Hemodynamics and cerebral oxygenation during acute exercise in moderate normobaric hypoxia and with concurrent cognitive task in young healthy males.

Azzurra Doneddu, Silvana Roberto, Marco Guicciardi, Riccardo Pazzona, Andrea Manca, Alessandra Monni, Massimo Fanni, Bruno Leban, Giovanna Ghiani, Marty D Spranger, Gabriele Mulliri, Antonio Crisafulli
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Abstract

The present investigation aimed to study the cardiovascular responses and the cerebral oxygenation (Cox) during exercise in acute hypoxia and with contemporary mental stress. Fifteen physically active, healthy males (age 29.0 ± 5.9 years) completed a cardiopulmonary test on a cycle ergometer to determine the workload at their gas exchange threshold (GET). On a separate day, participants performed two randomly assigned exercise tests pedaling for 6 min at a workload corresponding to 80% of the GET: (1) during normoxia (NORMO), and (2) during acute, normobaric hypoxia at 13.5% inspired oxygen (HYPO). During the last 3 min of the exercise, they also performed a mental task (MT). Hemodynamics were assessed with impedance cardiography, and peripheral arterial oxygen saturation and Cox were continuously measured by near-infrared spectroscopy. The main results were that both in NORMO and HYPO conditions, the MT caused a significant increase in the heart rate and ventricular filling rate. Moreover, MT significantly reduced (74.8 ± 5.5 vs. 62.0 ± 5.2 A.U.) Cox, while the reaction time (RT) increased (813.3 ± 110.2 vs. 868.2 ± 118.1 ms) during the HYPO test without affecting the correctness of the answers. We conclude that in young, healthy males, adding an MT during mild intensity exercise in both normoxia and acute moderate (normobaric) hypoxia induces a similar hemodynamic response. However, MT and exercise in HYPO cause a decrease in Cox and an impairment in RT.

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年轻健康男性在中度常压低氧条件下进行急性运动并同时进行认知任务时的血液动力学和脑氧合。
本调查旨在研究在急性缺氧(AH)和当代精神压力下运动时的心血管反应和脑氧合(Cox)情况。15 名体力充沛的健康男性(年龄为 29.0 ± 5.9 岁)在自行车测力计上完成了心肺测试,以确定其气体交换阈值(GET)的工作量。在不同的一天,参与者进行了两次随机分配的运动测试,以相当于气体交换阈值 80% 的工作量踩踏 6 分钟:1)在常氧状态下(NORMO);2)在吸入氧为 13.5% 的急性常压缺氧状态下(HYPO)。在运动的最后三分钟,他们还进行了一项智力任务(MT)。血液动力学通过阻抗心电图进行评估,外周动脉血氧饱和度和 Cox 通过近红外光谱进行连续测量。主要结果是,在 NORMO 和 HYPO 条件下,MT 都会导致心率和心室充盈率显著增加。此外,在 HYPO 测试中,MT 明显降低了 COX(74.8 ± 5.5 vs. 62.0 ± 5.2 A.U.),而反应时间(RT)增加了(813.3 ± 110.2 vs. 868.2 ± 118.1 ms),但不影响答案的正确性。我们的结论是,对于年轻、健康的男性来说,在常压缺氧和急性中度(常压)缺氧条件下进行轻微强度的运动时,增加一项心理任务会引起类似的血流动力学反应。然而,在低氧状态下进行心理任务和运动会导致 COX 减少和 RT 受损。
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