Oxygen delivery-utilization mismatch in contracting locomotor muscle in COPD: peripheral factors

2015 ◽  
Vol 308 (2) ◽  
pp. R105-R111 ◽  
Author(s):  
Wladimir M. Medeiros ◽  
Mari C. T. Fernandes ◽  
Diogo P. Azevedo ◽  
Flavia F. M. de Freitas ◽  
Beatriz C. Amorim ◽  
...  
Keyword(s):  
Skeletal Muscle ◽  
Muscle Mass ◽  
Near Infrared ◽  
Neuromuscular Electrical Stimulation ◽  
Muscle Oxygenation ◽  
Whole Body ◽  
Chronic Obstructive ◽  
Copd Patients ◽  
Skeletal Muscle Oxygenation ◽  
Severe Copd

Central cardiorespiratory and gas exchange limitations imposed by chronic obstructive pulmonary disease (COPD) impair ambulatory skeletal muscle oxygenation during whole body exercise. This investigation tested the hypothesis that peripheral factors per se contribute to impaired contracting lower limb muscle oxygenation in COPD patients. Submaximal neuromuscular electrical stimulation (NMES; 30, 40, and 50 mA at 50 Hz) of the quadriceps femoris was employed to evaluate contracting skeletal muscle oxygenation while minimizing the influence of COPD-related central cardiorespiratory constraints. Fractional O2 extraction was estimated by near-infrared spectroscopy (deoxyhemoglobin/myoglobin concentration; deoxy-[Hb/Mb]), and torque output was measured by isokinetic dynamometry in 15 nonhypoxemic patients with moderate-to-severe COPD (SpO2 = 94 ± 2%; FEV1 = 46.4 ± 10.1%; GOLD II and III) and in 10 age- and gender-matched sedentary controls. COPD patients had lower leg muscle mass than controls (LMM = 8.0 ± 0.7 kg vs. 8.9 ± 1.0 kg, respectively; P < 0.05) and produced relatively lower absolute and LMM-normalized torque across the range of NMES intensities ( P < 0.05 for all). Despite producing less torque, COPD patients had similar deoxy-[Hb/Mb] amplitudes at 30 and 40 mA ( P > 0.05 for both) and higher deoxy-[Hb/Mb] amplitude at 50 mA ( P < 0.05). Further analysis indicated that COPD patients required greater fractional O2 extraction to produce torque (i.e., ↑Δdeoxy-[Hb/Mb]/torque) relative to controls ( P < 0.05 for 40 and 50 mA) and as a function of NMES intensity ( P < 0.05 for all). The present data obtained during submaximal NMES of small muscle mass indicate that peripheral abnormalities contribute mechanistically to impaired contracting skeletal muscle oxygenation in nonhypoxemic, moderate-to-severe COPD patients.

scholarly journals Changes in skeletal muscle oxygenation during exercise measured by near-infrared spectroscopy on ascent to altitude

Critical Care ◽  
2009 ◽  
Vol 13 (Suppl 5) ◽  
pp. S7 ◽  
Author(s):  
Daniel S Martin ◽  
Denny ZH Levett ◽  
Michael Mythen ◽  
Mike PW Grocott ◽  
Keyword(s):  
Skeletal Muscle ◽  
Infrared Spectroscopy ◽  
Near Infrared Spectroscopy ◽  
Near Infrared ◽  
Muscle Oxygenation ◽  
Skeletal Muscle Oxygenation

Kinetics of muscle deoxygenation are accelerated at the onset of heavy-intensity exercise in patients with COPD: relationship to central cardiovascular dynamics

2008 ◽  
Vol 104 (5) ◽  
pp. 1341-1350 ◽  
Author(s):  
Gaspar R. Chiappa ◽  
Audrey Borghi-Silva ◽  
Leonardo F. Ferreira ◽  
Claúdia Carrascosa ◽  
Cristino Carneiro Oliveira ◽  
...  
Keyword(s):  
Near Infrared ◽  
Exercise Intolerance ◽  
Chronic Obstructive ◽  
Regression Equations ◽  
Dynamic Matching ◽  
Muscle Deoxygenation ◽  
Dynamic Relationship ◽  
Copd Patients ◽  
Kinetics Of ◽  
Severe Copd

