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  • Laaksonen, Marko, 1975-, et al. (author)
  • Perfusion heterogeneity does not explain excess muscle oxygen uptake during variable intensity exercise
  • 2010
  • In: Clinical Physiology and Functional Imaging. - 1475-0961 .- 1475-097X. ; 30:4, s. 241-249
  • Journal article (peer-reviewed)abstract
    • The association between muscle oxygen uptake (VO2) and perfusion or perfusion heterogeneity (relative dispersion, RD) was studied in eight healthy male subjects during intermittent isometric (1 s on, 2 s off) one-legged knee-extension exercise at variable intensities using positron emission tomography and a-v blood sampling. Resistance during the first 6 min of exercise was 50% of maximal isometric voluntary contraction force (MVC) (HI-1), followed by 6 min at 10% MVC (LOW) and finishing with 6 min at 50% MVC (HI-2). Muscle perfusion and O2 delivery during HI-1 (26 ± 5 and 5·4 ± 1·0 ml 100 g−1 min−1) and HI-2 (28 ± 4 and 5·8 ± 0·7 ml 100 g−1 min−1) were similar, but both were higher (P<0·01) than during LOW (15 ± 3 and 3·0 ± 0·6 ml 100 g−1 min−1). Muscle VO2 was also higher during both HI workloads (HI-1 3·3 ± 0·4 and HI-2 4·1 ± 0·6 ml 100 g−1 min−1) than LOW (1·4 ± 0·4 ml 100 g−1 min−1; P<0·01) and 25% higher during HI-2 than HI-1 (P<0·05). O2 extraction was higher during HI workloads (HI-1 62 ± 7 and HI-2 70 ± 7%) than LOW (45 ± 8%; P<0·01). O2 extraction tended to be higher (P = 0·08) during HI-2 when compared to HI-1. Perfusion was less heterogeneous (P<0·05) during HI workloads when compared to LOW with no difference between HI workloads. Thus, during one-legged knee-extension exercise at variable intensities, skeletal muscle perfusion and O2 delivery are unchanged between high-intensity workloads, whereas muscle VO2 is increased during the second high-intensity workload. Perfusion heterogeneity cannot explain this discrepancy between O2 delivery and uptake. We propose that the excess muscle VO2 during the second high-intensity workload is derived from working muscle cells.
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2.
  • Laaksonen, Marko S, 1975-, et al. (author)
  • VO2peak, myocardial hypertrophy, and myocardial blood flow in endurance-trained men
  • 2014
  • In: Medicine and science in sports and exercise. - 1530-0315. ; 46:8, s. 1498-1505
  • Journal article (peer-reviewed)abstract
    • INTRODUCTION: Endurance training induces cardiovascular and metabolic adaptations, leading to enhanced endurance capacity and exercise performance. Previous human studies have shown contradictory results in functional myocardial vascular adaptations to exercise training, and we hypothesized that this may be related to different degrees of hypertrophy in the trained heart. METHODS: We studied the interrelationships between peak aerobic power (V̇O2peak), myocardial blood flow (MBF) at rest and during adenosine-induced vasodilation, and parameters of myocardial hypertrophy in endurance-trained (ET, n = 31) and untrained (n = 17) subjects. MBF and myocardial hypertrophy were studied using positron emission tomography and echocardiography, respectively. RESULTS: Both V̇O2peak (P < 0.001) and left ventricular (LV) mass index (P < 0.001) were higher in the ET group. Basal MBF was similar between the groups. MBF during adenosine was significantly lower in the ET group (2.88 ± 1.01 vs 3.64 ± 1.11 mLg-1min-1, P < 0.05) but not when the difference in LV mass was taken into account. V̇O2peak correlated negatively with adenosine-stimulated MBF, but when LV mass was taken into account as a partial correlate, this correlation disappeared. CONCLUSIONS: The present results show that increased LV mass in ET subjects explains the reduced hyperemic myocardial perfusion in this subject population and suggests that excessive LV hypertrophy has negative effect on cardiac blood flow capacity.
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