Abstract
The purpose of this study is to assess the production of nitric oxide in professional cross-country skiers with normotensive and hypertensive responses to physical activity at maximum load. The observation group included professional cross-country skiers (22.2 ± 7.1 years, = 107) who were current members of the national team of the Komi Republic. All the examined athletes performed the exercise test on a cycle ergometer “until exhaustion.” The following parameters were determined for each participant while they were sitting at rest, while at their anaerobic threshold level, during peak load, and during the recovery period (5th min): systolic blood pressure, diastolic blood pressure, heart rate, and the level of stable nitric oxide metabolites (nitrites, nitrates) in capillary blood samples. According to the blood pressure results, the cross-country skiers were divided into two groups. Group I included athletes with a normotensive response to stress. Group II was composed of individuals with a hypertensive response to stress. During the performance of the test “until exhaustion,” a significant (p < 0.05) increase in the amount of stable metabolites of nitric oxide was observed in the group of athletes with a normotensive response to the load compared with the group with a hypertensive response to the load. In athletes with a normotensive reaction to the load during exercise at maximum load and in the early recovery period, nitrate was prioritized in the regulation of vascular tone. The exercise test on a cycle ergometer “until exhaustion,” combined with the assessment of the levels of stable nitric oxide metabolites in plasma, can be considered a test for the early diagnosis of endothelial dysfunction in professional athletes.
Highlights
One of the factors limiting the functional capabilities of the bodies of athletes is overstraining of the cardiovascular system [1]
systolic blood pressure (SBP) at rest was increased (p < 0.001) in individuals with a hypertensive response to the load compared with the group with a normotensive response to the load
The athletes with a hypertensive reaction to the load show a decrease in the level of NO3 in the blood, and NO2 tended to increase during the peak and recovery periods. In these periods of the study, we revealed correlations among NO2, DBP, and pulse pressure (PP)
Summary
One of the factors limiting the functional capabilities of the bodies of athletes is overstraining of the cardiovascular system [1]. Physical exercise leads to a progressive increase in heart rate (HR), which subsequently increases blood flow and vascular shear stress. Nitric oxide (NO), a signaling molecule, plays an important role in the regulation of many physiological functions, including regulating circulation and blood pressure by vasodilation [2, 3]. The potential mechanisms through which vascular control may be beneficially modified in response to repeated exposure to shear stress include increased endothelium-dependent dilator capacity [4] and higher production of endothelial NO and endothelial NO synthase (eNOS) expression [5]. An imbalance in the NO synthesis system and formation of endothelial dysfunction play an important role in the development of cardiovascular pathology. According to the literature [7], systolic blood pressure (SBP) >200 mmHg and/or diastolic pressure (DBP) >100 mmHg serve as a predictor for the termination of the exercise test “until exhaustion” in professional cross-country skiers
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