Changes in cardiac and muscle biomarkers following an uphill-only marathon.

The aim of the study was to evaluate changes in cardiac troponin I levels (cTnI) and the main biomarkers of skeletal muscle damage after an uphill-only marathon, along with its relationship with athletes' physiological parameters. Twenty-two runners participated in the "Supermaratona dell'Etna" (43 km, 0-2850 m AMSL). Before and immediately after the race, body mass and hydration status were measured together with blood sampling. At the end of the race, mean cTnI increased significantly in all athletes (mean +900%), and in 52% of them the cTnI values were over the normal range. Mean creatinine and cortisol increased significantly (by 30.5% and 291.4%), while C-reactive protein levels did not change significantly. Then, an uphill-only marathon showed a significant increase in cardiac and skeletal muscle blood biomarkers of injury, and cTnI levels were not significantly correlated with age, body mass index, V̇O2max, training status, ultra-endurance training experience, race time and blood parameters.

Effects of an Uphill Marathon on Running Mechanics and Lower-Limb Muscle Fatigue.

PURPOSE: To investigate the effects of an uphill marathon (43 km, 3063-m elevation gain) on running mechanics and neuromuscular fatigue in lower-limb muscles. METHODS: Maximal mechanical power of lower limbs (MMP), temporal tensiomyographic (TMG) parameters, and muscle-belly displacement (Dm) were determined in the vastus lateralis muscle before and after the competition in 18 runners (age 42.8 ± 9.9 y, body mass 70.1 ± 7.3 kg, maximal oxygen uptake 55.5 ± 7.5 mL · kg-1 · min-1). Contact (tc) and aerial (ta) times, step frequency (f), and running velocity (v) were measured at 3, 14, and 30 km and after the finish line (POST). Peak vertical ground-reaction force (Fmax), vertical displacement of the center of mass (Δz), leg-length change (ΔL), and vertical (kvert) and leg (kleg) stiffness were calculated. RESULTS: MMP was inversely related with race time (r = -.56, P = .016), tc (r = -.61, P = .008), and Δz (r = -.57, P = .012) and directly related with Fmax (r = .59, P = .010), ta (r = .48, P = .040), and kvert (r = .51, P = .027). In the fastest subgroup (n = 9) the following parameters were lower in POST (P < .05) than at km 3: ta (-14.1% ± 17.8%), Fmax (-6.2% ± 6.4%), kvert (-17.5% ± 17.2%), and kleg (-11.4% ± 10.9%). The slowest subgroup (n = 9) showed changes (P < .05) at km 30 and POST in Fmax (-5.5% ± 4.9% and -5.3% ± 4.1%), ta (-20.5% ± 16.2% and -21.5% ± 14.4%), tc (5.5% ± 7.5% and 3.2% ± 5.2%), kvert (-14.0% ± 12.8% and -11.8% ± 10.0%), and kleg (-8.9% ± 11.5% and -11.9% ± 12%). TMG temporal parameters decreased in all runners (-27.35% ± 18.0%, P < .001), while Dm increased (24.0% ± 35.0%, P = .005), showing lower-limb stiffness and higher muscle sensibility to the electrical stimulus. CONCLUSIONS: Greater MMP was related with smaller changes in running mechanics induced by fatigue. Thus, lower-limb power training could improve running performance in uphill marathons.

Cardiovascular responses to dry resting apnoeas in elite divers while breathing pure oxygen.

PURPOSE: We hypothesized that the third dynamic phase (ϕ3) of the cardiovascular response to apnoea requires attainment of the physiological breaking point, so that the duration of the second steady phase (ϕ2) of the classical cardiovascular response to apnoea, though appearing in both air and oxygen, is longer in oxygen. METHODS: Nineteen divers performed maximal apnoeas in air and oxygen. We measured beat-by-beat arterial pressure, heart rate (fH), stroke volume (SV), cardiac output (Q˙). RESULTS: The fH, SV and Q˙ changes during apnoea followed the same patterns in oxygen as in air. Duration of steady ϕ2 was 105 ± 37 and 185 ± 36 s, in air and oxygen (p<0.05), respectively. At end of apnoea, arterial oxygen saturation was 1.00 ± 0.00 in oxygen and 0.75 ± 0.10 in air. CONCLUSIONS: The results support the tested hypothesis. Lack of hypoxaemia during oxygen apnoeas suggests that, if chemoreflexes determine ϕ3, the increase in CO2 stores might play a central role in eliciting their activation.

