Leg fidgeting alleviates reduced oxygen extraction in the gastrocnemius muscle caused by prolonged sitting: a randomized crossover trial.

IF 2.8 3区 医学 Q2 PHYSIOLOGY European Journal of Applied Physiology Pub Date : 2024-09-23 DOI:10.1007/s00421-024-05613-0
Hajime Tamiya, Kazuki Hotta, Megumi Hoshiai, Yuko Kurosawa, Takafumi Hamaoka, Atsuhiro Tsubaki
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Abstract

Purpose: Oxygen extraction in skeletal muscle is an important determinant of exercise tolerance. Prolonged sitting decreases oxygen extraction in the gastrocnemius muscle. However, the underlying mechanism remains unknown, and preventive measures are yet to be established. Therefore, we aimed to elucidate the mechanism by which prolonged sitting decreased muscle oxygen extraction and investigate preventive measures.

Methods: Ten healthy young males (age 21.2 ± 0.4 years; body mass index, 20.5 ± 1.3 kg/m2) were randomly assigned to each of the following conditions: 3-h supine (CON), 3-h sitting (SIT), and 3-h fidgeting of one lower leg during sitting (FID). Oxygen extraction from the gastrocnemius muscle was measured using near-infrared spectroscopy and the vascular occlusion test under each condition. The rate of change in total Hb + Mb (THb) was measured as an indicator of venous stasis and interstitial fluid accumulation in the lower leg.

Results: Muscle oxygen extraction was significantly lower at 180 min for SIT and FID than for CON (4384.2 ± 1426.8; 5281.5 ± 1823.7; 6517.4 ± 1390.8 a.u., respectively) and significantly higher for FID than for SIT (5281.5 ± 1823.7 vs. 4384.2 ± 1426.8 a.u., respectively). The rate of THb change was significantly higher at 180 min for SIT than for CON and FID (12.9 ± 15.1; -2.3 ± 5.7; 2.2 ± 11.6%, respectively). However, no significant difference was observed between CON and FID.

Conclusion: We found that 3-h prolonged sitting reduced oxygen extraction in the gastrocnemius muscles due to reduced oxygen supply to capillaries and increased distance between capillaries and myocytes. However, leg fidgeting alleviated this effect in healthy young males.

Trial registration number: UMIN000050531 (March 8, 2023).

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腿部躁动可缓解久坐导致的腓肠肌氧气汲取减少:一项随机交叉试验。
目的:骨骼肌的氧气萃取是运动耐受性的重要决定因素。久坐会降低腓肠肌的氧气萃取率。然而,其根本机制仍不清楚,预防措施也尚未确立。因此,我们旨在阐明久坐降低肌肉氧萃取的机制,并研究预防措施:十名健康的年轻男性(年龄 21.2 ± 0.4 岁;体重指数 20.5 ± 1.3 kg/m2)被随机分配到以下条件中:3小时仰卧(CON)、3小时坐位(SIT)和3小时坐位时单侧小腿躁动(FID)。在每种条件下,使用近红外光谱和血管闭塞试验测量腓肠肌的吸氧量。总血红蛋白+Mb(THb)的变化率被测定为小腿静脉淤血和间质积液的指标:结果:180 分钟时,SIT 和 FID 的肌肉氧萃取率明显低于 CON(分别为 4384.2 ± 1426.8;5281.5 ± 1823.7;6517.4 ± 1390.8 a.u.),而 FID 则明显高于 SIT(分别为 5281.5 ± 1823.7 vs. 4384.2 ± 1426.8 a.u.)。在 180 分钟时,SIT 的 THb 变化率明显高于 CON 和 FID(分别为 12.9 ± 15.1;-2.3 ± 5.7;2.2 ± 11.6%)。然而,在 CON 和 FID 之间未观察到明显差异:我们发现,由于毛细血管供氧减少以及毛细血管与肌细胞之间的距离增加,久坐 3 小时会降低腓肠肌的氧萃取率。然而,在健康的年轻男性中,腿部躁动可减轻这种影响:UMIN000050531(2023 年 3 月 8 日)。
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来源期刊
CiteScore
6.00
自引率
6.70%
发文量
227
审稿时长
3 months
期刊介绍: The European Journal of Applied Physiology (EJAP) aims to promote mechanistic advances in human integrative and translational physiology. Physiology is viewed broadly, having overlapping context with related disciplines such as biomechanics, biochemistry, endocrinology, ergonomics, immunology, motor control, and nutrition. EJAP welcomes studies dealing with physical exercise, training and performance. Studies addressing physiological mechanisms are preferred over descriptive studies. Papers dealing with animal models or pathophysiological conditions are not excluded from consideration, but must be clearly relevant to human physiology.
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