Evidence map›Paper›PMID 15004212›Full record

Trial reportThe Journal of physiology2004

Brain and central haemodynamics and oxygenation during maximal exercise in humans.

José González-Alonso, Mads K Dalsgaard, Takuya Osada, Stefanos Volianitis, Ellen A Dawson, Chie C Yoshiga, Niels H Secher

2 registry-linked trialsOpen access · greenAbstract readClinical Trial
In one paragraph

Trial report in The Journal of physiology, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 111 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
111citing papers in PubMed, 2 pooled it
6.8field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02854280 nacompletednot on this mapstarted 2013, after this paper: background citation

Brain During Effort : Effects of Hypoxia With Respiratory Patients

TypeinterventionalSponsorUniversity Hospital, GrenobleRan2013 to 2018Enrolled33ConditionsChronic Obstructive Pulmonary Disease (COPD), Sleep Apnea Obstructive (OSA), Healthy VolunteersArmsPedalling exercise on a cycle ergometer, Isolated contractions of the quadriceps
NCT05131217 nacompletednot on this mapstarted 2022, after this paper: background citation

Effects of Acute Exercise Intensity on Cerebral Blood Flow and Cognitive Function in Older Adults

TypeinterventionalSponsorUniversity of VirginiaRan2022 to 2023Enrolled13ConditionsAging WellArmsAcute bout of Continuous Moderate Intensity Exercise, Acute bout of High Intensity Interval Training, Control
3 · Its place in the literature

Who cites it

111 citing papers in PubMed, 2 syntheses or guidelines pooled it, 272 citations in OpenAlex.

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51 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

José González-AlonsoThe Copenhagen Muscle Research Centre, Department of Anaesthesia, Rigshospitalet, University of Copenhagen, Denmark. jga@cmrc.dk
Mads K Dalsgaard
Takuya Osada
Stefanos Volianitis
Ellen A Dawson
Chie C Yoshiga
Niels H Secher
University of Copenhagen · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

During maximal exercise in humans, fatigue is preceded by reductions in systemic and skeletal muscle blood flow, O(2) delivery and uptake. Here, we examined whether the uptake of O(2) and substrates by the human brain is compromised and whether the fall in stroke volume of the heart underlying the decline in systemic O(2) delivery is related to declining venous return. We measured brain and central haemodynamics and oxygenation in healthy males (n= 13 in 2 studies) performing intense cycling exercise (360 +/- 10 W; mean +/-s.e.m.) to exhaustion starting with either high (H) or normal (control, C) body temperature. Time to exhaustion was shorter in H than in C (5.8 +/- 0.2 versus 7.5 +/- 0.4 min, P < 0.05), despite heart rate reaching similar maximal values. During the first 90 s of both trials, frontal cortex tissue oxygenation and the arterial-internal jugular venous differences (a-v diff) for O(2) and glucose did not change, whereas middle cerebral artery mean flow velocity (MCA V(mean)) and cardiac output increased by approximately 22 and approximately 115%, respectively. Thereafter, brain extraction of O(2), glucose and lactate increased by approximately 45, approximately 55 and approximately 95%, respectively, while frontal cortex tissue oxygenation, MCA V(mean) and cardiac output declined approximately 40, approximately 15 and approximately 10%, respectively. At exhaustion in both trials, systemic VO(2) declined in parallel with a similar fall in stroke volume and central venous pressure; yet the brain uptake of O(2), glucose and lactate increased. In conclusion, the reduction in stroke volume, which underlies the fall in systemic O(2) delivery and uptake before exhaustion, is partly related to reductions in venous return to the heart. Furthermore, fatigue during maximal exercise, with or without heat stress, in healthy humans is associated with an enhanced rather than impaired brain uptake of O(2) and substrates.

Indexed as

Adenosine TriphosphateAdultAnaerobic ThresholdBiological Transport, ActiveBrain ChemistryCatecholaminesCerebrovascular CirculationExerciseFatigueHeat Stress DisordersHumansMaleOxygen ConsumptionRegional Blood FlowStroke VolumeAdenosine TriphosphateCatecholamines

Identifiers

PMID15004212
PMCPMC1665053
OpenAlexW1690183463

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.