Effects of gravitational acceleration on cardiovascular autonomic control in resting humans.

PURPOSE: Previous studies of cardiovascular responses in hypergravity suggest increased sympathetic regulation. The analysis of spontaneous heart rate variability (HRV) parameters and spontaneous baroreflex sensitivity (BRS) informs on the reciprocal balance of parasympathetic and sympathetic regulations at rest. This paper was aimed at determining the effects of gravitational acceleration (a g) on HRV and BRS. METHODS: Eleven healthy subjects (age 26.6 ± 6.1) were studied in a human centrifuge at four a g levels (1, 1.5, 2 and 2.5 g) during 5-min sessions at rest. We evaluated spontaneous variability of R-R interval (RR), and of systolic and diastolic blood pressure (SAP and DAP, respectively), by power spectral analysis, and BRS by the sequence method, using the BRSanalysis(®) software. RESULTS: At 2.5 g, compared to 1 g, (1) the total power (P TOT) and the powers of LF and HF components of HRV were lower, while the LF/HF ratio was higher; (2) normalized units for LF and HF did not changed significantly; (3) the P TOT, LF and HF powers of SAP were higher; (4) the P TOT and LF power of DAP were higher; and (5) BRS was decreased. CONCLUSIONS: These results do not agree with the notion of sympathetic up-regulation supported by the increase in HR and DAP (tonic indices), and of SAP and DAP LF powers (oscillatory indices). The P TOT reduction leads to speculate that only the sympathetic branch of the ANS might have been active during elevated a g exposure. The vascular response occurred in a condition of massive baroreceptive unloading.

A 35-day bed rest does not alter the bilateral deficit of the lower limbs during explosive efforts.

PURPOSE: Bilateral deficit (BLD) occurs when the force (or power) generated by both limbs together is smaller than the sum of the forces (or powers) developed separately by the two limbs. The amount of BLD can be altered by neural adaptations brought about by the repetitive execution of specific motor tasks (training). Prolonged disuse also leads to relevant neural adaptations; however, its effects on BLD are still unknown. Thus, the aim of this study was to investigate the effects of a 35-day bed rest on the BLD of the lower limbs. METHODS: Ten young healthy volunteers performed maximal explosive efforts on a sledge ergometer with both lower limbs or with the right and the left limb separately. Electromyography (EMG) of vastus lateralis, rectus femoris, biceps femoris and gastrocnemius medialis was also measured. RESULTS: Before bed rest, maximal explosive power and peak force were significantly higher in monolateral than bilateral efforts (+18.7 and +31.0 %, respectively). Conversely, peak velocity was 11.9 % greater in bilateral than monolateral efforts. BLD attained a value of 18.1 % and was accompanied by lower EMG amplitude of knee extensors (-17.0 %) and gastrocnemius medialis (-11.7 %) during bilateral efforts. Bed rest led to a ~28.0 % loss in both bilateral and monolateral maximal explosive power. Neither BLD magnitude nor the difference in EMG amplitudes as well as in peak force and velocity between bilateral and monolateral efforts were affected by bed rest. CONCLUSIONS: These results suggest that the neuromuscular factors underlying BLD are unaltered after prolonged disuse.

Maximal explosive power of the lower limbs before and after 35 days of bed rest under different diet energy intake.

