Independence of exercise-induced diaphragmatic fatigue from ventilatory demands

Abstract Exercise-induced diaphragmatic fatigue (DF) manifests after – rather than during – exercise. This suggests that DF reflects post-exercise diaphragm-shielding. This study tested the physiological hypothesis that diaphragmatic force-generation undergoes similar regulations during either whole...

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Veröffentlicht in:Respiratory physiology & neurobiology 2008-04, Vol.161 (2), p.101-107
Hauptverfasser: Kabitz, Hans-Joachim, Walker, David, Walterspacher, Stephan, Sonntag, Florian, Schwoerer, Anja, Roecker, Kai, Windisch, Wolfram
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container_end_page 107
container_issue 2
container_start_page 101
container_title Respiratory physiology & neurobiology
container_volume 161
creator Kabitz, Hans-Joachim
Walker, David
Walterspacher, Stephan
Sonntag, Florian
Schwoerer, Anja
Roecker, Kai
Windisch, Wolfram
description Abstract Exercise-induced diaphragmatic fatigue (DF) manifests after – rather than during – exercise. This suggests that DF reflects post-exercise diaphragm-shielding. This study tested the physiological hypothesis that diaphragmatic force-generation undergoes similar regulations during either whole-body-exercise or controlled hyperventilation, but differs during recovery. Ten trained subjects ( V ˙ ⁡ O 2 max 60.3 ± 6.4 ml/kg/min) performed: I, cycling exercise (maximal workload: 85% V ˙ ⁡ O 2 max ); II, controlled hyperventilation (exercise breathing pattern) followed by recovery. Ergospirometric data and twitch transdiaphragmatic pressure (TwPdi) were consecutively assessed. DF occurred following exercise, while hyperventilation enhanced diaphragmatic force-generation (TwPdi-rest 2.28 ± 0.58 vs. 2.52 ± 0.54, TwPdi-end-recovery: 1.94 ± 0.32 kPa vs. 2.81 ± 0.49 kPa, both p < 0.05). TwPdi was comparable between the two protocols until recovery ( p > 0.05, RM-ANOVA) whereby it underwent a progressive increase. In conclusion, TwPdi progressively increases and is subject to similar regulations during exercise versus controlled hyperventilation, but differs markedly during recovery. Here, DF occurred after exercise while TwPdi increased subsequent to hyperventilation. Therefore, ventilatory demands regulate diaphragmatic force-generation during exercise, whereas DF must be attributed to non-ventilatory controlled feedback mechanisms.
doi_str_mv 10.1016/j.resp.2007.11.003
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This suggests that DF reflects post-exercise diaphragm-shielding. This study tested the physiological hypothesis that diaphragmatic force-generation undergoes similar regulations during either whole-body-exercise or controlled hyperventilation, but differs during recovery. Ten trained subjects ( V ˙ ⁡ O 2 max 60.3 ± 6.4 ml/kg/min) performed: I, cycling exercise (maximal workload: 85% V ˙ ⁡ O 2 max ); II, controlled hyperventilation (exercise breathing pattern) followed by recovery. Ergospirometric data and twitch transdiaphragmatic pressure (TwPdi) were consecutively assessed. DF occurred following exercise, while hyperventilation enhanced diaphragmatic force-generation (TwPdi-rest 2.28 ± 0.58 vs. 2.52 ± 0.54, TwPdi-end-recovery: 1.94 ± 0.32 kPa vs. 2.81 ± 0.49 kPa, both p &lt; 0.05). TwPdi was comparable between the two protocols until recovery ( p &gt; 0.05, RM-ANOVA) whereby it underwent a progressive increase. 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This suggests that DF reflects post-exercise diaphragm-shielding. This study tested the physiological hypothesis that diaphragmatic force-generation undergoes similar regulations during either whole-body-exercise or controlled hyperventilation, but differs during recovery. Ten trained subjects ( V ˙ ⁡ O 2 max 60.3 ± 6.4 ml/kg/min) performed: I, cycling exercise (maximal workload: 85% V ˙ ⁡ O 2 max ); II, controlled hyperventilation (exercise breathing pattern) followed by recovery. Ergospirometric data and twitch transdiaphragmatic pressure (TwPdi) were consecutively assessed. DF occurred following exercise, while hyperventilation enhanced diaphragmatic force-generation (TwPdi-rest 2.28 ± 0.58 vs. 2.52 ± 0.54, TwPdi-end-recovery: 1.94 ± 0.32 kPa vs. 2.81 ± 0.49 kPa, both p &lt; 0.05). TwPdi was comparable between the two protocols until recovery ( p &gt; 0.05, RM-ANOVA) whereby it underwent a progressive increase. In conclusion, TwPdi progressively increases and is subject to similar regulations during exercise versus controlled hyperventilation, but differs markedly during recovery. Here, DF occurred after exercise while TwPdi increased subsequent to hyperventilation. Therefore, ventilatory demands regulate diaphragmatic force-generation during exercise, whereas DF must be attributed to non-ventilatory controlled feedback mechanisms.