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1.
Med Lav ; 103(1): 58-67, 2012.
Artigo em Italiano | MEDLINE | ID: mdl-22486076

RESUMO

BACKGROUND: Among its other required features, a highly comfortable chair should adapt its contact surfaces, namely the seat and the back rest, to the shape of the body of the person sitting on it. However, "comfort" is not usually perceived as an absolute value, but is derived from a subjective comparison between two or more chairs. OBJECTIVES: The purpose of this research was the definition of an objective comfort index (IC), i.e., derived from instrumental measurements, and which would also represent an absolute comfort value. METHODS: Analytical evaluation of the distribution of body weight, by means of a barometric matrix, shows that a comfortable chair tends to minimize peak and average values of pressure at the level of the contact areas located between the body and the seat and the back of the chair. To define a comparison parameter for determining an absolute comfort value, a reference chair (SDR) was developed. The seat and the back of this chair are rigid, with poor compliance. A comfort value of zero was, by definition, assigned to this chair. Therefore, the Comfort index (IC) was obtained by the mathematical calculation of the ratios of averages, peaks and gradients of pressure, appropriately weighted, and the corresponding values measured on the tested chair and on the SDR. RESULTS: It is shown that the anthropometric characteristics of each subject are irrelevant to the assessment of the IC, which depends only on the compliance characteristics of the seat and back surfaces of the tested chair CONCLUSIONS: IC can be improved through analysis of a larger number of seats, which would thus constitute the basis for the use of an objective evaluation of seating comfort.


Assuntos
Ergonomia , Decoração de Interiores e Mobiliário , Dor Lombar/prevenção & controle , Doenças Musculoesqueléticas/prevenção & controle , Doenças Profissionais/prevenção & controle , Postura , Adulto , Desenho de Equipamento , Humanos , Itália , Computação Matemática , Valores de Referência , Reprodutibilidade dos Testes , Local de Trabalho/normas
2.
J Sports Med Phys Fitness ; 50(3): 296-302, 2010 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-20842090

RESUMO

AIM: To investigate exercise intensity, energy expenditure and energy balance of athletes during an ultraendurance event (UE) consisting in hiking, cycling and mountain climbing. METHODS: Four athletes participated in this study. Maximal oxygen uptake (VO2max) and "VO2-heart rate" relationships during cycling and walking were determined by indirect calorimetry during two graded exercise tests. Body mass and body fat mass were measured before and after the UE. During the UE, heart rate (HR), diet intake, gastrointestinal disturbances and route characteristics were monitored. RESULTS: UE duration was 19 h29 min over a distance of 108 km, with 6768 meters of altitude difference. Body mass and percent of body fat mass tended to decrease after UE (-3.2% and -8.9%, respectively). During the locomotion phases, mean exercise intensity was 50.8±10.4% of VO2max and 65.8±7.6% of HRmax. Energy expenditure amounted to 51.0±3.4 MJ. Energy supplied from diet and body fat mass oxidation was 20.4±10.7 MJ and 17.3±2.4 MJ, respectively. During the UE, athletes did not suffer of any gastrointestinal disorder. CONCLUSION: Mean exercise intensity corresponded to 51% VO2max: it was independent from the locomotion type, and it can be considered an adequate intensity for UEs with similar characteristics. Although athletes successfully completed the UE, the self regulation of energy intake led athletes to a negative energy balance. Estimation of energy expenditure prior the begin of UEs would allow athletes to better plan the diet energy intake.


Assuntos
Ciclismo/fisiologia , Ingestão de Energia/fisiologia , Metabolismo Energético/fisiologia , Montanhismo/fisiologia , Corrida/fisiologia , Adulto , Atletas , Composição Corporal/fisiologia , Calorimetria Indireta , Dieta , Frequência Cardíaca/fisiologia , Humanos , Consumo de Oxigênio/fisiologia , Resistência Física/fisiologia , Estatísticas não Paramétricas
3.
Clin Transplant ; 24(4): 510-4, 2010.
Artigo em Inglês | MEDLINE | ID: mdl-19788449

