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Biomedical subjects

R Candau

Publications and source records attributed to R Candau.

At least 19 recordsLinked to original sources

Effect of inspiratory threshold loading on ventilatory kinetics during constant-load exercise.

Humoral factors play an important role in the control of exercise hyperpnea. The role of neuromechanical ventilatory factors, however, is still being investigated. We tested the hypothesis that the afferents of the thoracopulmonary system, and consequently of the neuromechanical ventilatory loop, have an influence on the kinetics of oxygen consumption (VO2), carbon dioxide output (VCO2), and ventilation (VE) during moderate intensity exercise. We did this by comparing the ventilatory time constants (tau) of exercise with and without an inspiratory load. Fourteen healthy, trained men (age 22.6 +/- 3.2 yr) performed a continuous incremental cycle exercise test to determine maximal oxygen uptake (VO2max = 55.2 +/- 5.8 ml x min(-1) x kg(-1)). On another day, after unloaded warm-up they performed randomized constant-load tests at 40% of their VO2max for 8 min, one with and the other without an inspiratory threshold load of 15 cmH2O. Ventilatory variables were obtained breath by breath. Phase 2 ventilatory kinetics (VO2, VCO2, and VE) could be described in all cases by a monoexponential function. The bootstrap method revealed small coefficients of variation for the model parameters, indicating an accurate determination for all parameters. Paired Student's t-tests showed that the addition of the inspiratory resistance significantly increased the tau during phase 2 of VO2 (43.1 +/- 8.6 vs. 60.9 +/- 14.1 s; P < 0.001), VCO2 (60.3 +/- 17.6 vs. 84.5 +/- 18.1 s; P < 0.001) and VE (59.4 +/- 16.1 vs. 85.9 +/- 17.1 s; P < 0.001). The average rise in tau was 41.3% for VO2, 40.1% for VCO2, and 44.6% for VE. The tau changes indicated that neuromechanical ventilatory factors play a role in the ventilatory response to moderate exercise.

Adult↗

Oxygen uptake kinetics during moderate and heavy intensity exercise in humans: the influence of hypoxia and training status.

This study examined the influence of moderate hypoxia on the oxygen uptake (V.O(2)) kinetic response (primary time constant and slow component amplitude) during moderate and heavy cycle exercise in twenty-seven male subjects with various training status. Nine endurance trained (21.5 +/- 2.6 yr), nine sprint trained (22.9 +/- 5.7 yr), and nine untrained controls (24.0 +/- 4.4 yr) completed incremental tests to exhaustion in normoxia (inspired gas concentration or FIO (2) = 21 % O(2)) and hypoxia (FIO (2) = 13 % O(2)) to establish the FIO (2)-specific ventilatory threshold (VT) and maximal VO(2). Subsequently, the subjects performed repeated constant work rate cycling exercises during 7 min at moderate intensity (80 % of FIO (2)-specific VT) and heavy intensity (midway between the FIO (2) specific VT and maximal VO(2)). Pulmonary gas exchange was measured breath-by-breath during all exercise sessions. For both moderate and heavy intensities, the time constant of the primary VO(2) component was significantly (p < 0.05) slowed by approximately 25 to 30 % in hypoxia compared to normoxia to the same extent in the three groups. Hypoxia produced a more important decrease in the amplitude of the slow component in endurance athletes (- 36 %) than in sprinters (- 30 %) and controls (- 12 %). These results suggest that both primary and slow components of VO(2) kinetics during the adjustment to moderate- and heavy-intensity exercise are sensitive to hypoxia while training status tended to modulate partly the slow component amplitude.

Adult↗

Effects of increased intensity of intermittent training in runners with differing VO2 kinetics.