</description><subject>Analysis of Variance</subject><subject>Biological and medical sciences</subject><subject>Diaphragm - physiology</subject><subject>Ergospirometry</subject><subject>Exercise Test</subject><subject>Exercise testing</subject><subject>Fundamental and applied biological sciences. 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Psychology</topic><topic>Humans</topic><topic>Hyperventilation - physiopathology</topic><topic>Male</topic><topic>Medical Education</topic><topic>Muscle Contraction - physiology</topic><topic>Muscle Fatigue - physiology</topic><topic>Muscle Strength - physiology</topic><topic>Oxygen Consumption - physiology</topic><topic>Physical Exertion - physiology</topic><topic>Pulmonary Ventilation - physiology</topic><topic>Pulmonary/Respiratory</topic><topic>Recovery of Function - physiology</topic><topic>Reference Values</topic><topic>Respiratory muscles</topic><topic>Respiratory physiology</topic><topic>Statistics, Nonparametric</topic><topic>Twitch transdiaphragmatic pressure</topic><topic>Vertebrates: respiratory system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kabitz, Hans-Joachim</creatorcontrib><creatorcontrib>Walker, David</creatorcontrib><creatorcontrib>Walterspacher, Stephan</creatorcontrib><creatorcontrib>Sonntag, Florian</creatorcontrib><creatorcontrib>Schwoerer, Anja</creatorcontrib><creatorcontrib>Roecker, Kai</creatorcontrib><creatorcontrib>Windisch, Wolfram</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Respiratory physiology &amp; neurobiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kabitz, Hans-Joachim</au><au>Walker, David</au><au>Walterspacher, Stephan</au><au>Sonntag, Florian</au><au>Schwoerer, Anja</au><au>Roecker, Kai</au><au>Windisch, Wolfram</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Independence of exercise-induced diaphragmatic fatigue from ventilatory demands</atitle><jtitle>Respiratory physiology &amp; neurobiology</jtitle><addtitle>Respir Physiol Neurobiol</addtitle><date>2008-04-30</date><risdate>2008</risdate><volume>161</volume><issue>2</issue><spage>101</spage><epage>107</epage><pages>101-107</pages><issn>1569-9048</issn><eissn>1878-1519</eissn><abstract>Abstract Exercise-induced diaphragmatic fatigue (DF) manifests after – rather than during – exercise. This suggests that DF reflects post-exercise diaphragm-shielding. This study tested the physiological hypothesis that diaphragmatic force-generation undergoes similar regulations during either whole-body-exercise or controlled hyperventilation, but differs during recovery. Ten trained subjects ( V ˙ ⁡ O 2 max 60.3 ± 6.4 ml/kg/min) performed: I, cycling exercise (maximal workload: 85% V ˙ ⁡ O 2 max ); II, controlled hyperventilation (exercise breathing pattern) followed by recovery. Ergospirometric data and twitch transdiaphragmatic pressure (TwPdi) were consecutively assessed. DF occurred following exercise, while hyperventilation enhanced diaphragmatic force-generation (TwPdi-rest 2.28 ± 0.58 vs. 2.52 ± 0.54, TwPdi-end-recovery: 1.94 ± 0.32 kPa vs. 2.81 ± 0.49 kPa, both p &lt; 0.05). TwPdi was comparable between the two protocols until recovery ( p &gt; 0.05, RM-ANOVA) whereby it underwent a progressive increase. In conclusion, TwPdi progressively increases and is subject to similar regulations during exercise versus controlled hyperventilation, but differs markedly during recovery. Here, DF occurred after exercise while TwPdi increased subsequent to hyperventilation. Therefore, ventilatory demands regulate diaphragmatic force-generation during exercise, whereas DF must be attributed to non-ventilatory controlled feedback mechanisms.</abstract><cop>Amsterdarm</cop><pub>Elsevier B.V</pub><pmid>18166504</pmid><doi>10.1016/j.resp.2007.11.003</doi><tpages>7</tpages></addata></record>
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source MEDLINE; Access via ScienceDirect (Elsevier)
subjects Analysis of Variance
Biological and medical sciences
Diaphragm - physiology
Ergospirometry
Exercise Test
Exercise testing
Fundamental and applied biological sciences. Psychology
Humans
Hyperventilation - physiopathology
Male
Medical Education
Muscle Contraction - physiology
Muscle Fatigue - physiology
Muscle Strength - physiology
Oxygen Consumption - physiology
Physical Exertion - physiology
Pulmonary Ventilation - physiology
Pulmonary/Respiratory
Recovery of Function - physiology
Reference Values
Respiratory muscles
Respiratory physiology
Statistics, Nonparametric
Twitch transdiaphragmatic pressure
Vertebrates: respiratory system
title Independence of exercise-induced diaphragmatic fatigue from ventilatory demands
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