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A new method for bedside determination of effective lung volume and functional residual capacity. 床边测定有效肺容量和功能残量的新方法。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2025-10-13 DOI: 10.1113/EP093229
Andras Gedeon, Jakob Jansson, David Patrickson, Mats Wallin

Established methods of measuring functional residual capacity (FRC) involve sophisticated equipment and elaborate procedures. Here we present a new method based on CO2 rebreathing that has a simple fast procedure and only requires end-tidal CO2 monitoring. Ten healthy subjects with diverse anthropometric and respiratory parameters were studied in the sitting position. Reference FRC (RefFRC) and tidal volume (TV) were measured with a Cosmed Quark PFT/DLCO unit using the single-breath methane dilution technique in combination with spirometry. Rebreathing through an external dead space of precisely known volume and recording the rising end-tidal CO2 value of the first two breaths allows the determination of effective lung volume (ELV) and the calculation of FRC. Two sets of measurements were made on each subject 15 min apart. Bland-Altman analysis of a comparison between FRC and RefFRC showed a mean bias of 0.04 L, with limits of agreement (LoA, 95% CI) of -1.24 to +1.32 L and a percentage error (PE) of 0.54. When the mean value of two observations from a subject (meanFRC) was compared to RefFRC we obtained a mean bias of -0.08 L, LoA (95% CI) of -0.88 to +0.72 L and PE of 0.23. The FRC data obtained demonstrate good absolute accuracy. An average of repeated measurements improves precision indicating that a criterion for exchangeability with the reference method can be met. The simplicity of the equipment and the procedure could make this method attractive in the pre-operative and the post-operative settings, as well as in out-of-hospital applications.

现有的测量功能剩余容量(FRC)的方法涉及复杂的设备和复杂的程序。本文提出了一种基于CO2再呼吸的新方法,该方法具有简单快速的程序,只需要潮汐末CO2监测。对10名不同人体测量和呼吸参数的健康受试者进行坐姿研究。参考FRC (RefFRC)和潮汐体积(TV)采用Cosmed夸克PFT/DLCO装置,采用单呼吸甲烷稀释技术结合肺活量测定。通过精确已知容积的外部死区再呼吸,并记录前两次呼吸时上升的末潮CO2值,可以确定有效肺容积(ELV)和计算FRC。每名受试者间隔15分钟进行两组测量。FRC和RefFRC的Bland-Altman分析显示,平均偏倚为0.04 L,一致性限(LoA, 95% CI)为-1.24至+1.32 L,百分比误差(PE)为0.54。当将受试者两次观察值的平均值(meanFRC)与refffrc进行比较时,我们得到的平均偏差为-0.08 L, LoA (95% CI)为-0.88至+0.72 L, PE为0.23。所获得的FRC数据显示出良好的绝对精度。重复测量的平均值提高了精度,表明可以满足与参考方法互换性的标准。设备和程序的简单性使这种方法在术前和术后环境以及院外应用中具有吸引力。
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引用次数: 0
Correction to “Autonomous nervous system responses to environmental-level exposure to 5G's first deployed band (3.5 GHz) in healthy human volunteers” 更正“健康人类志愿者对环境水平暴露于5G首个部署频段(3.5 GHz)的自主神经系统反应”。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2025-10-13 DOI: 10.1113/EP093357

Jamal, L., Michelant, L., Delanaud, S., Hugueville, L., Mazet, P., Lévêque, P., Baz, T., Bach, V., & Selmaoui, B. (2024). Autonomous nervous system responses to environmental-level exposure to 5G's first deployed band (3.5 GHz) in healthy human volunteers. Experimental Physiology, 109(12), 2122–2133. https://doi.org/10.1113/EP092083

The original article should have included a section titled ‘Funding information’, with the following text:

‘This project has received funding from the European Union's Horizon Europe research and innovation programme under grant agreement No 101057262. Views and opinions expressed are however those of the authors only and do not necessarily reflect those of the European Union or the Health and Digital Executive Agency. Neither the European Union nor the granting authority can be held responsible for them.’

We apologize for this error.