The purpose of this study was to test the hypothesis that athletes having a slower oxygen uptake ( VO(2)) kinetics would benefit more, in terms of time spent near VO(2max), from an increase in the intensity of an intermittent running training (IT). After determination of VO(2max), vVO(2max) (i.e. the minimal velocity associated with VO(2max) in an incremental test) and the time to exhaustion sustained at vVO(2max) ( T(lim)), seven well-trained triathletes performed in random order two IT sessions. The two IT comprised 30-s work intervals at either 100% (IT(100%)) or 105% (IT(105%)) of vVO(2max) with 30-s recovery intervals at 50% of vVO(2max) between each repeat. The parameters of the VO(2) kinetics (td(1), tau(1), A(1), td(2), tau(2), A(2), i.e. time delay, time constant and amplitude of the primary phase and slow component, respectively) during the T(lim) test were modelled with two exponential functions. The highest VO(2) reached was significantly lower ( P<0.01) in IT(100%) run at 19.8 (0.9) km(.)h(-1) [66.2 (4.6) ml(.)min(-1.)kg(-1)] than in IT(105%) run at 20.8 (1.0) km(.)h(-1) [71.1 (4.9) ml(.)min(-1.)kg(-1)] or in the incremental test [71.2 (4.2) ml(.)min(-1.)kg(-1)]. The time sustained above 90% of VO(2max) in IT(105%) [338 (149) s] was significantly higher ( P<0.05) than in IT(100%) [168 (131) s]. The average T(lim) was 244 (39) s, tau(1) was 15.8 (5.9) s and td(2) was 96 (13) s. tau(1) was correlated with the difference in time spent above 90% of VO(2max) ( r=0.91; P<0.01) between IT(105%) and IT(100%). In conclusion, athletes with a slower VO(2) kinetics in a vVO(2max) constant-velocity test benefited more from the 5% rise of IT work intensity, exercising for longer above 90% of VO(2max) when the IT intensity was increased from 100 to 105% of vVO(2max).

Adaptation, Physiological↗

Addition of inspiratory resistance increases the amplitude of the slow component of O2 uptake kinetics.

The contribution of respiratory muscle work to the development of the O(2) consumption (Vo(2)) slow component is a point of controversy because it has been shown that the increased ventilation in hypoxia is not associated with a concomitant increase in Vo(2) slow component. The first purpose of this study was thus to test the hypothesis of a direct relationship between respiratory muscle work and Vo(2) slow component by manipulating inspiratory resistance. Because the conditions for a Vo(2) slow component specific to respiratory muscle can be reached during intense exercise, the second purpose was to determine whether respiratory muscles behave like limb muscles during heavy exercise. Ten trained subjects performed two 8-min constant-load heavy cycling exercises with and without a threshold valve in random order. Vo(2) was measured breath by breath by using a fast gas exchange analyzer, and the Vo(2) response was modeled after removal of the cardiodynamic phase by using two monoexponential functions. As anticipated, when total work was slightly increased with loaded inspiratory resistance, slight increases in base Vo(2), the primary phase amplitude, and peak Vo(2) were noted (14.2%, P < 0.01; 3.5%, P > 0.05; and 8.3%, P < 0.01, respectively). The bootstrap method revealed small coefficients of variation for the model parameter, including the slow-component amplitude and delay (15 and 19%, respectively), indicating an accurate determination for this critical parameter. The amplitude of the Vo(2) slow component displayed a 27% increase from 8.1 +/- 3.6 to 10.3 +/- 3.4 ml. min(-1). kg(-1) (P < 0.01) with the addition of inspiratory resistance. Taken together, this increase and the lack of any differences in minute volume and ventilatory parameters between the two experimental conditions suggest the occurrence of a Vo(2) slow component specific to the respiratory muscles in loaded condition.

Adult↗

At physiological temperatures the ATPase rates of shortening soleus and psoas myofibrils are similar.

We obtained the temperature dependences of the adenosine triphosphatase (ATPase) activities (calcium-activated and relaxed) of myofibrils from a slow muscle, which we compared with those from a fast muscle. We chose rabbit soleus and psoas because their myosin heavy chains are almost pure: isoforms I and IIX, respectively. The Arrhenius plots of the ATPases are linear (4-35 degrees C) with energies of activation for soleus myofibrils 155 kJ mol(-1) (activated) and 78 kJ mol(-1) (relaxed). With psoas myofibrils, the energies of activation were 71 kJ mol(-1) (activated) and 60 kJ mol(-1) (relaxed). When extrapolated to 42 degrees C the ATPase rates of the two types of myofibril were identical: 50 s(-1) (activated) and 0.23 s(-1) (relaxed). Whereas with psoas myofibrils the K(m) for adenosine triphosphate (activated ATPase) is relatively insensitive to temperature, that for soleus myofibrils increased from 0.3 microM at 4 degrees C to 66.5 microM at 35 degrees C. Our results illustrate the importance of temperature when comparing the mechanochemical coupling in different types of muscle. We discuss the problem of how to reconcile the similarity of the myofibrillar ATPase rates at physiological temperatures with their different mechanical properties.

