Noninvasive measurement of human forearm oxygen consumption by near infrared spectroscopy. 1993

R A De Blasi, and M Cope, and C Elwell, and F Safoue, and M Ferrari
Istituto di Anestesiologia e Rianimazione, I Università di Roma, Policlinico Umberto I, Italy.

This study reported on the application of near infrared spectroscopy (NIRS) to noninvasive measurements of forearm brachio-radial muscle oxygen consumption (VO2) and recovery time (tr) in untrained volunteers. Seven healthy subjects were submitted to four consecutive protocols involving measurements made at rest, the induction of an ischaemia, and during a maximal increase of metabolic demand achieved with and without vascular occlusion. Two isometric maximal voluntary contractions (MVC) of 30-s duration were executed with and without vascular occlusion and a 50% MVC lasting 125 s was also performed. The protocols were repeated on 2 different days. The results showed that, during vascular occlusion at rest, the time to 95% of the final haemoglobin (Hb) + myoglobin (Mb) desaturation value was independent of VO2. The MVC, performed during vascular occlusion, caused complete Hb+Mb desaturation in 15-20 s, which was not followed by any further desaturation when the second contraction was performed. No difference was found between VO2 during MVC with and without vascular occlusion. A consistent difference was seen between VO2 measured during occlusion at rest and VO2 measured during MVC with and without occlusion. During prolonged exercise (125 s) Hb+Mb desaturation was maintained for the whole contraction period. The results of this study show that VO2 can be measured noninvasively by NIRS. The VO2 during MVC was very similar both in the presence and absence of blood flow limitation in most of the subjects tested. This would suggest that muscle VO2 might be accurately evaluated dynamically without cuff occlusion.

UI MeSH Term Description Entries
D007537 Isometric Contraction Muscular contractions characterized by increase in tension without change in length. Contraction, Isometric,Contractions, Isometric,Isometric Contractions
D008297 Male Males
D009132 Muscles Contractile tissue that produces movement in animals. Muscle Tissue,Muscle,Muscle Tissues,Tissue, Muscle,Tissues, Muscle
D009211 Myoglobin A conjugated protein which is the oxygen-transporting pigment of muscle. It is made up of one globin polypeptide chain and one heme group.
D010101 Oxygen Consumption The rate at which oxygen is used by a tissue; microliters of oxygen STPD used per milligram of tissue per hour; the rate at which oxygen enters the blood from alveolar gas, equal in the steady state to the consumption of oxygen by tissue metabolism throughout the body. (Stedman, 25th ed, p346) Consumption, Oxygen,Consumptions, Oxygen,Oxygen Consumptions
D001808 Blood Vessels Any of the tubular vessels conveying the blood (arteries, arterioles, capillaries, venules, and veins). Blood Vessel,Vessel, Blood,Vessels, Blood
D003250 Constriction The act of constricting. Clamping,Clampings,Constrictions
D005260 Female Females
D005542 Forearm Part of the upper extremity in humans and primates extending from the ELBOW to the WRIST. Antebrachium,Antebrachiums,Forearms
D006454 Hemoglobins The oxygen-carrying proteins of ERYTHROCYTES. They are found in all vertebrates and some invertebrates. The number of globin subunits in the hemoglobin quaternary structure differs between species. Structures range from monomeric to a variety of multimeric arrangements. Eryhem,Ferrous Hemoglobin,Hemoglobin,Hemoglobin, Ferrous

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