Minyoung Kwak, Brian Benitez, Clara J. Mitchinson, Erik R. Snell, Haley C. Bergstrom
{"title":"Effects of Different Isometric Exercise Modalities on Microvascular and Metabolic Function","authors":"Minyoung Kwak, Brian Benitez, Clara J. Mitchinson, Erik R. Snell, Haley C. Bergstrom","doi":"10.1111/micc.70031","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objective</h3>\n \n <p>This study compared near-infrared spectroscopy (NIRS)-derived microvascular function, muscle oxygenation (SmO<sub>2</sub>) dynamics, and fatigability during sustained isometric forearm flexion under two conditions: a rating of perceived exertion (RPE) level of 3 (RPE-Clamp) versus a constant torque (CT) matched to the torque produced during the first second of RPE-Clamp.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Thirteen healthy males (22.2 ± 4.7 year) completed both tasks on separate days. SmO<sub>2</sub> was measured during exercise, maximal voluntary isometric contractions (MVIC) were performed before and after exercise, and time to task failure (TTF) was recorded. Vascular occlusion tests (VOT) were used to assess microvascular function pre- and post-exercise.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>CT induced significantly greater performance fatigability than RPE-Clamp (<i>p</i> < 0.001), despite similar TTF (<i>p</i> = 0.171). SmO<sub>2</sub> significantly decreased during early (<i>p</i> = 0.001) and final (<i>p</i> = 0.028) phases of CT, while increasing during mid (<i>p</i> < 0.001) phases in RPE-Clamp. Post-VOT indicated a significantly reduced desaturation rate (slope 1; <i>p</i> < 0.001), a greater extent of tissue hypoxia (minimum SmO<sub>2</sub>; <i>p</i> = 0.003), and increased microvascular reactivity (slope 2; <i>p</i> = 0.021) than pre-VOT, with greater peak re-saturation (MaxSmO<sub>2</sub>; <i>p</i> = 0.010) observed in CT than RPE-Clamp.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Despite greater fatigability and desaturation in CT, both exercise modalities may enhance microvascular reactivity. Prolonged isometric exercise and subsequent hypoxic stress may contribute to a reduced desaturation rate post-exercise.</p>\n </section>\n </div>","PeriodicalId":18459,"journal":{"name":"Microcirculation","volume":"32 7","pages":""},"PeriodicalIF":2.0000,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Microcirculation","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/micc.70031","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"HEMATOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Objective
This study compared near-infrared spectroscopy (NIRS)-derived microvascular function, muscle oxygenation (SmO2) dynamics, and fatigability during sustained isometric forearm flexion under two conditions: a rating of perceived exertion (RPE) level of 3 (RPE-Clamp) versus a constant torque (CT) matched to the torque produced during the first second of RPE-Clamp.
Methods
Thirteen healthy males (22.2 ± 4.7 year) completed both tasks on separate days. SmO2 was measured during exercise, maximal voluntary isometric contractions (MVIC) were performed before and after exercise, and time to task failure (TTF) was recorded. Vascular occlusion tests (VOT) were used to assess microvascular function pre- and post-exercise.
Results
CT induced significantly greater performance fatigability than RPE-Clamp (p < 0.001), despite similar TTF (p = 0.171). SmO2 significantly decreased during early (p = 0.001) and final (p = 0.028) phases of CT, while increasing during mid (p < 0.001) phases in RPE-Clamp. Post-VOT indicated a significantly reduced desaturation rate (slope 1; p < 0.001), a greater extent of tissue hypoxia (minimum SmO2; p = 0.003), and increased microvascular reactivity (slope 2; p = 0.021) than pre-VOT, with greater peak re-saturation (MaxSmO2; p = 0.010) observed in CT than RPE-Clamp.
Conclusions
Despite greater fatigability and desaturation in CT, both exercise modalities may enhance microvascular reactivity. Prolonged isometric exercise and subsequent hypoxic stress may contribute to a reduced desaturation rate post-exercise.
期刊介绍:
The journal features original contributions that are the result of investigations contributing significant new information relating to the vascular and lymphatic microcirculation addressed at the intact animal, organ, cellular, or molecular level. Papers describe applications of the methods of physiology, biophysics, bioengineering, genetics, cell biology, biochemistry, and molecular biology to problems in microcirculation.
Microcirculation also publishes state-of-the-art reviews that address frontier areas or new advances in technology in the fields of microcirculatory disease and function. Specific areas of interest include: Angiogenesis, growth and remodeling; Transport and exchange of gasses and solutes; Rheology and biorheology; Endothelial cell biology and metabolism; Interactions between endothelium, smooth muscle, parenchymal cells, leukocytes and platelets; Regulation of vasomotor tone; and Microvascular structures, imaging and morphometry. Papers also describe innovations in experimental techniques and instrumentation for studying all aspects of microcirculatory structure and function.