Search PubMed⌕ Search

Biomedical subjects

A Geyssant

Publications and source records attributed to A Geyssant.

At least 55 records · Page 3Linked to original sources
PubMed1995

Elevated nocturnal blood pressure assessed by ambulatory automatic monitoring during a stay at high altitude.

The aim of this study was to explore, in healthy children, the arterial blood pressure response to a 3-week stay at high altitude (4200 m). An auscultatory automatic ambulatory pressuremeter was used to avoid undue environmental influence on the measurement. The blood pressure was monitored three times in a group of ten boys, aged 10.5 (CI 0.9 years): at sea level (control values), at an altitude of 2100 m after at least 24 h of acclimatization and after at least 24 h at 4200 m altitude. Each period of monitoring extended over 24 h with 10-min intervals between successive measurements. Arterial blood pressure was evaluated separately for the night and day periods. Nocturnal recordings revealed an increase with altitude in systolic as well as in the diastolic blood pressure. Because of the technique used to gather data, this is thought to have represented an independent effect of altitude without interference from the medical environment or diurnal activity.

Acclimatization↗
PubMed1995

Influence of hypoxic ventilatory response on arterial O2 saturation during maximal exercise in acute hypoxia.

The aim of this study was to evaluate the influence of peripheral chemosensitivity estimated by hypoxic ventilatory response (HVR) on arterial oxygen saturation (SaO2) during maximal exercise in acute hypoxia. A group of 16 healthy men performed maximal exercise in two conditions of partial pressure of inspired oxygen (PIO2/149 and 70 mm Hg, 19.8 and 9.3 kPa). Measurements of maximal oxygen uptake (VO2max) and SaO2 using an ear-oximeter were carried out in both conditions of PIO2. The HVR was measured at rest by progressive isocapnic hypoxia and evaluated by the slope of the linear regression between the ventilatory flow (VE) and the SaO2 (delta VE/delta SaO2). The absolute value of HVR (in litres per minute per percentage saturation per kilogram) was correlated to maximal expired VE (r = 0.85, P < 0.001), ventilatory equivalent for CO2 (r = 0.83, P < 0.001) and SaO2 (r = 0.60, P < 0.05) determined during maximal exercise in hypoxia: a significant decrease in VO2max (37%) and SaO2 (32%) for PIO2 of 70 mm Hg (9.3 Pa) was observed (P < 0.001). The correlation between the decline of VO2max and arterial oxygen desaturation failed to reach statistical significance (r = 0.47, P = 0.1). The present findings indicated that the peripheral ventilatory chemosensitivity contributed to the interindividual variability of VE and SaO2 during maximal exercise in acute hypoxia.

Adult↗
PubMed1995

Effects of exposure to hypoxia on the signal-averaged electrocardiogram in healthy subjects.

The effects of hypoxia on the signal-averaged ECG (SAECG) were investigated in 26 healthy active subjects with no suggestion of cardiac disease. The SAECG was recorded in each resting subject in normoxic and hypoxic normobaric conditions (inspired O2 fraction 20.7 vs 10.0%) which lowered resting arterial O2 saturation from 98.6 +/- 0.6% to 77.7 +/- 8%. Recordings from four subjects (three men) met the definition of abnormal late potentials at baseline; in all these subjects but one, who exhibited an improved but still abnormal QRS duration, these parameters returned to normal in hypoxic conditions. The duration of the filtered QRS was significantly reduced (from 107.6 +/- 13.2 to 101.6 +/- 11.3 ms, P < 0.01), the duration of the low amplitude signals in the terminal portion of the QRS < 40 microV (LAS) significantly decreased (from 26.5 +/- 9.5 to 22.7 +/- 7.9 ms, P < 0.05) and the root mean square voltage in the last 40 ms (Term-RMS) increased non-significantly (from 55.8 +/- 40.2 to 69.1 +/- 38.3 microV, P = 0.058). Hypoxia determined a higher (P < 0.05) heart rate increase in subjects with abnormal records than in normal subjects. These data could be related to a sympathic discharge. They suggest that: (1) variation in heart rate could affect the SAECG; (2) exposure to hypoxia improves SAECG parameters in healthy subjects, possibly related to sympathetic discharge; (3) abnormal records collected during sinus bradycardia could represent a type of false-positive expression of late potentials in young active adults.

