity or elevated glycolysis stimulation at the highest power outputs in ramp-incremental exercise in relation to constant-power exercise can additionally explain the much smaller (or zero) V̇O2 non-linearity in ramp-incremental exercise, than V̇O2 slow component in constant-power exercise. The V̇O2 (non-)linearity in ramp-incremental exercise and V̇O2 slow component in constant-power exercise is a derivative of a balance between the additional ATP usage and ATP production by anaerobic glycolysis.
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Liu Y, Xia Y, Yue T, Li F, Zhou A, Zhou X, Yao Y, Zhang Y, Wang Y. Adaptations to 4 weeks of high-intensity interval training in healthy adults with different training backgrounds. Eur J Appl Physiol 2023; 123:1283-1297. [PMID: 36795131 DOI: 10.1007/s00421-023-05152-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2022] [Accepted: 02/03/2023] [Indexed: 02/17/2023]
Abstract
PURPOSE This study investigated the physical fitness and oxygen uptake kinetics ([Formula: see text]) along with the exercise-onset O2 delivery (heart rate kinetics, τHR; changes in normalized deoxyhemoglobin/[Formula: see text] ratio, Δ[HHb]/[Formula: see text]) adaptations of individuals with different physical activity (PA) backgrounds responding to 4 weeks of high-intensity interval training (HIIT), and the possible effects of skeletal muscle mass (SMM) on training-induced adaptations. METHODS Twenty subjects (10 high-PA level, HIIT-H; 10 moderate-PA level, HIIT-M) engaged in 4 weeks of treadmill HIIT. Ramp-incremental (RI) test and step-transitions to moderate-intensity exercise were performed. Cardiorespiratory fitness, body composition, muscle oxygenation status, VO2 and HR kinetics were assessed at baseline and post-training. RESULTS HIIT improved fitness status for HIIT-H ([Formula: see text], + 0.26 ± 0.07 L/min; SMM, + 0.66 ± 0.70 kg; body fat, - 1.52 ± 1.93 kg; [Formula: see text], - 7.11 ± 1.05 s, p < 0.05) and HIIT-M ([Formula: see text], 0.24 ± 0.07 L/min, SMM, + 0.58 ± 0.61 kg; body fat, - 1.64 ± 1.37 kg; [Formula: see text], - 5.48 ± 1.05 s, p < 0.05) except for visceral fat area (p = 0.293) without between-group differences (p > 0.05). Oxygenated and deoxygenated hemoglobin amplitude during the RI test increased for both groups (p < 0.05) except for total hemoglobin (p = 0.179). The Δ[HHb]/[Formula: see text] overshoot was attenuated for both groups (p < 0.05) but only eliminated in HIIT-H (1.05 ± 0.14 to 0.92 ± 0.11), and no change was observed in τHR (p = 0.144). Linear mixed-effect models presented positive effects of SMM on absolute [Formula: see text] (p < 0.001) and ΔHHb (p = 0.034). CONCLUSION Four weeks of HIIT promoted positive adaptations in physical fitness and [Formula: see text] kinetics, with the peripheral adaptations attributing to the observed improvements. The training effects are similar between groups suggesting that HIIT is effective for reaching higher physical fitness levels.
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Affiliation(s)
- Yujie Liu
- School of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, 100084, China
| | - Yuncan Xia
- School of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, 100084, China
| | - Tian Yue
- School of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, 100084, China
| | - Fengya Li
- School of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, 100084, China
| | - Aiyi Zhou
- School of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, 100084, China
| | - Xiaoxiao Zhou
- School of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, 100084, China
| | - Yibing Yao
- School of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, 100084, China
| | - Yihong Zhang
- School of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, 100084, China
| | - Yan Wang
- School of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, 100084, China.
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Pogliaghi S, Tam E, Capelli C. Effect of recovery time on [Formula: see text]-ON kinetics in humans at the onset of moderate-intensity cycling exercise. Eur J Appl Physiol 2023; 123:261-270. [PMID: 36253649 PMCID: PMC9894974 DOI: 10.1007/s00421-022-05057-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2022] [Accepted: 09/21/2022] [Indexed: 02/06/2023]
Abstract
PURPOSE τ of the primary phase of [Formula: see text] kinetics during square-wave, moderate-intensity exercise mirrors that of PCr splitting (τPCr). Pre-exercise [PCr] and the absolute variations of PCr (∆[PCr]) occurring during transient have been suggested to control τPCr and, in turn, to modulate [Formula: see text] kinetics. In addition, [Formula: see text] kinetics may be slower when exercise initiates from a raised metabolic level, i.e., from a less-favorable energetic state. We verified the hypothesis that: (i) pre-exercise [PCr], (ii) pre-exercise metabolic rate, or (iii) ∆[PCr] may affect the kinetics of muscular oxidative metabolism and, therefore, τ. METHODS To this aim, seven active males (23.0 yy ± 2.3; 1.76 m ± 0.06, [Formula: see text]: 3.32 L min-1 ± 0.67) performed three repetitions of series consisting of six 6-min step exercise transitions of identical workload interspersed with different times of recovery: 30, 60, 90, 120, 300 s. RESULTS Mono-exponential fitting was applied to breath-by-breath [Formula: see text], so that τ was determined. τ decays as a first-order exponential function of the time of recovery (τ = 109.5 × e(-t/14.0) + 18.9 r2 = 0.32) and linearly decreased as a function of the estimated pre-exercise [PCr] (τ = - 1.07 [PCr] + 44.9, r2 = 0.513, P < 0.01); it was unaffected by the estimated ∆[PCr]. CONCLUSIONS Our results in vivo do not confirm the positive linear relationship between τ and pre-exercise [PCr] and ∆[PCr]. Instead, [Formula: see text] kinetics seems to be influenced by the pre-exercise metabolic rate and the altered intramuscular energetic state.