PURPOSE: Microgravity leads to a decline of muscle power especially in the postural muscles of the lower limb. Muscle atrophy primarily contributes to this negative adaptation. Nutritional countermeasures during unloading were shown to possibly mitigate the loss of muscle mass and strength. The aim of this study was to investigate the effects of different diet energy intakes during prolonged inactivity on body composition and lower limbs power output. METHODS: The effects of lower or higher diet energy intake on the decline of maximal explosive power of the lower limbs, as determined on a sledge ergometer before and after 35 days of bed rest, were investigated on two matched groups of young healthy volunteers. Body composition and lean volume of the lower limb were also measured. RESULTS: After bed rest, fat mass increased (+20.5 %) in the higher energy intake group (N = 9), while it decreased (-4.8 %) in the lower energy intake group (N = 10). Also, the loss of body fat-free mass and lean volume of the lower limb was significantly greater in the higher (-4.6 and -10.8 %, respectively) as compared to the lower (-2.4 and -3.7 %, respectively) diet energy intake group. However, the loss of maximal explosive power was similar between the two groups (-25.2 and -29.5 % in the higher and lower energy intake group, respectively; P = 0.440). CONCLUSIONS: The mitigation of loss of muscle mass by means of a moderate caloric diet restriction during prolonged inactivity was not sufficient for reducing the loss of maximal explosive power of the lower limbs.

Neocytolysis: none, one or many? A reappraisal and future perspectives.

Neocytolysis is the hypothesis formulated to explain experimental evidence of selective lysis of young red blood cells (RBCs) (neocytes) associated with decreased plasma levels of erythropoietin (EPO). In humans, it appears to take place whenever a fast RBC mass reduction is required, i.e., in astronauts during the first days of spaceflight under weightlessness, where a fast reduction in plasma volume and increase in haematocrit occur. EPO plasma levels then decline and a decrease in RBC mass takes place, apparently because of the selective lysis of the youngest, recently generated RBCs (neocytes). The same process seems to occur in people descending to sea level after acclimatization at high altitude. After descent, the polycythaemia developed at high altitude must be abrogated, and a rapid reduction in the number of circulating RBCs is obtained by a decrease in EPO synthesis and the lysis of what seem to be young RBCs. In vivo, neocytolysis seems to be abolished by EPO administration. More recent research has ascribed to neocytolysis the RBC destruction that occurs under such disparate pathophysiologic conditions as nephropathy, severe obstructive pulmonary disease, blood doping, and even malaria anaemia. According to the theory, EPO's central role would be not only to stimulate the production of new RBCs in conditions of anaemia, as maintained by the orthodox view, but also that of a cytoprotective factor for circulating young RBCs. Why neocytes are specifically destroyed and how is this related to decreased EPO levels has not yet been elucidated. Changes in membrane molecules of young RBCs isolated from astronauts or mountain climbers upon return to normal conditions seem to indicate a higher susceptibility of neocytes to ingestion by macrophages. By limiting the context to space missions and high altitude expeditions, this review will address unresolved and critical issues that in our opinion have not been sufficiently highlighted in previous works.

Factors affecting metabolic cost of transport during a multi-stage running race.

The aim of this study was to investigate: (1) the role of , the fraction of (F) and the metabolic cost of transport (CoT) in determining performance during an ultra-endurance competition and (2) the effects of the race on several biomechanical and morphological parameters of the lower limbs that are likely to affect CoT. Eleven runners (aged 29-54 years) participated in an ultra-endurance competition consisting of three running stages of 25, 55 and 13 km on three consecutive days. Anthropometric characteristics, body composition, morphological properties of the gastrocnemius medialis, maximal explosive power of the lower limb and were determined before the competition. In addition, biomechanics of running and CoT were determined, before and immediately after each running stage. Performance was directly proportional to (r=0.77) and F (r=0.36), and inversely proportional to CoT (r=-0.30). Low CoT values were significantly related to high maximal power of the lower limbs (r=-0.74) and vertical stiffness (r=-0.65) and low footprint index (FPI, r=0.70), step frequency (r=0.62) and external work (r=0.60). About 50% of the increase in CoT during the stages of the competition was accounted for by changes in FPI, which represents a global evaluation of medio-lateral displacement of the foot during the whole stance phase, which in turn is associated with the myotendinous characteristics of the lower limb. Thus, lower CoT values were related to greater muscular power and lower FPI, suggesting that a better ankle stability is likely to achieve better performance in an ultra-endurance running competition.

