Hypoxic-induced resting ventilatory and circulatory responses under multistep hypoxia is related to decline in peak aerobic capacity in hypoxia

多步骤低氧条件下,低氧诱导的静息通气和循环反应与低氧条件下峰值有氧能力的下降有关。

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Abstract

BACKGROUND: Several factors have been shown to contribute to hypoxic-induced declined in aerobic capacity. In the present study, we investigated the effects of resting hypoxic ventilatory and cardiac responses (HVR and HCR) on hypoxic-induced declines in peak oxygen uptake ([Formula: see text]O(2peak)). METHODS: Peak oxygen uptakes was measured in normobaric normoxia (room air) and hypoxia (14.1% O(2)) for 10 young healthy men. The resting HVR and HCR were evaluated at multiple steps of hypoxia (1 h at each of 21, 18, 15 and 12% O(2)). Arterial desaturation (ΔSaO(2)) was calculate by the difference between SaO(2) at normoxia-at each level of hypoxia (%). HVR was calculate by differences in pulmonary ventilation between normoxia and each level of hypoxia against ΔSaO(2) (L min(-1) %(-1) kg(-1)). Similarly, HCR was calculated by differences in heart rate between normoxia and each level of hypoxia against ΔSaO(2) (beats min(-1) %(-1)). RESULTS: [Formula: see text]O(2peak) significantly decreased in hypoxia by 21% on average (P < 0.001). HVR was not associated with changes in [Formula: see text]O(2peak). ΔSaO(2) from normoxia to 18% or 15% O(2) and HCR between normoxia and 12% O(2) were associated with changes in [Formula: see text]O(2peak) (P < 0.05, respectively). The most optimal model using multiple linear regression analysis found that ΔHCR at 12% O(2) and ΔSaO(2) at 15% O(2) were explanatory variables (adjusted R(2) = 0.580, P = 0.02). CONCLUSION: These results suggest that arterial desaturation at moderate hypoxia and heart rate responses at severe hypoxia may account for hypoxic-induced declines in peak aerobic capacity, but ventilatory responses may be unrelated.

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