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60 天 6°头低位卧床对肌肉氧摄取和心率动力学的影响:反应雪橇跳对抗措施的疗效。

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.

机构信息

Institute of Physiology and Anatomy, German Sport University Cologne, Am Sportpark Muengersdorf 6, 50933, Cologne, Germany.

出版信息

Eur J Appl Physiol. 2018 Sep;118(9):1885-1901. doi: 10.1007/s00421-018-3915-y. Epub 2018 Jun 26.

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]Opulm) and muscular ([Formula: see text]Omusc) 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) or a control group (CTRL; n = 11, male, 29 ± 6 years, 23.3 ± 2.0 kg m). Heart rate (HR) and [Formula: see text]Opulm 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]Opulm, and [Formula: see text]Omusc were assessed applying time series analysis. Higher maxima in cross-correlation functions (CCF(x)) between work rate and the respective parameter indicate faster kinetics responses. Statistical analysis was performed applying multifactorial analysis of variance.

RESULTS

CCF([Formula: see text]Omusc) and CCF([Formula: see text]Opulm) were not significantly different before and after HDBR (P > 0.05). CCF(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 CCF 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]O kinetics seem to be preserved for a longer period of HDBR, even without the application of a countermeasure.

摘要

目的

研究了在应用和不应用反应式跳跃对策的情况下,60 天的头低位卧床休息(HDBR)对肺([Formula: see text]Opulm)和肌肉([Formula: see text]Omusc)摄氧量动力学的影响,使用了一种能够区分心肺([Formula: see text]Opulm)和肌肉([Formula: see text]Omusc)摄氧量动力学的方法,以控制血液动力学的影响。

方法

22 名受试者被随机分配到进行反应式跳跃对策(JUMP;n = 11,男性,29 ± 7 岁,23.9 ± 1.3 kg·m)或对照组(CTRL;n = 11,男性,29 ± 6 岁,23.3 ± 2.0 kg·m)。在 HDBR 之前(BDC-9)和之后两次(R+2、R+13),以 30 到 80 W 的重复变化测量心率(HR)和[Formula: see text]Opulm。应用时间序列分析评估 HR、[Formula: see text]Opulm 和[Formula: see text]Omusc 的动力学响应。工作率和各自参数之间的互相关函数(CCF(x))中的最大值越高,表明动力学响应越快。采用多因素方差分析进行统计学分析。

结果

HDBR 前后 CCF([Formula: see text]Omusc)和 CCF([Formula: see text]Opulm)无显著差异(P>0.05)。HR 的 CCF (JUMP:BDC-9:0.30 ± 0.09 与 R+2:0.28 ± 0.06 与 R+13:0.28 ± 0.07;CTRL:0.35 ± 0.09 与 0.27 ± 0.06 与 0.33 ± 0.07,P = 0.025)在卧床休息后降低。组间无显著差异(P>0.05)。HDBR 后平均动脉血压(mBP)的 CCF 发生显著变化(JUMP:BDC-9:0.21 ± 0.07 与 R+2:0.30 ± 0.13 与 R+13:0.28 ± 0.08;CTRL:0.25 ± 0.07 与 0.38 ± 0.13 与 0.28 ± 0.08,P = 0.008)。

结论

尽管存在血液动力学变化,但即使不应用对策,[Formula: see text]O 动力学在 HDBR 期间似乎也能保持更长时间。

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