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Affiliation(s)
- Silvia Pogliaghi
- Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
| | - Enrico Tam
- Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, Verona, Italy ,Section of Movement Science, Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, Via Casorati, 43, 37132 Verona, Italy
| | - Carlo Capelli
- Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
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Kubo Y, Fujita D, Matsumoto N, Katsuda Y, Nishida Y. Association between pulmonary oxygen uptake on-kinetics and acute cardiovascular responses to resistance exercise in patients with coronary artery disease: a preliminary study. J Phys Ther Sci 2021; 33:606-611. [PMID: 34393372 PMCID: PMC8332648 DOI: 10.1589/jpts.33.606] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2021] [Accepted: 05/24/2021] [Indexed: 11/24/2022] Open
Abstract
[Purpose] This study aimed to examine whether pulmonary oxygen uptake on-kinetics at the
onset of moderate-intensity exercise can predict acute cardiovascular responses to
resistance exercise. [Participants and Methods] The association between pulmonary oxygen
uptake on-kinetics and acute cardiovascular responses to a single resistance exercise
session was investigated in seven patients with low-risk coronary artery disease who
underwent revascularization through percutaneous coronary intervention. The participants
performed a cardiopulmonary exercise test on a cycle ergometer and a single resistance
exercise session at 30% of maximum voluntary contraction on a bilateral leg-extension
machine 1 week after surgery. We measured the ventilatory anaerobic threshold and
pulmonary oxygen uptake on-kinetics during the cardiopulmonary exercise test; left
ventricular ejection fraction at rest; and heart rate, systolic blood pressure, and rate
pressure product during the single resistance exercise session. [Results] Pulmonary oxygen
uptake on-kinetics showed a positive association with the amount of increase in systolic
blood pressure and rate pressure product during the single resistance exercise session,
but had no association with the amount of increase in heart rate. Ventilatory anaerobic
threshold and left ventricular ejection fraction were not associated with these
parameters. [Conclusion] These data suggested that pulmonary oxygen uptake on-kinetics can
be a useful evaluation index for predicting acute systolic blood pressure and rate
pressure product responses to low-intensity resistance exercise 1 week after percutaneous
coronary intervention in patients with low-risk coronary artery disease.
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Affiliation(s)
- Yusuke Kubo
- Kobori Orthopedic Clinic: 548-2 Nearaichou, Kita-ku, Hamamatsu city, Shizuoka 433-8108, Japan
| | - Daisuke Fujita
- Department of Physical Therapy, Fukuoka International University of Health and Welfare, Japan
| | | | | | - Yusuke Nishida
- Department of Physical Therapy, International University of Health and Welfare, Japan
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Sadler DG, Draijer R, Stewart CE, Jones H, Marwood S, Thijssen DHJ. Cocoa-flavanols enhance moderate-intensity pulmonary [Formula: see text] kinetics but not exercise tolerance in sedentary middle-aged adults. Eur J Appl Physiol 2021; 121:2285-2294. [PMID: 33970327 PMCID: PMC8260510 DOI: 10.1007/s00421-021-04682-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2021] [Accepted: 04/04/2021] [Indexed: 02/05/2023]
Abstract
INTRODUCTION Cocoa flavanols (CF) may exert health benefits through their potent vasodilatory effects, which are perpetuated by elevations in nitric oxide (NO) bioavailability. These vasodilatory effects may contribute to improved delivery of blood and oxygen (O2) to exercising muscle. PURPOSE Therefore, the objective of this study was to examine how CF supplementation impacts pulmonary O2 uptake ([Formula: see text]) kinetics and exercise tolerance in sedentary middle-aged adults. METHODS We employed a double-blind cross-over, placebo-controlled design whereby 17 participants (11 male, 6 female; mean ± SD, 45 ± 6 years) randomly received either 7 days of daily CF (400 mg) or placebo (PL) supplementation. On day 7, participants completed a series of 'step' moderate- and severe-intensity exercise tests for the determination of [Formula: see text] kinetics. RESULTS During moderate-intensity exercise, the time constant of the phase II [Formula: see text] kinetics ([Formula: see text]) was decreased by 15% in CF as compared to PL (mean ± SD; PL 40 ± 12 s vs. CF 34 ± 9 s, P = 0.019), with no differences in the amplitude of [Formula: see text] (A[Formula: see text]; PL 0.77 ± 0.32 l min-1 vs. CF 0.79 ± 0.34 l min-1, P = 0.263). However, during severe-intensity exercise, [Formula: see text], the amplitude of the slow component ([Formula: see text]) and exercise tolerance (PL 435 ± 58 s vs. CF 424 ± 47 s, P = 0.480) were unchanged between conditions. CONCLUSION Our data show that acute CF supplementation enhanced [Formula: see text] kinetics during moderate-, but not severe-intensity exercise in middle-aged participants. These novel effects of CFs, in this demographic, may contribute to improved tolerance of moderate-activity physical activities, which appear commonly present in daily life. TRIAL REGISTRATION Registered under ClinicalTrials.gov Identifier no. NCT04370353, 30/04/20 retrospectively registered.
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Affiliation(s)
- Daniel G Sadler
- School of Sport and Exercise Science, Liverpool John Moores University, Byrom Street, Liverpool, L3 3AF, UK
| | - Richard Draijer
- Unilever Research & Development, Olivier van Noortlaan 120, 3133 AT, Vlaardingen, The Netherlands
| | - Claire E Stewart
- School of Sport and Exercise Science, Liverpool John Moores University, Byrom Street, Liverpool, L3 3AF, UK
| | - Helen Jones
- School of Sport and Exercise Science, Liverpool John Moores University, Byrom Street, Liverpool, L3 3AF, UK
| | - Simon Marwood
- School of Health Sciences, Liverpool Hope University, Liverpool, UK
| | - Dick H J Thijssen
- School of Sport and Exercise Science, Liverpool John Moores University, Byrom Street, Liverpool, L3 3AF, UK.
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Andersson EP, Hämberg I, Do Nascimento Salvador PC, McGawley K. Physiological responses and cycle characteristics during double-poling versus diagonal-stride roller-skiing in junior cross-country skiers. Eur J Appl Physiol 2021; 121:2229-41. [PMID: 33893836 DOI: 10.1007/s00421-021-04689-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2021] [Accepted: 04/12/2021] [Indexed: 12/25/2022]
Abstract
Purpose This study aimed to compare physiological factors and cycle characteristics during cross-country (XC) roller-skiing at matched inclines and speeds using the double-poling (DP) and diagonal-stride (DS) sub-techniques in junior female and male XC skiers. Methods Twenty-three well-trained junior XC skiers (11 women, 12 men; age 18.2 ± 1.2 yr.) completed two treadmill roller-skiing tests in a randomized order using either DP or DS. The exercise protocols were identical and included a 5 min warm-up, 4 × 5 min submaximal stages, and an incremental test to exhaustion, all performed at a 5° incline. Results No significant three-way interactions were observed between sex, submaximal exercise intensity, and sub-technique. For the pooled sample, higher values were observed for DP versus DS during submaximal exercise for the mean oxygen uptake kinetics response time (33%), energy cost (18%), heart rate (HR) (9%), blood lactate concentration (5.1 versus 2.1 mmol·L−1), rating of perceived exertion (12%), and cycle rate (25%), while cycle length was lower (19%) (all P < 0.001). During the time-to-exhaustion (TTE) test, peak oxygen uptake (\documentclass[12pt]{minimal}
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\begin{document}$$\dot{V}$$\end{document}V˙O2peak), peak HR, and peak oxygen pulse were 8%, 2%, and 6% lower, respectively, for DP than DS, with a 29% shorter TTE during DP (pooled data, all P < 0.001). Conclusion In well-trained junior XC skiers, DP was found to exert a greater physiological load than DS during uphill XC roller-skiing at submaximal intensities. During the TTE test, both female and male athletes were able to ski for longer and reached markedly higher \documentclass[12pt]{minimal}
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\begin{document}$$\dot{V}$$\end{document}V˙O2peak values when using DS compared to DP.