Jamal, L., Michelant, L., Delanaud, S., Hugueville, L., Mazet, P., Lévêque, P., Baz, T., Bach, V., & Selmaoui, B.(2024)。健康人类志愿者的自主神经系统对环境水平暴露于5G第一个部署频段(3.5 GHz)的反应。中国生物医学工程学报,2009(12),344 - 344。https://doi.org/10.1113/EP092083The原创文章应包括一个标题为“资助信息”的部分,并附有以下文字:“本项目已获得欧盟地平线欧洲研究与创新计划的资助,资助协议编号为101057262。然而,所表达的观点和意见仅代表作者的观点和意见,并不一定反映欧洲联盟或卫生和数字执行机构的观点和意见。欧盟和授权机构都不能对此负责。“我们为这个错误道歉。
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引用次数: 0
Influence of menstrual cycle phase on inflammatory and vascular responses to acute passive heating in healthy young women. 月经周期阶段对健康年轻女性急性被动加热炎症和血管反应的影响。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2025-10-13 DOI: 10.1113/EP092680
Yunuo Su, Emma O'Donnell, Stephen J Bailey, Christof A Leicht

The aim of this study was to determine whether inflammatory and vascular responses to passive heating differ between the early follicular phase (EFP) and the mid-luteal phase (MLP) of the menstrual cycle. Ten healthy, naturally menstruating females (26 ± 3 years of age; body mass index 21.4 ± 1.9 kg/m2) were assessed during EFP and MLP. Participants underwent 60 min whole-body passive heat exposure (71°C ± 2°C, dry heat) in both phases. Outcomes included body temperature, interleukin-6, interleukin-1 receptor antagonist and plasma nitrite concentrations, cutaneous vascular conductance, blood pressure, arterial stiffness and perceptual responses. Rectal temperature and mean skin temperature increased during heat exposure but did not differ between EFP and MLP. Likewise, heat exposure increased interleukin-6, interleukin-1 receptor antagonist and plasma nitrite concentrations, with no differences between menstrual cycle phases. However, brachial (EFP, 75 ± 4 mmHg vs MLP, 72 ± 5 mmHg; p = 0.040) and central (EFP, 75 ± 4 mmHg vs MLP, 72 ± 5 mmHg; p = 0.042) mean arterial pressures were higher in EFP than in MLP at 40 min of heat exposure. Additionally, arterial stiffness declined more in EFP (-13% ± 7%) than in MLP (-5% ± 6%; p = 0.019) from the end of heat exposure to 30 min into recovery. Perceptual responses, including thermal sensation and comfort, were similar between menstrual cycle phases, but skin wetness perception was heightened during EFP. In conclusion, the inflammatory and plasma nitrite responses to passive heating did not differ between EFP and MLP. However, some vascular function and perception parameters were affected by the menstrual cycle phase.

本研究的目的是确定炎症和血管对被动加热的反应在月经周期的卵泡早期(EFP)和黄体中期(MLP)之间是否存在差异。在EFP和MLP期间评估10名健康,自然月经的女性(26±3岁,体重指数21.4±1.9 kg/m2)。在两个阶段,参与者都接受了60分钟的全身被动热暴露(71°C±2°C,干热)。结果包括体温、白细胞介素-6、白细胞介素-1受体拮抗剂和血浆亚硝酸盐浓度、皮肤血管导度、血压、动脉僵硬度和知觉反应。直肠温度和平均皮肤温度在热暴露期间升高,但在EFP和MLP之间没有差异。同样,热暴露增加了白细胞介素-6、白细胞介素-1受体拮抗剂和血浆亚硝酸盐浓度,在月经周期阶段之间没有差异。然而,在热暴露40分钟时,EFP组的肱动脉(EFP, 75±4mmhg vs MLP, 72±5mmhg, p = 0.040)和中央动脉(EFP, 75±4mmhg vs MLP, 72±5mmhg, p = 0.042)平均动脉压高于MLP组。此外,从热暴露结束到恢复30分钟,EFP组的动脉硬度下降幅度(-13%±7%)大于MLP组(-5%±6%;p = 0.019)。知觉反应,包括热感觉和舒适,在月经周期阶段相似,但皮肤湿润感在EFP期间增强。综上所述,EFP和MLP对被动加热的炎症和血浆亚硝酸盐反应没有差异。然而,一些血管功能和感知参数受到月经周期阶段的影响。
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引用次数: 0
Defying gravity: Breath, beat and brain. 对抗地心引力:呼吸、心跳和大脑。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2025-10-12 DOI: 10.1113/EP093309
Shigehiko Ogoh, Damian Miles Bailey
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引用次数: 0
The skeletal muscle-adipose creatine metabolic axis: A novel paradigm for lipid metabolism reprogramming and obesity management. 骨骼肌-脂肪肌酸代谢轴:脂质代谢重编程和肥胖管理的新范式。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2025-10-10 DOI: 10.1113/EP093049
Yuhui Su, Na Liu, Yang Liu, Yiqun Sun, Yike Jiao

