Vagal activity and oxygen saturation response to hypoxia: Effects of aerobic fitness and rating of hypoxia tolerance

oleh: Tomáš Macoun, Michal Botek, Jakub Krejčí, Andrew J. McKune

Format: Article
Diterbitkan: Palacký University Olomouc 2017-10-01

Deskripsi

Background: A reduction in the inspired oxygen fraction (FiO<sub>2</sub>) induces a decline in arterial oxygen saturation (SpO<sub>2</sub>) and changes of heart rate variability (HRV). It has been shown that SpO<sub>2</sub> and HRV responses to similar levels of acute normobaric hypoxia are inter-individual variable. Variable response may be influenced by normoxia reached maximal oxygen uptake (VO<sub>2</sub>max) value. Objective: The primary aim was to assess HRV and the SpO<sub>2</sub> response to hypoxia, and examine the association with normoxic VO<sub>2</sub>max. Methods: Supine HRV and SpO<sub>2</sub> were monitored during normobaric hypoxia (FiO<sub>2</sub>&#8239;=&#8239;9.6%) for 10&#8239;minutes in 28 subjects, aged 23.7&#8239;&#177;&#8239;1.7&#8239;years. HRV was evaluated by using both spectral and time domain HRV analysis. Low frequency (LF, 0.05-0.15&#8239;Hz) and high frequency (HF, 0.15-0.50&#8239;Hz) power together with square root of the mean of the squares of the successive differences (rMSSD) were calculated and transformed by natural logarithm (Ln). Based on the SpO<sub>2</sub> in hypoxia, subjects were divided into Resistant (RG, SpO<sub>2</sub>&#8239;&#8805;&#8239;70.9%, n&#8239;=&#8239;14) and Sensitive (SG, SpO<sub>2</sub>&#8239;&lt;&#8239;70.9%, n&#8239;=&#8239;14) groups. Perceived hypoxia tolerance was self-scored on a 4-level scale. Results: VO<sub>2</sub>max was higher in SG (62.4&#8239;&#177;&#8239;7.2&#8239;ml &#8901; kg<sup>-1</sup> &#8901; min<sup>-1</sup>) compared with RG (55.5&#8239;&#177;&#8239;7.1&#8239;ml &#8901; kg<sup>-1</sup> &#8901; min<sup>-1</sup>, p&#8239;=&#8239;.017, d&#8239;=&#8239;0.97). A significant relationship (r&#8239;=&#8239;-.45, p&#8239;=&#8239;.017) between hypoxic-normoxic difference in SpO<sub>2</sub> and normoxic VO<sub>2</sub>max level was found. Vagal activity (Ln rMSSD) was significantly decreased (SG: p&#8239;&lt;&#8239;.001, d&#8239;=&#8239;2.64; RG: p&#8239;&lt;&#8239;.001, d&#8239;=&#8239;1.22), while sympathetic activity (Ln LF/HF) was relatively increased (p&#8239;&lt;&#8239;.001, d&#8239;=&#8239;-1.40) in only the SG during hypoxia. Conclusions: Results show that subjects with a higher aerobic capacity exhibited a greater decline in SpO<sub>2</sub>, accompanied by greater autonomic cardiac disturbances during hypoxia. The SpO<sub>2</sub> reduction was associated with perceived hypoxia comfort/discomfort. The hypoxia discomfort state was accompanied by a greater withdrawal in cardiac vagal activity.