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Karger Publishers, Respiration, 6(94), p. 493-500, 2017

DOI: 10.1159/000479887

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Vascular Dynamics and Peripheral Oxygen Uptake in Obese Individuals during Progressive Physical Exercise

This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

<b><i>Background:</i></b> Obese men show higher O<sub>2</sub> consumption than lean men during physical exercise, with a trend toward higher peripheral O<sub>2</sub> extraction; this is probably due to their larger muscle mass. <b><i>Objectives:</i></b> The aim of this study was to examine this phenomenon by measuring 2 vasoactive substances, endothelin-1 (ET-1) and nitric oxide (NO), during a progressive submaximal exercise. <b><i>Methods:</i></b> Seventeen obese (body mass index [BMI] 38.6) and 15 lean (BMI 22.5) men performed a maximal progressive cycle ergometer exercise to determine peak power output (PPO) and peak O<sub>2</sub> consumption (<i>V</i><b>∙</b><i>O</i><sub>2</sub><sub><i>peak</i></sub>); thereafter, they performed a submaximal cycle ergometer incremental test (every 6 min) at the same percentage of <i>V</i><b>∙</b><i>O</i><sub>2</sub><sub><i>peak</i></sub> until they reached 57.5% PPO. Blood samples were collected at rest and at the end of every step to measure ET-1 and NO concentrations. <b><i>Results:</i></b> At rest, the ET-1 and NO concentrations in obese men and lean controls were the same. However, during exercise, the ET-1 concentration at each step was significantly lower (<i>p</i> < 0.05) in the obese group. There was no significant difference in NO concentration between the 2 groups, although the increase at the beginning of the exercise session was faster in obese individuals. During submaximal exercise, end-tidal O<sub>2</sub> pressure (PETO<sub>2</sub>) was lower in the obese group, with a significant difference in the PETO<sub>2</sub>/fat-free mass ratio at each step. <b><i>Conclusions:</i></b> ET-1 and NO levels during physical exercise are different in obese versus lean men. This may support the notion that increased O<sub>2</sub> consumption in obesity is due to different behaviors of the cardiorespiratory and circulatory systems.