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急性中度低氧运动降低体力活动男性的动脉血氧饱和度和脑氧合,而不影响血液动力学。

Acute Exercise with Moderate Hypoxia Reduces Arterial Oxygen Saturation and Cerebral Oxygenation without Affecting Hemodynamics in Physically Active Males.

机构信息

Department of Medical Sciences and Public Health, University of Cagliari (Italy), 09124 Cagliari, Italy.

International PhD in Innovation Sciences and Technologies, University of Cagliari (Italy), 09124 Cagliari, Italy.

出版信息

Int J Environ Res Public Health. 2022 Apr 10;19(8):4558. doi: 10.3390/ijerph19084558.

Abstract

Hemodynamic changes during exercise in acute hypoxia (AH) have not been completely elucidated. The present study aimed to investigate hemodynamics during an acute bout of mild, dynamic exercise during moderate normobaric AH. Twenty-two physically active, healthy males (average age; range 23-40 years) completed a cardiopulmonary test on a cycle ergometer to determine their maximum workload (W). On separate days, participants performed two randomly assigned exercise tests (three minutes pedaling at 30% of W): (1) during normoxia (NORMO), and (2) during normobaric AH at 13.5% inspired oxygen (HYPO). Hemodynamics were assessed with impedance cardiography, and peripheral arterial oxygen saturation (SatO) and cerebral oxygenation (Cox) were measured by near-infrared spectroscopy. Hemodynamic responses (heart rate, stroke volume, cardiac output, mean arterial blood pressure, ventricular emptying rate, and ventricular filling rate) were not any different between NORMO and HYPO. However, the HYPO test significantly reduced both SatO (96.6 ± 3.3 vs. 83.0 ± 4.5%) and Cox (71.0 ± 6.6 vs. 62.8 ± 7.4 A.U.) when compared to the NORMO test. We conclude that an acute bout of mild exercise during acute moderate normobaric hypoxia does not induce significant changes in hemodynamics, although it can cause significant reductions in SatO and Cox.

摘要

在急性低氧(AH)期间运动时的血液动力学变化尚未完全阐明。本研究旨在探讨在中度等压 AH 期间急性轻度动态运动期间的血液动力学。22 名身体活跃、健康的男性(平均年龄;范围 23-40 岁)在自行车测力计上进行心肺测试,以确定其最大工作负荷(W)。在不同的日子里,参与者进行了两次随机分配的运动测试(以 30%的 W 踏车三分钟):(1)在常氧(NORMO)下,和(2)在 13.5%吸入氧的等压 AH 下(HYPO)。血液动力学通过阻抗心动描记法评估,外周动脉血氧饱和度(SatO)和脑氧合(Cox)通过近红外光谱测量。在 NORMO 和 HYPO 之间,血液动力学反应(心率、每搏量、心输出量、平均动脉血压、心室排空率和心室充盈率)没有任何不同。然而,与 NORMO 测试相比,HYPO 测试显著降低了 SatO(96.6±3.3 与 83.0±4.5%)和 Cox(71.0±6.6 与 62.8±7.4 A.U.)。我们得出结论,在急性中度等压低氧期间急性轻度运动不会引起血液动力学的显著变化,尽管它可能导致 SatO 和 Cox 的显著降低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a50/9027900/c998ab8b4cae/ijerph-19-04558-g002.jpg

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