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Patti A, Neunhaeuserer D, Ortolan S, Roman F, Gasperetti A, Battista F, Di Bella C, Gobbo S, Bergamin M, Furian L, Ermolao A. A clinical evaluation of VO 2 kinetics in kidney transplant recipients. Eur J Appl Physiol 2021; 121:2005-2013. [PMID: 33811560 PMCID: PMC8192378 DOI: 10.1007/s00421-021-04672-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2020] [Accepted: 03/28/2021] [Indexed: 11/21/2022]
Abstract
Purpose Aerobic exercise capacity is reduced in patients with chronic kidney disease, partly due to alterations at the muscular and microvascular level. This study evaluated oxygen uptake (VO2) kinetics as indicator of muscular oxidative metabolism in a population of Kidney Transplant Recipients (KTRs). Methods Two groups of KTRs enrolled 3 (n = 21) and 12 months (n = 14) after transplantation and a control group of healthy young adults (n = 16) underwent cardiopulmonary exercise testing on cycle-ergometer. The protocol consisted in two subsequent constant, moderate-load exercise phases with a final incremental test until exhaustion. Results The time constant of VO2 kinetics was slower in KTRs at 3 and 12 months after transplantation compared to controls (50.4 ± 13.1 s and 43.8 ± 11.6 s vs 28.9 ± 8.4 s, respectively; P < 0.01). Peak VO2 was lower in KTRs evaluated 3 months after transplantation compared to patients evaluated after 1 year (21.3 ± 4.3 and 26.4 ± 8.0 mL/kg/min; P = 0.04). Blood haemoglobin (Hb) concentration was higher in KTRs evaluated at 12 months (12.8 ± 1.7 vs 14.6 ± 1.7 g/dL; P < 0.01). Among KTRs, τ showed a moderate negative correlation with Peak VO2 (ρ = − 0.52) and Oxygen uptake efficiency slope (OUES) (r = − 0.57) while no significant correlation with Hb and peak heart rate. Conclusions KTRs show slower VO2 kinetics compared to healthy controls. Hb and peak VO2 seem to improve during the first year after transplantation. VO2 kinetics were significantly associated with indices of cardiorespiratory fitness, but less with central determinants of aerobic capacity, thus suggesting a potential usefulness of adding this index of muscular oxidative metabolism to functional evaluation in KTRs. Supplementary Information The online version contains supplementary material available at 10.1007/s00421-021-04672-x.
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Affiliation(s)
- Alessandro Patti
- Sport and Exercise Medicine Division, Department of Medicine, University Hospital of Padova, Via Giustiniani 2, 35128, Padua, Italy
| | - Daniel Neunhaeuserer
- Sport and Exercise Medicine Division, Department of Medicine, University Hospital of Padova, Via Giustiniani 2, 35128, Padua, Italy.
| | - Sara Ortolan
- Sport and Exercise Medicine Division, Department of Medicine, University Hospital of Padova, Via Giustiniani 2, 35128, Padua, Italy
| | - Fausto Roman
- Sport and Exercise Medicine Division, Department of Medicine, University Hospital of Padova, Via Giustiniani 2, 35128, Padua, Italy
| | - Andrea Gasperetti
- Sport and Exercise Medicine Division, Department of Medicine, University Hospital of Padova, Via Giustiniani 2, 35128, Padua, Italy
| | - Francesca Battista
- Sport and Exercise Medicine Division, Department of Medicine, University Hospital of Padova, Via Giustiniani 2, 35128, Padua, Italy
| | - Caterina Di Bella
- Kidney and Pancreas Transplant Unit, Department of Surgical, Oncological and Gastroenterological Sciences, University Hospital of Padova, Via Giustiniani 2, 35128, Padua, Italy
| | - Stefano Gobbo
- Sport and Exercise Medicine Division, Department of Medicine, University Hospital of Padova, Via Giustiniani 2, 35128, Padua, Italy
| | - Marco Bergamin
- Sport and Exercise Medicine Division, Department of Medicine, University Hospital of Padova, Via Giustiniani 2, 35128, Padua, Italy
| | - Lucrezia Furian
- Kidney and Pancreas Transplant Unit, Department of Surgical, Oncological and Gastroenterological Sciences, University Hospital of Padova, Via Giustiniani 2, 35128, Padua, Italy
| | - Andrea Ermolao
- Sport and Exercise Medicine Division, Department of Medicine, University Hospital of Padova, Via Giustiniani 2, 35128, Padua, Italy
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Daniel N, Francesco S, Andrea G, Anna R, Stefano G, Cristina C, Anna B, Luca B, Mirto F, Roberto V, Marco B, Andrea E. Cardiorespiratory function and VO 2 kinetics after sleeve gastrectomy: a follow-up analysis. Intern Emerg Med 2020; 15:1201-1205. [PMID: 32008153 DOI: 10.1007/s11739-020-02279-2] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/26/2019] [Accepted: 01/16/2020] [Indexed: 12/30/2022]
Abstract
Although poor cardiorespiratory function is a powerful predictor of mortality in patients with obesity, functional evaluation has been given little attention after laparoscopic sleeve gastrectomy (LSG). The aim of this study was thus to investigate the impact of LSG on functional capacity analysing a shorter and longer post-surgical follow-up. In this observational study, 24 patients with severe obesity (BMI 44.04 ± 5.84 kg/m2, age 47.0 ± 9.0 years) performed cardiopulmonary exercise testing 7 months pre-, 6 and 16 months post-LSG. Exercise capacity, oxygen uptake and VO2 kinetics were analysed during treadmill exercise testing. Although patients showed an improved peak work capacity after LSG, parameters of maximal absolute aerobic capacity demonstrated a significant decrease, which was confirmed also in the follow-up analysis. Furthermore, the time constant Tau (τ) of the fundamental component of VO2 kinetics was altered by LSG, however, within the 16 months of follow-up it returned towards baseline values. It can thus be concluded that LSG improved peak work capacity along with a lower maximal absolute aerobic capacity, which might be due to a loss of muscle mass and potentially impaired peripheral oxidative muscle metabolism. However, VO2 kinetics might suggest an initial restoration of peripheral oxidative muscle capacity after a longer follow-up.
