Extreme Physiology & Medicine | |
The increase in hydric volume is associated to contractile impairment in the calf after the world’s most extreme mountain ultra-marathon | |
Grégoire P. Millet2  Federico Schena1  Nicolas Place2  Jonas J. Saugy2  Francis Degache3  Damien Vitiello3  | |
[1] Faculty of Motor Sciences, University of Verona, Verona, Italy;Department of Physiology, Faculty of Biology and Medicine, University of Lausanne, Lausanne, Switzerland;Health Research Unit, School of Health Sciences, University of Applied Sciences Western Switzerland, Lausanne, Switzerland | |
关键词: Inflammation; Oedema; Muscle force loss; Ultra-running; Ultra-endurance; | |
Others : 1231859 DOI : 10.1186/s13728-015-0037-6 |
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received in 2015-01-24, accepted in 2015-09-29, 发布年份 2015 | |
【 摘 要 】
Background
Studies have recently focused on the effect of running a mountain ultra-marathon (MUM) and their results show muscular inflammation, damage and force loss. However, the link between peripheral oedema and muscle force loss is not really established. We tested the hypothesis that, after a MUM, lower leg muscles’ swelling could be associated with muscle force loss. The knee extensor (KE) and the plantar flexor (PF) muscles’ contractile function was measured by supramaximal electrical stimulations, potentiated low- and high-frequency doublets (PS10 and PS100) of the KE and the PF were measured by transcutaneous electrical nerve stimulation and bioimpedance was used to assess body composition in the runners (n = 11) before (Pre) and after (Post) the MUM and compared with the controls (n = 8).
Results
The maximal voluntary contraction of the KE and the PF significantly decreased by 20 % Post-MUM in the runners. Hydration of the non-fat mass (NF-Hyd) and extracellular water volume (Ve) were increased by 12 % Post-MUM (p < 0.001) in the runners. Calf circumference (+2 %, p < 0.05) was also increased. Significant relationships were found for percentage increases in Ve and NF-Hyd with percentage decrease in PS10 of the PF (r = −0.68 and r = −0.70, p < 0.05) and with percentage increase of calf circumference (r = 0.72 and r = 0.73, p < 0.05) in the runners.
Conclusions
The present study suggests that increases in circumference and in hydric volume are associated to contractile impairment in the calf in ultra-marathon runners.
【 授权许可】
2015 Vitiello et al.
【 预 览 】
Files | Size | Format | View |
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20151111032429605.pdf | 1085KB | download | |
Fig.1. | 34KB | Image | download |
【 图 表 】
Fig.1.
【 参考文献 】
- [1]Millet GP, Millet GY. Ultramarathon is an outstanding model for the study of adaptive responses to extreme load and stress. BMC Med. 2012; 10:77. BioMed Central Full Text
- [2]Millet GY, Tomazin K, Verges S, Vincent C, Bonnefoy R et al.. Neuromuscular consequences of an extreme mountain ultra-marathon. PLoS One. 2011; 6:e17059.
- [3]Saugy J, Place N, Millet GY, Degache F, Schena F et al.. Alterations of neuromuscular function after the world’s most challenging mountain ultra-marathon. PLoS One. 2013; 8:e65596.
- [4]Vitiello D, Rupp T, Bussiere JL, Robach P, Polge A et al.. Myocardial damages and left and right ventricular strains after an extreme mountain ultra-long duration exercise. Int J Cardiol. 2013; 165:391-392.
- [5]Vernillo G, Rinaldo N, Giorgi A, Esposito F, Trabucchi P et al.. Changes in lung function during an extreme mountain ultramarathon. Scand J Med Sci Sports. 2015; 25:e374-e380.
- [6]Wuthrich TU, Marty J, Kerherve H, Millet GY, Verges S, et al. Aspects of respiratory muscle fatigue in a mountain ultramarathon race. Med Sci Sports Exerc. 2014.
- [7]Vernillo G, Savoldelli A, Zignoli A, Trabucchi P, Pellegrini B et al.. Influence of the world’s most challenging mountain ultra-marathon on energy cost and running mechanics. Eur J Appl Physiol. 2014; 114:929-939.
- [8]Degache F, Van Zaen J, Oehen L, Guex K, Trabucchi P et al.. Alterations in postural control during the world’s most challenging mountain ultra-marathon. PLoS One. 2014; 9:e84554.
