Warning: mkdir(): Permission denied in /home/virtual/lib/view_data.php on line 81

Warning: fopen(upload/ip_log/ip_log_2024-07.txt): failed to open stream: No such file or directory in /home/virtual/lib/view_data.php on line 83

Warning: fwrite() expects parameter 1 to be resource, boolean given in /home/virtual/lib/view_data.php on line 84
Effects of Bicycle Ergometer Exercise on Cerebral Blood Flow Velocity and Electroencephalogram Response in Normoxia and Hypoxia

Korean J Health Promot > Volume 19(1); 2019 > Article
Kim, Kim, and Jeong: Effects of Bicycle Ergometer Exercise on Cerebral Blood Flow Velocity and Electroencephalogram Response in Normoxia and Hypoxia

ABSTRACT

Background

The cerebral blood flow velocity (CBFV) has been known to increase in response to acute hypoxia. However, how CBFV might respond to exercise in hypoxic conditions and be associated with electroencephalogram (EEG) remains unclear. The purpose of this study was to evaluate the effect of exercise in hypoxic conditions corresponding to altitudes of 4,000 m on CBFV and EEG.

Methods

In a randomized, double-blind, balanced crossover study, ten healthy volunteers (19.8±0.4 years) were asked to perform the incremental bicycle ergometer exercise twice in hypoxic and control (sea level) conditions with a 1-week interval, respectively. Exercise intensity was set initially at 50 W and increased by 25 W every 2 minutes to 125 W. Acute normobaric hypoxic condition was maintained for 45 minutes using low oxygen gas mixture. CBFV in the middle cerebral artery (MCA) and EEG were measured at rest 5 minutes, rest 15 minutes, immediately after exercise, and 15 minutes recovery using transcranial-Doppler sonography and EEG signal was recorded from 6 scalp sites leading to analysis of alpha and beta wave relative activities. All data were analyzed using two-way repeated-measures analysis of variance and Pearson's correlation.

Results

CBFV in the MCA in the hypoxic condition was significantly higher than that in the control condition at rest 5 minutes (83±9 vs. 69±9 cm/s, P<0.01), rest 15 minutes (87±8 vs. 67±7 cm/s, P<0.001), immediately after exercise (112±9 vs. 97±9 cm/s, P<0.01), and 15 minutes recovery (91±11 vs. 74±7 cm/s, P<0.01). However, no significant correlation was found between the changes of CBFV and EEG wave activities.

Conclusions

These results suggest that the drastic change of CBFV observed during exercise with hypoxia might appear independently with EEG wave activities.

