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Departments of 1 Physical Therapy and 2 Radiology, and the 3 Moss Heart Center, University of Texas Southwestern Medical Center, Dallas, Texas 75235-8876
The purpose of
this investigation was to determine whether there were differences in
the magnitude of insular cortex activation across varying intensities
of static and dynamic exercise. Eighteen healthy
volunteers were studied: eight during two intensities of leg cycling
and ten at different time periods during sustained static handgrip at
25% maximal voluntary contraction or postexercise cuff occlusion.
Heart rate, blood pressure (BP), perceived exertion, and regional
cerebral blood flow (rCBF) distribution data were collected. There were
significantly greater increases in insular rCBF during lower (6.3 ± 1.7%; P < 0.05) and higher (13.3 ± 3.8%; P < 0.05) intensity
cycling and across time during static handgrip (change from rest for
right insula at 2-3 min, 3.8 ± 1.1%,
P < 0.05; and at 4-5 min, 8.6 ± 2.8%, P < 0.05).
Insular rCBF was decreased during postexercise cuff occlusion
(
5.5 ± 1.2%; P < 0.05)
with BP sustained at exercise levels. Right insular rCBF data, but not
left, were significantly related, with individual BP changes
(r2 = 0.80;
P < 0.001) and with
ratings of perceived exertion
(r2 = 0.79;
P < 0.01) during exercise.
These results suggest that the magnitude of insular activation varies
with the intensity of exercise, which may be further related to the
level of perceived effort or central command.
human; brain; single-photon emission-computed tomography; magnetic resonance imaging; autonomic nervous system
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