RESUMO

INTRODUCTION: Several studies demonstrated the benefits of rehabilitation in uraemic patients. This study evaluates physical and psychosocial effects of exercise on renal transplant recipients (RTRs). PATIENTS AND METHODS: Eight RTRs were evaluated before and after an exercise training consisting of thirty 40-minute sessions, three times a week, performed with the interval training technique. RESULTS: Hospital Anxiety and Depression Scale (HADS) significantly decreased (p<0.04 and <0.008, respectively). Quality of life mean scores (SF-36 test) significantly increased (p<0.000). No differences were recorded for muscle and fat mass, maximal explosive power of the lower limbs, alkaline and acid phosphatase, parathormone (PTH), myoglobin, lipoprotein-A, glomerular filtration rate (GFR), at rest heart rate, and cardiac troponin. IL-6 decreased from 2.8±0.6 to 1.7±0.5 pg/mL (p<0.01). Resting MAP fell from 112±4 to 99±3 mmHg (p<0.02). The metabolic threshold rose from 33±4 to 43±5% (p<0.033). The blood lactate level at peak exercise increased from 5.2±0.9 to 6.2±0.7 mmol/L (p<0.012). The maximum oxygen uptake increased from 1200±210 to 1359±202 mL/min (p<0.05), iso-load oxygen uptake decreased from 1110±190 to 1007±187 mL/min (p<0.034). The maximum working capacity increased from 90±14 to 115±15 watts (p<0.000). CONCLUSION: This study suggests that an appropriate dose of physical training is a useful, safe and non-pharmacologic contribution to RTR treatment.


Assuntos
Terapia por Exercício , Rejeição de Enxerto/prevenção & controle , Rejeição de Enxerto/psicologia , Transplante de Rim , Adulto , Idoso , Feminino , Taxa de Filtração Glomerular , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Resultado do Tratamento
4.
Eur J Appl Physiol ; 107(1): 51-9, 2009 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-19504266

RESUMO

Beat-by-beat Q(a)O2 and breath-by-breath VO2 were assessed in ten male subjects (24 +/- 3.5 years; 78 +/- 7.7 kg; 182 +/- 5.6 cm) during cycling exercise at 50 W before and after a 14-day period of head-down tilt-bed rest (HDTBR). O2 deficit (DefO2) was calculated as the difference between the volume of O2 that would have been consumed if a steady state had been immediately attained minus that actually taken up during exercise. Q(a)O2 kinetics was described fitting the data with a non-linear mono-exponential model with time delay. Mean response times (MRT) of VO2 and Q(a)O2 kinetics were then calculated. DefO2 and MRT of VO2 response did not change after HDTBR, whereas MRT of Q(a)O2 kinetics increased. The invariance of VO2 kinetics after HDTBR suggests that, although Q(a)O2 response became slower after HDTBR, it did not affect the kinetics of peripheral gas exchange, which probably remained under the control of local muscular mechanisms.


Assuntos
Repouso em Cama/métodos , Decúbito Inclinado com Rebaixamento da Cabeça/fisiologia , Músculo Esquelético/fisiologia , Consumo de Oxigênio/fisiologia , Oxigênio/metabolismo , Esforço Físico/fisiologia , Descanso/fisiologia , Adaptação Fisiológica/fisiologia , Adulto , Humanos , Masculino , Taxa de Depuração Metabólica , Contração Muscular/fisiologia
5.
Eur J Appl Physiol ; 104(5): 909-18, 2008 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-18716791

RESUMO

VO(2), f (H), Q, SV, [Hb], C(a)O(2), QaO(2), MAP and R (P) were measured in 10 young subjects at rest and during exercise at 50, 100 and 150 W before and after 14 days of head-down tilt bed rest (HDTBR) and of ambulatory (AMB) control period. f (H) was 18 and 8% higher after HDTBR and AMB, respectively. SV dropped by 15% both after HDTBR and AMB, whereas Q did not change. After HDTBR, C(a)O(2) decreased at rest (-8%) and at 50 W (-5%), whereas QaO(2) did not change; MAP was 14 and 6% lower at rest and at 100 W and R (P) decreased by 23% only at rest. Changes in f (H) and SV were larger after HDTBR than after AMB. These results show that, notwithstanding the drop of SV, moderate-intensity dynamic exercise elicited a normal pressure response after 14 days of HDTBR.


