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冷水浸泡和近红外光谱法测量训练有素的耐力运动员下肢肌肉耗氧量。

Cold-Water Immersion and Lower Limb Muscle Oxygen Consumption as Measured by Near-Infrared Spectroscopy in Trained Endurance Athletes.

机构信息

School of Sport, Rehabilitation and Exercise Sciences, University of Essex, Colchester, UK.

Essex County Council, Chelmsford, UK.

出版信息

J Athl Train. 2024 Mar 1;59(3):317-324. doi: 10.4085/1062-6050-0532.22.

DOI:10.4085/1062-6050-0532.22
PMID:37347152
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10976338/
Abstract

CONTEXT

Cold-water immersion (CWI) has been reported to reduce tissue metabolism postimmersion, but physiological data are lacking regarding the muscle metabolic response to its application. Near-infrared spectroscopy (NIRS) is a noninvasive optical technique that can inform muscle hemodynamics and tissue metabolism.

OBJECTIVE

To investigate the effects of CWI at 2 water temperatures (10°C and 15°C) on NIRS-calculated measurements of muscle oxygen consumption (mVO2).

DESIGN

Crossover study.

SETTING

University sports rehabilitation center.

PATIENTS OR OTHER PARTICIPANTS

A total of 11 male National Collegiate Athletic Association Division II long-distance runners (age = 23.4 ± 3.4 years, height = 1.8 ± 0.1 m, mass = 68.8 ± 10.7 kg, mean adipose tissue thickness = 6.7 ± 2.7 mm).

INTERVENTION(S): Cold-water immersion at 10°C and 15°C for 20 minutes.

MAIN OUTCOME MEASURE(S): We calculated mVO2 preimmersion and postimmersion at water temperatures of 10°C and 15°C. Changes in tissue oxyhemoglobin (O2Hb), deoxyhemoglobin (HHb), total hemoglobin (tHb), hemoglobin difference (Hbdiff), and tissue saturation index (TSI %) were measured during the 20-minute immersion at both temperatures.

RESULTS

We observed a decrease in mVO2 after immersion at both 10°C and 15°C (F1,9 = 27.7801, P = .001). During the 20-minute immersion at both temperatures, we noted a main effect of time for O2Hb (F3,27 = 14.227, P = .001), HHb (F3,27 = 5.749, P = .009), tHb (F3,27 = 24.786, P = .001), and Hbdiff (F3,27 = 3.894, P = .020), in which values decreased over the course of immersion. Post hoc pairwise comparisons showed that these changes occurred within the final 5 minutes of immersion for tHb and O2Hb.

CONCLUSIONS

A 20-minute CWI at 10°C and 15°C led to a reduction in mVO2. This was greater after immersion at 10°C. The reduction in mVO2 suggests a decrease in muscle metabolic activity (ie, O2 use after CWI). Calculating mVO2 via the NIRS-occlusion technique may offer further insight into muscle metabolic responses beyond what is attainable from observing the NIRS primary signals.

摘要

背景

冷水浸泡已被报道可降低浸泡后组织的新陈代谢,但关于其应用对肌肉代谢反应的生理数据尚缺乏。近红外光谱(NIRS)是一种非侵入性的光学技术,可提供肌肉血液动力学和组织代谢的信息。

目的

研究两种水温(10°C 和 15°C)下冷水浸泡对 NIRS 计算的肌肉耗氧量(mVO2)的影响。

设计

交叉研究。

地点

大学运动康复中心。

患者或其他参与者

共 11 名美国全国大学生体育协会二级长跑运动员(年龄=23.4±3.4 岁,身高=1.8±0.1 m,体重=68.8±10.7 kg,平均脂肪组织厚度=6.7±2.7 mm)。

干预措施

10°C 和 15°C 的冷水浸泡 20 分钟。

主要观察指标

在水温为 10°C 和 15°C 时计算浸泡前和浸泡后的 mVO2。在两种温度下的 20 分钟浸泡过程中测量组织氧合血红蛋白(O2Hb)、去氧血红蛋白(HHb)、总血红蛋白(tHb)、血红蛋白差(Hbdiff)和组织饱和度指数(TSI%)的变化。

结果

我们观察到在 10°C 和 15°C 浸泡后 mVO2 下降(F1,9 = 27.7801,P =.001)。在两种温度下的 20 分钟浸泡过程中,我们观察到时间对 O2Hb(F3,27 = 14.227,P =.001)、HHb(F3,27 = 5.749,P =.009)、tHb(F3,27 = 24.786,P =.001)和 Hbdiff(F3,27 = 3.894,P =.020)有主要的时间效应,这些值在浸泡过程中逐渐下降。事后两两比较显示,这些变化发生在 tHb 和 O2Hb 的最后 5 分钟内。

结论

10°C 和 15°C 的 20 分钟冷水浸泡导致 mVO2 降低。10°C 浸泡后降幅更大。mVO2 的降低表明肌肉代谢活动减少(即冷水浸泡后肌肉对氧气的利用减少)。通过 NIRS 闭塞技术计算 mVO2 可能会提供比观察 NIRS 主要信号更深入的肌肉代谢反应信息。

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本文引用的文献

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Adaptations to Post-exercise Cold Water Immersion: Friend, Foe, or Futile?运动后冷水浸泡的适应性:有益、有害还是徒劳?
Front Sports Act Living. 2021 Jul 16;3:714148. doi: 10.3389/fspor.2021.714148. eCollection 2021.
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Males benefit more from cold water immersion during repeated handgrip contractions than females despite similar oxygen kinetics.尽管男女的氧动力学相似,但男性在反复握力收缩期间从冷水浸泡中获益更多,而女性则不然。
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Near-infrared spectroscopy-derived total haemoglobin as an indicator of changes in muscle blood flow during exercise-induced hyperaemia.近红外光谱法衍生的总血红蛋白作为运动性充血期间肌肉血流变化的指标。
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Skeletal Muscle Microvascular Adaptations Following Regular Cold Water Immersion.经常冷水浸泡后骨骼肌微血管适应变化。
Int J Sports Med. 2020 Feb;41(2):98-105. doi: 10.1055/a-1044-2397. Epub 2019 Dec 16.
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Partial-body cryotherapy (-135°C) and cold-water immersion (10°C) after muscle damage in females.女性肌肉损伤后进行半身冷冻疗法(-135°C)和冷水浸泡(10°C)。
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Understanding near infrared spectroscopy and its application to skeletal muscle research.了解近红外光谱学及其在骨骼肌研究中的应用。
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Performance comparison of the MOXY and PortaMon near-infrared spectroscopy muscle oximeters at rest and during exercise.MOXY 和 PortaMon 近红外光谱肌氧饱和度仪在休息和运动时的性能比较。
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When and how should multiple imputation be used for handling missing data in randomised clinical trials - a practical guide with flowcharts.何时以及如何在随机临床试验中使用多重插补来处理缺失数据——附流程图的实用指南。
BMC Med Res Methodol. 2017 Dec 6;17(1):162. doi: 10.1186/s12874-017-0442-1.
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