Adenosine Triphosphatases↗

Validity and reliability of the Polar S710 mobile cycling powermeter.

The purpose of this study was to determine the validity and reliability of a new mobile bike-powermeter, Polar S710, in laboratory and field conditions, against the SRM crankset. Eight trained subjects performed in a random order six uphill cycling trials of 6-min duration at three different intensities (60 %, 75 % and 90 % of peak power output [PPO]). In addition, 44 other cyclists performed in the laboratory three cycling bouts each of 5-min duration at three different pedal cadences (60, 90 and 110 rpm) at the same absolute intensity (approximately 150 W). Bias between the two devices was correlated (r = 0.79) with the mean power in field conditions; with the S710 reading higher (p < 0.001) by 7.4 +/- 5.1 % than the SRM in the range of power studied. In other words, the mean differences between the two devices increased as the exercise intensity increased. The mean power output obtained with S710 was significantly higher (p < 0.001) by 6.8 +/- 7.9 W (bias x divided-by random error = 1.042 x divided-by 1.049) than the power obtained with SRM in laboratory conditions. Ninety-five percent of the differences of power measured with the S710 ranged between 21.4 W above to 8.3 W below the SRM in laboratory conditions. Mean differences between the two devices increased as the pedalling cadence increased (0.6 +/- 3.8 %, 4.4 +/- 3.7 % and 7.8 +/- 4.4 % at cadence of 60, 90 and 110 rpm respectively). Coefficients of variation in mean power across the four field-based trials at 75 % PPO was 2.2 % and 1.9 % for S710 and SRM, respectively. In conclusion, the S710 recorded power outputs higher than the SRM system in both field and laboratory conditions. Pedalling cadence and exercise intensity influenced differences in mean power. These characteristics make S710 a useful device for recreational cyclists but not for elite cyclists or scientists who require a greater accuracy and validity. However, the limits of the present study (short-term duration testing; single tested variables as intensity, posture, pedalling cadence) require further investigation for generalizing the present results to extensive use in "real world" cycling.

Bicycling↗

Alteration of neuromuscular function after a prolonged road cycling race.

The aim of this study was to characterize neuromuscular fatigue in knee extensor muscles after a prolonged cycling exercise. During the two days preceding a 140-km race (mean +/- SD duration: 278.2 +/- 24.9 min) and 15 to 30 min after, maximal percutaneous electrical stimulations were applied to the femoral nerve of 11 trained cyclists. Electrically evoked superimposed twitches and trains of 6 stimulations were delivered during isometric maximal voluntary contraction (MVC) to determine maximal voluntary activation (% VA). Knee extensors MVC decreased with fatigue from 158.2 +/- 29.6 to 144.2 +/- 30.0 Nm (p < 0.01), but no central activation failure was detected after the race. The average rate of twitch force development increased significantly from 414 +/- 106 to 466 +/- 102 N x m x s-1 (p < 0.05) and a tendency toward higher peak twitch tension (p = 0.052) was found in the fatigued state. Short tetanus at 20 Hz and 80 Hz were also applied to 4 cyclists, but these fused and unfused tetanic forces were not significantly modified with fatigue. From these results, it can be concluded that the small but significant isometric strength loss measured less than 30 min after the end of a long distance road cycling race is not due to central fatigue. It is also suggested that a raise in peak twitch tension is not necessarily associated with enhanced neuromuscular function.

Adult↗

Effects of drafting on energy expenditure in in-line skating.

