Cardiorespiratory factors related to the increase in oxygen consumption during exercise in individuals with stroke


Autoři: Kazuaki Oyake aff001;  Yasuto Baba aff002;  Nao Ito aff002;  Yuki Suda aff002;  Jun Murayama aff002;  Ayumi Mochida aff002;  Kunitsugu Kondo aff002;  Yohei Otaka aff002;  Kimito Momose aff001
Působiště autorů: Department of Physical Therapy, School of Health Sciences, Shinshu University, Matsumoto, Nagano, Japan aff001;  Department of Rehabilitation Medicine, Tokyo Bay Rehabilitation Hospital, Narashino, Chiba, Japan aff002;  Department of Rehabilitation Medicine I, School of Medicine, Fujita Health University, Toyoake, Aichi, Japan aff003
Vyšlo v časopise: PLoS ONE 14(10)
Kategorie: Research Article
doi: 10.1371/journal.pone.0217453

Souhrn

Background

Understanding the cardiorespiratory factors related to the increase in oxygen consumption (V˙O2) during exercise is essential for improving cardiorespiratory fitness in individuals with stroke. However, cardiorespiratory factors related to the increase in V˙O2 during exercise in these individuals have not been examined using multivariate analysis. This study aimed to identify cardiorespiratory factors related to the increase in V˙O2 during a graded exercise in terms of respiratory function, cardiac function, and the ability of skeletal muscles to extract oxygen.

Methods

Eighteen individuals with stroke (aged 60.1 ± 9.4 years, 67.1 ± 30.8 days poststroke) underwent a graded exercise test for the assessment of cardiorespiratory response to exercise. The increases in V˙O2 from rest to first threshold and that from rest to peak exercise were measured as a dependent variable. The increases in respiratory rate, tidal volume, minute ventilation, heart rate, stroke volume, cardiac output, and arterial-venous oxygen difference from rest to first threshold and those from rest to peak exercise were measured as the independent variables.

Results

From rest to first threshold, the increases in arterial-venous oxygen difference (β = 0.711) and cardiac output (β = 0.572) were significant independent variables for the increase in V˙O2 (adjusted R2 = 0.877 p < 0.001). Similarly, from rest to peak exercise, the increases in arterial-venous oxygen difference (β = 0.665) and cardiac output (β = 0.636) were significant factors related to the increase in V˙O2 (adjusted R2 = 0.923, p < 0.001).

Conclusion

Our results suggest that the ability of skeletal muscle to extract oxygen is a major cardiorespiratory factor related to the increase in V˙O2 during exercise testing in individuals with stroke. For improved cardiorespiratory fitness in individuals with stroke, the amount of functional muscle mass during exercise may need to be increased.

Klíčová slova:

Cardiac output – Exercise – Heart rate – Oxygen – Respiration – Skeletal muscles – Stroke – Tidal volume


Zdroje

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