Assuntos
Repouso em Cama/efeitos adversos , Descondicionamento Cardiovascular , Exercício Físico , Decúbito Inclinado com Rebaixamento da Cabeça/efeitos adversos , Hemodinâmica , Contração Muscular , Músculo Esquelético/metabolismo , Simulação de Ausência de Peso/efeitos adversos , Adulto , Pressão Sanguínea , Débito Cardíaco , Frequência Cardíaca , Hemoglobinas/metabolismo , Humanos , Masculino , Músculo Esquelético/irrigação sanguínea , Oxigênio/sangue , Consumo de Oxigênio , Volume Sistólico , Fatores de Tempo , Adulto Jovem
6.
Eur J Appl Physiol ; 98(2): 152-60, 2006 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-16924528

RESUMO

The aim of this study was to characterize the time course of maximal oxygen consumption VO2(max) changes during bedrests longer than 30 days, on the hypothesis that the decrease in VO2(max) tends to asymptote. On a total of 26 subjects who participated in one of three bedrest campaigns without countermeasures, lasting 14, 42 and 90 days, respectively, VO2(max) maximal cardiac output (Qmax) and maximal systemic O2 delivery (QaO2max) were measured. After all periods of HDT, VO2max, Qmax, and QaO2max were significantly lower than before. The VO2max decreased less than qmax after the two shortest bedrests, but its per cent decay was about 10% larger than that of Qmax after 90-day bedrest. The VO2max decrease after 90-day bedrest was larger than after 42- and 14-day bedrests, where it was similar. The Qmax and QaO2max declines after 90-day bedrest was equal to those after 14- and 42-day bedrest. The average daily rates of the VO2max, Qmax, and QaO2max decay during bedrest were less if the bedrest duration were longer, with the exception of that of VO2max in the longest bedrest. The asymptotic VO2max decay demonstrates the possibility that humans could keep working effectively even after an extremely long time in microgravity. Two components in the VO2max decrease were identified, which we postulate were related to cardiovascular deconditioning and to impairment of peripheral gas exchanges due to a possible muscle function deterioration.


Assuntos
Repouso em Cama , Consumo de Oxigênio/fisiologia , Resistência Física/fisiologia , Esforço Físico/fisiologia , Descanso/fisiologia , Adaptação Fisiológica/fisiologia , Adulto , Teste de Esforço , Humanos , Cinética , Masculino
7.
J Exp Biol ; 208(Pt 14): 2809-16, 2005 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-16000549

RESUMO

The speed of the initial 30 m of an all-out run from a stationary start on a flat track was determined for 12 medium level male sprinters by means of a radar device. The peak speed of 9.46+/-0.19 m s(-1) (mean +/- s.d.) was attained after about 5 s, the highest forward acceleration (a(f)), attained immediately after the start, amounting to 6.42+/-0.61 m s(-2). During acceleration, the runner's body (assumed to coincide with the segment joining the centre of mass and the point of contact foot terrain) must lean forward, as compared to constant speed running, by an angle alpha = arctang/a(f) (g = acceleration of gravity). The complement (90-alpha) is the angle, with respect to the horizontal, by which the terrain should be tilted upwards to bring the runner's body to a position identical to that of constant speed running. Therefore, accelerated running is similar to running at constant speed up an ;equivalent slope' ES = tan(90-alpha). Maximum ES was 0.643+/-0.059. Knowledge of ES allowed us to estimate the energy cost of sprint running (C(sr), J kg(-1) m(-1)) from literature data on the energy cost measured during uphill running at constant speed. Peak Csr was 43.8+/-10.4 J kg(-1) m(-1); its average over the acceleration phase (30 m) was 10.7+/-0.59 J kg(-1) m(-1), as compared with 3.8 for running at constant speed on flat terrain. The corresponding metabolic powers (in W kg(-1)) amounted to 91.9+/-20.5 (peak) and 61.0+/-4.7 (mean).