Expression of fetal hemoglobin in adult humans exposed to high altitude hypoxia.

In humans, acute erythroid expansion can lead to maturation of red blood cell (RBC) precursors containing fetal hemoglobin (F red cells). This can occur in patients after recovery from bone marrow transplantation, or in individuals affected by sickle cell or thalassemic syndromes. An accelerated erythroid lineage expansion is also a hallmark of the adaptive response to high altitude hypoxia. To explore the possible effect of this environment on F red cell production, we analyzed RBCs from five subjects during and after 17 days spent at high altitude and investigated the expression of fetal hemoglobin by different methodological approaches. By flow cytometry, we found a moderate increase of circulating F red cells during and after the hypoxia exposure, with respect to control cells analyzed before a stay at high altitude. The increased expression of γ-globin (as the specific subunit contained in F hemoglobin together with α-globin) was further confirmed by immunoblotting of young RBC hemolysates and quantitative RT-PCR of transcripts purified from a reticulocyte-enriched RBC fraction. Thus, in healthy adults the exposure to high altitude hypoxia induces maturation of F red cells at a level higher than under normal condition. The effect appears reduced after return to normoxia.

The energetics of ultra-endurance running.

Our objective was to determine the effects of long-lasting endurance events on the energy cost of running (C(r)), and the role of maximal oxygen uptake (VO(2max)), its fractional utilisation (F) and C(r) in determining the performance. Ten healthy runners (age range 26-59 years) participated in an ultra-endurance competition consisting of three running laps of 22, 48 and 20 km on three consecutive days in the North-East of Italy. Anthropometric characteristics and VO(2max) by a graded exercise test on a treadmill were determined 5 days before and 5 days after the competition. In addition, C(r) was determined on a treadmill before and after each running lap. Heart rate (HR) was recorded throughout the three laps. Results revealed that mean C(r) of the individual laps did not increase significantly with lap number (P = 0.200), thus ruling out any chronic lap effect. Even so, however, at the end of lap 3, C(r) was 18.0% (P < 0.001) greater than before lap 1. In addition, a statistically significant acute lap effect on C(r) was observed at the end of the second and third laps (by 11.4 and 7.2%, respectively). The main factors determining performance were VO(2max), F, as estimated from the average HR, and the average C(r-mean) throughout the three laps; the grand average speed over the three laps being described by v (end-mean) = F × VO(2max) × C(r-mean)(-1). We concluded that (1) the substantial increase of C(r-mean) during the competition yields to marked worsening of the performance, and (2) the three variables F, VO(2max) and C(r-mean) combined as described above explaining 87% of the total competition time variance.

Effects of acceleration in the Gz axis on human cardiopulmonary responses to exercise.

The aim of this paper was to develop a model from experimental data allowing a prediction of the cardiopulmonary responses to steady-state submaximal exercise in varying gravitational environments, with acceleration in the G(z) axis (a (g)) ranging from 0 to 3 g. To this aim, we combined data from three different experiments, carried out at Buffalo, at Stockholm and inside the Mir Station. Oxygen consumption, as expected, increased linearly with a (g). In contrast, heart rate increased non-linearly with a (g), whereas stroke volume decreased non-linearly: both were described by quadratic functions. Thus, the relationship between cardiac output and a (g) was described by a fourth power regression equation. Mean arterial pressure increased with a (g) non linearly, a relation that we interpolated again with a quadratic function. Thus, total peripheral resistance varied linearly with a (g). These data led to predict that maximal oxygen consumption would decrease drastically as a (g) is increased. Maximal oxygen consumption would become equal to resting oxygen consumption when a (g) is around 4.5 g, thus indicating the practical impossibility for humans to stay and work on the biggest Planets of the Solar System.