Adult↗
PubMed1995

Mitochondrial ATP production rate in 55 to 73-year-old men: effect of endurance training.

The effect of 6-week endurance training on mitochondrial ATP production rate was investigated in 14 elderly men. Mean age, body weight and height were 63 +/- 6 yr, 75.6 +/- 9.2 kg and 174 +/- 4 cm, respectively. Subjects trained on a Monark cycle ergometer at 79 +/- 8% of their maximal heart rate for 1 h day-1, 4 days week-1. Muscle samples were obtained at rest, before and after endurance training, by a needle biopsy technique and used for determination of mitochondrial ATP production rate in isolated mitochondria and enzyme assays. Endurance training resulted in a significant increase in maximal oxygen uptake (L min-1) (P < 0.01). Citrate synthase activity, a mitochondrial marker enzyme, and hexokinase activity increased significantly (both P < 0.01) in response to training while 3-hydroxyacyl-CoA dehydrogenase and carnitine palmitoyltransferase I activities remained statistically unchanged. A higher mitochondrial ATP production rate was observed after endurance training with the substrate combinations pyruvate+palmitoyl-L-carnitine+L-glutamate+malate (P < 0.01), L-glutamate (P < 0.001), pyruvate+malate (P < 0.05) and palmitoyl-L-carnitine+malate (P < 0.01). The largest increase was obtained with L-glutamate (170%). Significant correlations were observed between the percent increase in citrate synthase activity and those of mitochondrial ATP production rates. It was concluded that the increased mitochondrial ATP production rate of aged human skeletal muscle with training seems mainly to occur through an increased mitochondrial content, and in a way similar to those observed in young men.

3-Hydroxyacyl CoA Dehydrogenases↗
PubMed1995

Effects of training on performance in competitive swimming.

The relationships between the mean intensity of a training season, training volume and frequency, and the variations in performance were studied in a group of 18 elite swimmers. Additionally, differences between the swimmers who improved their personal record of the previous year during the follow-up training season (GIR, n = 8) and those who did not (GNI, n = 10) were investigated. The improvement in performance during the follow-up season was significantly correlated with the mean intensity of the training season (r = 0.69, p < 0.01), but not with training volume or frequency. The performance improvement during the follow-up season was negatively related to the initial performance level (r = 0.90, p < 0.01). The decline in performance during detraining from the previous year was less for the GIR than for the GNI (6.21 +/- 2.30% vs. 9.79 +/- 2.18%, p < 0.01). The present findings suggest that training intensity is the key factor in performance improvement in a group of elite swimmers. Factors such as previous detraining and initial performance level could jeopardize success in spite of a good adaptation to training.

Adaptation, Physiological↗
PubMed1995

[Study of chemosensitivity in patients believed to have sleep apnea syndrome].

We performed polysomnography and measured hypoxic ventilatory (HVR), hypercapnic ventilatory responses (HCVR) in 42 patients (60 +/- 11 years) with obesity and a clinical suspicion of sleep apnea syndrome (SAS) in order to determine whether an altered chemosensitivity was associated with SAS. The apnea/hypopnea index was 38 +/- 20 events per hour of sleep in 28 patients (SAS+ group) and less than 10 in the 14 others (SAS- group). The 2 groups differed only by a lower waking PaO2 in SAS+ as compared to SAS- (71.0 +/- 9 vs 77.4 +/- 8 mmHg, p < 0.05). HVR and HCVR were not significantly different in the 2 groups (0.82 +/- 0.58 vs 0.86 +/- 0.37 l.min-1.%-1; 1.41 +/- 0.81 vs 1.40 +/- 0.67 l.min-1.mmHg-1, respectively). In SAS+ group, HVR or HCVR did not change 3 or 12 months after continuous positive airway pressure (CPAP) therapy while both polysomnography and PaO2 returned to normal. We conclude that in patients with mild obesity and SAS there is no difference in chemosensitivity due to the presence of sleep apnea and that CPAP therapy does not alter these measurements. These results suggest no direct effect of SAS on chemosensitivity in the population studied.