The global prevalence of obesity and related metabolic disorders has spurred interdisciplinary research to develop new intervention strategies. Current research is increasingly focusing on the exercise-induced browning of white adipose tissue and the mechanisms by which it improves energy metabolism. Creatine, as the primary carrier of high-energy phosphate bonds within cells, is gaining attention for its role in the metabolic reprogramming of adipose tissue. This review aims to clarify the synergistic regulatory mechanisms between exercise and creatine metabolism, and introduces an innovative 'skeletal muscle-adipose creatine metabolic axis' model. Exercise may upregulate the expression of the creatine transporter in skeletal muscle by activating the AMP-activated protein kinase/peroxisome proliferator-activated receptor γ coactivator 1-α signalling pathway, enhancing phosphocreatine shuttle kinetics, and thereby increasing energy metabolism efficiency. Concurrently, exercise-induced exosomes or miRNAs from skeletal muscle may regulate the futile creatine cycle in adipose tissue and activate non-uncoupling protein 1-dependent thermogenic pathways, thus alleviating obesity conditions. This model not only reveals the multi-organ cross-talk mechanism mediated by exercise in lipid metabolism regulation but also provides a theoretical basis for creatine metabolism-targeted obesity interventions.

肥胖症及相关代谢紊乱的全球流行已促使跨学科研究开发新的干预策略。目前的研究越来越关注运动诱导的白色脂肪组织褐变及其改善能量代谢的机制。肌酸作为细胞内高能磷酸键的主要载体,因其在脂肪组织代谢重编程中的作用而受到关注。本文旨在阐明运动与肌酸代谢之间的协同调节机制,并介绍一种创新的“骨骼肌-脂肪肌酸代谢轴”模型。运动可能通过激活amp激活的蛋白激酶/过氧化物酶体增殖体激活受体γ共激活因子1-α信号通路,提高磷酸肌酸穿梭动力学,从而提高能量代谢效率,从而上调骨骼肌肌酸转运蛋白的表达。同时,来自骨骼肌的运动诱导外泌体或mirna可能调节脂肪组织中的无用肌酸循环,激活非解偶联蛋白1依赖性产热途径,从而减轻肥胖状况。该模型不仅揭示了运动在脂质代谢调节中的多器官串扰机制,也为以肌酸代谢为目标的肥胖干预提供了理论依据。
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引用次数: 0
The physiology of survival: Space. 生存的生理学:空间。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2025-10-10 DOI: 10.1113/EP093299
Damian M Bailey, Angelique van Ombergen
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引用次数: 0
Time-course analysis of cerebral circulation and cardiorespiratory responses to acute central blood volume reduction in healthy young males. 健康年轻男性对急性中枢血容量减少的脑循环和心肺反应的时间过程分析。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2025-10-10 DOI: 10.1113/EP092693
Marina Feeley, Tomoki Watada, Go Ito, Ai Shimada, Toru Sawai, Hideomi Nakata, Shingo Otsuki, Tadayoshi Miyamoto