- [9]Bird SR, Linden M, Hawley JA. Acute changes to biomarkers as a consequence of prolonged strenuous running. Ann Clin Biochem. 2014; 51:137-150.
- [10]Willems ME, Huijing PA, Friden J. Swelling of sarcoplasmic reticulum in the periphery of muscle fibres after isometric contractions in rat semimembranosus lateralis muscle. Acta Physiol Scand. 1999; 165:347-356.
- [11]Ishikawa M, Dousset E, Avela J, Kyrolainen H, Kallio J et al.. Changes in the soleus muscle architecture after exhausting stretch-shortening cycle exercise in humans. Eur J Appl Physiol. 2006; 97:298-306.
- [12]Knechtle B, Duff B, Schulze I, Kohler G. A multi-stage ultra-endurance run over 1200 km leads to a continuous accumulation of total body water. J Sports Sci Med. 2008; 7:357-364.
- [13]Bracher A, Knechtle B, Gnadinger M, Burge J, Rust CA et al.. Fluid intake and changes in limb volumes in male ultra-marathoners: does fluid overload lead to peripheral oedema? Eur J Appl Physiol. 2012; 112:991-1003.
- [14]Cejka C, Knechtle B, Knechtle P, Rust CA, Rosemann T. An increased fluid intake leads to feet swelling in 100-km ultra-marathoners—an observational field study. J Int Soc Sports Nutr. 2012; 9:11. BioMed Central Full Text
- [15]Blumberg H. Development and therapy of the pain syndrome of reflex sympathetic dystrophy. Clinical expression, experimental investigations, and new pathophysiological considerations. Schmerz. 1988; 2:125-143.
- [16]Milledge JS, Bryson EI, Catley DM, Hesp R, Luff N et al.. Sodium balance, fluid homeostasis and the renin-aldosterone system during the prolonged exercise of hill walking. Clin Sci (Lond). 1982; 62:595-604.
- [17]Williams ES, Ward MP, Milledge JS, Withey WR, Older MW et al.. Effect of the exercise of seven consecutive days hill-walking on fluid homeostasis. Clin Sci (Lond). 1979; 56:305-316.
- [18]Crenshaw AG, Thornell LE, Friden J. Intramuscular pressure, torque and swelling for the exercise-induced sore vastus lateralis muscle. Acta Physiol Scand. 1994; 152:265-277.
- [19]Nosaka K, Clarkson PM. Changes in indicators of inflammation after eccentric exercise of the elbow flexors. Med Sci Sports Exerc. 1996; 28:953-961.
- [20]Murayama M, Nosaka K, Yoneda T, Minamitani K. Changes in hardness of the human elbow flexor muscles after eccentric exercise. Eur J Appl Physiol. 2000; 82:361-367.
- [21]Verges S, Maffiuletti NA, Kerherve H, Decorte N, Wuyam B et al.. Comparison of electrical and magnetic stimulations to assess quadriceps muscle function. J Appl Physiol (1985). 2009; 106:701-710.
- [22]Pichonnaz C, Bassin JP, Currat D, Martin E, Jolles BM. Bioimpedance for oedema evaluation after total knee arthroplasty. Physiother Res Int. 2013; 18:140-147.
- [23]Pichonnaz C, Bassin JP, Lecureux E, Currat D, Jolles BM. Bioimpedance spectroscopy for swelling evaluation following total knee arthroplasty: a validation study. BMC Musculoskelet Disord. 2015; 16:100. BioMed Central Full Text
- [24]Moreno MV, Ribbe E, Rebeyrol J, Vannicatte A, Krief L. Evaluation of a multifrequency impedancemeter by biphotonic densitometry, measuring independent tissue indices, in supine and standing position. Comparison with skin folds. Gazz Med Ital Arch Sci Med. 2015;174:1–2;3029-GMI
- [25]Jaffrin MY, Fenech M, de Fremont JF, Tolani M. Continuous monitoring of plasma, interstitial, and intracellular fluid volumes in dialyzed patients by bioimpedance and hematocrit measurements. ASAIO J. 2002; 48:326-333.
- [26]De Lorenzo A, Andreoli A, Matthie J, Withers P. Predicting body cell mass with bioimpedance by using theoretical methods: a technological review. J Appl Physiol (1985). 1997; 82:1542-1558.
