Journal of applied physiology最新文献

{"title":"Technological advances in elite sport: Should a line be drawn?","authors":"Brad W Wilkins, Michael J Joyner","doi":"10.1152/japplphysiol.00329.2024","DOIUrl":"10.1152/japplphysiol.00329.2024","url":null,"abstract":"","PeriodicalId":15160,"journal":{"name":"Journal of applied physiology","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141081683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Leg cycling efficiency is unaltered in healthy aging regardless of sex or training status.","authors":"Justin J Duong, Robert G Leija, Adam D Osmond, Jose A Arevalo, George A Brooks","doi":"10.1152/japplphysiol.00393.2024","DOIUrl":"10.1152/japplphysiol.00393.2024","url":null,"abstract":"<p><p>Muscular efficiency during exercise has been used to interrogate aspects of human muscle energetics, including mitochondrial coupling and biomechanical efficiencies. Typically, assessments of muscular efficiency have involved graded exercises. Results of previous studies have been interpreted to indicate a decline in exercise efficiency with aging owing to decreased mitochondrial function. However, discrepancies in variables such as exercise stage duration, cycling cadence, and treadmill walking mechanics may have affected interpretations of results. Furthermore, recent data from our lab examining the ATP to oxygen ratio (P:O) in mitochondrial preparations isolated from NIA mouse skeletal muscle showed no change with aging. Thus, we hypothesized that delta efficiency (Δ€) during steady-rate cycling exercise would not be altered in older healthy subjects compared with young counterparts regardless of biological sex or training status. Young (21-35 yr) and older (60-80 yr) men (<i>n</i> = 21) and women (<i>n</i> = 20) underwent continual, progressive leg cycle ergometer tests pedaling at 60 RPM for three stages (35, 60, 85 W) lasting 4 min. Δ€was calculated as: (Δ work accomplished/Δ energy expended). Overall, cycling efficiencies were not significantly different in older compared with young subjects. Similarly, trained subjects did not exhibit significantly different exercise efficiencies compared to untrained. Moreover, there were no differences between men and women. Hence, our results obtained on healthy young and older subjects are interpreted to mean that previous reports of decreased efficiency in older individuals were attributable to metabolic or biomechanical comorbidities, not aging per se.<b>NEW & NOTEWORTHY</b> Muscular power is reduced, but the efficiency of movement is unaltered in healthy aging.</p>","PeriodicalId":15160,"journal":{"name":"Journal of applied physiology","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141874955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acute effects of local vibration inducing tonic vibration reflex or illusion of movement on maximal wrist force production.","authors":"Nicolas Amiez, Pierre Géhin, Alain Martin, Christos Paizis","doi":"10.1152/japplphysiol.00192.2024","DOIUrl":"10.1152/japplphysiol.00192.2024","url":null,"abstract":"<p><p>Local vibration (LV) mainly stimulates primary afferents (Ia) and can induce a tonic vibration reflex (TVR) and an illusion of movement. This study aimed to evaluate the effect of these two phenomena on maximal voluntary isometric contraction (MVIC) capacity. LV (80 Hz) was applied to the wrist flexor muscles in two randomized experiments for 6 min. LV conditions were adjusted to promote either TVR (visual focus on the vibrated wrist) or ILLUSION [hand hidden, visual focus on electromyographic activity of the flexor carpi radialis muscle (FCR)]. Mechanical and electromyographic (EMG) responses of the FCR and extensor carpi radialis muscles were recorded during MVIC in flexion and extension and during electrically evoked contractions at supramaximal intensity. Measurements were performed before (10 min and just before) and after (0 and 30 min) LV protocol. An increase in FCR EMG was observed during LV in the TVR condition (+340%) compared with the illusion condition (<i>P</i> = 0.003). In contrast, the movement illusion was greater in the ILLUSION condition (assessed through subjective scales) (<i>P</i> = 0.004). MVIC was reduced in flexion only after the TVR condition ([Formula: see text], all <i>P</i> < 0.034). Moreover, the decrease in force was correlated with the amount of TVR recorded on the FCR muscle (<i>r</i> = -0.64, <i>P</i> = 0.005). Although potentiated doublets of each muscle did not evolve differently between conditions, a decrease was observed between the first and the last measure. In conclusion, when conducting research to assess maximal strength, it is necessary to have better control and reporting of the phenomena induced during LV.