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DOI: 10.1055/s-0043-109376
Cardiorespiratory Responses of Adults and Children during Normoxic and Hypoxic Exercise
Publication History
accepted after revision 23 January 2017
Publication Date:
31 May 2017 (online)
Abstract
We aimed to elucidate potential differential effects of hypoxia on cardiorespiratory responses during submaximal cycling and simulated skiing exercise between adults and pre-pubertal children. Healthy, low-altitude residents (adults, N=13, Age=40±4yrs.; children, N=13, age=8±2yrs.) were tested in normoxia (Nor: PiO2=134±0.4 mmHg; 940 m) and normobaric hypoxia (Hyp: PiO2=105±0.6 mmHg; ~3 000 m) following an overnight hypoxic acclimation (≥12-hrs). On both days, the participants underwent a graded cycling test and a simulated skiing protocol. Minute ventilation (VE), oxygen uptake (VO2), heart rate (HR) and capillary-oxygen saturation (SpO2) were measured throughout both tests. The cycling data were interpolated for 2 relative workload levels (1 W·kg−1 & 2 W·kg−1). Higher resting HR in hypoxia, compared to normoxia was only noted in children (Nor:78±17; Hyp:89±17 beats·min−1; p<0.05), while SpO2 was significantly lower in hypoxia (Nor:97±1%; Hyp:91±2%; p<0.01) with no between-group differences. The VE, VO2 and HR responses were higher during hypoxic compared to normoxic cycling test in both groups (p<0.05). Except for greater HR during hypoxic compared to normoxic skiing in children (Nor:155±19; Hyp:167±13 (beats·min−1); p<0.05), no other significant between-group differences were noted during the cycling and skiing protocols. In summary, these data suggest similar cardiorespiratory responses to submaximal hypoxic cycling and simulated skiing in adults and children.
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References
- 1 Adams RP, Welch HG. Oxygen uptake, acid-base status, and performance with varied inspired oxygen fractions. J Appl Physiol 1980; 49: 863-868
- 2 Allemann Y, Stuber T, de Marchi SF, Rexhaj E, Sartori C, Scherrer U, Rimoldi SF. Pulmonary artery pressure and cardiac function in children and adolescents after rapid ascent to 3,450m. Am J Physiol 2012; 302: H2646-H2653
- 3 Allor KM, Pivarnik JM, Sam LJ, Perkins CD. Treadmill economy in girls and women matched for height and weight. J Appl Physiol 2000; 89: 512-516
- 4 Amann M, Kayser B. Nervous system function during exercise in hypoxia. High Alt Med Biol 2009; 10: 149-164
- 5 Amann M, Romer LM, Pegelow DF, Jacques AJ, Hess CJ, Dempsey JA. Effects of arterial oxygen content on peripheral locomotor muscle fatigue. J Appl Physiol 2006; 101: 119-127
- 6 Badier M, Guillot C, Lagier-Tessonnier F, Jammes Y. EMG changes in respiratory and skeletal muscles during isometric contraction under normoxic, hypoxemic, or ischemic conditions. Muscle Nerve 1994; 17: 500-508
- 7 Bartsch P, Saltin B. General introduction to altitude adaptation and mountain sickness. Scand J Med Sci Sports 2008; 18 (Suppl. 01) 1-10
- 8 Bendahan D, Badier M, Jammes Y, Confort-Gouny S, Salvan AM, Guillot C, Cozzone PJ. Metabolic and myoelectrical effects of acute hypoxaemia during isometric contraction of forearm muscles in humans: A combined 31P-magnetic resonance spectroscopy-surface electromyogram (MRS-SEMG) study. Clin Sci (Colch) 1998; 94: 279-286
- 9 Bentley DJ, Newell J, Bishop D. Incremental exercise test design and analysis: Implications for performance diagnostics in endurance athletes. Sports Med 2007; 37: 575-586
- 10 Buchheit M, Richard R, Doutreleau S, Lonsdorfer-Wolf E, Brandenberger G, Simon C. Effect of acute hypoxia on heart rate variability at rest and during exercise. Int J Sports Med 2004; 25: 264-269
- 11 Calbet JA, Lundby C. Air to muscle O2 delivery during exercise at altitude. High Alt Med Biol 2009; 10: 123-134
- 12 Cooper DM, Kaplan MR, Baumgarten L, Weiler-Ravell D, Whipp BJ, Wasserman K. Coupling of ventilation and CO2 production during exercise in children. Pediatr Res 1987; 21: 568-572