The energetics of cycling on Earth, Moon and Mars.

From 1885, technological improvements, such as the use of special metal alloys and the application of aerodynamics principles, have transformed the bicycle from a human powered heavy transport system to an efficient, often expensive, object used to move not only in our crowded cities, but also in leisure activities and in sports. In this paper, the concepts of mechanical work and efficiency of cycling together with the corresponding metabolic expenditure are discussed. The effects of altitude and aerodynamic improvements on sports performances are also analysed. A section is dedicated to the analysis of the maximal cycling performances. Finally, since during the next decades the return of Man on the Moon and, why not, a mission to Mars can be realistically hypothesised, a section is dedicated to cycling-based facilities, such as man powered short radius centrifuges, to be used to prevent cardiovascular and skeletal muscle deconditioning otherwise occurring during long-term exposure to microgravity.

Determinants of oxygen consumption during exercise on cycle ergometer: the effects of gravity acceleration.

The hypothesis that changes in gravity acceleration (a(g)) affect the linear relationships between oxygen consumption VO2 and mechanical power (w ) so that at any w, VO2 increases linearly with a(g) was tested under conditions where the weight of constant-mass legs was let to vary by inducing changes in a(g) in a human centrifuge. The effects of a(g) on the VO2/w relationship were studied on 14 subjects at two pedalling frequencies (f(p), 1.0 and 1.5 Hz), during four work loads on a cycle ergometer (25, 50, 75 and 100 W) and at four a(g) levels (1.0, 1.5, 2.0 and 2.5 times normal gravity). VO2 increased linearly with w. The slope did not differ significantly at various a(g) and f(p), suggesting invariant mechanical efficiency during cycling, independent of f(p) and a(g). Conversely, the y-intercept of the VO2/w relationship, defined as constant b, increased linearly with a(g). Constant b is the sum of resting VO2 plus internal metabolic power (E (i)). Since the former was the same at all investigated a(g), the increase in constant b was entirely due to an increase in E (i). Since the VO2 versus w lines had similar slopes, the changes in E (i) entirely explained the higher VO2 at each w, as a(g) was increased. In conclusion, the effects of a(g) on VO2 are mediated through changes in E (i), and not in w or in resting VO2.

Fragmentation of human erythrocyte actin following exposure to hypoxia.

In a comparative study on erythrocytes (RBCs) drawn from mountaineers before and after a high-altitude stay, we observed that upon returning to sea level, their RBCs displayed a senescent-like phenotype as indicated by their density and the partial loss of membrane proteins which are shed by ageing RBCs. The aim of this study was to investigate possible changes in the membrane skeleton of these RBCs and to compare them with pathological RBCs. We analysed the proteins of RBC ghosts obtained from our subjects before and after returning to sea level by two-dimensional electrophoresis and mass spectrometry. We observed lower expression and fragmentation of beta-actin after exposure to hypoxia. This suggested an alteration in membrane skeleton structure, which was confirmed by beta-actin release in cell lysates during ghost preparation. We observed a similar actin fragmentation and release in RBC lysates from beta-thalassaemic patients. In conclusion, these results indicate that after exposure to hypoxia, RBCs display a modification of their actin and cytoskeleton instability.

Bilateral deficit and EMG activity during explosive lower limb contractions against different overloads.