<b>NEW & NOTEWORTHY</b> The maximal force production of the vibrated muscle is reduced after 6 min of LV only in TVR condition. Furthermore, the amount of TVR is negatively correlated with this force decrease. When measuring the effects of LV on maximal force production, it is important to control and report any phenomena induced during vibration, such as TVR or movement illusion, which can be achieved by recording EMG activity of vibrated muscle and quantifying illusion.</p>","PeriodicalId":15160,"journal":{"name":"Journal of applied physiology","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141906643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of analysis strategies to assess sex differences in microvascular reperfusion using near-infrared spectroscopy.","authors":"Rian Q Landers-Ramos, Kevin K McCully, Nicolas D Knuth","doi":"10.1152/japplphysiol.00203.2024","DOIUrl":"10.1152/japplphysiol.00203.2024","url":null,"abstract":"<p><p>The near-infrared spectroscopy (NIRS) vascular occlusion test (VOT) assesses microvascular reperfusion. Two strategies have been used to quantify reperfusion following reactive hyperemia, but it is unclear whether both yield similar results when comparing biological sex. This study aimed to determine whether sex differences in NIRS-based microvascular reperfusion are similarly apparent using the 10-s reactive hyperemia slope of the tissue saturation index (StO₂) signal (slope 2) and the halftime to maximal reperfusion (T ½). Healthy, recreationally active males (<i>n</i> = 31) and females (<i>n</i> = 31) between 18 and 82 years took part in this study. A NIRS VOT was performed on the tibialis anterior muscle, and reperfusion was quantified using slope 2 (% s^-1) and T ½ (s). Adipose tissue thickness (ATT) was higher in females (<i>P</i> = 0.009), which was associated with a lower StO₂ (<i>P</i> = 0.001) and oxygenated hemoglobin (O₂Hb) (<i>P</i> = 0.05) signal range. The StO₂ slope 2 was significantly steeper in males versus females (<i>P</i> = 0.001) but not after correcting for ATT (<i>P</i> = 0.295). There were no sex differences in StO₂ T ½ (<i>P</i> = 0.067) or O₂Hb T ½ (<i>P</i> = 0.197). In a subset of males (<i>n</i> = 26) and females (<i>n</i> = 21) with similar ATT, there were no sex differences in StO₂ slope 2 (<i>P</i> = 0.068), StO₂ T ½ (<i>P</i> = 0.491), or O₂Hb T ½ (<i>P</i> = 0.899). An ATT-corrected StO₂ slope 2 or the T ½ approach is recommended for analysis of NIRS-based microvascular reperfusion when differences in ATT are present between sexes.<b>NEW & NOTEWORTHY</b> Sex differences in near-infrared spectroscopy (NIRS)-based microvascular reperfusion have been previously reported. We found that greater adipose tissue thickness in females reduces kinetic measures of NIRS-based microvascular reperfusion. Sex differences are eliminated when performing an adipose tissue thickness correction, when the NIRS signal range is accounted for, or when adipose tissue thickness is similar between sexes. This highlights the importance of considering factors that affect NIRS signals, such as adipose tissue thickness, when drawing comparisons between groups.