Aged↗
PubMed1995

Wet suit effect: a comparison between competitive swimmers and triathletes.

The purpose of the present investigation was to examine the wet suit effect on 8 swimmers and 8 triathletes. For swimmers, the performances of a 400-m swim with and without wet suit were not statistically different (4 min 12.5 +/- 8 s vs 4 min 13.9 +/- 4 s) while for triathletes the swim times were reduced by 19 s (4 min 45.8 +/- 34 s vs 5 min 04.7 +/- 30 s, P < 0.01). For swimmers, VO2max and blood lactate measured with the wet suit were lower than without (P < 0.01), while for triathletes stroke rate was significantly higher with the wet suit (P < 0.01). For the whole group, the individual differences of performance were related to the blood lactate differences (r = -0.68; P < 0.01) and to the hydrostatic lift (r = 0.63; P < 0.01). For swimmers, the energy cost of swimming and the gliding ability were not statistically different with or without wet suit, while for triathletes they were significantly lower and decreased with velocity. It is concluded that the wet suit effect improves performance more in inefficient swimmers with low buoyancy, swimming at low speeds.

Adolescent↗
PubMed1994

ATP synthesis kinetic properties of mitochondria isolated from the rat extensor digitorum longus muscle depleted of creatine with beta-guanidinopropionic acid.

A creatine analogue, beta-guanidinopropionic acid (beta-GPA), was administered in the food (1% w/w) of 8 male rats while 8 control rats received a standard diet. Mitochondrial oxidative capacity and kinetic parameters of mitochondrial ATP synthesis, apparent maximal ATP synthesis rate (Vmax) and apparent Michaelis constant for free ADP (Km), were investigated in the extensor digitorum longus (EDL) muscle. Mitochondrial ATP synthesis rate was measured by a bioluminescent method over a large range of ADP concentration (2-30 microM). As a result of the diet, Vmax was significantly increased (P < 0.05) while Km remained unchanged at around 20 microM. Citrate synthase (CS) and 3-hydroxyacyl-CoA dehydrogenase activities were significantly increased (both P < 0.05). Vmax was tightly correlated with CS activity (P < 0.001; r = 0.84). It was concluded that the increase in maximal mitochondrial ATP synthesis rate after beta-GPA feeding in EDL muscle was essentially due to a general increase in mitochondrial enzyme concentrations.

Adenosine Triphosphate↗
PubMed1993

Effects of training in normoxia and normobaric hypoxia on human muscle ultrastructure.

The adaptive response of skeletal muscle to training in normoxia and in severe normobaric hypoxia was studied. The first group of five male subjects trained for 3 weeks on a bicycle (2 h/day, 6 days/week) in normoxia (Control training, Con T). A second group of five subjects trained in an ambient FIO2 decreasing progressively from 12.7% to a final level of 10.0% (hypoxic training, Hyp T). Fourteen months later, these subjects trained in normoxia at the same absolute power (normoxic training, Nor T). Peak oxygen consumption (VO2 max) was measured in normoxic and hypoxic conditions. Biopsies from the vastus lateralis muscle were analysed for fibre size, capillary and ultrastructural composition. Nor T had no effect on muscle tissue or VO2 max. Con T increased volume density of total mitochondria and lipids by 36 and 135% respectively (P < 0.05). Hyp T induced a 10% increase (P < 0.05) in peak VO2 max measured in hypoxia. Mean fibre cross-sectional area, interfibrillar mitochondrial volume density and capillary-to-fibre ratio were increased (P < 0.05) by 10, 42 and 13% respectively in the Hyp T group. These results suggest that training at the same relative workload in normoxia and hypoxia have similar, but not identical, effects on muscle tissue. If training in normoxia is carried out at the same absolute workload as in severe hypoxia, no significant effects are observed.

Adult↗
PubMed1993

Ergometric and metabolic adaptation to a 5-s sprint training programme.

