测定运动时通气和气体交换动态的新方法:啁啾 "波形。

IF 3.3 3区 医学 Q1 PHYSIOLOGY Journal of applied physiology Pub Date : 2024-11-01 Epub Date: 2024-08-29 DOI:10.1152/japplphysiol.00358.2024
Michele Girardi, Michael A Roman, Janos Porszasz, William W Stringer, Stephen Rennard, Carrie Ferguson, Harry B Rossiter, Richard Casaburi
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引用次数: 0

摘要

量化运动通气和气体交换动态有助于深入了解生理控制过程和心肺功能障碍。我们设计了一种新型波形--啁啾波形,以有效提取中等强度运动的响应动态。在啁啾波形中,做功率以恒定的振幅正弦波动,正弦周期从大约 8.5 分钟逐渐减小到 1.4 分钟,周期为 30 分钟。我们假设,从啁啾波形中提取的肺通气(V.̇E)和气体交换(V.̇O2 和 V.̇CO2)的响应动态与从阶跃过渡中提取的响应动态相似。31 名参与者(14 名年轻健康者、7 名老年健康者、10 名慢性阻塞性肺病患者)进行了三次锻炼。参与者首先进行斜坡递增运动,以确定气体交换阈值(GET)。接下来的两次锻炼以随机顺序进行,分别采用啁啾或阶梯式波形。两种波形的工作率幅度(20W 至 GET 工作率的 95%)和运动持续时间(30 分钟)相同。具有系统增益(G)和时间常数(τ)的一阶线性传递函数描述了响应动态。使用布兰-阿尔特曼分析和罗瑟里协和系数(RCC)确定了从啁啾波形和阶跃波形提取的模型参数之间的一致性。V......E、V......O2 和 V......CO2 Gs 没有系统性偏差(p>0.178),显示出中等至良好的一致性(RCC>0.772,p2.尽管τV.̇CO2(RCC=0.794,pE(RCC=0.722,p=0.083))的一致性中等,但啁啾波τ的一致性较差(分别为-6.9(11.7)s和-12.2(22.5)s)。我们的结论是,啁啾波形是测量运动反应动态和研究生理控制机制的一种很有前途的方法。
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A novel method for determining ventilatory and gas exchange dynamics during exercise: the "chirp" waveform.

Quantitating exercise ventilatory and gas exchange dynamics affords insights into physiological control processes and cardiopulmonary dysfunction. We designed a novel waveform, the chirp waveform, to efficiently extract moderate-intensity exercise response dynamics. In the chirp waveform, work rate fluctuates sinusoidally with constant amplitude as sinusoidal period decreases progressively from ∼8.5 to 1.4 min over 30 min of cycle ergometry. We hypothesized that response dynamics of pulmonary ventilation (V̇e) and gas exchange [oxygen uptake (V̇o2) and carbon dioxide output (V̇co2)] extracted from chirp waveform are similar to those obtained from stepwise transitions. Thirty-one participants [14 young healthy, 7 older healthy, and 10 patients with chronic obstructive pulmonary disease (COPD)] exercised on three occasions. Participants first performed ramp-incremental exercise for gas exchange threshold (GET) determination. In randomized order, the next two visits involved either chirp or stepwise waveforms. Work rate amplitude (20 W to ∼95% GET work rate) and exercise duration (30 min) were the same for both waveforms. A first-order linear transfer function with a single system gain (G) and time constant (τ) characterized response dynamics. Agreement between model parameters extracted from chirp and stepwise waveforms was established using Bland-Altman analysis and Rothery's concordance coefficient (RCC). V̇e, V̇o2, and V̇co2 Gs showed no systematic bias (P > 0.178) and moderate-to-good agreement (RCC > 0.772, P < 0.01) between waveforms. Similarly, no systematic bias (P = 0.815) and good agreement (RCC = 0.837, P < 0.001) was found for τV̇o2. Despite moderate agreement for τV̇co2 (RCC = 0.794, P < 0.001) and τV̇e (RCC = 0.722, P = 0.083), chirp τ was less [-6.9(11.7) s and -12.2(22.5) s, respectively]. We conclude that the chirp waveform is a promising method for measuring exercise response dynamics and investigating physiological control mechanisms.NEW & NOTEWORTHY We investigated the ability of a novel waveform to extract exercise ventilatory and gas exchange dynamics. In the chirp waveform, work rate fluctuates sinusoidally with constant amplitude as sinusoidal period decreases progressively over 30 min of exercise. In a study of 31 healthy individuals and patients with COPD, comparison of exercise dynamics derived from chirp to those from stepwise waveforms suggests that the chirp waveform is a promising method for derivation of exercise response dynamics.

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来源期刊
CiteScore
6.00
自引率
9.10%
发文量
296
审稿时长
2-4 weeks
期刊介绍: The Journal of Applied Physiology publishes the highest quality original research and reviews that examine novel adaptive and integrative physiological mechanisms in humans and animals that advance the field. The journal encourages the submission of manuscripts that examine the acute and adaptive responses of various organs, tissues, cells and/or molecular pathways to environmental, physiological and/or pathophysiological stressors. As an applied physiology journal, topics of interest are not limited to a particular organ system. The journal, therefore, considers a wide array of integrative and translational research topics examining the mechanisms involved in disease processes and mitigation strategies, as well as the promotion of health and well-being throughout the lifespan. Priority is given to manuscripts that provide mechanistic insight deemed to exert an impact on the field.
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