- 13 Dahlstrom BK, Duff WRD, Poloskei S, Schaerz S, Len TK, Neary JP. Neuromuscular changes following simulated high-intensity cycling performance in moderate hypoxia. J Exerc Sci Fit 2013; 11: 78-84
- 14 Debevec T, Amon M, Keramidas ME, Kounalakis SN, Pisot R, Mekjavic IB. Normoxic and hypoxic performance following 4 weeks of normobaric hypoxic training. Aviat Space Environ Med 2010; 81: 387-393
- 15 Debevec T, Bali TC, Simpson EJ, Macdonald IA, Eiken O, Mekjavic IB. Separate and combined effects of 21-day bed rest and hypoxic confinement on body composition. Eur J Appl Physiol 2014; 114: 2411-2425
- 16 Debevec T, Mekjavic IB. Short intermittent hypoxic exposures augment ventilation but do not alter regional cerebral and muscle oxygenation during hypoxic exercise. Respir Physiol Neurobiol 2012; 181: 132-142
- 17 Dominelli PB, Render JN, Molgat-Seon Y, Foster GE, Romer LM, Sheel AW. Oxygen cost of exercise hyperpnoea is greater in women compared with men. J Physiol (Lond) 2015; 593: 1965-1979
- 18 Eiken O, Tesch PA. Effects of hyperoxia and hypoxia on dynamic and sustained static performance of the human quadriceps muscle. Acta Physiol Scand 1984; 122: 629-633
- 19 Fitzgerald RS, Dehghani GA. Neural responses of the cat carotid and aortic bodies to hypercapnia and hypoxia. J Appl Physiol 1982; 52: 596-601
- 20 Friedmann B, Frese F, Menold E, Bartsch P. Effects of acute moderate hypoxia on anaerobic capacity in endurance-trained runners. Eur J Appl Physiol 2007; 101: 67-73
- 21 Fulco CS, Lewis SF, Frykman PN, Boushel R, Smith S, Harman EA, Cymerman A, Pandolf KB. Muscle fatigue and exhaustion during dynamic leg exercise in normoxia and hypobaric hypoxia. J Appl Physiol 1996; 81: 1891-1900
- 22 Girard O, Brocherie F, Millet GP. High altitude increases alteration in maximal torque but not in rapid torque development in knee extensors after repeated treadmill sprinting. Front Physiol 2016; 7: 97
- 23 Glaisher J. Notes of effects experienced during recent balloon ascents. Lancet 1862; 80: 559-560
- 24 Harriss DJ, Atkinson G. Ethical standards in sport and exercise science research: 2016 Update. Int J Sports Med 2015; 36: 1121-1124
- 25 Heubert RA, Quaresima V, Laffite LP, Koralsztein JP, Billat VL. Acute moderate hypoxia affects the oxygen desaturation and the performance but not the oxygen uptake response. Int J Sports Med 2005; 26: 542-551
- 26 Hogan MC, Cox RH, Welch HG. Lactate accumulation during incremental exercise with varied inspired oxygen fractions. J Appl Physiol 1983; 55: 1134-1140
- 27 Hydren JR, Kraemer WJ, Volek JS, Dunn-Lewis C, Comstock BA, Szivak TK, Hooper DR, Denegar CR, Maresh CM. Performance changes during a weeklong high-altitude alpine ski-racing training camp in lowlander young athletes. J Strength Cond Res 2013; 27: 924-937
- 28 Ibanez J, Rama R, Riera M, Prats MT, Palacios L. Severe hypoxia decreases oxygen uptake relative to intensity during submaximal graded exercise. Eur J Appl Physiol 1993; 67: 7-13
- 29 Ivamoto RK, Nakamoto FP, Vancini RL, Benedito-Silva AA, de Lira CA, Andrade Mdos S. The influence of acute hypoxic exposure on isokinetic muscle force production. Springerplus 2014; 3: 604
- 30 Kon M, Ikeda T, Homma T, Akimoto T, Suzuki Y, Kawahara T. Effects of acute hypoxia on metabolic and hormonal responses to resistance exercise. Med Sci Sports Exerc 2010; 42: 1279-1285
- 31 Krautgasser S, Scheiber P, von Duvillard SP, Muller E. Physiological responses of elderly recreational alpine skiers of different fitness and skiing abilities. J Sports Sci Med 2011; 10: 748-753
- 32 Kriemler S, Burgi F, Wick C, Wick B, Keller M, Wiget U, Schindler C, Kaufmann BA, Kohler M, Bloch K, Brunner-La Rocca HP. Prevalence of acute mountain sickness at 3500m within and between families: A prospective cohort study. High Alt Med Biol 2014; 15: 28-38