</p>","PeriodicalId":15160,"journal":{"name":"Journal of applied physiology","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141982300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Silence of the lungs: comparing measures of slow and noncommunicating lung units from pulmonary function tests with computed tomography.","authors":"Christopher Short, Thomas Semple, Mary Abkir, Simon Padley, Mark Rosenthal, Paul McNally, Harm Tiddens, Daan Caudri, Andrew Bush, Jane C Davies","doi":"10.1152/japplphysiol.00340.2024","DOIUrl":"10.1152/japplphysiol.00340.2024","url":null,"abstract":"<p><p>Multiple breath washout (MBW) has successfully assessed the silent lung zone particularly in cystic fibrosis lung disease, however, it is limited to the communicating lung only. There are a number of different pulmonary function methods that can assess what is commonly referred to as trapped air, with varying approaches and sensitivity. Twenty-five people with cystic fibrosis (pwCF) underwent MBW, spirometry, body plethysmography, and spirometry-controlled computed tomography (spiro-CT) on the same day. PwCF also performed extensions to MBW that evaluate air trapping, including our novel extension (MBW_ShX), which reveals the extent of underventilated lung units (UVLU). In addition, we used two previously established 5-breath methods that provide a volume of trapped gas (VTG). We used trapped air % from spiro-CT as the gold standard for comparison. UVLU derived from MBW_ShX showed the best agreement with trapped air %, both in terms of correlation (<i>R</i>_S 0.89, <i>P</i> < 0.0001) and sensitivity (79%). Bland-Altman analysis demonstrated a significant underestimation of the VTG by both 5-breath methods (-249 mL [95% CI -10,796; 580 mL] and -203 mL [95% CI -997; 591 mL], respectively). Parameters from both spirometry and body plethysmography were suboptimal at assessing this pathophysiology. The parameters from MBW_ShX demonstrated the best relationship with spiro-CT and had the best sensitivity compared with the other pulmonary function methods assessed in this study. MBW_ShX shows promise to assess and monitor this critical pathophysiological feature, which has been shown to be a driver of lung disease progression in pwCF.<b>NEW & NOTEWORTHY</b> We consider the term \"trapped air\" either in the use of imaging or pulmonary function testing, something of a misnomer that can lead to an inaccurate assessment of an important physiological feature. Instead, we propose the term underventilated lung units (UVLU). Of the many pulmonary function methods we used in this study, we found that the use of multiple breath washout with short extension (MBW_ShX) to be the best nonimaging method.</p>","PeriodicalId":15160,"journal":{"name":"Journal of applied physiology","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141906646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of single- and bilateral limb immersion on systemic and cerebral hemodynamic responses to the cold pressor test.","authors":"Elric Y Allison, Yixue Mei, Geoff B Coombs, Vanessa Mizzi, Huseyn Ismayilov, Baraa K Al-Khazraji","doi":"10.1152/japplphysiol.00328.2024","DOIUrl":"10.1152/japplphysiol.00328.2024","url":null,"abstract":"&lt;p&gt;&lt;p&gt;The cold pressor test (CPT) involves cold water immersion of either the upper or lower limb(s) and elicits increases in sympathetic nervous activity (SNA), heart rate (HR), and mean arterial pressure (MAP) via stimulation of pain and cutaneous thermoreceptors. Greater pain perception during the CPT is associated with greater increases in SNA and more robust physiological responses. Due to potential differential sensitivity to both painful and thermal stimuli between upper and lower limbs, as well as potential effects of total exposure area, it is unclear whether the choice of limb(s) in CPT protocol design differentially affects systemic and cerebral hemodynamic responses. Our objective was to assess systemic and cerebral hemodynamic and ventilatory responses to different CPT protocols of the hand (CPT&lt;sub&gt;H&lt;/sub&gt;), foot (CPT&lt;sub&gt;F&lt;/sub&gt;), or bilateral feet (CPT&lt;sub&gt;BF&lt;/sub&gt;). We hypothesized CPT&lt;sub&gt;BF&lt;/sub&gt; would elicit greatest physiological responses due to increased exposure area to the cold stimulus. Twenty-eight (14 M, 14 F) healthy young adults [23.4 (SD: 2.4) yr] participated in three 3-min CPT protocols during a single visit. Blood pressure, HR, middle cerebral artery blood velocity (MCAv) and cerebrovascular conductance index, and end-tidal carbon dioxide ([Formula: see text]) were