Morissette Marc P, Cordingley Dean M, Duhamel Todd A, Leiter Jeff R S
Pan Am Clinic Foundation, Winnipeg, MB, CAN.
Applied Health Sciences, University of Manitoba, Winnipeg, MB, CAN.
Int J Exerc Sci. 2020 Dec 1;13(3):1729-1740. doi: 10.70252/JUNL4244. eCollection 2020.
Little is known about the physiological response to the cold pressor test (CPT) when in a clinically-induced state of autonomic nervous system (ANS) imbalance, despite its utility in various disease- and injury-states. To date, research in this area is limited to acute aerobic and isometric exercise, with a paucity of research investigating the effects of anaerobic exercise on the physiological response to the CPT. Therefore, the purpose of our study was to assess the effects of the Wingate anaerobic cycle test (WAT) on cardiovascular (CV) and metabolic recovery following the CPT in a group of healthy adult males. A pre-post intervention study was conducted, whereby 10 healthy adult males (age = 29 ± 4 years, height = 182 ± 7 cm, mass = 83 ± 9 kg) completed a baseline cold pressor test (CPT-only) and a follow-up cold pressor test preceded by a Wingate anaerobic exercise test (WAT+CPT). Recovery slopes for various CV and metabolic variables, including heart rate (HR), blood pressure (BP), and relative oxygen consumption (O) were analyzed using single-subject analysis, with celeration line slopes calculated for all participants in the CPT-only and WAT+CPT testing sessions. Celeration line slopes were compared between testing sessions using paired -tests. No differences were identified for recovery slopes for HR ( = .295), diastolic BP ( = .300), and relative O ( = .176) when comparing CPT-only and WAT+CPT testing sessions. Our results suggest that the CPT elicits a CV and metabolic response beyond that elicited solely by an acute bout of anaerobic exercise. As such, the CPT may be able to serve as a surrogate test for anaerobic exercise for individuals where high-intensity exercise may be contraindicated. Future research is warranted however, as the specific physiological mechanisms governing the observed responses have yet to be elucidated.
尽管冷加压试验(CPT)在各种疾病和损伤状态中都有应用,但其在临床诱导的自主神经系统(ANS)失衡状态下对生理反应的了解却很少。迄今为止,该领域的研究仅限于急性有氧运动和等长运动,对无氧运动对CPT生理反应影响的研究很少。因此,我们研究的目的是评估一组健康成年男性在进行CPT后,温盖特无氧自行车测试(WAT)对心血管(CV)和代谢恢复的影响。进行了一项干预前后的研究,10名健康成年男性(年龄=29±4岁,身高=182±7厘米,体重=83±9千克)完成了基线冷加压试验(仅CPT)和在温盖特无氧运动试验(WAT+CPT)之前的后续冷加压试验。使用单受试者分析来分析各种CV和代谢变量的恢复斜率,包括心率(HR)、血压(BP)和相对耗氧量(O),并计算仅CPT和WAT+CPT测试环节中所有参与者的加速度线斜率。使用配对检验比较测试环节之间的加速度线斜率。在比较仅CPT和WAT+CPT测试环节时,未发现HR( = 0.295)、舒张压BP( = 0.300)和相对O( = 0.176)的恢复斜率有差异。我们的结果表明,CPT引发的CV和代谢反应超出了单纯一次急性无氧运动所引发的反应。因此,对于高强度运动可能禁忌的个体,CPT可能能够作为无氧运动的替代测试。然而,由于尚未阐明观察到的反应背后的具体生理机制,未来仍需进行研究。