The Tohoku Journal of Experimental Medicine
Online ISSN : 1349-3329
Print ISSN : 0040-8727
ISSN-L : 0040-8727
Regular Contributions
Deoxygenated Hemoglobin/Myoglobin Kinetics of Forearm Muscles from Rest to Exercise in Patients with Chronic Obstructive Pulmonary Disease
Tomoko KutsuzawaSumie ShioyaDaisaku KuritaMunetaka Haida
Author information
JOURNAL FREE ACCESS

2009 Volume 217 Issue 1 Pages 9-15

Details
Abstract

Exercise capacity is frequently decreased in patients with chronic obstructive pulmonary disease (COPD), and muscle dysfunction is one factor in this reduction. Studies using 31-phosphorus magnetic resonance spectroscopy (31P-MRS) have shown that phosphocreatine (PCr) and muscle pH (pHi) are significantly decreased in patients with COPD during mild exercise, suggesting the early activation of anaerobic glycolysis in their muscles. Thus, muscle oxygenation states during exercise might differ between patients with COPD and healthy individuals. We simultaneously measured oxygenation state and pHi in the muscles of patients with COPD during the transition from rest to exercise (on-transition) using near infrared spectroscopy (NIRS) and 31P-MRS. Sixteen patients with COPD (aged 68.6 ± 7.5 years) and 7 healthy males (controls; aged 63.3 ± 7.5 years) performed dynamic handgrip exercise (lifting a weight by gripping at a rate of 20 grips per min for 3 min). Patients were classified based on pHi data at the completion of exercise as having a normal (≥ 6.9; n = 8) or a low (< 6.9; n = 8) pHi. The deoxygenated hemoglobin/myoglobin (deoxy-Hb/Mb) in NIRS recordings remained constant or slightly decreased initially (time delay), then increased to reach a plateau. We calculated the time delay and the time constant of deoxy-Hb/Mb kinetics during the on-transition. The time delay was shorter in the group with a low pHi than in the controls. These findings might reflect a slower increase in O2 delivery in patients with a low pHi, which might partly account for altered muscle energy metabolism.

Content from these authors
© 2009 Tohoku University Medical Press
Previous article Next article
feedback
Top