Assuntos
Aceleração , Metabolismo Energético/fisiologia , Modelos Biológicos , Postura/fisiologia , Corrida/fisiologia , Adulto , Fenômenos Biomecânicos , Fenômenos Biofísicos , Biofísica , Humanos , Masculino
8.
Muscle Nerve ; 29(6): 823-33, 2004 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-15170615

RESUMO

Muscle-fiber conduction velocity (CV) was estimated from surface electromyographic (EMG) signals during isometric contractions and during short (150-200 ms), explosive, dynamic exercises. Surface EMG signals were recorded with four linear adhesive arrays from the vastus lateralis and medialis muscles of 12 healthy subjects. Isometric contractions were at linearly increasing force from 0% to 100% of the maximum. The dynamic contractions consisted of explosive efforts of the lower limb on a sledge ergometer. For the explosive contractions, muscle-fiber CV was estimated in seven time-windows located along the ascending time interval of the force. There was a significant correlation between CV values during the isometric ramp and explosive contractions (R = 0.75). Moreover, CV estimates increased significantly from (mean +/- SD) 4.32 +/- 0.46 m/s to 4.97 +/- 0.45 m/s during the increasing-force explosive task. It was concluded that CV can be estimated reliably during dynamic tasks involving fast limb movements and that, in these contractions, it may provide important information on motor-unit control properties.


Assuntos
Eletromiografia/métodos , Contração Muscular/fisiologia , Fibras Musculares Esqueléticas/fisiologia , Adulto , Eletromiografia/instrumentação , Humanos , Perna (Membro) , Masculino , Modelos Biológicos , Neurônios Motores/fisiologia , Músculo Esquelético/citologia , Músculo Esquelético/inervação , Músculo Esquelético/fisiologia
9.
Eur J Appl Physiol ; 90(3-4): 283-91, 2003 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-12851824

RESUMO

Microgravity is an extreme environment inducing relevant adaptive changes in the human body, especially after prolonged periods of exposure. Since the early sixties, numerous studies on the effects of microgravity, during manned Space flights, have produced an increasing amount of information concerning its physiological effects, globally defined "deconditioning". Microgravity deconditioning of the cardiovascular system (CVD) is briefly reviewed. It consists of: (1) a decrease of circulating blood and interstitial fluid volumes, (2) a decrease of arterial blood diastolic pressure, (3) a decrease of ventricular stroke volume, (4) a decrease of the estimated left ventricular mass and (5) resetting of the carotid baroreceptors. The negative effects of microgravity deconditioning manifest themselves mostly upon the reentry to Earth. They consist mainly of: (1) dizziness, (2) increased heart rate and heart palpitations, (3) an inability to assume the standing position (orthostatic intolerance), (4) pre-syncopal feelings due to postural stress and (5) reduced exercise capacity. To avoid these drawbacks several countermeasures have been proposed; they will be briefly mentioned with emphasis on the "Twin Bikes System" (TBS). This consists of two coupled bicycles operated by astronauts and counter-rotating along the inner wall of a cylindrical Space module, thus generating a centrifugal force vector, mimicking gravity.


Assuntos
Descondicionamento Cardiovascular/fisiologia , Contramedidas de Ausência de Peso , Ausência de Peso/efeitos adversos , Algoritmos , Pressão Sanguínea/fisiologia , Fenômenos Fisiológicos Cardiovasculares , Sistema Cardiovascular/fisiopatologia , Artérias Carótidas/fisiologia , Artérias Carótidas/fisiopatologia , Terapia por Exercício , Gravitação , Frequência Cardíaca/fisiologia , Humanos
10.
Eur J Appl Physiol ; 82(5-6): 381-90, 2000 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-10985591

