Cardiac output and arteriovenous oxygen difference contribute to lower peak oxygen uptake in patients with fibromyalgia

Autor: Taneli Lehto, Teemu Zetterman, Ritva Markkula, Jari Arokoski, Heikki Tikkanen, Eija Kalso, Juha E. Peltonen
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: BMC Musculoskeletal Disorders, Vol 24, Iss 1, Pp 1-15 (2023)
Druh dokumentu: article
ISSN: 1471-2474
DOI: 10.1186/s12891-023-06589-2
Popis: Abstract Background Patients with fibromyalgia (FM) exhibit low peak oxygen uptake ( $$\dot{\text{V}}$$ V ˙ O2peak). We aimed to detect the contribution of cardiac output to ( $$\dot{\text{Q}}$$ Q ˙ ) and arteriovenous oxygen difference $$[\text{C}(\text{a-v})\text{O}_{2}]$$ [ C ( a-v ) O 2 ] to $$\dot{\text{V}}\text{O}_{2}$$ V ˙ O 2 from rest to peak exercise in patients with FM. Methods Thirty-five women with FM, aged 23 to 65 years, and 23 healthy controls performed a step incremental cycle ergometer test until volitional fatigue. Alveolar gas exchange and pulmonary ventilation were measured breath-by-breath and adjusted for fat-free body mass (FFM) where appropriate. $$\dot{\text{Q}}$$ Q ˙ (impedance cardiography) was monitored. $$\text{C}(\text{a-v})\text{O}_{2}$$ C ( a-v ) O 2 was calculated using Fick’s equation. Linear regression slopes for oxygen cost (∆ $$\dot{\text{V}}$$ V ˙ O2/∆work rate) and $$\dot{\text{Q}}$$ Q ˙ to $$\text{V}$$ V O2 (∆ $$\dot{\text{Q}}$$ Q ˙ /∆ $$\dot{\text{V}}$$ V ˙ O2) were calculated. Normally distributed data were reported as mean ± SD and non-normal data as median [interquartile range]. Results $$\dot{\text{V}}$$ V ˙ O2peak was lower in FM patients than in controls (22.2 ± 5.1 vs. 31.1 ± 7.9 mL∙min−1∙kg−1, P
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