Patients with chronic obstructive pulmonary disease (COPD) have slowed pulmonary O2 uptake (V̇o2p) kinetics during exercise, which may stem from inadequate muscle O2 delivery. However, it is currently unknown how COPD impacts the dynamic relationship between systemic and microvascular O2 delivery to uptake during exercise. We tested the hypothesis that, along with slowed V̇o2p kinetics, COPD patients have faster dynamics of muscle deoxygenation, but slower kinetics of cardiac output (Q̇t) following the onset of heavy-intensity exercise. We measured V̇o2p, Q̇t (impedance cardiography), and muscle deoxygenation (near-infrared spectroscopy) during heavy-intensity exercise performed to the limit of tolerance by 10 patients with moderate-to-severe COPD and 11 age-matched sedentary controls. Variables were analyzed by standard nonlinear regression equations. Time to exercise intolerance was significantly ( P < 0.05) lower in patients and related to the kinetics of V̇o2p ( r = −0.70; P < 0.05). Compared with controls, COPD patients displayed slower kinetics of V̇o2p (42 ± 13 vs. 73 ± 24 s) and Q̇t (67 ± 11 vs. 96 ± 32 s), and faster overall kinetics of muscle deoxy-Hb (19.9 ± 2.4 vs. 16.5 ± 3.4 s). Consequently, the time constant ratio of O2 uptake to mean response time of deoxy-Hb concentration was significantly greater in patients, suggesting a slower kinetics of microvascular O2 delivery. In conclusion, our data show that patients with moderate-to-severe COPD have impaired central and peripheral cardiovascular adjustments following the onset of heavy-intensity exercise. These cardiocirculatory disturbances negatively impact the dynamic matching of O2 delivery and utilization and may contribute to the slower V̇o2p kinetics compared with age-matched controls.

scholarly journals Monitoring of skeletal muscle oxygenation using near-infrared spectroscopy during abdominal aortic surgery

2002 ◽  
Vol 16 (2) ◽  
pp. 127-130 ◽  
Author(s):  
Masayasu Nakayama ◽  
Soushi Iwasaki ◽  
Hiromichi Ichinose ◽  
Shuji Yamamoto ◽  
Noriaki Kanaya ◽  
...  
Keyword(s):  
Skeletal Muscle ◽  
Infrared Spectroscopy ◽  
Near Infrared Spectroscopy ◽  
Near Infrared ◽  
Aortic Surgery ◽  
Muscle Oxygenation ◽  
Abdominal Aortic Surgery ◽  
Abdominal Aortic ◽  
Skeletal Muscle Oxygenation

A modular NIRS system for clinical measurement of impaired skeletal muscle oxygenation

2000 ◽  
Vol 88 (1) ◽  
pp. 315-325 ◽  
Author(s):  
Ramesh Wariar ◽  
John N. Gaffke ◽  
Ronald G. Haller ◽  
Loren A. Bertocci
Keyword(s):  
Skeletal Muscle ◽  
Near Infrared ◽  
Tissue Oxygenation ◽  
Reactive Hyperemia ◽  
Muscle Oxygenation ◽  
System Stability ◽  
Infrared Spectrometry ◽  
Skeletal Muscle Oxygenation