Central blood volume (CBV) reduction challenges circulatory and respiratory homeostasis, particularly during the initial compensatory phase (0-2 min), when rapid physiological adaptations occur. In this study, we examined dynamic cardiorespiratory responses to CBV reduction using lower-body negative pressure (LBNP) in 11 healthy young males. Participants completed three standardized 2 min LBNP trials at -45 mmHg, with respiratory variables assessed via flow measurement and breath-by-breath gas analysis, while cardiovascular parameters and cerebral blood flow were monitored using ECG, blood pressure and transcranial Doppler ultrasonography. During LBNP exposure, thoracic admittance, an indicator of CBV reduction, decreased by 13.4% (p < 0.001), indicating significant CBV reduction. Following rigorous statistical correction for multiple comparisons, time-course analysis revealed that mean blood pressure decreased temporarily during the initial phase (0-30 s), whereas heart rate increased progressively (16.4%, p < 0.001). End-tidal P C O 2 ${P_{{mathrm{C}}{{mathrm{O}}_2}}}$ showed a consistent reduction (5.9%, p < 0.001), whereas minute ventilation and middle cerebral artery mean blood velocity showed no significant changes after statistical correction (-9.3% and -5.0%, respectively, p > 0.05). Exploratory correlation analysis revealed a significant negative correlation between mean blood pressure and tidal volume during the initial phase only (r = -0.78, p = 0.004). Cross-correlation analysis suggested temporal patterns between respiratory and cerebrovascular responses, with respiratory changes preceding cerebrovascular adjustments by 10-20 s. These findings, along with individual variability, suggest rapid cardiorespiratory and cerebrovascular interactions during orthostatic stress, demonstrating dynamic cardiovascular and respiratory responses with distinct temporal patterns that provide insights into physiological mechanisms maintaining homeostasis during gravitational stress.

中枢血容量(CBV)减少挑战循环和呼吸稳态,特别是在初始代偿阶段(0-2分钟),当快速生理适应发生时。在这项研究中,我们检测了11名健康年轻男性使用下体负压(LBNP)降低CBV时的动态心肺反应。参与者在-45 mmHg下完成了三个标准化的2分钟LBNP试验,通过流量测量和呼吸气体分析评估呼吸变量,同时使用ECG、血压和经颅多普勒超声监测心血管参数和脑血流量。在LBNP暴露期间,CBV降低指标胸腔导纳下降13.4% (p p C O 2 ${P_{ mathm {C}}{{ mathm {O}}_2}}}$显示一致降低(5.9%,p 0.05)。探索性相关分析显示,平均血压与潮气量仅在初始阶段呈显著负相关(r = -0.78, p = 0.004)。交叉相关分析显示呼吸和脑血管反应的时间模式,呼吸变化先于脑血管调整10-20秒。这些发现以及个体差异表明,在直立压力下心肺和脑血管的快速相互作用,展示了具有不同时间模式的动态心血管和呼吸反应,为在重力压力下维持体内平衡的生理机制提供了见解。
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引用次数: 0
Spontaneous Ca2+ signals in the developing mammalian cochlea of live mice under different anaesthetic regimes. 不同麻醉状态下哺乳动物小鼠耳蜗中自发Ca2+信号的变化。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2025-10-10 DOI: 10.1113/EP093267
Francesca De Faveri, Walter Marcotti, Federico Ceriani

The pre-hearing mouse cochlea undergoes critical periods of spontaneous Ca2+-dependent activity that spreads across non-sensory supporting cells and inner hair cells (IHCs). These signals have been shown to regulate not only the refinement of neural circuits along the auditory pathway towards functional maturity, but also the maturation of the hair cells into sensory receptors. Although the origin and interplay of these Ca2+ signals during cochlear development have recently been investigated in live mice, the impact of anaesthesia on in vivo functional measurements was not explored. Here, we investigate the effects of different anaesthetic regimes (ketamine and xylazine; 2.5% isoflurane; and 1.0%-1.5% isoflurane with the sedative acepromazine) that provided an effective unconsciousness to perform the surgery and Ca2+-imaging recordings from the intact cochlea of live mice. The IHCs, supporting cells and spiral ganglion neuron terminals onto the IHCs showed spontaneous Ca2+-dependent activity under all anaesthetic regimes, with a few significant differences observed between conditions. Calcium waves from supporting cells synchronized the activity of IHCs. Moreover, we found that the endocochlear potential, which is crucial for cochlear function, was unaffected by the different anaesthetics. However, low concentrations of isoflurane produced the most stable recordings of vital physiological signs in mice, including heart rate and breathing rate. Although all anaesthetic regimes tested appeared to be suitable for performing Ca2+ imaging from the cochlea of pre-hearing live mice, a low concentration of isoflurane (1.0%-1.5%), combined with the pre-anaesthetic sedative acepromazine and oxygenation, represents the most suitable approach to maintain a stable and long-lasting depth of anaesthesia.