- [27]Jaffrin MY, Morel H. Body fluid volumes measurements by impedance: a review of bioimpedance spectroscopy (BIS) and bioimpedance analysis (BIA) methods. Med Eng Phys. 2008; 30:1257-1269.
- [28]Kotler DP, Burastero S, Wang J, Pierson RN. Prediction of body cell mass, fat-free mass, and total body water with bioelectrical impedance analysis: effects of race, sex, and disease. Am J Clin Nutr. 1996; 64:489S-497S.
- [29]Wang Z, Zhu S, Wang J, Pierson RN, Heymsfield SB. Whole-body skeletal muscle mass: development and validation of total-body potassium prediction models. Am J Clin Nutr. 2003; 77:76-82.
- [30]Moreno MV, Ribbe E, Rebeyrol J, Vannicatte A, Krief L. Evaluation of a new impedancemeter to independently access extracellular, intracellular and total body water volumes. Application to the measurement of hydration. MBEC. 2015:1–11.
- [31]Mueller SM, Anliker E, Knechtle P, Knechtle B, Toigo M. Changes in body composition in triathletes during an Ironman race. Eur J Appl Physiol. 2013; 113:2343-2352.
- [32]Knechtle B, Morales NP, Gonzalez ER, Gutierrez AA, Sevilla JN et al.. Effect of a multistage ultraendurance triathlon on aldosterone, vasopressin, extracellular water and urine electrolytes. Scott Med J. 2012; 57:26-32.
- [33]Fellmann N, Ritz P, Ribeyre J, Beaufrere B, Delaitre M et al.. Intracellular hyperhydration induced by a 7-day endurance race. Eur J Appl Physiol Occup Physiol. 1999; 80:353-359.
- [34]Maughan RJ, Whiting PH, Davidson RJ. Estimation of plasma volume changes during marathon running. Br J Sports Med. 1985; 19:138-141.
- [35]Proske U, Morgan DL. Muscle damage from eccentric exercise: mechanism, mechanical signs, adaptation and clinical applications. J Physiol. 2001; 537:333-345.
- [36]Burge J, Knechtle B, Knechtle P, Gnadinger M, Rust CA et al.. Maintained serum sodium in male ultra-marathoners–the role of fluid intake, vasopressin, and aldosterone in fluid and electrolyte regulation. Horm Metab Res. 2011; 43:646-652.
- [37]Knechtle B, Knechtle P, Rust CA, Gnadinger M, Imoberdorf R et al.. Regulation of electrolyte and fluid metabolism in multi-stage ultra-marathoners. Horm Metab Res. 2012; 44:919-926.
- [38]Freund W, Weber F, Billich C, Schuetz UH. The foot in multistage ultra-marathon runners: experience in a cohort study of 22 participants of the Trans Europe Footrace Project with mobile MRI. BMJ Open. 2012; 2:e001118.
- [39]Stick C, Grau H, Witzleb E. On the edema-preventing effect of the calf muscle pump. Eur J Appl Physiol Occup Physiol. 1989; 59:39-47.
- [40]Baker AJ, Kostov KG, Miller RG, Weiner MW. Slow force recovery after long-duration exercise: metabolic and activation factors in muscle fatigue. J Appl Physiol (1985). 1993; 74:2294-2300.
- [41]Fitts RH, Balog EM. Effect of intracellular and extracellular ion changes on E–C coupling and skeletal muscle fatigue. Acta Physiol Scand. 1996; 156:169-181.
- [42]Allen DG, Lamb GD, Westerblad H. Impaired calcium release during fatigue. J Appl Physiol (1985). 2008; 104:296-305.
- [43]Hill CA, Thompson MW, Ruell PA, Thom JM, White MJ. Sarcoplasmic reticulum function and muscle contractile character following fatiguing exercise in humans. J Physiol. 2001; 531:871-878.
- [44]Yu JG, Liu JX, Carlsson L, Thornell LE, Stal PS. Re-evaluation of sarcolemma injury and muscle swelling in human skeletal muscles after eccentric exercise. PLoS One. 2013; 8:e62056.
- [45]Behm DG, Baker KM, Kelland R, Lomond J. The effect of muscle damage on strength and fatigue deficits. J Strength Cond Res. 2001; 15:255-263.