Guenette Jordan A, Sporer Benjamin C, Macnutt Meaghan J, Coxson Harvey O, Sheel A William, Mayo John R, McKenzie Donald C
Health and Integrative Physiology Laboratory, University of British Columbia, 6108 Thunderbird Blvd, Vancouver, BC, Canada V6T-1Z3.
J Appl Physiol (1985). 2007 Sep;103(3):875-82. doi: 10.1152/japplphysiol.00247.2007. Epub 2007 Jun 14.
Noninvasive imaging techniques have been used to assess pulmonary edema following exercise but results remain equivocal. Most studies examining this phenomenon have used male subjects while the female response has received little attention. Some suggest that women, by virtue of their smaller lungs, airways, and diffusion surface areas may be more susceptible to pulmonary limitations during exercise. Accordingly, the purpose of this study was to determine if intense normobaric hypoxic exercise could induce pulmonary edema in women. Baseline lung density was obtained in eight highly trained female cyclists (mean +/- SD: age = 26 +/- 7 yr; height = 172.2 +/- 6.7 cm; mass = 64.1 +/- 6.7 kg; Vo(2max) = 52.2 +/- 2.2 ml.kg(-1).min(-1)) using computed tomography (CT). CT scans were obtained at the level of the aortic arch, the tracheal carina, and the superior end plate of the tenth thoracic vertebra. While breathing 15% O(2), subjects then performed five 2.5-km cycling intervals [mean power = 212 +/- 31 W; heart rate (HR) = 94.5 +/- 2.2%HRmax] separated by 5 min of recovery. Throughout the intervals, subjects desaturated to 82 +/- 4%, which was 13 +/- 2% below resting hypoxic levels. Scans were repeated 44 +/- 8 min following exercise. Mean lung density did not change from pre (0.138 +/- 0.014 g/ml)- to postexercise (0.137 +/- 0.011 g/ml). These findings suggest that pulmonary edema does not occur in highly trained females following intense normobaric hypoxic exercise.
无创成像技术已被用于评估运动后的肺水肿情况,但结果仍不明确。大多数研究这一现象的实验使用的是男性受试者,而女性的反应很少受到关注。一些研究表明,女性由于肺、气道和扩散表面积较小,在运动过程中可能更容易受到肺部限制。因此,本研究的目的是确定高强度常压低氧运动是否会在女性中诱发肺水肿。通过计算机断层扫描(CT)对8名训练有素的女性自行车运动员(平均±标准差:年龄=26±7岁;身高=172.2±6.7厘米;体重=64.1±6.7千克;最大摄氧量=52.2±2.2毫升·千克⁻¹·分钟⁻¹)进行基线肺密度测量。在主动脉弓、气管隆突和第十胸椎上终板水平进行CT扫描。在呼吸15%氧气的情况下,受试者随后进行了5次2.5公里的骑行间歇训练[平均功率=212±31瓦;心率(HR)=94.5±2.2%HRmax],每次间歇训练之间有5分钟的恢复时间。在整个间歇训练过程中,受试者的血氧饱和度降至82±4%,比静息低氧水平低13±2%。运动后44±8分钟重复进行扫描。平均肺密度从运动前(0.138±0.014克/毫升)到运动后(0.137±0.011克/毫升)没有变化。这些发现表明,经过高强度常压低氧运动后,训练有素的女性不会发生肺水肿。