REFERENCES

1. Secher NH, Seifert T, Van Lieshout JJ. Cerebral blood flow and metabolism during exercise: implications for fatigue. J Appl Physiol 2008;104(1):306-314.
crossref pmid
2. Ogoh S, Ainslie PN. Cerebral blood flow during exercise: mechanisms of regulation. J Appl Physiol 2009;107(5):1370-1380.
crossref pmid
3. Schneider S, Strüder HK. Monitoring effects of acute hypoxia on brain cortical activity by using electromagnetic tomography. Behav Brain Res 2009;197(2):476-480.
crossref pmid
4. Feddersen B, Neupane P, Thanbichler F, Hadolt I, Sattelmeyer V, Pfefferkorn T, et al. Regional differences in the cerebral blood flow velocity response to hypobaric hypoxia at high altitudes. J Cereb Blood Flow Metab 2015;35(11):1846-1851.
crossref pmid pmc pdf
5. Imray CH, Myers SD, Pattinson KT, Bradwell AR, Chan CW, Harris S, et al. Effect of exercise on cerebral perfusion in humans at high altitude. J Appl Physiol 2005;99(2):699-706.
crossref pmid
6. Gupta AK, Menon DK, Czosnyka M, Smielewski P, Jones JG. Thresholds for hypoxic cerebral vasodilation in volunteers. Anesth Analg 1997;85(4):817-820.
crossref pmid
7. Ainslie PN, Barach A, Murrell C, Hamlin M, Hellemans J, Ogoh S. Alterations in cerebral autoregulation and cerebral blood flow velocity during acute hypoxia: rest and exercise. Am J Physiol Heart Circ Physiol 2007;292(2):H976-H983.
crossref pmid
8. Ozaki H, Watanabe S, Suzuki H. Topographic EEG changes due to hypobaric hypoxia at simulated high altitude. Electroencephalogr Clin Neurophysiol 1995;94(5):349-356.
crossref pmid
9. Martin D, Powers S, Cicale M, Collop N, Huang D, Criswell D. Validity of pulse oximetry during exercise in elite endurance athletes. J Appl Physiol 1992;72(2):455-488.
crossref pmid
10. Moraine JJ, Lamotte M, Berré J, Niset G. Leduc A, Naeijel R. Relationship of middle cerebral artery blood flow velocity to intensity during dynamic exercise in normal subjects. Eur J Appl Physiol Occup Physiol 1993;67(1):35-38.
pmid
11. Ogoh S, Brothers RM, Barnes Q, Eubank WL, Hawkins MN, Purkayastha S, et al. The effect of changes in cardiac output on middle cerebral artery mean blood velocity at rest and during exercise. J Physiol 2005;569(Pt 2):697-704.
crossref pmid pmc
12. Huang SY, Tawney KW, Bender PR, Groves BM, McCullough RE, McCullough RG, et al. Internal carotid flow velocity with exercise before and after acclimatization to 4,300 m. J Appl Physiol 1991;71(4):1469-1476.
crossref pmid
13. Yamamoto Y, Hoshika Y, Miyashita M. Effects of acute exposure to simulated altitude on heart rate variability during exercise. J Appl Physiol 1996;81(3):1223-1229.
crossref pmid
14. Patel S, Huang DL, Sagher O. Sympathetic mechanisms in cerebral blood flow alterations induced by spinal cord stimulation. J Neurosurg 2003;99(4):754-761.
crossref pmid
15. Kraaier V, Van Huffelen AC, Wieneke GH. Quantitative EEG changes due to hypobaric hypoxia in normal subjects. Electroencephalogr Clin Neurophysiol 1988;69(4):303-312.
crossref pmid
16. Moraes H, Ferreira C, Deslandes A, Cagy M, Pompeu F, Ribeiro P, et al. Beta and alpha electroencephalographic activity changes after acute exercise. Arq Neuropsiquiatr 2007;65(3A):637-641.
crossref pmid
Figure 1

Experimental procedures.

Abbreviations: CBF, cerebral blood flow; EEG, electroencephalography; HR, heart rate; SaO2, arterial oxygen saturation.
kjhp-19-59-g001.jpg
Figure 2

Correlation between changes in mean flow velocity of middle cerebral artery (MCA) and changes in Beta activity for resting 15 minutes after hypoxic exposure. P values are calculated by Pearson correlation analysis. r represents a negative correlation of changes in mean flow velocity of MCA and changes in Beta activity.

kjhp-19-59-g002.jpg
Table 1

Characteristics of participants

kjhp-19-59-i001.jpg

Values are presented as mean±standard deviation.

Table 2

Changes of cerebral blood flow velocity in the middle cerebral artery

kjhp-19-59-i002.jpg

Values are presented as mean±standard deviation.

F values are calculated by two-way repeated-measures ANOVA.

Abbreviations: EDV, maximum end-diastolic velocity; G, group; Mean, mean flow velocity; Peak, peak systolic velocity; T, time.

aSignificantly different from rest (P<0.05).

bSignificantly different from control group (P<0.05).

cSignificantly different from control group (P<0.01).

dSignificantly different from control group (P<0.001).

Table 3

Changes of electroencephalogram in the temporal lobe

kjhp-19-59-i003.jpg

Values are presented as mean±standard deviation.

F values are calculated by two-way repeated-measures ANOVA.

Abbreviations: G, group; T, time.

aSignificantly different from rest 5 minutes (P<0.05).

Table 4

Changes of arterial oxygen saturation and heart rate

kjhp-19-59-i004.jpg

Values are presented as mean±standard deviation.

F values are calculated by two-way repeated-measures ANOVA.

Abbreviations: G, group; SaO2, arterial oxygen saturation; T, time.

aSignificantly different from rest (P<0.05).

bSignificantly different from control group (P<0.05).

cSignificantly different from control group (P<0.01).

dSignificantly different from control group (P<0.001).



Editorial Office
Department of Family Medicine, Asan Medical Center, 88, Olympic-ro 43-gil, Songpa-gu, Seoul 05505, Korea
Tel: +82-2-3010-3820   Fax: +82-2-3010-3815   E-mail: kshpdp@amc.seoul.kr                

Copyright © 2024 by Korean Society For Health Promotion And Disease Prevention.

Developed in M2PI