We investigated whether bilateral deficit (BLD): (1) is observed during explosive lower limb contractions; (2) can be attributed to a reduction of neural drive and/or (3) to a different muscle coordination, and/or (4) to changes of the muscle force-velocity (F-v) relationship. Ten volunteers performed maximal explosive efforts of approximately 450 ms on a sledge ergometer, with both lower limbs (BL), with the right and left limb separately (ML), against different overloads. Peak-force (F, N), peak-power (w, W), sledge peak-velocity (v, m/s) and electromyography (EMG) of vastus lateralis (VL), rectus femoris (RF), biceps femoris (BF) and gastrocnemius medialis (GM) were recorded. Average values over the six overloads of F and w, developed by right or left limb during BL, were significantly lower (883 +/- 200 and 918 +/- 141 N; 1089 +/- 407 and 1099 +/- 325 W) than those developed during ML contractions (1285 +/- 177 and 1306 +/- 147 N; 1536 +/- 408 and 1497 +/- 392 W). VL and RF iEMGs were lower in BL than in ML (74 +/- 28 vs. 91 +/- 21% MVC and 39 +/- 21 vs. 56 +/- 28% MVC). The coordination among the four muscles, as determined from an analysis of the time course of iEMG, expressed as percentage of that attained at the end of the push, was poorer in BL, as compared to ML. BL F-v curves were different as compared to the ML ones, the force and power developed, at a given v, being significantly larger in ML. It is concluded that BLD occurs also during explosive pushes with the lower limbs, and that it is mainly due to different muscle coordination.

Maximal explosive muscle power in obese and non-obese prepubertal children.

OBJECTIVE: The objectives of the present study was to compare the maximal explosive muscle power developed by the lower limbs in obese and non-obese prepubertal children. DESIGN: Twenty-five obese [mean body mass index (BMI) z-score: 2.4] and 30 non-obese (mean BMI z-score: 0) children aged 8-12 years, participated in this study. Body composition was measured by bioelectrical impedance analysis and the maximal explosive power of the lower limbs was assessed by the Exercise-Ergometer (a sledge dynamometer). RESULTS: Absolute peak force (F(peak)) was higher in obese than in non-obese children by 18.2% (P<0.001). Peak speed (v(peak)) was not significantly different between groups (P = 0.504). Consequently, absolute peak power (W'(peak)) was higher in obese than in non-obese children (+19.3%, P = 0.021). Considering gender differences, absolute F(peak) and v(peak) were higher in boys than in girls by +12.3 and +17.4% (P<0.05), respectively, thus yielding higher absolute W'(peak) values in boys as compared to girls (+26.1%, P<0.001). Finally, W'(peak) normalized for fat-free mass (FFM) was not different between obese and non-obese children but higher in boys than in girls (+24.5%, P<0.001). CONCLUSIONS: Power generation capability per unit of FFM was similar between obese and non-obese children but was significantly higher in boys than girls. On the clinical practice it seems important to devote supplementary care to sustain and improve the motor function of obese and non-obese girls.

Red blood cell senescence and neocytolysis in humans after high altitude acclimatization.

A selective lysis of relatively young erythrocytes (neocytolysis), together with a decrease of erythropoietin (EPO) production, has been described in polycythemic, high altitude acclimatized climbers, after descent to sea level, and in astronauts, soon after exposure to weightlessness (Alfrey CP, Rice L, Udden MM, Driscoll TB. Neocytolysis may represent the physiological down-regulation of red-cell mass. Lancet 349 (1997) 1389-90). To study neocytolysis, we analysed blood samples drawn from 4 mountain climbers at sea level before and after 53 days of high altitude acclimatization (> or = 4500 m). After a 6-day descent to sea level, erythropoietin (EPO) plasma levels were lower than before high altitude acclimatization (mean values: 2.5+/-3.3 versus 10+/-4.5 mIU/ml, p < 0.05). Red blood cell (RBC) populations were separated into low, middle and high density subsets, which, by physical and phenotypical criteria, were characterized as young, middle-aged and old. RBC membrane molecules CD55 and CD59 along with phosphatydylserine and CD47 were measured. The former are partially lost during RBC aging. The latter are involved in the triggering or inhibition of RBC phagocytosis by macrophages. Immunofluorescence and flow cytometry were done on each density subset. Young and middle-aged RBCs largely disappeared after descent from high altitude (from 4.50% (+/-3.10) and 66% (+/-6.90) to 0.19% (+/-0.07) and 1.90% (+/-0.50), respectively). Simultaneously, there was a dramatic increase of high density RBCs (from 29.50% (+/-7) to 97.90% (+/-2.00)). Furthermore, the remaining young and middle-aged RBCs had acquired a senescent-like phenotype, which may account for their increased susceptibility to phagocytosis.

