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December 18, 2019AJP Regulatory Integrative and Comparative PhysiologyOpen Access

The effect of the fraction of inspired oxygen on the NIRS-derived deoxygenated hemoglobin “breakpoint” during ramp-incremental test

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Key result

Hypoxia lowered the power output associated with the deoxygenated hemoglobin breakpoint compared to normoxia (198 vs 246 W), whereas hyperoxia had no effect.

Why the study?

It was unknown whether the NIRS-derived deoxygenated hemoglobin breakpoint during ramp-incremental exercise is affected by different fractions of inspired O2 or an abrupt change to hyperoxic gas.

Does the fraction of inspired oxygen affect the NIRS-derived deoxygenated hemoglobin breakpoint during ramp-incremental exercise in physically active males?

Comparison

Ramp-incremental exercise in HYPO (16%), HYPER (30%), and HYPER SWITCH vs NORM (21%)

Design

Crossover physiological study

Authors

RARafael de Almeida AzevedoJSJorge SaonaEIErin Calaine Inglis

Discussion

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Overview

Hypoxia lowers the deoxygenated hemoglobin breakpoint while hyperoxia does not; leaves open non-O2 mechanisms in active males.

Structured PICO

Does the fraction of inspired oxygen affect the NIRS-derived deoxygenated hemoglobin breakpoint during ramp-incremental exercise in physically active males?

P
Population
10 physically active male participants performing ramp-incremental exercise tests to exhaustion under varying fractions of inspired oxygen.
I
Intervention
Different fractions of inspired O2 [hypoxia (16%; HYPO); hyperoxia (30%; HYPER)] and an abrupt change to hyperoxic-inspired gas (30%; HYPER SWITCH) during ramp-incremental exercise to exhaustion
C
Comparator
Normoxia (21%; NORM)
O
Outcome
Power output (PO) associated with the NIRS-derived deoxygenated hemoglobin breakpoint ([HHb] bp)surrogate

Main Result

Absolute Event Rate: 198% vs 246%

The deoxygenated hemoglobin breakpoint response during exercise is not dependent on O2 driving pressure, suggesting other physiological mechanisms determine its occurrence.

Cite This Study

Azevedo et al. (2019) studied Healthy physically active (n=10). Different fractions of inspired O2 (hypoxia, hyperoxia) vs. Normoxia (21% O2) was evaluated on Power output associated with the deoxygenated hemoglobin breakpoint ([HHb]bp). Hypoxia lowered the power output associated with the deoxygenated hemoglobin breakpoint compared to normoxia (198 vs 246 W), whereas hyperoxia had no effect.

synapsesocial.com/papers/6a20a8587cf5d95c4e72df82https://doi.org/10.1152/ajpregu.00291.2019
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Cerebrovascular responses to incremental exercise during hypobaric hypoxia: effect of oxygenation on maximal performance2007 · 153 citations
  2. 2Effects of arterial oxygen content on peripheral locomotor muscle fatigue2006 · 181 citations
  3. 3Muscle mass and inspired oxygen influence oxygen extraction at maximal exercise: Role of mitochondrial oxygen affinity2018 · 52 citations
  4. 4Sex and vasodilator responses to hypoxia at rest and during exercise2013 · 54 citations
  5. 5Muscular Exercise, Lactic Acid, and the Supply and Utilization of Oxygen1923 · 1,003 citations