PURPOSE: Previous studies in dogs have demonstrated a dichotomous response to muscle metaboreflex activation; at low and moderate intensity treadmill exercise, the pressor response was mediated primarily by increased cardiac output (CO), whereas peripheral vasoconstriction played a major role during high intensity exercise. We sought to extend these findings to humans by examining the relative contribution of central and peripheral factors to the pressor response elicited by the muscle metaboreflex following progressive arm and leg exercise. METHODS: In 7 healthy subjects (30 ± 2 yrs), small muscle mass arm and leg exercise was performed at three intensities, followed by 2-min of post-exercise circulatory occlusion (PECO). Dynamic handgrip exercise (1.5 min, 1 Hz) was performed at 20% 50%, and 70% of maximal voluntary contraction (MVC), and dynamic knee extensor exercise (3-min, 1 Hz) was performed at 20%, 60%, and 80% of peak work rate (WRmax). Heart rate (HR) and mean arterial pressure (MAP) were measured noninvasively (Finometer), from which stroke volume (SV), CO, and peripheral vascular conductance (PVC) were calculated. RESULTS: MAP increased from rest during all levels of PECO following exercise in the arm (20%MVC: +7 ± 2mmHg; 50%MVC: +11 ± 2mmHg; 70%MVC: +32 ± 2mmHg) and leg (20%WRmax: +22 ± 5mmHg; 60% WRmax: +14 ± 4mmHg; 80% WRmax: +40 ± 1mmHg) In the arm, the pressor response after exercise was achieved through an increase in CO at 20%MVC (+0.4 ± 0.2 L/min), while pressor responses at 50%MVC and 70%MVC were achieved through a reduction in PVC (-5.6 ± 2.1 ml min-1 mmHg-1and -18.5 ± 4.4 ml min-1 mmHg-1) with no change in CO. In contrast, following leg exercise the pressor responses was driven primarily by an increase in CO at 20%WRmax (+0.6 ± 0.3 L/min) and 50%WRmax (+1.0 ± 0.3 L/min), while the pressor response after high intensity KE exercise was achieved through a concomitant increase in CO (+0.9 ± 0.3 L/min) and a reduction in PVC (-9.6 ± 4.6 ml min-1 mmHg-1) CONCLUSION: These data suggest that during small muscle mass exercise in the arm and leg, changes in both CO and PVC contribute importantly to metaboreflex-induced pressor response in humans. Responses in both the arm and leg exhibited an intensity-dependent effect, with changes in PVC playing an increasingly important role during high exercise intensities.
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