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Laboratoire de Physiologie, Faculté de Médecine de
Nancy, 54505 Vand
uvre lès Nancy, France
The aim of this study was to identify
some of the mechanisms that could be involved in blunted ventilatory
response (
E) to exercise in the supine (S) position.
The contribution of the recruitment of different muscle groups, the
activity of the cardiac mechanoreceptors, the level of arterial
baroreceptor stimulation, and the hemodynamic effects of gravity on the
exercising muscles was analyzed during upright (U) and S exercise.
Delayed rise in
E and pulmonary gas exchange
following an impulselike change in work rate (supramaximal leg cycling
at 240 W for 12 s) was measured in seven healthy subjects and six
heart transplant patients both in U and S positions. This approach
allows study of the relationship between the rise in
E and O2 uptake
(
O2) without the confounding effects of
contractions of different muscle groups. These responses were compared
with those triggered by an impulselike change in work rate produced by
the arms, which were positioned at the same level as the heart in S and
U positions to separate effects of gravity on postexercising muscles
from those on the rest of the body. Despite superimposable
O2 and CO2 output responses,
the delayed
E response after leg exercise was
significantly lower in the S posture than in the U position for each
control subject and cardiac-transplant patient (
2.58 ± 0.44 l
and
3.52 ± 1.11 l/min, respectively). In contrast, when
impulse exercise was performed with the arms, reduction of ventilatory
response in the S posture reached, at best, one-third of the deficit
after leg exercise and was always associated with a reduction in
O2 of a similar magnitude. We
concluded that reduction in
E response to exercise in the S position is independent of the types (groups) of muscles recruited and is not critically dependent on afferent signals originating from the heart but seems to rely on some of the effects of
gravity on postexercising muscles.
minute ventilation; supine; baroreflex; muscle afferent fibers; peripheral vascular distension
This article has been cited by other articles:
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P. Haouzi, B. Chenuel, and A. Huszczuk Sensing vascular distension in skeletal muscle by slow conducting afferent fibers: neurophysiological basis and implication for respiratory control J Appl Physiol, February 1, 2004; 96(2): 407 - 418. [Abstract] [Full Text] [PDF] |
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