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Affiliation(s)
- Neunhaeuserer Daniel
- Sports and Exercise Medicine Division, Department of Medicine, University of Padova, Via Giustiniani 2, 35128, Padua, Italy
| | - Savalla Francesco
- Sports and Exercise Medicine Division, Department of Medicine, University of Padova, Via Giustiniani 2, 35128, Padua, Italy
| | - Gasperetti Andrea
- Sports and Exercise Medicine Division, Department of Medicine, University of Padova, Via Giustiniani 2, 35128, Padua, Italy
| | - Rami Anna
- Sports and Exercise Medicine Division, Department of Medicine, University of Padova, Via Giustiniani 2, 35128, Padua, Italy
| | - Gobbo Stefano
- Sports and Exercise Medicine Division, Department of Medicine, University of Padova, Via Giustiniani 2, 35128, Padua, Italy
| | - Campi Cristina
- Department of Mathematics Tullio Levi-Civita, University of Padova, Padua, Italy
| | - Belligoli Anna
- Internal Medicine 3, Department of Medicine, University of Padova, Padua, Italy
| | - Busetto Luca
- Internal Medicine 3, Department of Medicine, University of Padova, Padua, Italy
| | - Foletto Mirto
- Week Surgery, Bariatric Unit, University of Padova, Padua, Italy
| | - Vettor Roberto
- Internal Medicine 3, Department of Medicine, University of Padova, Padua, Italy
| | - Bergamin Marco
- Sports and Exercise Medicine Division, Department of Medicine, University of Padova, Via Giustiniani 2, 35128, Padua, Italy
| | - Ermolao Andrea
- Sports and Exercise Medicine Division, Department of Medicine, University of Padova, Via Giustiniani 2, 35128, Padua, Italy.
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de Lima LAP, Achiche S, de Lucas RD, Raison M. Second-order simultaneous components model for the overshoot and "slow component" in V̇O 2 kinetics. Respir Physiol Neurobiol 2020; 280:103479. [PMID: 32593589 DOI: 10.1016/j.resp.2020.103479] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2019] [Revised: 06/05/2020] [Accepted: 06/11/2020] [Indexed: 10/24/2022]
Abstract
The human oxygen uptake responses to exercise step on-transients present different shapes depending on the overshoot and/or the "slow component" manifestations. The conventional First-Order Multi-Exponential (FOME) model incorporates delayed add-on terms to comprise these phenomena, increasing parameter quantity, requiring a delayed recruitment of type II fibers to explain the "slow component," and not offering a unified structure for different individuals and intensity domains. We hypothesized that a model composed of two Second-Order Simultaneous Components (SOSC) would present a better overall fitting performance than the FOME. Fourteen well-trained male cyclists performed repeated step on-transitions to moderate, heavy, and severe cycling intensities, whose responses were fitted with FOME and SOSC models. The SOSC presented significantly smaller (p < 0.05) root mean squared errors for moderate, supra-moderate, and all intensities combined. Along with conceptual analyses, these findings suggest the SOSC as a comprehensive alternative to the FOME model, explaining all oxygen uptake step responses with as many parameters and without delayed add-on components.
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Affiliation(s)
- Luis Antonio Pereira de Lima
- Mechanical Engineering Department of Polytechnique Montréal, 2500, Chemin de Polytechnique, H3T1J4, Montréal, QC, Canada.
| | - Sofiane Achiche
- Mechanical Engineering Department of Polytechnique Montréal, 2500, Chemin de Polytechnique, H3T1J4, Montréal, QC, Canada.
| | - Ricardo Dantas de Lucas
- Sports Centre, Federal University of Santa Catarina, Brazil Campus Universitário, 88040900, Florianópolis, SC, Brazil.
| | - Maxime Raison
- Mechanical Engineering Department of Polytechnique Montréal, 2500, Chemin de Polytechnique, H3T1J4, Montréal, QC, Canada.
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11
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Zacca R, Neves V, da Silva Oliveira T, Soares S, Rama LMPL, de Souza Castro FA, Vilas-Boas JP, Pyne DB, Fernandes RJ. 5 km front crawl in pool and open water swimming: breath-by-breath energy expenditure and kinematic analysis. Eur J Appl Physiol 2020; 120:2005-2018. [PMID: 32591994 DOI: 10.1007/s00421-020-04420-7] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2020] [Accepted: 06/11/2020] [Indexed: 11/27/2022]
Abstract
PURPOSE Breath-by-breath energy expenditure during open water swimming has not yet been explored in an ecological environment. This study aimed to investigate and compare energetics and kinematics of 5 km swimming, in both swimming pool and open water conditions. METHODS Through four independent studies, oxygen uptake ([Formula: see text]2) kinetics, heart rate (HR), blood lactate concentration ([La-]) and glucose level (BGL), metabolic power ([Formula: see text]), energy cost (C) and kinematics were assessed during 5 km front crawl trials in a swimming pool and open water conditions. A total of 38 competitive open water swimmers aged 16-27 years volunteered for this four part investigation: Study A (pool, ten females, 11 males), Study B (pool, four females, six males), Study C (pool case study, one female) and Study D (open water, three females, four males). RESULTS In the swimming pool, swimmers started with an above average swimming speed (v), losing efficiency along the 5 km, despite apparent homeostasis for [La-], BGL, [Formula: see text]2, [Formula: see text] and C. In open water, swimmers started the 5 km with a below average v, increasing the stroke rate (SR) in the last 1000 m. In open water, [Formula: see text]2 kinetics parameters, HR, [La-], BGL, respiratory exchange ratio and C were affected by the v and SR fluctuations along the 5 km. CONCLUSIONS Small fluctuations were observed for energetic variables in both conditions, but changes in C were lower in swimming pool than in open water. Coaches should adjust the training plan accordingly to the specificity of open water swimming.
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Affiliation(s)
- Rodrigo Zacca
- Centre of Research, Education, Innovation and Intervention in Sport (CIFI2D), Faculty of Sport, University of Porto, Porto, Portugal.
- Porto Biomechanics Laboratory (LABIOMEP-UP), University of Porto, Porto, Portugal.