Near-infrared spectrometry (NIRS) is a well-known method used to measure in vivo tissue oxygenation and hemodynamics. This method is used to derive relative measures of hemoglobin (Hb) + myoglobin (Mb) oxygenation and total Hb (tHb) accumulation from measurements of optical attenuation at discrete wavelengths. We present the design and validation of a new NIRS oxygenation analyzer for the measurement of muscle oxygenation kinetics. This design optimizes optical sensitivity and detector wavelength flexibility while minimizing component and construction costs. Using in vitro validations, we demonstrate 1) general optical linearity, 2) system stability, and 3) measurement accuracy for isolated Hb. Using in vivo validations, we demonstrate 1) expected oxygenation changes during ischemia and reactive hyperemia, 2) expected oxygenation changes during muscle exercise, 3) a close correlation between changes in oxyhemoglobin and oxymyoglobin and changes in deoxyhemoglobin and deoxymyoglobin and limb volume by venous occlusion plethysmography, and 4) a minimal contribution from movement artifact on the detected signals. We also demonstrate the ability of this system to detect abnormal patterns of tissue oxygenation in a well-characterized patient with a deficiency of skeletal muscle coenzyme Q10. We conclude that this is a valid system design for the precise, accurate, and sensitive detection of changes in bulk skeletal muscle oxygenation, can be constructed economically, and can be used diagnostically in patients with disorders of skeletal muscle energy metabolism.

scholarly journals The Effects of Acute Ingestion of a High-fat Solution, compared to a High-Carbohydrate Solution, on Skeletal Muscle Oxygenation, Fat Oxidation and Performance During a 2-hour Cycling Effort Followed by a Short Time Trial in Cyclists and Triathletes

2021 ◽  
Vol 3 (122) ◽  
pp. 42-58
Author(s):  
Antoine Jolicoeur Desroches ◽  
Frédéric Domingue ◽  
Louis Laurencelle ◽  
Claude Lajoie
Keyword(s):  
Skeletal Muscle ◽  
Perceived Exertion ◽  
Near Infrared ◽  
Time Trial ◽  
Fat Oxidation ◽  
Muscle Oxygenation ◽  
Skeletal Muscle Oxygenation ◽  
And Performance ◽  
Maximal Effort ◽  
Carbohydrate Solution

This study aimed to determine the effects of consuming a high fat solution (HFS) compared to a high carbohydrate solution (HCS) during a cycling effort on substrate oxidation, muscle oxygenation and performance with cyclists and triathletes. Thirteen men participated in this study (age: 30.4 ± 6.3 y; height: 178.7 ± 6.1 cm; weight: 74.9 ± 6.5 kg; V̇O2 peak: 60.5 ± 7.9 mlO2×kg-1×min-1). The solutions were isocaloric (total of 720 kcal) and were consumed every 20 minutes. Each solution of HFS contained 12.78 g of lipids, 1.33 g of carbohydrates and 0.67 g of proteins, and each solution of HCS contained 28 g of carbohydrates. We measured pulmonary oxygen consumption and skeletal muscle oxygenation, using a Near Infrared Spectrometer (NIRS) during a cycling effort consisting of 2 hours at 65 % of maximal aerobic power (MAP) followed immediately by a 3-minute time-trial (TT). We observed that the consumption of the HFS increased the rate of fat oxidation at the end of the sub-maximal effort (0.61 ± 0.14 vs 0.53 ± 0.17 g×min-1, p < 0.05). We have also shown that the HFS negatively affected the performance in the TT (mean Watts: HCS: 347.0 ± 77.4 vs HFS: 326.5 ± 88.8 W; p < 0.05) and the rating of perceived exertions during the sub-maximal effort (modified Borg Perceived Exertion scale: 1–10) (mean: 3.62 ± 0.58 for HCS vs 4.16 ± 0.62 for HFS; p < 0.05). We did not observe a significant effect of the acute consumption of the HFS compared to the HCS on muscle oxygenation during the cycling effort. Finally, we observed that cyclists who demonstrated a high skeletal muscle deoxygenation relative to their pulmonary oxygen consumption (DHHb/V̇O2) had a higher fat oxidation capacity (higher Fatmax). In conclusion, even though the consumption of HFS increased the rate of fat oxidation at the end of a sub-maximal effort, it did not affect muscle oxygenation and it negatively affected performance and perceived exertion during a time-trial and caused gastro-intestinal distress in some participants. Keywords: Fat oxidation, Skeletal muscle oxygenation, Lipid supplementation, Carbohydrate supplementation, Near Infrared Spectroscopy (NIRS), Cycling, Triathlon.

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