averaged over the final 30 s of each minute of the CPT for each protocol, and perceived pain was recorded at the end of each minute of the CPT. We found significant effects of the time-CPT protocol interaction on systolic blood pressure (&lt;i&gt;P&lt;/i&gt; = 0.02), diastolic blood pressure (&lt;i&gt;P&lt;/i&gt; &lt; 0.01), MAP (&lt;i&gt;P&lt;/i&gt; &lt; 0.01), and HR (&lt;i&gt;P&lt;/i&gt; &lt; 0.001). There were no differences between CPT protocols on either MCAv (&lt;i&gt;P&lt;/i&gt; = 0.4) or cerebrovascular conductance index (&lt;i&gt;P&lt;/i&gt; = 0.1). HR responses peaked in the first minute of the CPT, and changes from baseline were greater in CPT&lt;sub&gt;BF&lt;/sub&gt; [Δ14(16) beats/min] compared with CPT&lt;sub&gt;H&lt;/sub&gt; [Δ5(13) beats/min; &lt;i&gt;P&lt;/i&gt; = 0.01] and CPT&lt;sub&gt;F&lt;/sub&gt; [Δ4.04(13.3) beats/min; &lt;i&gt;P&lt;/i&gt; = 0.02]. MAP responses peaked in &lt;i&gt;minute 2&lt;/i&gt; of the CPT, and changes from baseline were greater in CPT&lt;sub&gt;H&lt;/sub&gt; [Δ12(8) mmHg) and CPT&lt;sub&gt;BF&lt;/sub&gt; (Δ13(9) mmHg] compared with CPT&lt;sub&gt;F&lt;/sub&gt; [Δ8(7) mmHg; &lt;i&gt;P&lt;/i&gt; &lt; 0.01]. Perceived pain was significantly greater in the CPT&lt;sub&gt;BF&lt;/sub&gt; [CPT1 7(2.3), CPT2 6.5(2.3), CPT3 6(3)] condition compared with CPT&lt;sub&gt;H&lt;/sub&gt; [CPT1 6(1.3), CPT2 6(2.3), CPT3 6(2.3)] and CPT&lt;sub&gt;F&lt;/sub&gt; [CPT1 6(3.0), CPT2 6(2.0), CPT3 5.5(3.0)] protocols at all three stages of the CPT (&lt;i&gt;P&lt;/i&gt; ≤ 0.01). Our findings suggest choice of limb(s) in CPT protocols may lead to differences in systemic hemodynamic responses, with pain perception potentially influencing these responses. Based on our results, we suggest that choice of limb should be considered in future design of CPT studies, with hand CPT providing the best balance between participant tolerability and robust physiological responses.&lt;b&gt;NEW & NOTEWOR","PeriodicalId":15160,"journal":{"name":"Journal of applied physiology","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141874954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Muscle and tendon morphology of a world strongman and deadlift champion.","authors":"Thomas G Balshaw, Garry J Massey, Robert Miller, Emmet J McDermott, Thomas M Maden-Wilkinson, Jonathan P Folland","doi":"10.1152/japplphysiol.00342.2024","DOIUrl":"10.1152/japplphysiol.00342.2024","url":null,"abstract":"<p><p>This study compared the muscle and tendon morphology of an extraordinarily strong individual, a World's Strongest Man and deadlift champion (WSM), with that of various other athletic, trained, and untrained populations. The WSM completed the following: <i>1</i>) 3.0-T MRI scans, to determine the volume of 22 individual lower limb muscles, 5 functional muscle groups, patellar tendon (PT) cross-sectional area (CSA), and PT moment arm; and <i>2</i>) countermovement jumps (CMJ) and isometric midthigh pull (IMTP) contractions. The WSM was compared with previously assessed groups from our laboratory (muscle and tendon) and the wider research literature (CMJ and IMTP). The WSM's CMJ peak power (9,866 W) and gross (9,171 N) and net (7,480 N) IMTP peak forces were higher than any previously published values. The WSM's overall measured leg muscle volume was approximately twice that of untrained controls (+96%) but with pronounced anatomical variability in the extent of muscular development. The plantar flexor group (+120%) and the guy rope muscles (sartorius, gracilis, and semitendinosus: +140% to +202%), which stabilize the pelvis and femur, demonstrated the largest differences relative to that of untrained controls. The WSM's pronounced quadriceps size (greater than or equal to twofold vs. untrained) was accompanied by modest PT moment arm differences and, notably, was not matched by an equivalent difference in PT CSA (+30%). These results provide novel insight into the musculotendinous characteristics of an extraordinarily strong individual, which may be toward the upper limit of human variation, such that the WSM's very pronounced lower limb muscularity also exhibited distinct anatomical variability and with muscle size largely uncoupled from tendon size.