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November 8, 2017Experimental PhysiologyOpen Access

Elderly participants had a slower rate of oxygen recovery than young participants (1.5 vs 2.5 %/s) during a 5-min occlusion, but responses were similar when tissue ischaemia levels were matched.

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Why the study?

Does age affect NIRS-derived post-occlusion tissue oxygen saturation recovery kinetics when controlling for tissue ischemia?

Population

Two distinct age groups (<35 and >65 years of age)

Comparison

Near-infrared spectroscopy to measure tissue… vs Young (<35 years) vs Elderly (>65 years)

Design

Cross-sectional

Key result

Elderly participants had a slower rate of oxygen recovery than young participants (1.5 vs 2.5 %/s) during a 5-min occlusion, but responses were similar when tissue ischaemia levels were matched.

Authors

RRRyan RosenberryMMMadison MunsonSCSusie Chung

Discussion

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Overview

Matching ischemia levels is essential in NIRS protocols to avoid age confounding; leaves open whether aging independently impairs recovery kinetics.

Study Design

Type

Cross-Sectional

Structured PICO

Does age affect NIRS-derived post-occlusion tissue oxygen saturation recovery kinetics when controlling for tissue ischemia?

P
Population
Two distinct age groups (<35 and >65 years of age)
I
Intervention
Near-infrared spectroscopy (NIRS) to measure tissue oxygen saturation post-occlusion recovery kinetics using a 5-minute and 3-minute cuff occlusion protocol
C
Comparator
Young (<35 years) vs Elderly (>65 years)
O
Outcome
Tissue oxygen saturation post-occlusion recovery kinetics (desaturation rate, lowest value during ischemia, reperfusion rate, highest value after cuff release, reactive hyperemia AUC)surrogate

Main Result

Absolute Event Rate: 1.5% vs 2.5%

NIRS is a promising tool for evaluating microvascular function, but assessing and matching tissue ischemia during cuff occlusion is essential to avoid confounding age-related differences.

Cite This Study

Rosenberry et al. (2017) conducted a cross-sectional in Age-related microvascular dysfunction. 5 min cuff occlusion protocol vs. Young participants (<35 years) was evaluated on Rate of oxygen recovery (% s-1). Elderly participants had a slower rate of oxygen recovery than young participants (1.5 vs 2.5 %/s) during a 5-min occlusion, but responses were similar when tissue ischaemia levels were matched.

synapsesocial.com/papers/6a1d4f621c2cbcb15c5e1a5ahttps://doi.org/10.1113/ep086639
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