RESUMO

Maximal explosive power during two-leg jumps was measured on four sedentary subjects [mean age 43.0 (SD 10.3) years, mean height 1.74 (SD 0.04) m, mean body mass 73.5 (SD 1.3) kg] using a sledge apparatus with which both force and speed could be directly measured. Different after-loads were obtained by positioning the sledge at five different angles (SA, alpha) in respect to the horizontal so that m x g x sin alpha (where m is the sum of body mass and the mass of the sledge seat, g the acceleration due to gravity) decreased (on average) from 78% body mass at 30 degrees to 27% body mass at 10 degrees, thus simulating conditions of low gravity. The subjects were asked to jump maximally, without counter movement, starting from 70 degrees, 90 degrees, 110 degrees, and 140 degrees of knee angle (KA); the protocol being repeated at 10 degrees, 15 degrees, 20 degrees, 25 degrees and 30 degrees SA. The average (W+(mean)) power output during concentric exercise (CE) was found to decrease when the starting KA was increased, but to be unaffected by SA (i.e. by the after-load, the simulated low g). The higher values of W+(mean) were recorded at 90 degrees KA [15.01 (SD 1.46) W x kg(-1), average for all subjects at all SA]. The subjects were also asked to perform counter movement (CMJ) and rebound jumps (RE) at the same SA as for CE. In CMJ and RE maximal power outputs were also found to be unaffected by the SA; W+(mean) amounted to 16.03 (SD 0.28) W x kg(-1) in CMJ and 16.88 (SD 0.36) W x kg(-1) in RE (average for all subjects at all SA). In CE, CMJ and RE, the instantaneous force at the onset of the positive speed phase (F(i)) was found to increase linearly with SA (i.e. with increasing m x g x sin alpha), and the difference between F(i) in CMJ or RE and F(i) in CE (F(i) in CMJ minus F(i) in CE and F(i) in RE minus F(i) in CE) was unaffected by SA. This indicated that both maximal power and the elastic recoil were unaffected by simulated low g ranging from 1.71 m x s(-2) (at 10 degrees SA) to 4.91 m x s(-2) (at 30 degrees SA).


Assuntos
Joelho/fisiologia , Perna (Membro)/fisiologia , Músculo Esquelético/fisiologia , Adulto , Metabolismo Energético/fisiologia , Exercício Físico/fisiologia , Feminino , Gravitação , Humanos , Cinética , Joelho/anatomia & histologia , Perna (Membro)/anatomia & histologia , Masculino
11.
Anesth Analg ; 91(3): 727-31, 2000 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-10960408

RESUMO

UNLABELLED: We evaluated the effects of tourniquet application on the cardiovascular system and metabolism in 10 young men undergoing knee surgery with general anesthesia. The duration of inflation was from 75 to 108 min. Heart rate, mean arterial pressure, cardiac index (CI) by pulse contour method, and systemic vascular resistance were measured before, during, and after tourniquet inflation. pH, PaO(2), PaCO(2), and lactate blood concentrations were also measured. VO(2) and VCO(2) were assessed every minute from tracheal intubation up to 15 min after tourniquet deflation and VO(2) in excess of the basal value over the 15 min after deflation (VO(2)exc) was calculated. Mean arterial pressure increased 26% (P: < 0.05) during inflation and returned to basal values after deflation. CI did not change immediately after inflation; although, thereafter, it increased 18% (P: < 0.05). Five minutes after deflation, CI further increased to a value 40% higher than the basal value. Therefore, systemic vascular resistance increased 20% suddenly after inflation (P: < 0.05) and decreased 18% after deflation (P: < 0.05). VO(2) and VCO(2) remained stable during inflation and increased (P: < 0.05) after deflation. VO(2)exc depended on duration of tourniquet inflation time (Tisch) (P: < 0.05). After deflation, PaCO(2) and lactate increased (P: < 0.05) while Tisch increased. We conclude that tourniquet application induces modifications of the cardiovascular system and metabolism, which depend on tourniquet phase and on Tisch. Whether these modifications could be relevant in patients with poor physical conditions is not known. IMPLICATIONS: The clinical effects of tourniquet application were evaluated in 10 young men undergoing knee surgery. Our data indicate that tourniquet application causes hemodynamic and metabolic changes which may become clinically relevant after a long period of tourniquet inflation, particularly in patients with concomitant cardiovascular diseases.


Assuntos
Hemodinâmica/fisiologia , Joelho/cirurgia , Metabolismo/fisiologia , Torniquetes/efeitos adversos , Adolescente , Adulto , Anestesia Geral , Ligamento Cruzado Anterior/cirurgia , Pressão Sanguínea/fisiologia , Dióxido de Carbono/sangue , Débito Cardíaco/efeitos dos fármacos , Humanos , Masculino , Consumo de Oxigênio/fisiologia
12.
J Appl Physiol (1985) ; 86(1): 85-92, 1999 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-9887117