Time-frequency analysis and estimation of muscle fiber conduction velocity from surface EMG signals during explosive dynamic contractions.

Time-frequency analysis of the surface electromyographic (EMG) signal is used to assess muscle fiber membrane properties during dynamic contractions. The aim of this study was to compare the direct estimation of average muscle fiber conduction velocity (CV) with instantaneous mean frequency (iMNF) of surface EMG signals in isometric and explosive dynamic contractions. The muscles investigated were the vastus lateralis and medialis of both thighs in 12 male subjects. The isometric contractions were at linearly increasing force (0-100% of the maximal voluntary contraction in 10s). The explosive contractions were performed on a multipurpose ergometer-dynamometer (MED). The subject, sitting on the MED, performed six explosive contractions, separated by 2 min rest, by pushing against two force platforms and thrusting himself backwards with the maximum possible speed, while completely extending his legs. The estimated CV significantly increased with force in both the isometric (mean+/-S.D., from 3.24+/-0.34 to 5.12+/-0.31 m/s for vastus lateralis and from 3.17+/-0.26 to 5.11+/-0.34 m/s for vastus medialis, with force in the range 10-100% of the maximal voluntary contraction level) and explosive contractions (from 4.36+/-0.49 to 5.00+/-0.47 m/s for vastus lateralis, and from 4.32+/-0.46 to 4.94+/-0.44 m/s for vastus medialis, with force in the range 17.5-100% of maximal thrusting force). Moreover, estimated CV was not significantly different at the maximal force in the two exercises. On the contrary, iMNF, computed from the Choi-Williams time-frequency transform, was significantly lower in the explosive (57.7+/-8.2 and 66.5+/-10.3 Hz for vastus laterialis and medialis, respectively) than in the isometric exercises (73.7+/-9.2 and 75.0+/-8.5 Hz for vastus laterialis and medialis, respectively) and did not change with force in any of the conditions. It was concluded that EMG spectral features provide different information with respect to average muscle fiber CV in dynamic contractions. Thus, in general, they cannot be used to infer CV changes during the exertion of a dynamic task. A joint analysis of CV and EMG spectral features is necessary in this type of contractions.

Correction of cardiac output obtained by Modelflow from finger pulse pressure profiles with a respiratory method in humans.

The beat-by-beat non-invasive assessment of cardiac output (Q litre x min(-1)) based on the arterial pulse pressure analysis called Modelflow can be a very useful tool for quantifying the cardiovascular adjustments occurring in exercising humans. Q was measured in nine young subjects at rest and during steady-state cycling exercise performed at 50, 100, 150 and 200 W by using Modelflow applied to the Portapres non-invasive pulse wave (Q(Modelflow)) and by means of the open-circuit acetylene uptake (Q(C2H2)). Q values were correlated linearly ( r = 0.784), but Bland-Altman analysis revealed that mean Q(Modelflow) - Q(C2H2) difference (bias) was equal to 1.83 litre x min(-1) with an S.D. (precision) of 4.11 litre x min(-1), and 95% limits of agreement were relatively large, i.e. from -6.23 to +9.89 litre x min(-1). Q(Modelflow) values were then multiplied by individual calibrating factors obtained by dividing Q(C2H2) by Q(Modelflow) for each subject measured at 150 W to obtain corrected Q(Modelflow) (Qcorrected) values. Qcorrected values were compared with the corresponding Q(C2H2) values, with values at 150 W ignored. Data were correlated linearly ( r = 0.931) and were not significantly different. The bias and precision were found to be 0.24 litre x min(-1) and 3.48 litre x min(-1) respectively, and 95% limits of agreement ranged from -6.58 to +7.05 litre x min(-1). In conclusion, after correction by an independent method, Modelflow was found to be a reliable and accurate procedure for measuring Q in humans at rest and exercise, and it can be proposed for routine purposes.