<b>NEW & NOTEWORTHY</b> Lower-body muscle size of an extraordinarily strong individual, a World's Strongest Man and deadlift champion (WSM), was approximately twice that of controls but was underpinned by pronounced anatomical variability in the extent of muscular development (+23-202%): the plantar flexor group and guy rope muscles demonstrating the largest differences. The WSM's quadriceps size (more than or equal to twice that of controls) contrasted with modest differences in patella tendon moment arm (+18%) and was uncoupled from patellar tendon size (+30%).</p>","PeriodicalId":15160,"journal":{"name":"Journal of applied physiology","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141982302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neuroplastic alterations in common synaptic inputs and synergistic motor unit clusters controlling the vastii muscles of individuals with ACL reconstruction.","authors":"Stefano Nuccio, Carina M Germer, Andrea Casolo, Riccardo Borzuola, Luciana Labanca, Jacopo E Rocchi, Pier Paolo Mariani, Francesco Felici, Dario Farina, Deborah Falla, Andrea Macaluso, Paola Sbriccoli, Alessandro Del Vecchio","doi":"10.1152/japplphysiol.00056.2024","DOIUrl":"10.1152/japplphysiol.00056.2024","url":null,"abstract":"<p><p>This cross-sectional study aims to elucidate the neural mechanisms underlying the control of knee extension forces in individuals with anterior cruciate ligament reconstruction (ACLR). Eleven soccer players with ACLR and nine control players performed unilateral isometric knee extensions at 10% and 30% of their maximum voluntary force (MVF). Simultaneous recordings of high-density surface electromyography (HDEMG) and force output were conducted for each lower limb, and HDEMG data from the vastus lateralis (VL) and vastus medialis (VM) muscles were decomposed into individual motor unit spike trains. Force steadiness was estimated using the coefficient of variation of force. An intramuscular coherence analysis was adopted to estimate the common synaptic input (CSI) converging to each muscle. A factor analysis was applied to investigate the neural strategies underlying the control of synergistic motor neuron clusters, referred to as motor unit modes. Force steadiness was similar between lower limbs. However, motor neurons innervating the VL on the reconstructed side received a lower proportion of CSI at low-frequency bandwidths (<5 Hz) compared with the unaffected lower limbs (<i>P</i> < 0.01). Furthermore, the reconstructed side demonstrated a higher proportion of motor units associated with the neural input common to the synergistic muscle, as compared with the unaffected lower limbs (<i>P</i> < 0.01). These findings indicate that the VL muscle of reconstructed lower limbs contribute marginally to force steadiness and that a plastic rearrangement in synergistic clusters of motor units involved in the control of knee extension forces is evident following ACLR.<b>NEW & NOTEWORTHY</b> Chronic quadriceps dysfunction is common after anterior cruciate ligament reconstruction (ACLR). We investigated voluntary force control strategies by estimating common inputs to motor neurons innervating the vastii muscles. Our results showed attenuated common inputs to the vastus lateralis and plastic rearrangements in functional clusters of motor neurons modulating knee extension forces in the reconstructed limb. These findings suggest neuroplastic adjustments following ACLR that may occur to fine-tune the control of quadriceps forces.</p>","PeriodicalId":15160,"journal":{"name":"Journal of applied physiology","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141723703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patients with amnestic mild cognitive impairment have higher cerebrovascular impedance than cognitively normal older adults.","authors":"Jun Sugawara, Takashi Tarumi, Tsubasa Tomoto, Evan Pasha, C Munro Cullum, Rong Zhang","doi":"10.1152/japplphysiol.00337.2024","DOIUrl":"10.1152/japplphysiol.00337.2024","url":null,"abstract":"<p><p>Brain hypoperfusion is associated with cognitive impairment. Higher cerebrovascular impedance modulus (Z) may contribute to brain hypoperfusion. We tested hypotheses that patients with amnestic mild cognitive impairment (aMCI) (i.e., those who have a high risk of developing Alzheimer's disease) have higher Z than age-matched cognitively normal individuals, and that high Z is correlated with brain hypoperfusion. Fifty-eight patients with aMCI (67 ± 7 yr) and 25 cognitively normal subjects (CN, 65 ± 6 yr) underwent simultaneous measurements of carotid artery pressure (CAP, via applanation tonometry) and middle cerebral arterial blood velocity (CBV, via transcranial Doppler). Z was quantified using cross-spectral and transfer function analyses between dynamic changes in CBV and CAP. Patients with aMCI exhibited higher Z than NC (1.18 ± 0.34 vs. 1.01 ± 0.35 mmHg/cm/s, <i>P</i> = 0.044) in the frequency range from 0.78 to 4.29 Hz. The averaged Z in the frequency range (0.78-3.13 Hz) of high coherence (>0.9) was inversely correlated with total cerebral blood flow measured with 2-D Doppler ultrasonography normalized by the brain tissue mass (via structural MRI) across both patients with aMCI and NC (<i>r</i> = -0.311, <i>P</i> = 0.007), and in patients with aMCI alone (<i>r</i> = -0.306, <i>P</i> = 0.007). Our findings suggest that patients with aMCI have higher cerebrovascular impedance than cognitively normal older adults and that increased cerebrovascular impedance is associated with brain hypoperfusion.<b>NEW & NOTEWORTHY</b> This is the first study to compare cerebrovascular impedance between patients with amnestic mild cognitive impairment (aMCI) and age-matched cognitively normal individuals. Patients with aMCI had higher cerebrovascular impedance modulus than age-matched cognitively normal individuals, which was correlated with brain hypoperfusion. These results suggest the presence of cerebrovascular dysfunction in the dynamic regulation of cerebral blood flow in older adults who have high risks of Alzheimer's disease.</p>","PeriodicalId":15160,"journal":{"name":"Journal of applied physiology","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141906645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Skin heating during simulated hemorrhage lowers arterial blood pressure but not tolerance following exercise in a cold environment.","authors":"Phillip Tracy, Joel Hill, Jai Liester, Kevin Sullivan, James Pearson","doi":"10.1152/japplphysiol.00560.2024","DOIUrl":"https://doi.org/10.1152/japplphysiol.00560.2024","url":null,"abstract":"<p><p>Skin heating helps avoid hypothermia in trauma victims but may influence systolic (SBP) and mean arterial blood pressures (MAP) helping guide resuscitation. We examined the effect of skin heating upon tolerance and arterial blood pressure during lower body negative pressure (LBNP) across four trials. Nine participants completed 15 exercise intervals (60 sec 88% PPO and 60 sec 10% PPO) in a cold environment (0°C, 70% RH) lowering mean skin temperature (Tsk) before undergoing LBNP to pre syncope where Tsk remained low (Cold Trial: 27.6 ± 1.1°C) or was increased via water perfused suit sixty seconds into LBNP to 32.3 ± 0.7°C (Normothermic Trial), 34.8 ± 0.4°C (Warm Trial) or 36.1 ± 0.8°C (Hot Trial). Tsk was different between trials (P = 0.001). Core temperature was not different between trials, increasing with exercise (36.9 ± 0.3°C to: 37.9 ± 0.4°C) and remaining elevated during LBNP (37.7 ± 0.4°C). During LBNP, MAP was greatest in the Cold (88 ± 7 mmHg) and relatively lowered in Normothermic (83 ± 5mmHg), Warm (82 ± 5mmHg) and Hot Trials (79 ± 7mmHg, all P ≤ 0.017 vs. Cold). SBP was greatest in Cold (111 ± 9mmHg) and Normothermic trials (110 ± 10mmHg) and relatively lowered in Warm (105 ± 7mmHg) and Hot trials (103 ± 11mmHg, both P ≤ 0.037). LBNP tolerance was not different between trials (P = 0.746). Following exercise in a cold environment, skin heating during simulated hemorrhage lowers arterial blood pressures and has implications for prehospital care of trauma victims.</p>","PeriodicalId":15160,"journal":{"name":"Journal of applied physiology","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142287958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}