AIM: The purpose of this study was to measure the effects of drafting on energy expenditure in in-line skating, and to investigate whether the "benefit of drafting", i.e. the decrease in energy expenditure, was different between two velocities and two distances separating the two skaters. METHODS: Eight recreational in-line skaters performed six exercises of 6 min, at 2 velocities (V(1) = 5.51+/-0.45 m x sec(-1); V(2) = 7.01+/-0.67 m x sec(-1)) in 3 conditions (ND = without drafting; D(1)=0.74-0.87 m "close"; D(2) = 1.19-1.36 m "far"). Collection of expired gas was carried out using a breath-by-breath portable gas analyser K4(b2) and the distance between the skaters was measured by video analysis. RESULTS: The skaters' energy expenditure was reduced in all drafting conditions; between D(1) and ND by 9.6+/-4.4% at V(1) and by 2.7+/-3.3% at V(2); between D(2) and ND by 8.8+/-6.0% at V(1) and by 4.2+/-4.8% at V(2). This reduction was significantly (p<0.05) more important at V(1) than V(2) and no differences were observed between D(1) and D(2). CONCLUSION: In in-line skating, the technical difficulties for drafting efficiently, especially while cornering, resulted in a reduced "benefit of drafting" at high velocity than in other sports. Moreover, the need for the subject to adjust their own cycle frequency to that of the lead skater while drafting "close" would explain partly that there were no significant differences between drafting at D(1) and D(2). These results suggest that the drafting technique should be emphasized in training, especially in non-skilled skaters at high velocities and when cornering.

Adult↗

Relationships between aerobic energy cost, performance and kinematic parameters in roller ski skating.

The aims of this study were to test the hypotheses that 1) the aerobic energy cost of roller ski skating (CS) is significantly related to level of performance and 2) a significant part of inter-individual differences of CS can be explained by kinematic parameters of skating locomotion. Oxygen uptake, kinematics of the knee and ankle joint, EMG of the vastus lateralis (VL) and gastrocnemius lateralis (GL) muscles, and roller ski velocity were recorded in 13 skiers who roller skied at 19.0 +/- 0.1 km x h(-1). CS was found to be 2.51 +/- 0.35 J x kg(-1) x m(-1) and significantly correlated with the skiers' level of performance (r = 0.61; p < 0.05). Significant relationships were found between CS and 1) knee angular amplitude (r = 0.75; p < 0.01) during the concentric phase, 2) VL average EMG during the concentric phase (r = 0.72; p < 0.01) and 3) VL and GL average EMG during the eccentric phase (p < 0.05). The results of this study showed that a significant part of performance could be explained by the aerobic energy cost of locomotion in skating. It can also be suggested that differences in upper/lower body utilization and/or in mechanical efficiency may explain the differences in CS.

Adult↗

Decrease in oxygen uptake at the end of a high-intensity submaximal running in humans.

The purpose of the present study was to examine oxygen consumption (VO(2) ) kinetics during severe-intensity running exercise through a four-phase model that considered a decrease in VO(2) at the end of the exercise in light of previous research in which this decrease was only noticed. After determination of maximal oxygen consumption VO(2) max), thirteen highly trained males performed a square-wave running to exhaustion at approximately 95 % of VO(2) max on a level treadmill. VO(2) and ventilatory gas exchange variables were determined breath-by-breath. Computerised non-linear regression techniques incorporating exponential and linear terms were used to describe VO(2) and ventilatory gas exchange variable responses. In contrast with the classical 3-component model that describes the increase in VO(2) for severe-intensity exercise, we observed a 4(th) phase characterised by a significant decrease in VO(2) before exhaustion (slope of VO(2)-time relationship significantly different from a zero value, p < 0.01) in 7 out of 13 subjects. Following a time delay of 31 +/- 44 s after the decrease in VO(2), a significant decrease of minute ventilation (V(E)) was present for 6 of the 7 subjects (p < 0.02). During the exercise for the subjects who decreased V(E), a reduction of 288 +/- 169 ml in tidal volume was associated with an increase of 10.2 +/- 2.4 min(-1) in breathing frequency. These data suggest that the respiratory system might be stressed more for some endurance-trained athletes. The specific link between reduced VO(2) and reduced V(E) remains to be explored.

Adolescent↗

Effects of salbutamol and caffeine ingestion on exercise metabolism and performance.

