Why the study?
Animal studies showed metabolite accumulation may sensitize mechanoreflex responses, but whether prior metabolic byproduct accumulation influences mechanoreceptor-evoked central hemodynamic and ventilatory adjustments in humans remained unassessed.
Does prior accumulation of metabolic byproducts (via circulatory occlusion) increase the chronotropic and ventilatory responses to passive leg movement in humans?
Does prior accumulation of metabolic byproducts (via circulatory occlusion) increase the chronotropic and ventilatory responses to passive leg movement in humans?
Mechanoreflex-mediated increases in heart rate and ventilation are sensitized by metabolite accumulation, with no observed sex-related differences.
Metabolite accumulation may sensitize mechanoreflex responses in humans; leaves open clinical relevance and sex effects.
Previous studies in animal models showed that exercise-induced metabolites accumulation may sensitize the mechanoreflex-induced response. The aim of this study was to assess whether the magnitude of the central hemodynamic and ventilatory adjustments evoked by isolated stimulation of the mechanoreceptors in humans are influenced by the prior accumulation of metabolic byproducts in the muscle. 10 males and 10 females performed two exercise bouts consisting of 5-min of intermittent isometric knee-extensions performed 10% above the previously determined critical force. Post-exercise, the subjects recovered for 5 min either with a suprasystolic circulatory occlusion applied to the exercised quadriceps (PECO) or under freely-perfused conditions (CON). Afterwards, 1-min of continuous passive leg movement was performed. Central hemodynamics, pulmonary data, and electromyography from exercising/passively-moved leg were recorded throughout the trial. Root mean square of successive differences (RMSSD, index of vagal tone) was also calculated. Δpeak responses of heart rate (ΔHR) and ventilation ( Δ V̇_E Δ V ˙ E ) to passive leg movement were higher in PECO compared to CON (ΔHR: 6 ± 5 vs 2 ± 4 bpm, p = 0.01; 3.9 ± 3.4 vs 1.9 ± 1.7 L min −1 , p = 0.02). Δpeak of mean arterial pressure (ΔMAP) was significantly different between conditions (5 ± 3 vs − 3 ± 3 mmHg, p < 0.01). Changes in RMSSD with passive leg movement were different between PECO and CON ( p < 0.01), with a decrease only in the former (39 ± 18 to 32 ± 15 ms, p = 0.04). No difference was found in all the other measured variables between conditions ( p > 0.05). These findings suggest that mechanoreflex-mediated increases in HR and V̇_E V ˙ E are sensitized by metabolites accumulation. These responses were not influenced by biological sex.
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Laginestra et al. (2023) studied this question.
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