The effects of 7 weeks of sprint training (repeated 5-s all-out sprints) on maximal power output (Wv,max) determined during a force-velocity test and a 30-s Wingate test (Wpeak) were studied in ten students [22 (SD 2) years] exercising on a cycle ergometer. Before and after training, muscle biopsies were taken from vastus lateralis muscle at rest for the ten subjects and immediately after a training session for five of them. Sprint training induced an improvement both in peak performances by 25% (Wv,max and Wpeak) and in the 30-s total work by 16%. Before sprint training, the velocity reached with no load (v0) was related to the resting muscle phosphocreatine (PCr) stores (r = 0.87, P < 0.001). The training-induced changes in v0 were observed only when these PCr stores were lowest. This pointed to a possible limiting role of low PCr concentrations in the ability to reach a high velocity. The improvement in performances was linked to an increase in the energy production from anaerobic glycolysis. This result was suggested in muscle by the increase in lactate production measured after a training session associated with the 20% higher activity of both phosphofructokinase and lactate dehydrogenase. The sprint training also increased the proportion of slow twitch fibres closely related to the decrease in fast twitch b fibres. This result would appear to demonstrate an appropriate adaptive reaction following high-intensity intermittent training for the slow twitch fibres which exhibit a greater oxidative capacity.

Adaptation, Physiological↗
PubMed1993

[Postoperative respiratory function and cholecystectomy by laparoscopic approach].

Open cholecystectomy is associated with characteristic changes in pulmonary function showing a restrictive pattern. Laparoscopic cholecystectomy without opening of the peritoneal cavity could be an alternative in reducing postoperative respiratory dysfunction. Having given their informed consent, 13 healthy ASA1 patients (age: 41 +/- 18 yrs) undergoing laparoscopic cholecystectomy were enrolled in this study, in order to assess their postoperative pulmonary function tests (forced vital capacity [FRC], forced expiratory volume [FEV1], functional residual capacity [FRC]) before operation (T0) and 4 h (T4), 24 h (T24), 48 h (T48) after surgery. Anaesthesia technique was the same associating propofol-atracurium-fentanyl, 50% N2O/O2. Ventilation was adapted to maintain end-tidal carbon dioxide pressure up to 30-35 mmHg. Postoperative analgesic regimen consisted of paracetamol-ketoprofen. Mean length of surgery was 84 +/- 15 min; mean duration of anaesthesia was 110 +/- 24 min. An immediate and harmonious restrictive breathing pattern developed postoperatively. Postoperative FVC measured 65% (T4), 63% (T24), 72% (T48) of preoperative function (p < 0.025); postoperative FEV1 measured respectively 60, 66 and 75% of preoperative function (p > 0.001), without change in FEV1/CV and FRC; a significant hypoxia occurred (T0: 86 mmHg, T4: 80 mmHg, T24: 75 mmHg, T48: 81 mmHg [p < 0.05]). Laparoscopic cholecystectomy resulted in less postoperative respiratory dysfunction than conventional cholecystectomy, as previously reported; this restrictive pattern observed without changes in FRC was similar to that following lower abdominal surgery.

Adult↗
PubMed1992

Pre-acclimatization to high altitude using exercise with normobaric hypoxic gas mixtures.

Pre-acclimatization was conducted using a new method elaborated in our laboratory, combining high intensity exercise while breathing hypoxia normobaric gas mixtures. The training consisted in a daily training during three weeks, 6 days a week, two hours a day, on bicycle ergometer. Eighteen subjects aging 22.2 +/- 1.4 years (11 males, 7 females) were matched in two similar groups: one group trained in normoxic conditions (NG) while the other group (HG) trained with a progressive decrease of the fraction of inspired oxygen (from 12.2% to 10.0%). Maximal oxygen uptake (VO2max) were measured before and after the protocol period in both hypoxic (VO2max H, FIO2 = 10.4%) and normoxic (VO2max N) conditions, for the 2 groups. Training induced a similar O2max N increase in the two groups. The ratio VO2max H/VO2max N was calculated. As expected, in NG group, this ratio decreased significantly (from 63.9 +/- 4.3 to 57.5 +/- 3.1%, p < 0.01) after the training period compared to the initial value, diminution associated with an elevation of VO2max N (from 48.4 +/- 9.0 to 52.9 +/- 9.0 ml.min-1 x kg-1, p < 0.01). Conversely, in HG group, this ratio was not significantly diminished (from 61.7 +/- 3.8 to 60.5 +/- 5.2%, NS) in spite of a similar increase of VO2max N (from 47.5 +/- 5.5 to 50.7 +/- 4.9 ml.min-1 x kg-1, p < 0.01). This does not follow the diminution of the ratio usually described when VO2max N reach higher values.(ABSTRACT TRUNCATED AT 250 WORDS)