听力前小鼠耳蜗经历自发Ca2+依赖性活动的关键时期,该活动遍及非感觉支持细胞和内毛细胞(IHCs)。研究表明,这些信号不仅调节沿听觉通路的神经回路向功能成熟,而且还调节毛细胞向感觉受体的成熟。虽然这些Ca2+信号在活体小鼠耳蜗发育过程中的起源和相互作用最近已被研究,但麻醉对体内功能测量的影响尚未探讨。在这里,我们研究了不同麻醉方案(氯胺酮和噻嗪;2.5%异氟醚;1.0%-1.5%异氟醚与镇静剂乙酰丙嗪)的影响,这些方案提供了有效的无意识来进行手术和活小鼠完整耳蜗的Ca2+成像记录。在所有麻醉状态下,IHCs、支持细胞和IHCs上的螺旋神经节神经元末梢都表现出自发的Ca2+依赖性活性,在不同的麻醉状态下观察到一些显著的差异。来自支持细胞的钙波同步了ihc的活性。此外,我们发现对耳蜗功能至关重要的耳蜗电位不受不同麻醉剂的影响。然而,低浓度的异氟醚在小鼠体内产生了最稳定的重要生理指标记录,包括心率和呼吸频率。虽然所有测试的麻醉方案似乎都适合于从听力前活小鼠耳蜗进行Ca2+成像,但低浓度的异氟醚(1.0%-1.5%),结合麻醉前镇静剂乙酰丙嗪和氧合,是维持稳定和持久麻醉深度的最合适方法。
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引用次数: 0
Locomotor muscle dysfunction and rehabilitative exercise training in fibrotic interstitial lung disease: Where are we at and where could we go? 纤维化间质性肺疾病的运动肌功能障碍和康复性运动训练:我们现在在哪里,我们可以去哪里?
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2025-10-08 DOI: 10.1113/EP091542
Sarah Thivent, J Alberto Neder, Anne-Catherine Bernard, Marie Coudurier, Michel Guinot, Frédéric Hérengt, Samuel Verges, Mathieu Marillier

Exercise limitation is a cardinal feature of fibrotic interstitial lung disease arising from pulmonary gas exchange, respiratory mechanical and cardio-circulatory abnormalities. More recently, it has been recognized that impairment in locomotor muscle function (e.g., reduced muscle mass/strength or heightened fatigability) might also play a relevant contributory role. Exercise training as part of pulmonary rehabilitation is the most effective intervention to improve exercise tolerance, dyspnoea and quality of life in patients with fibrotic interstitial lung disease. Given that exercise training has modest effects on exertional ventilation, breathing pattern and respiratory muscle performance, improvement in locomotor muscle function is a key target for pulmonary rehabilitation in these patients. In the present narrative review, we initially discuss whether the locomotor muscles of patients might be exposed to negative risk factors. After offering corroboratory evidence on this matter (e.g., oxidative stress, inflammation, hypoxia, physical inactivity and medications), we outline their effects on skeletal muscle mass and functional properties. We finish by addressing the potentially beneficial effects of rehabilitative exercise training on these muscle-centred outcomes, providing perspectives to facilitate or optimize the muscle benefits derived from this intervention. This narrative review, therefore, provides an up-to-date outline of the rationale for rehabilitative approaches focusing on the locomotor muscles in this patient population.