- Ministry of Education of Brazil, CAPES Foundation, Brasilia, Brazil.
| | - Vânia Neves
- Centre of Research, Education, Innovation and Intervention in Sport (CIFI2D), Faculty of Sport, University of Porto, Porto, Portugal
- Porto Biomechanics Laboratory (LABIOMEP-UP), University of Porto, Porto, Portugal
| | - Tiago da Silva Oliveira
- Centre of Research, Education, Innovation and Intervention in Sport (CIFI2D), Faculty of Sport, University of Porto, Porto, Portugal
- Porto Biomechanics Laboratory (LABIOMEP-UP), University of Porto, Porto, Portugal
| | - Susana Soares
- Centre of Research, Education, Innovation and Intervention in Sport (CIFI2D), Faculty of Sport, University of Porto, Porto, Portugal
- Porto Biomechanics Laboratory (LABIOMEP-UP), University of Porto, Porto, Portugal
| | | | - Flávio Antônio de Souza Castro
- School of Physical Education, Physiotherapy and Dance, Aquatic Sports Research Group (GPEA), Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - João Paulo Vilas-Boas
- Centre of Research, Education, Innovation and Intervention in Sport (CIFI2D), Faculty of Sport, University of Porto, Porto, Portugal
- Porto Biomechanics Laboratory (LABIOMEP-UP), University of Porto, Porto, Portugal
| | - David B Pyne
- The University of Canberra Research Institute for Sport and Exercise (UCRISE), Canberra, Australia
| | - Ricardo J Fernandes
- Centre of Research, Education, Innovation and Intervention in Sport (CIFI2D), Faculty of Sport, University of Porto, Porto, Portugal
- Porto Biomechanics Laboratory (LABIOMEP-UP), University of Porto, Porto, Portugal
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12
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Abstract
In order to measure cardiopulmonary performance for clinical and investigation purposes we need standardized tests which allow the comparison with standard values, between people, or individuals with themselves over time. The quest for the ideal exercise test has led to the development of several formats, the so called laboratory and field tests. Incremental exercise tests allow measurement of maximal exercise capacity and a host of submaximal variables of great interest. The physiological rationale of the tests and of the detection of interesting submaximal variables can be explained from the oxygen uptake and carbon dioxide output kinetic response to constant power exercise. When the muscles have to produce very high energy, the exercise is physiologically limited to relatively short duration. The minimum power at which an exercise can no longer be sustained for long periods of time is called critical power. Above critical power the time-power function shows a hyperbolic shape. This shape provides the rationale for understanding the properties, limitations and responsiveness to interventions of endurance tests such as constant power test on a cycle-ergometer or treadmill, endurance shuttle walk test and six-minute walk test.
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Affiliation(s)
- Luis Puente-Maestu
- Facultad de Medicina de la Universidad Complutense de Madrid. Plaza Ramón y Cajal 28040, Madrid, Spain; Instituto de investigación Sanitaria Gregorio Marañón, c/ Doctor Ezquerdo, 46. 28007 Madrid, Spain.
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13
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Almeida TAF, Pessôa Filho DM, Espada MAC, Reis JF, Simionato AR, Siqueira LOC, Alves FB. [Formula: see text] kinetics and energy contribution in simulated maximal performance during short and middle distance-trials in swimming. Eur J Appl Physiol 2020; 120:1097-109. [PMID: 32212025 DOI: 10.1007/s00421-020-04348-y] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2019] [Accepted: 03/11/2020] [Indexed: 10/24/2022]
Abstract
PURPOSE This study aims to analyze swimmers' oxygen uptake kinetics ([Formula: see text]K) and bioenergetic profiles in 50, 100, and 200 m simulated swimming events and determine which physiological variables relate with performance. METHODS Twenty-eight well-trained swimmers completed an incremental test for maximal oxygen uptake (Peak-[Formula: see text]) and maximal aerobic velocity (MAV) assessment. Maximal trials (MT) of 50, 100, and 200-m in front crawl swimming were performed for [Formula: see text]K and bioenergetic profile. [Formula: see text]K parameters were calculated through monoexponential modeling and by a new growth rate method. The recovery phase was used along with the blood lactate concentration for bioenergetics profiling. RESULTS Peak-[Formula: see text] (57.47 ± 5.7 ml kg-1 min-1 for male and 53.53 ± 4.21 ml kg-1 min-1 for female) did not differ from [Formula: see text]peak attained at the 200-MT for female and at the 100 and 200-MT for male. From the 50-MT to 100-MT and to the 200-MT the [Formula: see text]K presented slower time constants (8.6 ± 2.3 s, 11.5 ± 2.4 s and 16.7 ± 5.5 s, respectively), the aerobic contribution increased (~ 34%, 54% and 71%, respectively) and the anaerobic decreased (~ 66%, 46% and 29%, respectively), presenting a cross-over in the 100-MT. Both energy systems, MAV, Peak-[Formula: see text], and [Formula: see text] peak of the MT's were correlated with swimming performance. DISCUSSION The aerobic energy contribution is an important factor for performance in 50, 100, and 200-m, regardless of the time taken to adjust the absolute oxidative response, when considering the effect on a mixed-group regarding sex. [Formula: see text]K speeding could be explained by a faster initial pacing strategy used in the shorter distances, that contributed for a more rapid increase of the oxidative contribution to the energy turnover.
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Pinto R, Angarten V, Santos V, Melo X, Santa-Clara H. The effect of an expanded long-term periodization exercise training on physical fitness in patients with coronary artery disease: study protocol for a randomized controlled trial. Trials 2019; 20:208. [PMID: 30975195 PMCID: PMC6458824 DOI: 10.1186/s13063-019-3292-9] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2018] [Accepted: 03/15/2019] [Indexed: 11/29/2022] Open
Abstract
Background Benefits from cardiac rehabilitation (CR) programs are evidence-based and widely recognized. Less than 50% of people who participate in hospital-based CR programs maintain an exercise regime for as long as six months after completion. Little is known about interventions making the patients continue to exercise after the hospital-based formal program has ended. Methods to ensure sustained benefits of CR need to be tackled. Exercise periodization is a method typically used in sports training, but the impact of periodized exercise to yield optimal beneficial effects in cardiac patients is unclear. Therefore, the purpose of this trial is to evaluate the effects of a long-term exercise periodization on health-related physical fitness components such as cardiorespiratory endurance, muscular strength, skeletal muscle function, and body composition. Methods Fifty patients with coronary artery disease will be recruited among those who underwent the hospital-based CR phase. These patients will be randomized (1:1) into one of the following exercise groups: (1) periodized group; and (2) non-periodized group (exercise prescription based on standard guidelines). There will be four assessment time points: at baseline, and 3, 6, and 12 months after starting the exercise training program. At each time point, maximal and submaximal cardiorespiratory fitness, skeletal muscle deoxygenation dynamics, body composition by dual energy radiographic absorptiometry, functional fitness, maximal isometric and dynamic strength, physical activity, and quality of life will be assessed. This experimental design will last for 48 weeks with a frequency of three times per week for both groups. Discussion Most medium- to long-term exercise-based CR programs do not employ periodization or exercise progression. Randomized controlled trials are necessary to evaluate long-term periodization outcomes and assess the length of change observed in supervised CR programs. This study will contribute to generate evidence-based exercise prescription approaches to prolong the exercise training after the end of hospital-based CR programs. Trial registration ClinicalTrials.gov, NCT03335319. Registered on 22 October 2017. Electronic supplementary material The online version of this article (10.1186/s13063-019-3292-9) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Rita Pinto
- Exercise and Health Laboratory, CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, Estrada da Costa, 1495-687, Cruz Quebrada, Portugal.