RESUMO

The maximal power of the lower limbs was determined in four astronauts (age 37-53 yr) 1) during maximal pushes of approximately 250 ms on force platforms ["maximal explosive power" (MEP)] or 2) during all-out bouts of 6-7 s on an isokinetic cycloergometer [pedal frequency 1 Hz: maximal cycling power (MCP)]. The measurements were done before and immediately after spaceflights of 31-180 days. Before flight, peak and mean values were 3.18 +/- 0.38 and 1.5 +/- 0. 13 (SD) kW for MEP and 1.17 +/- 0.12 and 0.68 +/- 0.08 kW for MCP, respectively. After reentry, MEP was reduced to 67% after 31 days and to 45% after 180 days. MCP decreased less, attaining approximately 75% of preflight level, regardless of the flight duration. The recovery of MCP was essentially complete 2 wk after reentry, whereas that of MEP was slower, a complete recovery occurring after an estimated time close to that spent in flight. In the same subjects, the muscle mass of the lower limbs, as assessed by NMR, decreased by 9-13%, irrespective of flight duration (J. Zange, K. Müller, M. Schuber, H. Wackerhage, U. Hoffmann, R. W. G unther, G. Adam, J. M. Neuerburg, V. E. Sinitsyn, A. O. Bacharev, and O. I. Belichenko. Int. J. Sports Med. 18, Suppl. 4: S308-S309, 1997). The larger fall in maximal power, compared with that in muscle mass, suggests that a fraction of the former (especially relevant for MEP) is due to the effects of weightlessness on the motor unit recruitment pattern.


Assuntos
Exercício Físico/fisiologia , Perna (Membro)/fisiologia , Ausência de Peso/efeitos adversos , Adulto , Algoritmos , Peso Corporal/fisiologia , Teste de Esforço , Humanos , Espectroscopia de Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Músculo Esquelético/fisiologia , Consumo de Oxigênio/fisiologia , Voo Espacial
13.
Eur J Appl Physiol Occup Physiol ; 78(5): 398-402, 1998 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-9809839

RESUMO

The hypothesis was tested that prolonged bed rest impairs O2 transport during exercise, which implies a lowering of cardiac output Qc and O2 delivery (QaO2). The following parameters were determined in five males at rest and at the steady-state of the 100-W exercise before (B) and after (A) 42-day bed rest with head-down tilt at -6 degrees: O2 consumption (VO2), by a standard open-circuit method; Qc, by the pressure pulse contour method, heart rate (fc), stroke volume (Qh), arterial O2 saturation, blood haemoglobin concentration ([Hb]), arterial O2 concentration (CaO2), and QaO2. The VO2 was the same in A and in B, as was the resting fc. The fc at 100 W was higher in A than in B (+17.5%). The Qh was markedly reduced (-27.7% and -22.2% at rest and 100 W, respectively). The Qc was lower in A than in B [-27.6% and -7.8% (NS) at rest and 100 W, respectively]. The CaO2 was lower in A than in B because of the reduction in [Hb]. Thus also QaO2 was lower in A than in B (-32.0% and -11.9% at rest and at 100 W, respectively). The present results would suggest a down-regulation of the O2 transport system after bed rest.


Assuntos
Repouso em Cama , Débito Cardíaco/fisiologia , Oxigênio/sangue , Esforço Físico/fisiologia , Adulto , Gasometria , Humanos , Masculino , Teste da Mesa Inclinada , Fatores de Tempo
14.
Minerva Anestesiol ; 64(3): 67-73, 1998 Mar.
Artigo em Italiano | MEDLINE | ID: mdl-9677790

RESUMO

BACKGROUND: The analysis of the arterial pulse contour obtained by means of a non-invasive device (Finapres) seems to be an ideal method to measure cardiac output (CO). An individual calibration factor (Z) dimensionally equal to aortic impedence is the necessary pre-requisite to calculate CO by pulse contour analysis. To verify the reliability of non-invasive pulse contour method, we compared the COs measured from Finapres tracings with those measured from thermodilution method in Intensive Care patients. METHODS: In 9 patients undergoing cardiac and general surgery, CO was measured from thermodilution (COTD) within 24 hours of postoperative period (total of 67 measurements). During COTD measurements, Finapres tracings were recorded and then analysed to calculate CO by two different procedures. In the former (COA), Z was calculated from an algorithm which takes into account heart rate, mean arterial pressure and age of the patient. In the latter procedure (COB), Z was experimentally determined from the initial COTD measure and then updated for the hemodynamic conditions of the patient. RESULTS: COTD ranged between 3.5 and 9.5 L.min-1 (mean value 5.53 +/- 1.29 L.min-1). The mean difference between COTD e COA was 0.485 +/- 1.537 L.min-1 and the mean percentage error was 25.1 +/- 14.5%. The experimental determination of Z reduced the mean difference and the mean percentage error between thermodilution and Finapres method to--0.002 +/- 1.056 L.min-1 and 15.5 +/- 11.0%, respectively. The regression line between COTD and COB turned out to be: COB = 0.68 + 0.88.COTD (r = 0.73). CONCLUSIONS: The pulse contour analysis applied to Finapres tracing allows to calculate CO with reasonable accuracy in the intensive care patients. An initial experimental determination of Z is recommended to improve the accuracy of Finapres method.


