Muscle oxygen supply impairment during maximal exercise in patients undergoing dialysis therapy
This study aimed to investigate whether Chronic Kidney Disease (CKD) influences O2 supply including O2 delivery and release to the active muscles during maximal physical exercise. Twelve CKD patients undergoing dialysis therapy (HD group) and twelve healthy adults (CTR group) performed an incrementa...
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Veröffentlicht in: | Respiratory physiology & neurobiology 2024-01, Vol.319, p.104169-104169, Article 104169 |
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creator | Machfer, Amal Tagougui, Sémah Fekih, Nadia Ben Haj Hassen, Hayfa Amor, Hassen Ibn Hadj Bouzid, Mohamed Amine Chtourou, Hamdi |
description | This study aimed to investigate whether Chronic Kidney Disease (CKD) influences O2 supply including O2 delivery and release to the active muscles during maximal physical exercise. Twelve CKD patients undergoing dialysis therapy (HD group) and twelve healthy adults (CTR group) performed an incremental exercise test to determine maximal oxygen uptake (VO2peak). Throughout the exercise, near-infrared spectroscopy allowed the investigation of changes in oxyhemoglobin (∆O2Hb), deoxyhemoglobin (∆HHb), and total hemoglobin (∆THb) in the vastus lateralis muscle. VO2peak was significantly lower in HD group. In addition, HD patients had impaired changes in muscular oxygenation (∆HHb and ∆O2Hb) and blood volume (∆THb) during the exercise (p |
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[Display omitted]
•Aerobic fitness, as reflected by maximal oxygen uptake (VO2peak), is impaired in patients undergoing dialysis therapy (HD).•We investigated the relationship between oxygen supply to the active muscles and VO2peak level in HD patients.•Our results showed a significant relationship between VO2peak and muscle blood volume during exercise.•This finding support muscle hypoperfusion as a primary cause of the reduction in aerobic fitness characterizing HD patients.</description><identifier>ISSN: 1569-9048</identifier><identifier>EISSN: 1878-1519</identifier><identifier>DOI: 10.1016/j.resp.2023.104169</identifier><identifier>PMID: 37813323</identifier><language>eng</language><publisher>Elsevier B.V</publisher><subject>Chronic kidney disease ; Exercise ; Hemodynamic ; Life Sciences ; NIRS ; VO2peak</subject><ispartof>Respiratory physiology & neurobiology, 2024-01, Vol.319, p.104169-104169, Article 104169</ispartof><rights>2023 Elsevier B.V.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c367t-a2a36f3ba2a1c869f94f26944a619bcbce0bffa86c0409434dee603479e984793</citedby><cites>FETCH-LOGICAL-c367t-a2a36f3ba2a1c869f94f26944a619bcbce0bffa86c0409434dee603479e984793</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S156990482300157X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://hal.univ-lille.fr/hal-04313242$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Machfer, Amal</creatorcontrib><creatorcontrib>Tagougui, Sémah</creatorcontrib><creatorcontrib>Fekih, Nadia</creatorcontrib><creatorcontrib>Ben Haj Hassen, Hayfa</creatorcontrib><creatorcontrib>Amor, Hassen Ibn Hadj</creatorcontrib><creatorcontrib>Bouzid, Mohamed Amine</creatorcontrib><creatorcontrib>Chtourou, Hamdi</creatorcontrib><title>Muscle oxygen supply impairment during maximal exercise in patients undergoing dialysis therapy</title><title>Respiratory physiology & neurobiology</title><description>This study aimed to investigate whether Chronic Kidney Disease (CKD) influences O2 supply including O2 delivery and release to the active muscles during maximal physical exercise. Twelve CKD patients undergoing dialysis therapy (HD group) and twelve healthy adults (CTR group) performed an incremental exercise test to determine maximal oxygen uptake (VO2peak). Throughout the exercise, near-infrared spectroscopy allowed the investigation of changes in oxyhemoglobin (∆O2Hb), deoxyhemoglobin (∆HHb), and total hemoglobin (∆THb) in the vastus lateralis muscle. VO2peak was significantly lower in HD group. In addition, HD patients had impaired changes in muscular oxygenation (∆HHb and ∆O2Hb) and blood volume (∆THb) during the exercise (p < 0.05). Moreover, a positive correlation was observed between VO2peak and muscle blood volume (∆THb) in both groups (p < 0.05). This study provides the first evidence that HD patients displayed lower VO2peak and blunted muscular deoxyhemoglobin increase during exercise. This result supports the hypothesis of an increase in oxygen affinity and/or mitochondrial dysfunction in this population.