This study was designed to assess the effects of acute oral salbutamol and caffeine intake on performance and metabolism during short-term endurance exercise. Eight healthy volunteers participated in the double-blind placebo-controlled randomized cross-over study. Two 10 min cycling trials were performed at a power corresponding to 90 % VO 2 max for the first and a mock test for the second, separated by 10 min of passive recovery after ingestion of placebo (Pla), salbutamol (Sal, 6 mg) and caffeine (Caf, 250 mg). Performance (mean power during the mock test) was not statistically significant between the 3 treatments. Blood lactate was significantly increased after Sal compared to Pla at rest and until the end of the mock test whereas it appeared significantly increased after Caf compared to Pla at the end of the two exercises. Sal increased basal blood glucose and both Sal and Caf induced significant higher plasma insulin concentrations at rest, at the end of the mock test and during the recovery compared to Pla. No significant changes were found in these three variables between the Sal and the Caf treatments. Plasma growth hormone was significantly decreased after Sal after the mock test compared to the two other treatments. In conclusion, under the conditions of this study, neither oral salbutamol nor caffeine intake produce enhancement of short-term performance in non-specific trained subjects despite the substantial shifts in metabolic and hormonal parameters which were found.

Administration, Oral↗

Recovery kinetics of oxygen uptake following severe-intensity exercise in runners.

BACKGROUND: This investigation sought to characterise the oxygen uptake (VO2) off-transient kinetics from severe exercise and to clarify discrepancies between on- and off-transient kinetics for VO2 seen in humans. METHODS: Eleven competitive endurance athletes underwent treadmill running until exhaustion at work-rates corresponding to the speed that elicited approximately 95% of maximal VO2. Gas exchange variables were determined breath-by-breath. Computerised non-linear regression techniques were used to fit the VO2 on- and off-transient kinetics. A 3-exponential model described the VO2 on-transient. VO2 off-transient was analysed to each response time course using 3 different models: a single-exponential model for the entire period and 2 3-exponential models where exponential terms starting either together after a common time delay or after independent time delays. RESULTS: Both 3-exponential models provided an excellent fit (r2>0.90) to the off-transient data. Compared with on-transient, VO2 off-transient kinetics was associated with a slower primary phase (time constant: 16+/-4 vs 39+/-13 sec, p<0.01) but was similar both in time delay and amplitude. CONCLUSIONS: These data indicate that there is no general symmetry between the exercise and recovery kinetics for VO2 because the response of the primary phase of VO2 off-transient resolves to a greater time constant, reflecting altered tissue metabolism. However, the mechanism(s) for the slow component is slow both in developing and to recover within the severe exercise domain.

Adult↗

Is the VO2 slow component dependent on progressive recruitment of fast-twitch fibers in trained runners?

The goal of this study was to use spectral analysis of EMG data to test the hypothesis that the O2 uptake VO2) slow component is due to a recruitment of fast fibers. Thirteen runners carried out a treadmill test with a constant speed, corresponding to 95% of the velocity associated with maximal VO2. The VO2 response was fit with the classical model including three exponential functions. Electrical activity of six lower limb muscles (vastus lateralis, soleus, and gastrocnemius of both sides) was measured using electromyogram surface electrodes. Mean power frequency (MPF) was used to study the kinetics of the electromyogram discharge frequency. Three main results were observed: 1) a common pattern of the MPF kinetics in the six muscles studied was noted; 2) MPF decreased in the first part of the exercise, followed by an increase for all the muscles studied, but only the vastus lateralis, and gastrocnemius muscles of both sides increased significantly (P < 0.05); and 3) the beginning of the MPF increase of the four muscles mentioned above corresponded with the beginning of the slow component. Our results suggest a progression in the average frequency of the motor unit discharge toward the high frequencies, which coheres with the hypothesis of the progressive recruitment of fast-twitch fibers during the VO2 slow component. However, this interpretation must be taken with caution because MPF is the result of a balance between several phenomena.

Adolescent↗

Comparison of oxygen uptake kinetics during concentric and eccentric cycle exercise.