| | - Vitor Angarten
- Exercise and Health Laboratory, CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, Estrada da Costa, 1495-687, Cruz Quebrada, Portugal
| | - Vanessa Santos
- Exercise and Health Laboratory, CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, Estrada da Costa, 1495-687, Cruz Quebrada, Portugal
| | - Xavier Melo
- Exercise and Health Laboratory, CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, Estrada da Costa, 1495-687, Cruz Quebrada, Portugal.,Ginásio Clube Português, GCP Lab, Praça Ginásio Clube Português 1, 1250-111, Lisboa, Portugal
| | - Helena Santa-Clara
- Exercise and Health Laboratory, CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, Estrada da Costa, 1495-687, Cruz Quebrada, Portugal
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15
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Hartman ME, Ekkekakis P, Dicks ND, Pettitt RW. Dynamics of pleasure-displeasure at the limit of exercise tolerance: conceptualizing the sense of exertional physical fatigue as an affective response. ACTA ACUST UNITED AC 2019; 222:jeb.186585. [PMID: 30559299 DOI: 10.1242/jeb.186585] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2018] [Accepted: 12/05/2018] [Indexed: 11/20/2022]
Abstract
The search for variables involved in the regulation and termination of exercise performance has led to integrative models that attribute a central role to the brain and utilize an array of psychological terms (e.g. sensation, perception, discomfort, tolerance). We propose that theorizing about exercise regulation would benefit from establishing cross-disciplinary bridges to research fields, such as affective psychology and neuroscience, in which changes along the dimension of pleasure-displeasure are considered the main channel via which homeostatic perturbations enter consciousness and dictate corrective action (slowing down or stopping). We hypothesized that ratings of pleasure-displeasure would respond to the severity of homeostatic perturbation and would be related to time to exhaustion during exercise performed at an unsustainable intensity. In a within-subjects experiment (N=15, 13 men and 2 women, age 23.4±2.2 years; maximal oxygen uptake 46.0±8.0 ml kg-1 min-1), we compared the slope of ratings of pleasure-displeasure (acquired every 1 min) during cycling exercise at a power output 10% above critical power until volitional termination under glycogen-loaded and glycogen-depleted conditions. As hypothesized, ratings of pleasure-displeasure declined more steeply under glycogen depletion (P=0.009, d=0.70) and correlated closely with time to exhaustion under both glycogen-loaded (r=0.85; P<0.001) and glycogen-depleted conditions (r=0.83; P<0.001). We conclude that in exercise, as in other domains, changes in pleasure-displeasure may be the main channel via which homeostatic perturbations enter consciousness. This proposal may have important implications for conceptualizing and identifying the neurobiological mechanisms of the sense of exertional physical fatigue.
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Affiliation(s)
- Mark E Hartman
- Viola Holbrook Human Performance Laboratory, Minnesota State University, Mankato, MN 56001, USA.,Department of Kinesiology, Iowa State University, Ames, IA 50011, USA
| | | | - Nathan D Dicks
- Department of Health, Nutrition, and Exercise Sciences, North Dakota State University, Fargo, ND 58102, USA
| | - Robert W Pettitt
- Office of Research and Sponsored Projects, Rocky Mountain University of Health Professions, Provo, UT 84606, USA
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16
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Koschate J, Thieschäfer L, Drescher U, Hoffmann U. Impact of 60 days of 6° head down tilt bed rest on muscular oxygen uptake and heart rate kinetics: efficacy of a reactive sledge jump countermeasure. Eur J Appl Physiol 2018; 118:1885-1901. [PMID: 29946969 DOI: 10.1007/s00421-018-3915-y] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2017] [Accepted: 06/08/2018] [Indexed: 01/06/2023]
Abstract
PURPOSE The effects of 60 days of head down tilt bed rest (HDBR) with and without the application of a reactive jump countermeasure were investigated, using a method which enables to discriminate between pulmonary ([Formula: see text]O2pulm) and muscular ([Formula: see text]O2musc) oxygen uptake kinetics to control for hemodynamic influences. METHODS 22 subjects were randomly allocated to either a group performing a reactive jumps countermeasure (JUMP; n = 11, male, 29 ± 7 years, 23.9 ± 1.3 kg m- 2) or a control group (CTRL; n = 11, male, 29 ± 6 years, 23.3 ± 2.0 kg m- 2). Heart rate (HR) and [Formula: see text]O2pulm were measured in response to repeated changes in work rate between 30 and 80 W before (BDC-9) and two times after HDBR (R+ 2, R+ 13). Kinetic responses of HR, [Formula: see text]O2pulm, and [Formula: see text]O2musc were assessed applying time series analysis. Higher maxima in cross-correlation functions (CCFmax(x)) between work rate and the respective parameter indicate faster kinetics responses. Statistical analysis was performed applying multifactorial analysis of variance. RESULTS CCFmax([Formula: see text]O2musc) and CCFmax([Formula: see text]O2pulm) were not significantly different before and after HDBR (P > 0.05). CCFmax(HR) decreased following bed rest (JUMP: BDC-9: 0.30 ± 0.09 vs. R+ 2: 0.28 ± 0.06 vs. R+13: 0.28 ± 0.07; CTRL: 0.35 ± 0.09 vs. 0.27 ± 0.06 vs. 0.33 ± 0.07 P = 0.025). No significant differences between the groups were observed (P > 0.05). Significant alterations were found for CCFmax of mean arterial blood pressure (mBP) after HDBR (JUMP: BDC-9: 0.21 ± 0.07 vs. R+ 2: 0.30 ± 0.13 vs. R+ 13: 0.28 ± 0.08; CTRL: 0.25 ± 0.07 vs. 0.38 ± 0.13 vs. 0.28 ± 0.08; P = 0.008). CONCLUSIONS Despite hemodynamic changes, [Formula: see text]O2 kinetics seem to be preserved for a longer period of HDBR, even without the application of a countermeasure.