Acclimatization↗
PubMed1992

Effect of different modalities of exercise and recovery on exercise performance in subjects with sickle cell trait.

The sickle cell trait (HbAS) does not seem to affect exercise performance. It remains unclear, however, whether the capability to sustain repeated brief maximal effort and recovery by HbAS subjects, is also preserved. To study this, nine HbAS and nine matched controls underwent on two different occasions, a series of four, approximately 2-min duration, maximal cycle exercise tests separated by 20-min recovery periods of either absolute rest (P) or light pedaling (A) as well as an incremental test to exhaustion. In all tests, work performed, heart rate, blood hematocrit, lactate, and serum creatine kinase (CK), lactate dehydrogenase (LDH), and aspartate aminotransferase (GOT) were measured. Performances were similar in HbAS and HbAA subjects in both the predominantly anaerobic and aerobic exercise series. There were no observable differences in work, power, or heart rate in the two groups both during peak exercise or recovery periods. A significant hemoconcentration was observed during P, with hematocrit increasing in HbAS from 46.4 +/- 0.7% to 48.3 +/- 0.4% at the end of the last recovery period. Similar changes were seen in HbAA. Significantly greater fluid losses were found during A (1.3 +/- 0.2 l in A and 0.6 +/- 0.1 l in P for HbAS; P < 0.001), but fluid losses were similar in each type of recovery in the two groups. Despite similar performance, significantly lower blood lactate concentrations were consistently found in HbAS in each of the three exercise series (P < 0.001). Lower lactate levels in HbAS were observed only at exercise loads above the lactate threshold during the incremental test (P < 0.05).(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1991

Accuracy of ambulatory blood pressure determination: a comparative study.

This study was designed to discriminate, according to their accuracy, between three ambulatory pressurometers (Diasys 200R, Novacor; P IV, Del Mar Avionics; SpaceLab 90202, SpaceLab). The evaluation was performed against invasive arterial reference measurements. Accuracy was assessed by calculating the error on pressure (EOP) as the difference between invasive and non-invasive measurement of arterial blood pressure. For the systolic values, accuracy (mean of EOP differences) and uncertainty (SD of these differences) were -0.9 +/- 9.7, -4.3 +/- 10.1 and -16.7 +/- 10.1 mmHg for, respectively, Diasys, PIV and SpaceLab. For diastolic values, they were, respectively, 5.9 +/- 6.7, 6.8 +/- 8.5 and 9.1 +/- 6.6 mmHg. EOP was then separated in two different types of errors: (i) the error of dispersion appreciated by the index of homogeneity calculated by a Lehmann analysis and leading to a statistical classification (ii) the error due to the drift of EOP with the reference value, this last error being easier to correct. Two different behaviours were observed for the EOP: (i) the drift of EOP of systolic values was significantly larger for the oscillometric (SpaceLab) than for the auscultatory (Diasys and P IV) method, with no difference between Diasys and P IV (ii) the homogeneity index was not statistically different among these three devices. These data suggest that, in case the correction of the drift of EOP is carried out, there is no statistical significant difference in accuracy between these three pressurometers. However, in our experimental conditions, the two ambulatory pressurometers recording the Korotkoff sounds have a better accuracy than the one using the oscillometric approach.

Adult↗
PubMed1990

Accuracy of pulse oximetry during moderate exercise: a comparative study.