Assuntos
Determinação da Pressão Arterial/métodos , Pressão Sanguínea/fisiologia , Débito Cardíaco/fisiologia , Cuidados Críticos , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
15.
J Gravit Physiol ; 5(1): P63-6, 1998 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-11542367

RESUMO

Long term space flights affect negatively muscle structure and function (Grigoriev end Egorov, 1901, 1902; Edgerton and Roy, 1994; Jaweed, 1994; Nicogossian, 1994a; Antonutto et al., 1995, Edgerton and Roy, 1997), essentially because of the long-term exposure to microgravity. Indeed, we have previously shown that the average power developed during a very short (approximately 0.25 s) maximal effort of the lower limbs, such as a vertical jump off both feet ("maximal explosive power", MEP) was reduced to 67% of pre-flight values after one month in microgravity (one subject) and to 45% after six months (three subjects). The reductions of MEP was larger than the concomitant decrease of muscle mass (9 to 13%, Zange et al., 1997). This suggests that a substantial fraction of the decrease of maximal power is due to the deterioration of the motor control, brough about by the absence of gravity. The aim of the present study was to investigate further the effects of microgram on maximal muscular power assessing also the EMG activities of 3 heads of the quadriceps femoris muscle, which contributes the major share of MEP.


Assuntos
Músculo Esquelético/fisiologia , Esforço Físico/fisiologia , Voo Espacial , Ausência de Peso , Aceleração , Adulto , Fenômenos Biomecânicos , Eletromiografia , Ergometria , Humanos , Perna (Membro) , Masculino , Contração Muscular/fisiologia
18.
J Physiol ; 501 ( Pt 3): 677-86, 1997 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-9218227

RESUMO

1. The effects of bed rest on the cardiovascular and muscular parameters which affect maximal O2 consumption (VO2,max) were studied. The fractional limitation of VO2,max imposed by these parameters after bed rest was analysed. 2. The VO2,max, by standard procedure, and the maximal cardiac output (Qmax), by the pulse contour method, were measured during graded cyclo-ergometric exercise on seven subjects before and after a 42-day head-down tilt bed rest. Blood haemoglobin concentration ([Hb]) and arterialized blood gas analysis were determined at the highest work load. 3. Muscle fibre types, oxidative enzyme activities, and capillary and mitochondrial densities were measured on biopsy samples from the vastus lateralis muscle before and at the end of bed rest. The measure of muscle cross-sectional area (CSA) by NMR imaging at the level of biopsy site allowed computation of muscle oxidative capacity and capillary length. 4. The VO2,max was reduced after bed rest (-16.6%). The concomitant decreases in Qmax (-30.8%), essentially due to a change in stroke volume, and in [Hb] led to a huge decrease in O2 delivery (-39.7%). 5. Fibre type distribution was unaffected by bed rest. The decrease in fibre area corresponded to the significant reduction in muscle CSA (-17%). The volume density of mitochondria was reduced after bed rest (-16.6%), as were the oxidative enzyme activities (-11%). The total mitochondrial volume was reduced by 28.5%. Capillary density was unchanged. Total capillary length was 22.2% lower after bed rest, due to muscle atrophy. 6. The interaction between these muscular and cardiovascular changes led to a smaller reduction in VO2,max than in cardiovascular O2 transport. Yet the latter appears to play the greatest role in limiting VO2,max after bed rest (> 70% of overall limitation), the remaining fraction being shared between peripheral O2 diffusion and utilization.


