Limitations to exercise tolerance in type 1 diabetes: the role of pulmonary oxygen uptake kinetics and priming exercise
Author(s) -
Richie P. Goulding,
Denise M. Roche,
Sam N. Scott,
Shunsaku Koga,
Philip J. Weston,
Simon Marwood
Publication year - 2020
Publication title -
journal of applied physiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.253
H-Index - 229
eISSN - 8750-7587
pISSN - 1522-1601
DOI - 10.1152/japplphysiol.00892.2019
Subject(s) - kinetics , deoxygenation , medicine , priming (agriculture) , diabetes mellitus , type 2 diabetes , physical exercise , type 1 diabetes , ventilatory threshold , chemistry , vo2 max , endocrinology , biochemistry , biology , heart rate , physics , germination , botany , quantum mechanics , blood pressure , catalysis
Patients with type 1 diabetes demonstrated slower oxygen uptake (V̇o 2 ) kinetics compared with healthy control subjects. Furthermore, a prior bout of high-intensity exercise speeded V̇o 2 kinetics and increased critical power in people with type 1 diabetes. Prior exercise speeded muscle deoxygenation kinetics, indicating that V̇o 2 kinetics in type 1 diabetes are limited primarily by oxygen extraction and/or intracellular factors. These findings highlight the potential for interventions that decrease metabolic inertia for enhancing exercise tolerance in this condition.
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