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Affiliation(s)
- J Koschate
- Institute of Physiology and Anatomy, German Sport University Cologne, Am Sportpark Muengersdorf 6, 50933, Cologne, Germany.
| | - L Thieschäfer
- Institute of Physiology and Anatomy, German Sport University Cologne, Am Sportpark Muengersdorf 6, 50933, Cologne, Germany
| | - U Drescher
- Institute of Physiology and Anatomy, German Sport University Cologne, Am Sportpark Muengersdorf 6, 50933, Cologne, Germany
| | - U Hoffmann
- Institute of Physiology and Anatomy, German Sport University Cologne, Am Sportpark Muengersdorf 6, 50933, Cologne, Germany
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17
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Scalzo RL, Bauer TA, Harrall K, Moreau K, Ozemek C, Herlache L, McMillin S, Huebschmann AG, Dorosz J, Reusch JEB, Regensteiner JG. Acute vitamin C improves cardiac function, not exercise capacity, in adults with type 2 diabetes. Diabetol Metab Syndr 2018; 10:7. [PMID: 29456629 PMCID: PMC5813393 DOI: 10.1186/s13098-018-0306-9] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/14/2017] [Accepted: 01/04/2018] [Indexed: 01/22/2023] Open
Abstract
BACKGROUND People with type 2 diabetes (T2D) have impaired exercise capacity, even in the absence of complications, which is predictive of their increased cardiovascular mortality. Cardiovascular dysfunction is one potential cause of this exercise defect. Acute infusion of vitamin C has been separately shown to improve diastolic and endothelial function in prior studies. We hypothesized that acute vitamin C infusion would improve exercise capacity and that these improvements would be associated with improved cardiovascular function. METHODS Adults with T2D (n = 31, 7 female, 24 male, body mass index (BMI): 31.5 ± 0.8 kg/m2) and BMI-similar healthy adults (n = 21, 11 female, 10 male, BMI: 30.4 ± 0.7 kg/m2) completed two randomly ordered visits: IV infusion of vitamin C (7.5 g) and a volume-matched saline infusion. During each visit peak oxygen uptake (VO2peak), brachial artery flow mediated dilation (FMD), reactive hyperemia (RH; plethysmography), and cardiac echocardiography were measured. General linear mixed models were utilized to assess the differences in all study variables. RESULTS Acute vitamin C infusion improved diastolic function, assessed by lateral and septal E:E' (P < 0.01), but did not change RH (P = 0.92), or VO2peak (P = 0.33) in any participants. CONCLUSION Acute vitamin C infusion improved diastolic function but did not change FMD, forearm reactive hyperemia, or peak exercise capacity. Future studies should further clarify the role of endothelial function as well as other possible physiological causes of exercise impairment in order to provide potential therapeutic targets.Trial registration NCT00786019. Prospectively registered May 2008.
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Affiliation(s)
- Rebecca L. Scalzo
- Division of Endocrinology, Department of Medicine, University of Colorado School of Medicine (UCSOM), 12801 E17th Ave, Aurora, CO 80045 USA
- Department of Medicine, Center for Women’s Health Research, University of Colorado School of Medicine (UCSOM), Aurora, CO USA
| | - Timothy A. Bauer
- Division of General Internal Medicine, Department of Medicine, University of Colorado School of Medicine (UCSOM), Aurora, CO USA
| | - Kylie Harrall
- Department of Medicine, Center for Women’s Health Research, University of Colorado School of Medicine (UCSOM), Aurora, CO USA
| | - Kerrie Moreau
- Division of Geriatrics, Department of Medicine, University of Colorado School of Medicine (UCSOM), Aurora, CO USA
- Department of Medicine, Center for Women’s Health Research, University of Colorado School of Medicine (UCSOM), Aurora, CO USA
- VAMC-Geriatric Research Education and Clinical Center (GRECC), Denver, CO 80215 USA
| | - Cemal Ozemek
- Division of Geriatrics, Department of Medicine, University of Colorado School of Medicine (UCSOM), Aurora, CO USA
| | - Leah Herlache
- Division of General Internal Medicine, Department of Medicine, University of Colorado School of Medicine (UCSOM), Aurora, CO USA
| | - Shawna McMillin
- Division of General Internal Medicine, Department of Medicine, University of Colorado School of Medicine (UCSOM), Aurora, CO USA
| | - Amy G. Huebschmann
- Division of General Internal Medicine, Department of Medicine, University of Colorado School of Medicine (UCSOM), Aurora, CO USA
- Department of Medicine, Center for Women’s Health Research, University of Colorado School of Medicine (UCSOM), Aurora, CO USA
| | - Jennifer Dorosz
- Division of Cardiology, Department of Medicine, University of Colorado School of Medicine (UCSOM), Aurora, CO USA
| | - Jane E. B. Reusch
- Division of Endocrinology, Department of Medicine, University of Colorado School of Medicine (UCSOM), 12801 E17th Ave, Aurora, CO 80045 USA
- Department of Medicine, Center for Women’s Health Research, University of Colorado School of Medicine (UCSOM), Aurora, CO USA
- Veterans Administration Medical Center (VAMC), Denver, CO 80215 USA
| | - Judith G. Regensteiner
- Division of General Internal Medicine, Department of Medicine, University of Colorado School of Medicine (UCSOM), Aurora, CO USA
- Department of Medicine, Center for Women’s Health Research, University of Colorado School of Medicine (UCSOM), Aurora, CO USA
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18
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O'Connell JM, Weir JM, MacIntosh BR. Blood lactate accumulation decreases during the slow component of oxygen uptake without a decrease in muscular efficiency. Pflugers Arch 2017; 469:1257-1265. [PMID: 28550471 DOI: 10.1007/s00424-017-1986-y] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2017] [Revised: 04/10/2017] [Accepted: 04/23/2017] [Indexed: 11/26/2022]
Abstract
Pulmonary oxygen uptake ([Formula: see text]) slowly increases during exercise above the anaerobic threshold, and this increase is called the slow component of [Formula: see text]. The mechanism of the increase in [Formula: see text] is assumed to be due to increasing energy cost associated with increasingly inefficient muscle contraction. We hypothesized that the increase in [Formula: see text] would be accompanied by a constant or increasing rate of accumulation of blood lactate, indicating sustained anaerobic metabolism while [Formula: see text] increased. Ten male subjects performed cycle ergometry for 3, 6, and 9 min at a power output representing 60% of the difference between lactate threshold and maximal [Formula: see text] while [Formula: see text] and blood lactate accumulation were measured. Blood lactate accumulation decreased over time, providing the energy equivalent of (mean ± SD) 1586 ± 265, 855 ± 287, and 431 ± 392 ml of [Formula: see text] during 0-3, 3-6, and 6-9 min of exercise, respectively. As duration progressed, [Formula: see text] supplied 86.3 ± 2.0, 93.6 ± 1.9, and 96.8 ± 2.9% of total energy from 0 to 3, 3 to 6, and 6 to 9 min, respectively, while anaerobic contribution decreased. There was no change in total energy cost after 3 min, except that required by ventilatory muscles for the progressive increase in ventilation. The slow component of [Formula: see text] is accompanied by decreasing anaerobic energy contribution beyond 3 min during heavy exercise.
