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- Eiken, Ola, et al.
(author)
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Adaptation to 5 weeks of intermittent local vascular pressure increments; Mechanisms to be considered in the development of primary hypertension?
- 2021
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In: American Journal of Physiology. Heart and Circulatory Physiology. - : American Physiological Society. - 0363-6135 .- 1522-1539. ; 320:4, s. H1303-H1312
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Journal article (peer-reviewed)abstract
- The aims were to study effects of iterative exposures to moderate elevations of local intravascular pressure on arterial/arteriolar stiffness and plasma levels of vasoactive substances. Pressures in the vasculature of an arm were increased by 150mmHg in healthy men (n = 11) before and after a 5-wk regimen, during which the vasculature in one arm was exposed to fifteen 40-min sessions of moderately increased transmural pressure (+65 to +105 mmHg). This vascular pressure training and the pressuredistension determinations were conducted by exposing the subjects' arm versus remaining part of the body to differential ambient pressure. During the pressure-distension determinations, venous samples were simultaneously obtained from pressurized and unpressurized vessels. Pressure training reduced arterial pressure distension by 40 ± 23% and pressure-induced flow by 33 ± 30% (P < 0.01), but only in the pressure-trained arm, suggesting local adaptive mechanisms. The distending pressure-diameter and distending pressure-flow curves, with training-induced increments in pressure thresholds and reductions in response gains, suggest that the increased precapillary stiffness was attributable to increased contractility and structural remodeling of the walls. Acute vascular pressure provocation induced local release of angiotensin-II (ANG II) and endothelin-1 (ET-1) (P < 0.05), suggesting that these vasoconstrictors limited the pressure distension. Pressure training increased basal levels of ET-1 and induced local pressure release of matrix metalloproteinase 7 (P < 0.05), suggesting involvement of these substances in vascular remodeling. The findings are compatible with the notion that local intravascular pressure load acts as a prime mover in the development of primary hypertension.
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| 2. |
- Sjöberg, Maria
(author)
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Biomechanical analyses of flywheel resistance exercise : From a space- and ground-based perspective
- 2020
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Doctoral thesis (other academic/artistic)abstract
- Astronauts suffer degradation of postural muscles and weight-bearing bones during long-duration spaceflight. Resistance exercise is used as a primary countermeasure against these degradations. However, it has proven difficult to predict appropriate exercise loads, and the countermeasure regimens in current use are not fully preventing bone and muscle loss. It is likely that gravity-independent exercise devices, based on flywheel inertial resistance, will be implemented in future musculoskeletal countermeasure regimens.In this thesis, biomechanical analyses of external and internal exercise loads during flywheel leg resistance exercises, were performed through experimental data collection and musculoskeletal modelling. The thesis is based on four separate studies with the collective aim to provide knowledge that can be implemented when designing flywheel-based strength-training regimens to be used both in terrestrial settings and as countermeasures against musculoskeletal deconditioning in weightlessness.The first study analyzed computed joint kinematics and kinetics, and relative muscle forces in the lower limb during maximal effort flywheel leg press (FWLP) and flywheel squat (FWS) exercises. Results showed that total exercise load was slightly higher during FWS than FWLP, whereas relative muscle force did not differ between the two exercises, suggesting that they may have similar strength training effects.The second study investigated the effect of gravity on internal joint load distribution during leg resistance exercise. This was done in two steps: 1) by comparing joint kinetics during FWLP and FWS at a given submaximal exercise load (80% of the isometric maximum load in FWLP), and 2) by simulating both FWLP and FWS in zero gravity and studying changes in joint loads. The first step revealed greater hip extension moment and lumbar joint-contact forces in FWLP than in FWS, indicating a notable effect of the direction of motion relative to the gravity vector, on body load distribution. Step two showed similar, or lower, joint loads in FWLP when gravity was removed, whereas in FWS, removal of gravity resulted in increased hip extension moment and lumbar force. Collectively, the results suggest that FWLP is a better ground-based analogue than FWS for leg-resistance exercise in space.The third study examined the accuracy of a pressure insole system regarding measurements of centre of pressure and ground reaction force during resistance exercises. The results showed that insoles are capable of accurately measuring centre of pressure at loads higher than 250 N and that force measurements are accurate in exercises involving mainly vertical ground reaction forces, but appears to overestimate ground reaction force for exercises involving greater portions of shear force.The fourth study analyzed low-back loads during FWLP, FWS and barbell back squat. Lumbar compression forces were high and similar in the three exercises, suggesting that the flywheel exercises are capable of stimulating vertebral bone regeneration without inflicting risk of vertebral fractures. Muscle engagement in the investigated back extensors were lower in FWLP than in the other two exercises, although presumed high enough to counteract space-induced atrophy if implemented in countermeasure training regimens.
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