- 33 Kriemler S, Radtke T, Burgi F, Lambrecht J, Zehnder M, Brunner-La Rocca HP. Short-term cardiorespiratory adaptation to high altitude in children compared with adults. Scand J Med Sci Sports 2016; 26: 147-155
- 34 Langton JA, Hanning CD. Effect of motion artefact on pulse oximeters: evaluation of four instruments and finger probes. Br J Anaesth 1990; 65: 564-570
- 35 Meijer H, Jean D. Children at Altitude. In, Consensus statement of the UIAA medical commission 2012; 1-14
- 36 Mekjavic IB, Eiken O, LaPrairie A, Banister EW. The pattern of breathing during hypoxic exercise. Eur J Appl Physiol 1987; 56: 619-622
- 37 Millet GP, Faiss R, Pialoux V. Evidence for differences between hypobaric and normobaric hypoxia is conclusive. Exerc Sport Sci Rev 2013; 41: 133
- 38 Ofner M, Wonisch M, Frei M, Tschakert G, Domej W, Kropfl JM, Hofmann P. Influence of acute normobaric hypoxia on physiological variables and lactate turn point determination in trained men. J Sports Sci Med 2014; 13: 774-781
- 39 Peltonen JE, Tikkanen HO, Rusko HK. Cardiorespiratory responses to exercise in acute hypoxia, hyperoxia and normoxia. Eur J Appl Physiol 2001; 85: 82-88
- 40 Perini R, Milesi S, Biancardi L, Veicsteinas A. Effects of high altitude acclimatization on heart rate variability in resting humans. Eur J Appl Physiol 1996; 73: 521-528
- 41 Perrey S, Rupp T. Altitude-induced changes in muscle contractile properties. High Alt Med Biol 2009; 10: 175-182
- 42 Ratel S, Blazevich AJ. Are prepubertal children metabolically comparable to well-trained adult endurance athletes?. Sports Med 2017; DOI: 10.1007/s40279-016-0671-1.
- 43 Ribon A, Pialoux V, Saugy JJ, Rupp T, Faiss R, Debevec T, Millet GP. Exposure to hypobaric hypoxia results in higher oxidative stress compared to normobaric hypoxia. Respir Physiol Neurobiol 2016; 223: 23-27
- 44 Rickards CA, Newman DG. The effect of low-level normobaric hypoxia on orthostatic responses. Aviat Space Environ Med 2002; 73: 460-465
- 45 Roach RC, Bartsch P, Hackett PH, Oelz O. The Lake Louise AMS scoring consensus committee. The Lake Louise acute mountain sickness scoring system. In: Sutton JR, Houston CS, Coates G, Burlington VT. eds Hypoxia and Molecular Medicine. Queen City Printers; 1993: 272-274
- 46 Rowland TW, Auchinachie JA, Keenan TJ, Green GM. Physiologic responses to treadmill running in adult and prepubertal males. Int J Sports Med 1987; 8: 292-297
- 47 Rowland TW, Green GM. Physiological responses to treadmill exercise in females: adult-child differences. Med Sci Sports Exerc 1988; 20: 474-478
- 48 Seifert J, Kroll J, Muller E. The relationship of heart rate and lactate to cumulative muscle fatigue during recreational alpine skiing. J Strength Cond Res 2009; 23: 698-704
- 49 Springer C, Barstow TJ, Wasserman K, Cooper DM. Oxygen uptake and heart rate responses during hypoxic exercise in children and adults. Med Sci Sports Exerc 1991; 23: 71-79
- 50 Springer C, Cooper DM, Wasserman K. Evidence that maturation of the peripheral chemoreceptors is not complete in childhood. Respir Physiol 1988; 74: 55-64
- 51 Turley KR. Cardiovascular responses to exercise in children. Sports Med 1997; 24: 241-257
- 52 Turnbull JR, Kilding AE, Keogh JW. Physiology of alpine skiing. Scand J Med Sci Sports 2009; 19: 146-155
- 53 Vigo DE, Perez Lloret S, Videla AJ, Perez Chada D, Hunicken HM, Mercuri J, Romero R, Nicola Siri LC, Cardinali DP. Heart rate nonlinear dynamics during sudden hypoxia at 8230m simulated altitude. Wilderness Environ Med 2010; 21: 4-10
- 54 Vinet A, Mandigout S, Nottin S, Nguyen L, Lecoq AM, Courteix D, Obert P. Influence of body composition, hemoglobin concentration, and cardiac size and function of gender differences in maximal oxygen uptake in prepubertal children. Chest 2003; 124: 1494-1499
- 55 Wehrlin JP, Hallen J. Linear decrease in.VO2max and performance with increasing altitude in endurance athletes. Eur J Appl Physiol 2006; 96: 404-412