■为了研究亚最大时偏心(ECC)和同心(CON)循环运动之间的通气和循环差异,在健康的中年参与者中,从开始到结束运动的低剂量强度。
■随机对照交叉试验。
■参与者在相同的情况下根据逐步增量运动方案进行了1次ECC和1次CON测试,次最大强度。通气气体交换和超声心动图的呼吸呼吸分析用于评估运动期间的心肺功能。
■24个健康的中年人,未经训练的参与者(14名女性,10个男人,包括50±14年)。
■在次最大强度下进行1次ECC和1次CON测试。
■主要结果是摄氧量(V'O2)。
■V\'O2增加减少了-422mL/min(-52%,95%置信区间:-513至-292,P<.001)在ECC期间,以及通风驱动。超声心动图参数,心率(-14%),心输出量(-21%),每搏输出量(-15%),与相同强度的CON相比,ECC期间通过三尖瓣返流压力梯度(TRPG)的肺动脉压(-26%)也显着降低。参与者报告说,ECC的呼吸困难明显减少,腿部疲劳感没有改变。
■ECC耐受性良好,并观察到V/O2、通气、右心室负荷与CON相比,即使在低强度水平。这项研究,在健康的中年参与者身上进行,没有引起担忧,这将阻碍对严重受限心肺疾病患者的ECC影响的进一步调查,它要求对这个主题进行进一步的研究。
UNASSIGNED: To investigate the ventilatory and circulatory differences between eccentric (ECC) and concentric (CON) cycling exercise at submaximal, low-dose intensity from onset to end-exercise in healthy middle-aged participants.
UNASSIGNED: Randomized controlled crossover
trial.
UNASSIGNED: The participants underwent 1 ECC and 1 CON test according to stepwise incremental exercise protocols at identical, submaximal intensities. Breath-by-breath analyses of ventilatory gas exchange and echocardiography were used to assess cardiopulmonary function during exercise.
UNASSIGNED: 24 healthy middle-aged, untrained participants (14 women, 10 men, 50±14 years) were included.
UNASSIGNED: 1 ECC and 1 CON test at submaximal intensities.
UNASSIGNED: The main outcome was oxygen uptake (V\'O2).
UNASSIGNED: The V\'O2 increase was reduced by -422 mL/min (-52%, 95% confidence interval: -513 to -292, P<.001) during ECC, as well as the ventilatory drive. Echocardiographic parameters, heart rate (-14%), cardiac output (-21%), stroke volume (-15%), and pulmonary artery pressure by tricuspid regurgitation pressure gradient (TRPG) (-26%) were also significantly reduced during ECC compared with CON at identical intensities. Participants reported significantly less dyspnea and unchanged perceived leg fatigue in ECC.
UNASSIGNED: ECC was well tolerated, and significant reductions were observed in V\'O2, ventilation, and right ventricular load compared with CON, even at low intensity levels. This
study, conducted on healthy middle-aged participants, did not raise concerns that would hinder further investigation of the effects of ECC in patients with severely limited cardiopulmonary disease, and it calls for further research on this topic.