[Display omitted]
•Aerobic fitness, as reflected by maximal oxygen uptake (VO2peak), is impaired in patients undergoing dialysis therapy (HD).•We investigated the relationship between oxygen supply to the active muscles and VO2peak level in HD patients.•Our results showed a significant relationship between VO2peak and muscle blood volume during exercise.•This finding support muscle hypoperfusion as a primary cause of the reduction in aerobic fitness characterizing HD patients.</description><subject>Chronic kidney disease</subject><subject>Exercise</subject><subject>Hemodynamic</subject><subject>Life Sciences</subject><subject>NIRS</subject><subject>VO2peak</subject><issn>1569-9048</issn><issn>1878-1519</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9kclOxDAMhiMEYhl4AU45wqFDtkkTiQtCbNIgLnCOMqk7ZNSNpEXTtydVEUcutmV9v2X7R-iSkiUlVN7slgFit2SE8dQQVOoDdEpVrjK6ovow1SupM02EOkFnMe4IoTnN-TE64bminDN-iszrEF0FuN2PW2hwHLquGrGvO-tDDU2PiyH4Zotru_e1rTDsITgfAfsGd7b3CYl4aAoI23biCm-rMfqI-08IthvP0VFpqwgXv3mBPh4f3u-fs_Xb08v93TpzXOZ9ZpnlsuSblKlTUpdalExqIaykeuM2DsimLK2SjgiiBRcFgCRc5Bq0SpEv0PU899NWpgtp1zCa1nrzfLc2U48ITjkT7Jsm9mpmu9B-DRB7U_vooKpsA-0QDVP5iudasVVC2Yy60MYYoPybTYmZTDA7M5lgJhPMbEIS3c4iSAd_ewgmuvQoB4UP4HpTtP4_-Q8gHI99</recordid><startdate>20240101</startdate><enddate>20240101</enddate><creator>Machfer, Amal</creator><creator>Tagougui, Sémah</creator><creator>Fekih, Nadia</creator><creator>Ben Haj Hassen, Hayfa</creator><creator>Amor, Hassen Ibn Hadj</creator><creator>Bouzid, Mohamed Amine</creator><creator>Chtourou, Hamdi</creator><general>Elsevier B.V</general><general>Elsevier</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>1XC</scope></search><sort><creationdate>20240101</creationdate><title>Muscle oxygen supply impairment during maximal exercise in patients undergoing dialysis therapy</title><author>Machfer, Amal ; Tagougui, Sémah ; Fekih, Nadia ; Ben Haj Hassen, Hayfa ; Amor, Hassen Ibn Hadj ; Bouzid, Mohamed Amine ; Chtourou, Hamdi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c367t-a2a36f3ba2a1c869f94f26944a619bcbce0bffa86c0409434dee603479e984793</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Chronic kidney disease</topic><topic>Exercise</topic><topic>Hemodynamic</topic><topic>Life Sciences</topic><topic>NIRS</topic><topic>VO2peak</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Machfer, Amal</creatorcontrib><creatorcontrib>Tagougui, Sémah</creatorcontrib><creatorcontrib>Fekih, Nadia</creatorcontrib><creatorcontrib>Ben Haj Hassen, Hayfa</creatorcontrib><creatorcontrib>Amor, Hassen Ibn Hadj</creatorcontrib><creatorcontrib>Bouzid, Mohamed Amine</creatorcontrib><creatorcontrib>Chtourou, Hamdi</creatorcontrib><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><jtitle>Respiratory physiology & neurobiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Machfer, Amal</au><au>Tagougui, Sémah</au><au>Fekih, Nadia</au><au>Ben Haj Hassen, Hayfa</au><au>Amor, Hassen Ibn Hadj</au><au>Bouzid, Mohamed Amine</au><au>Chtourou, Hamdi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Muscle oxygen supply impairment during maximal exercise in patients undergoing dialysis therapy</atitle><jtitle>Respiratory physiology & neurobiology</jtitle><date>2024-01-01</date><risdate>2024</risdate><volume>319</volume><spage>104169</spage><epage>104169</epage><pages>104169-104169</pages><artnum>104169</artnum><issn>1569-9048</issn><eissn>1878-1519</eissn><abstract>This study aimed to investigate whether Chronic Kidney Disease (CKD) influences O2 supply including O2 delivery and release to the active muscles during maximal physical exercise. Twelve CKD patients undergoing dialysis therapy (HD group) and twelve healthy adults (CTR group) performed an incremental exercise test to determine maximal oxygen uptake (VO2peak). Throughout the exercise, near-infrared spectroscopy allowed the investigation of changes in oxyhemoglobin (∆O2Hb), deoxyhemoglobin (∆HHb), and total hemoglobin (∆THb) in the vastus lateralis muscle. VO2peak was significantly lower in HD group. In addition, HD patients had impaired changes in muscular oxygenation (∆HHb and ∆O2Hb) and blood volume (∆THb) during the exercise (p < 0.05). Moreover, a positive correlation was observed between VO2peak and muscle blood volume (∆THb) in both groups (p < 0.05). This study provides the first evidence that HD patients displayed lower VO2peak and blunted muscular deoxyhemoglobin increase during exercise. This result supports the hypothesis of an increase in oxygen affinity and/or mitochondrial dysfunction in this population.
[Display omitted]
•Aerobic fitness, as reflected by maximal oxygen uptake (VO2peak), is impaired in patients undergoing dialysis therapy (HD).•We investigated the relationship between oxygen supply to the active muscles and VO2peak level in HD patients.•Our results showed a significant relationship between VO2peak and muscle blood volume during exercise.•This finding support muscle hypoperfusion as a primary cause of the reduction in aerobic fitness characterizing HD patients.</abstract><pub>Elsevier B.V</pub><pmid>37813323</pmid><doi>10.1016/j.resp.2023.104169</doi><tpages>1</tpages></addata></record> |
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subjects | Chronic kidney disease Exercise Hemodynamic Life Sciences NIRS VO2peak |
title | Muscle oxygen supply impairment during maximal exercise in patients undergoing dialysis therapy |
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