This study was designed to discriminate, according to their accuracy, between eight pulse oximeters (PO) using a realistic evaluation performed by means of a moderate exercise to provide artefacts and thus represent a typical clinical situation. Accuracy was assessed by calculating error on saturation (EOS) as the difference between simultaneous measurement of non-invasive (SpO2) and invasive functional (SfO2) arterial blood oxygen saturation. An index of homogeneity of EOS (InH), calculated using a Lehmann analysis, was chosen as a representative of error dispersion, leading to a statistical classification; the influence on error introduced by the drift of EOS with SfO2 was thus eliminated. We obtained a clear-cut separation of the eight PO (Datex Satlite (DA), Kontron 7840 (KO), Nellcor 200 (NE), Novametrix 505 (NO), Ohmeda 3700 (OH), PPG-Hellige (PP), Physiocontrol 1600 (PH), and Radiometer Oxi (RA] into two statistically different subgroups by comparing their InH standard deviation (SD). There is a highly statistically significant difference between the accuracy measured for the high precision subgroup with an InH SD ranging from +/- 1.6 to +/- 1.9% SaO2 (DA, PH, and RA), and that measured for the low precision subgroup whose InH SD ranges from +/- 2.8 to +/- 5.0% SaO2 (NE, OH, NO, KO, PP). These results suggest that, in our clinical conditions, there is a wide range of inhomogeneity of error from one PO to another. The error introduced by the drift of EOS with SfO2 should be considered separately.

Adult↗
PubMed1989

Effects of endurance training on hyperammonaemia during a 45-min constant exercise intensity.

Eleven laboratory-pretrained subjects (initial VO2max = 54 ml.kg-1.min-1) took part in a study to evaluate the effect of a short endurance training programme [8-12 sessions, 1 h per session, with an intensity varying from 60% to 90% maximal oxygen consumption (VO2max)] on the responses of blood ammonia (b[NH+4]) and lactate (b[la]) concentrations during progressive and constant exercise intensities. After training, during which VO2max did not increase, significant decreases in b[NH+4], b[la] and muscle proton concentration were observed at the end of the 80% VO2max constant exercise intensity, although b[NH+4] and b[la] during progressive exercise were unchanged. On the other hand, no correlations were found between muscle fibre composition and b[NH+4] in any of the exercise procedures. This study demonstrated that a constant exercise intensity was necessary to reveal the effect of training on muscle metabolic changes inducing the decrease in b[NH+4] and b[la]. At a relative power of exercise of 80% VO2max, there was no effect of muscle fibre composition on b[NH+4] accumulation.

Adult↗
PubMed1988

Comparison of incremental and steady state tests of endurance training.

To compare the results obtained by incremental or constant work load exercises in the evaluation of endurance conditioning, a 20-week training programme was performed by 9 healthy human subjects on the bicycle ergometer for 1 h a day, 4 days a week, at 70-80% VO2max. Before and at the end of the training programme, (1) the blood lactate response to a progressive incremental exercise (18 W increments every 2nd min until exhaustion) was used to determine the aerobic and anaerobic thresholds (AeT and AnT respectively). On a different day, (2) blood lactate concentrations were measured during two sessions of constant work load exercises of 20 min duration corresponding to the relative intensities of AeT (1st session) and AnT (2nd session) levels obtained before training. A muscle biopsy was obtained from vastus lateralis at the end of these sessions to determine muscle lactate. AeT and AnT, when expressed as % VO2max, increased with training by 17% (p less than 0.01) and 9% (p less than 0.05) respectively. Constant workload exercise performed at AeT intensity was linked before training (60% VO2max) to a blood lactate steady state (4.8 +/- 1.4 mmol.l-1) whereas, after training, AeT intensity (73% VO2max) led to a blood lactate accumulation of up to 6.6 +/- 1.7 mmol.l-1 without significant modification of muscle lactate (7.6 +/- 3.1 and 8.2 +/- 2.8 mmol.kg-1 wet weight respectively). It is concluded that increase in AeT with training may reflect transient changes linked to lower early blood lactate accumulation during incremental exercise.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