运动受限是肺气体交换、呼吸机械和心肺功能异常引起的纤维化间质性肺病的主要特征。最近,人们认识到运动肌肉功能的损害(例如,肌肉质量/力量减少或疲劳性增强)也可能起相关的促进作用。运动训练作为肺康复的一部分,是改善纤维化间质性肺病患者运动耐量、呼吸困难和生活质量的最有效干预措施。鉴于运动训练对运动通气、呼吸方式和呼吸肌表现的影响不大,因此改善运动肌功能是这些患者肺部康复的关键目标。在目前的叙述回顾中,我们首先讨论患者的运动肌肉是否可能暴露于负面危险因素。在提供了关于这个问题的确凿证据(例如,氧化应激、炎症、缺氧、缺乏运动和药物)之后,我们概述了它们对骨骼肌质量和功能特性的影响。我们最后讨论了康复运动训练对这些以肌肉为中心的结果的潜在有益影响,提供了促进或优化这种干预所带来的肌肉益处的观点。因此,这篇叙述性的综述,提供了一个最新的基本原理的康复方法,重点是运动肌肉在这一患者群体。
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引用次数: 0
No difference in mean middle cerebral artery blood velocity responses between lower- and upper-body unilateral resistance exercise in untrained individuals. 在未经训练的个体中,下半身和上半身单侧阻力运动的平均大脑中动脉血流速度反应无差异。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2025-10-06 DOI: 10.1113/EP092859
Stephanie Korad, Toby Mündel, Blake G Perry

Dynamic resistance exercise (RE) produces sinusoidal fluctuations in blood pressure that are mirrored by middle cerebral artery blood velocity (MCAv). However, whether lower- or upper-body RE elicits a differential cerebrovascular response has not yet been examined. We investigated the cerebrovascular response to lower-body RE versus upper-body RE in 15 healthy untrained individuals (12 females and 3 males; mean ± SD; age 25 ± 6 years, height 179 ± 10 cm, weight 71 ± 15 kg and body mass index 24 ± 6 kg/m2). Participants completed four sets of 10 paced repetitions (15 repetitions/min) of unilateral leg-extension exercise and unilateral bicep-curl exercise at 60% of predicted one-repetition maximum (leg extension 30 ± 9 kg and bicep curl 7 ± 3 kg). Beat-to-beat blood pressure, bilateral MCAv and partial pressure of end-tidal carbon dioxide were measured throughout. Within-exercise mean arterial blood pressure (MAP) and mean MCAv were averaged across the set. Additionally, zenith, nadir and zenith-to-nadir difference in MAP and mean MCAv for each repetition were averaged across each set. Baseline measures preceding each set were not different for all dependent variables, with no significant interaction differences observed (all p > 0.161). The mean MCAv within exercise decreased across sets (set effect p < 0.001), but MAP did not (p = 0.071). No interaction effects were observed for any dependent variables (all p > 0.06), However, there was a zenith-to-nadir difference in mean MCAv (p = 0.008), although post hoc tests revealed no significant difference between exercises (all p > 0.078). There were no differences in the cerebrovascular and cardiovascular responses to lower- and upper-body RE, with similar sinusoidal fluctuations in MAP and MCAvmean present during both exercises.

动态阻力运动(RE)产生的血压呈正弦波动,反映在大脑中动脉血流速度(MCAv)上。然而,下半身或上半身的RE是否引起不同的脑血管反应尚未被研究。我们研究了15名未经训练的健康个体(12名女性,3名男性,平均±SD,年龄25±6岁,身高179±10 cm,体重71±15 kg,体重指数24±6 kg/m2)对下半身RE和上半身RE的脑血管反应。参与者完成了四组10次有节奏重复(15次/分钟)的单侧腿部伸展运动和单侧二头肌弯曲运动,其速度为预测的单次重复最大值的60%(腿部伸展30±9公斤,二头肌弯曲7±3公斤)。全程测量搏动血压、双侧MCAv和潮末二氧化碳分压。运动期间平均动脉血压(MAP)和平均MCAv在整个组中取平均值。此外,对每组重复的MAP和平均MCAv的天顶、最低点和天顶至最低点差进行平均。每组之前的基线测量对于所有因变量没有差异,没有观察到显著的相互作用差异(均p > 0.161)。运动中的平均MCAv在组间降低(组效应p = 0.06),然而,平均MCAv有从顶到底的差异(p = 0.008),尽管事后检验显示运动之间没有显著差异(p均为0.078)。脑血管和心血管对下肢和上肢RE的反应没有差异,在两种运动中MAP和MCAvmean的正弦波动相似。
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引用次数: 0
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Experimental Physiology
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