Assuntos
Repouso em Cama/efeitos adversos , Consumo de Oxigênio/fisiologia , Adulto , Débito Cardíaco/fisiologia , Sistema Cardiovascular/fisiopatologia , Teste de Esforço , Hemoglobinas/metabolismo , Humanos , Masculino , Fibras Musculares Esqueléticas/patologia , Fibras Musculares Esqueléticas/fisiologia , Músculos/irrigação sanguínea , Músculos/fisiopatologia
19.
Eur J Appl Physiol Occup Physiol ; 75(4): 289-97, 1997.
Artigo em Inglês | MEDLINE | ID: mdl-9134359

RESUMO

The maximal explosive power during a two legs jump was measured on four competitive athletes [mean age 24(SD 4.3) years; height 1.79 (SD 0.09) m; body mass 68.7 (SD 12.8) kg] at different starting knee angles (70, 90, 110, 130 and 150 degrees). The experiments were performed on a newly developed instrument with which both force and speed could be measured using a force platform and a wire tachometer, respectively, and on a conventional force platform. At the smallest knee angle (70 degrees) the mean power output (W in watts per kilogram) developed during the jump was found not to differ significantly between the two methods (P > 0.1). At the larger knee angles W was 18.4% (90 degrees), 34.5% (110 degrees), 47.4% (130 degrees) and 19.4% (150 degrees) higher using the conventional force platform (P < 0.05 throughout). The difference of W between the two methods was attributed to the recovery of elastic energy due to the counter movement which immediately preceded the jump on the conventional platform, but not on the newly developed instrument. Indeed because of a mechanical arrangement which prevented the subject from moving towards the platforms, eccentric work (W-) could not be performed on the newly developed instrument; whereas W- on the conventional force platform was almost negligible at 70 degrees knee angle [mean 1.7 (SD 2.3 J)] reached a maximum of 13.1 (SD 7.9) J at 130 degrees and decreased again to a mean 4.7 (SD 3.6) J for the largest angle (150 degrees). Furthermore, on the conventional force platform, the force at the onset of the positive speed phase (Fi) was an increasing function of W- (r2 = 0.519, P < 0.001); and the difference of W between the conventional and new instruments was larger the larger the difference of Fi (r2 = 0.391, P < 0.01).


Assuntos
Exercício Físico/fisiologia , Perna (Membro)/fisiologia , Contração Muscular/fisiologia , Adulto , Feminino , Humanos , Masculino , Esportes/fisiologia
20.
Scand J Med Sci Sports ; 6(5): 273-80, 1996 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-8960648

RESUMO

Two forces act on a human body motionless in water: weight (W) and buoyancy (B). They are applied to the center of mass (CM) and to the center of volume (CV) of the subject, respectively. CM and CV do not coincide; this generates a torque that is a measure of the tendency of the upper part of the body to rise, rotating around its center of mass. To quantify this tendency, Pendergast & Craig defined 'underwater torque' (T') as the product of the net force with which the feet of a subject lying horizontally in water tend to sink, times the distance between the feet and the center of volume of the lungs. In this paper we have investigated: (a) the relationships between T' and body weight (BW), height (H), body surface area (BS), body density (BD) and leg density (LD) in a group of 30 subjects (group A, 14 females and 16 males, age range 16-50 years); and (b) the effect of gender and growth on T' in a group of 110 subjects (group B, 67 girls and 43 boys, age range 12-17 years). In group A, T' was found to be linearly related with BW (r=0.833, P<0.001), H (r=0.803, P<0.001), BS (r=0.866, P<0.001), BD (r=0.617, P<0.001) and LD (r=0.549, P<0.005). A multiple linear regression analysis showed that BS and BD explained about 85% of the variability of T' (r2=0.85). In group B, T' was found to increase linearly with age (r=0.47, P<0.01), the increasing rate being three times higher in boys compared with girls. As a consequence, the T' ratio between boys and girls increased with age, from 1.69 at 13 years to 2.04 at 16 years.


Assuntos
Composição Corporal , Constituição Corporal , Crescimento , Imersão/fisiopatologia , Caracteres Sexuais , Torque , Adolescente , Adulto , Fatores Etários , Feminino , Humanos , Perna (Membro)/anatomia & histologia , Modelos Lineares , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Respiração/fisiologia , Natação/fisiologia
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