Abstract

This proof of concept study is dedicated to the quantification of the short-term recovery phase of the muscle oxygenation and whole-body oxygen uptake kinetics following an exhaustive cycling protocol. Data of 15 healthy young participants (age 26.1 ± 2.8 years, peak oxygen uptake 54.1 ± 5.1 mL∗min-1∗kg-1) were recorded during 5 min cool down-cycling with a power output of 50 W on an electro-magnetically braked cycle ergometer. The oxygen uptake (VO2) signal during recovery was modeled by exponential function. Using the model parameters, the time (T1/2) needed to return VO2 to 50% of VO2peak was determined. The Hill’s model was used to analyze the kinetics of oxyhemoglobin concentration (Sm, %), non-invasively recorded by near-infrared spectroscopy (NIRS) over the M. vastus lateralis. Analysis of the Pearson correlation results in statistically significant negative relationships between T1/2 and relative VO2peak (r = −0.7). Relevant significant correlations were determined between constant defining the slope of VO2 decrease (parameter B) and the duration of the anaerobic phase (r = −0.59), as well as between Hill’s coefficient and average median Smmax for the final 2 min of recovery. The high correlation between traditional variables commonly used to represent the cardio-metabolic capacity and the parameters of fits from exponential and Hill models attests the validity of our approach. Thus, proposed descriptors, derived from non-invasive NIRS monitoring during recovery, seem to reflect aerobic capacity. However, the practical usefulness of such modeling for clinical or other vulnerable populations has to be explored in studies using alternative testing protocols.

Highlights

  • Cardiopulmonary exercise testing (CPET) is a non-invasive standard clinical tool used to investigate exercise tolerance, diagnose pathophysiological mechanisms within the cardiovascularmetabolic system, to define treatment options as well as to predict their potential outcomes (Albouaini et al, 2007; Takken et al, 2019)

  • Using the parameters determined for both models, we investigated their correlations with standard aerobic capacity descriptors

  • We hypothesized the usefulness of these tools in the assessment of the respiratory and muscular responses to the exercise in healthy subjects. It was verified by the analysis of the correlation between model parameters and markers reflecting aerobic capacity

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Summary

Introduction

Cardiopulmonary exercise testing (CPET) is a non-invasive standard clinical tool used to investigate exercise tolerance, diagnose pathophysiological mechanisms within the cardiovascularmetabolic system, to define treatment options as well as to predict their potential outcomes (Albouaini et al, 2007; Takken et al, 2019). Different measurement and analysis techniques have evolved that enable the estimation of skeletal muscle oxygen kinetics in scientific research under standardized laboratory condition and for the application in the field, daily exercise and practice (Ferrari et al, 2011). In the last decade protocols for estimating oxidative capacity of the skeletal muscle utilizing NIRS have been developed and validated. These techniques are well suited to monitor changes in muscle specific aerobic adaptations over time and may enable the evaluation of the effectiveness of interventions at the muscular level (Hanna et al, 2021). Associations between the oxidative metabolism of the gastrocnemius muscle, utilizing NIRS during an arterial occlusion protocol, and whole-body VO2peak have been shown (Lagerwaard et al, 2019)

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