Association between exercise intensity and renal blood flow evaluated using ultrasound echo View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2018-03-10

AUTHORS

Shotaro Kawakami, Tetsuhiko Yasuno, Takuro Matsuda, Kanta Fujimi, Ai Ito, Saki Yoshimura, Yoshinari Uehara, Hiroaki Tanaka, Takao Saito, Yasuki Higaki

ABSTRACT

BackgroundHigh-intensity exercise reduces renal blood flow (RBF) and may transiently exacerbate renal dysfunction. RBF has previously been measured invasively by administration of an indicator material; however, non-invasive measurement is now possible with technological innovations. This study examined variations in RBF at different exercise intensities using ultrasound echo.MethodsEight healthy men with normal renal function (eGFRcys 114 ± 19 mL/min/1.73 m2) participated in this study. Using a bicycle ergometer, participants underwent an incremental exercise test using a ramp protocol (20 W/min) until exhaustion in Study 1 and the lactate acid breaking point (LaBP) was calculated. Participants underwent a multi-stage test at exercise intensities of 60, 80, 100, 120, and 140% LaBP in Study 2. RBF was measured by ultrasound echo at rest and 5 min after exercise in Study 1 and at rest and immediately after each exercise in Study 2. To determine the mechanisms behind RBF decline, a catheter was placed into the antecubital vein to study vasoconstriction dynamics.ResultsRBF after maximum exercise decreased by 51% in Study 1. In Study 2, RBF showed no significant decrease until 80% LaBP, and showed a significant decrease (31%) at 100% LaBP compared with at rest (p < 0.01). The sympathetic nervous system may be involved in this reduction in RBF.ConclusionsRBF showed no significant decrease until 80% LaBP, and decreased with an increase in blood lactate. Reduction in RBF with exercise above the intensity at LaBP was due to decreased cross-sectional area rather than time-averaged flow velocity. More... »

PAGES

1061-1068

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URI

http://scigraph.springernature.com/pub.10.1007/s10157-018-1559-1

DOI

http://dx.doi.org/10.1007/s10157-018-1559-1

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1101408565

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/29525855


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