O2 uptake (VO2) kinetics and electromyographic (EMG) activity from the vastus medialis, rectus femoris, biceps femoris, and medial gastrocnemius muscles were studied during constant-load concentric and eccentric cycling. Six healthy men performed transitions from baseline to high-intensity eccentric (HE) exercise and to high-intensity (HC), moderate-intensity (MC), and low-intensity (LC) concentric exercise. For HE and HC exercise, absolute work rate was equivalent. For HE and LC exercise, VO2 was equivalent. VO2 data were fit by a two- or three-component exponential model. Surface EMG was recorded during the last 12 s of each minute of exercise to obtain integrated EMG and mean power frequency. Only in the HC exercise did VO2 increase progressively with evidence of a slow component (phase 3), and only in HC exercise was there evidence of a coincident increase with time in integrated EMG of the vastus medialis and rectus femoris muscles (P < 0.05) with no change in mean power frequency. The phase 2 time constant was slower in HC [24.0 +/- 1.7 (SE) s] than in HE (14.7 +/- 2.8 s) and LC (16.7 +/- 2.2 s) exercise, while it was not different from MC exercise (20.6 +/- 2.1 s). These results show that the rate of increase in VO2 at the onset of exercise was not different between HE and LC exercise, where the metabolic demand was similar, but both had significantly faster kinetics for VO2 than HC exercise. The VO2 slow component might be related to increased muscle activation, which is a function of metabolic demand and not absolute work rate.

Adult↗

Effects of marathon running on running economy and kinematics.

The present study was designed to investigate interactions between running economy and mechanics before, during, and after an individually run marathon. Seven experienced triathletes performed a 5-min submaximal running test on a treadmill at an individual constant marathon speed. Heart rate was monitored and the expired respiratory gas was analyzed. Blood samples were drawn to analyze serum creatine kinase activity (S-CK), skeletal troponin I (sTnI), and blood lactate (B-La). A video analysis was performed (200 frames x s(-1)) to investigate running mechanics. A kinematic arm was used to determine the external work of each subject. The results of the present study demonstrate that after the marathon, a standardized 5-min submaximal running test resulted in an increase in oxygen consumption, ventilation, and heart rate (P < 0.05), with a simultaneous decrease in the oxygen difference (%) between inspired and expired air, and respiratory exchange ratio (P < 0.05). B-La did not change during the marathon, while sTnI and S-CK values increased (P < 0.05), peaking 2 h and 2 days after the marathon, respectively. With regard to the running kinematics, a minor increase in stride frequency and a similar decrease in stride length were observed (P < 0.01). These results demonstrate clearly that weakened running economy cannot be explained by changes in running mechanics. Therefore, it is suggested that the increased physiological loading is due to several mechanisms: increased utilization of fat as an energy substrate, increased demands of body temperature regulation, and possible muscle damage.

Adult↗

Topiramate in the treatment of severe myoclonic epilepsy in infancy.

The aim of this study was to assess the effectiveness of topiramate (TPM) as an add-on regimen in reducing seizure rate in a population sample of patients diagnosed with severe myoclonic epilepsy in infancy (SME). Eighteen patients were evaluated. The mean observation time was 10.5 months (range, 6-18 months). Seizure frequency and type were recorded. Topiramate was administered as an add-on regimen at a starting dose of 1 mg kg(-1)and titrated to a maximum of 6-8 mg per kg per day. Different escalation rates were used, mainly weekly or fortnightly increments of dose. Three patients (16.6%) became seizure free, and 10 (55.6%) had a >50% reduction in seizure frequency: six of them (22.2%) achieved a reduction greater than 75%. Side-effects were observed in nine patients, eight with a weekly titration schedule and one with a fortnightly schedule. TPM is effective as adjunctive therapy for SME. Side-effects were mild and transient, generally related to rapid dosage titration.

Adolescent↗

Effects of acute ingestion of salbutamol during submaximal exercise.

To assess the eventual effects of acute oral salbutamol intake on performance and metabolism during submaximal exercise, nine healthy volunteers completed two cycling trials at a power corresponding to 80-85% VO2max, after either placebo (Pla) or salbutamol (Sal, 6 mg) treatment, according to a double-blind randomized protocol. Blood samples were collected both at rest and during exercise (5 min-, 10 min-, 15 min-exhaustion) for C-peptide, FFA, lactate and blood glucose measurements. Cycling performance was significantly improved in the Sal vs. Pla trials (p < 0.05). After Sal intake, resting C-peptide, lactate, FFA and blood glucose values were higher whereas exercise lactate and free fatty acid concentrations were greater during and at the conclusion of the exercise period (p < 0.05). These results suggest that acute salbutamol ingestion improved performance during submaximal exercise probably through an enhancement of the overall contribution to energy production from both aerobic and anaerobic metabolisms.

Administration, Oral↗