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Affiliation(s)
- J M O'Connell
- Faculty of Kinesiology, Human Performance Laboratory, University of Calgary, 2500 University Drive NW, Calgary, AB, T2N 1N4, Canada
| | - J M Weir
- Faculty of Kinesiology, Human Performance Laboratory, University of Calgary, 2500 University Drive NW, Calgary, AB, T2N 1N4, Canada
| | - B R MacIntosh
- Faculty of Kinesiology, Human Performance Laboratory, University of Calgary, 2500 University Drive NW, Calgary, AB, T2N 1N4, Canada.
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Drescher U, Mookerjee S, Steegmanns A, Knicker A, Hoffmann U. Gas exchange kinetics following concentric-eccentric isokinetic arm and leg exercise. Respir Physiol Neurobiol 2017; 240:53-60. [PMID: 28215595 DOI: 10.1016/j.resp.2017.02.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2016] [Revised: 02/08/2017] [Accepted: 02/09/2017] [Indexed: 10/20/2022]
Abstract
PURPOSE To evaluate the effects of exercise velocity (60, 150, 240deg∙s-1) and muscle mass (arm vs leg) on changes in gas exchange and arterio-venous oxygen content difference (avDO2) following high-intensity concentric-eccentric isokinetic exercise. METHODS Fourteen subjects (26.9±3.1years) performed a 3×20-repetition isokinetic exercise protocol. Recovery beat-to-beat cardiac output (CO) and breath-by-breath gas exchange were recorded to determine post-exercise half-time (t1/2) for oxygen uptake (V˙O2pulm), carbon dioxide output (V˙CO2pulm), and ventilation (V˙E). RESULTS Significant differences of the t1/2 values were identified between 60 and 150deg∙s-1. Significant differences in the t1/2 values were observed between V˙O2pulm and V˙CO2pulm and between V˙CO2pulm and V˙E. The time to attain the first avDO2-peak showed significant differences between arm and leg exercise. CONCLUSIONS The present study illustrates, that V˙O2pulm kinetics are distorted due to non-linear CO dynamics. Therefore, it has to be taken into account, that V˙O2pulm may not be a valuable surrogate for muscular oxygen uptake kinetics in the recovery phases.
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Affiliation(s)
- U Drescher
- Institute of Physiology and Anatomy, Am Sportpark Müngersdorf 6, German Sport University Cologne, Cologne, 50933, Germany.
| | - S Mookerjee
- Department of Exercise Science, 400 E. 2nd St, Bloomsburg University, Bloomsburg, PA, 17815, USA
| | - A Steegmanns
- Institute of Physiology and Anatomy, Am Sportpark Müngersdorf 6, German Sport University Cologne, Cologne, 50933, Germany
| | - A Knicker
- Institute of Movement and Neuroscience, Am Sportpark Müngersdorf 6, German Sport University Cologne, Cologne, 50933, Germany
| | - U Hoffmann
- Institute of Physiology and Anatomy, Am Sportpark Müngersdorf 6, German Sport University Cologne, Cologne, 50933, Germany
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Paulin FV, Zagatto AM, Chiappa GR, Müller PDT. Addition of vitamin B12 to exercise training improves cycle ergometer endurance in advanced COPD patients: A randomized and controlled study. Respir Med 2016; 122:23-29. [PMID: 27993287 DOI: 10.1016/j.rmed.2016.11.015] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/16/2016] [Revised: 08/16/2016] [Accepted: 11/20/2016] [Indexed: 01/08/2023]
Abstract
Vitamin B12 is essential in the homocysteine, mitochondrial, muscle and hematopoietic metabolisms, and its effects on exercise tolerance and kinetics adjustments of oxygen consumption (V'O2p) in rest-to-exercise transition in COPD patients are unknown. This randomized, double-blind, controlled study aimed to verify a possible interaction between vitamin B12 supplementation and these outcomes. After recruiting 69 patients, 35 subjects with moderate-to-severe COPD were eligible and 32 patients concluded the study, divided into four groups (n = 8 for each group): 1. rehabilitation group; 2. rehabilitation plus B12 group; 3. B12 group; and 4. placebo group. The primary endpoint was cycle ergometry endurance before and after 8 weeks and the secondary endpoints were oxygen uptake kinetics parameters (time constant). The prevalence of vitamin B12 deficiency was high (34.4%) and there was a statistically significant interaction (p < 0.05), favoring a global effect of supplementation on exercise tolerance in the supplemented groups compared to the non-supplemented groups, even after adjusting for confounding variables (p < 0.05). The same was not found for the kinetics adjustment variables (τV'O2p and MRTV'O2p, p > 0.05 for both). Supplementation with vitamin B12 appears to lead to discrete positive effects on exercise tolerance in groups of subjects with more advanced COPD and further studies are needed to establish indications for long-term supplementation.
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Affiliation(s)
- Fernanda Viana Paulin
- Laboratory of Respiratory Pathophysiology (LAFIR), Federal University of Mato Grosso do Sul (UFMS), Campo Grande, Mato Grosso do Sul, MS, Brazil.
| | - Alessandro Moura Zagatto
- Laboratory of Respiratory Pathophysiology (LAFIR), Federal University of Mato Grosso do Sul (UFMS), Campo Grande, Mato Grosso do Sul, MS, Brazil; Department of Physical Education, UNESP - Universidade Estadual Paulista, Bauru, São Paulo, Brazil.
| | - Gaspar R Chiappa
- Department of Physical Therapy, University of Brasilia (UnB), Brasilia, Brazil.
| | - Paulo de Tarso Müller
- Laboratory of Respiratory Pathophysiology (LAFIR), Federal University of Mato Grosso do Sul (UFMS), Campo Grande, Mato Grosso do Sul, MS, Brazil.
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