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External dead space explains sex-differences in the ventilatory response to submaximal exercise in children with and without obesity.
Respiratory Physiology & Neurobiology ( IF 1.9 ) Pub Date : 2020-06-05 , DOI: 10.1016/j.resp.2020.103472
Bryce N Balmain 1 , Daniel P Wilhite 1 , Dharini M Bhammar 2 , Tony G Babb 1
Affiliation  

We compared the exercise ventilatory response (slope of the ventilation, V̇E and carbon dioxide production, V̇CO2 relationship) in boys and girls with and without obesity. 46 children with obesity (BMI percentile: 97.7 ± 1.4) and 27 children without obesity (BMI percentile: 55.1 ± 22.2) were included and divided into groups by sex (with obesity: 17 girls and 29 boys; without obesity: 13 girls and 14 boys). A 6 min constant load cycling test at 45 % of peak work rate was performed. The V̇E/V̇CO2 slope was similar (p = 0.67) between children with (32.7 ± 4.3) and without (32.2 ± 6.1) obesity; however, it was higher (p = 0.02) in girls (35.4 ± 5.6) than boys (32.6 ± 4.9). We also examined a corrected V̇E/V̇CO2 slope for the effects of mechanical dead space (VDM), by subtracting V̇DM from V̇E (V̇Ecorr/V̇CO2 slope). The V̇Ecorr/V̇CO2 slope remained similar (p = 0.37) between children with (26.8 ± 3.2) and without obesity (26.1 ± 3.1); however, no sex differences were observed (p = 0.13). Therefore, VDM should be accounted for before evaluating the V̇E/V̇CO2 slope, particularly when making between-sex comparisons.



中文翻译:

外部死腔解释了肥胖和非肥胖儿童对次最大运动的通气反应的性别差异。

我们比较了肥胖和非肥胖男孩和女孩的运动通气反应(通气斜率、V̇ E和二氧化碳产生、V̇CO 2关系)。46名肥胖儿童(BMI百分位:97.7±1.4)和27名非肥胖儿童(BMI百分位:55.1±22.2)被纳入并按性别分组(肥胖:17女孩和29男孩;非肥胖:13女孩和14男孩们)。以 45% 的峰值工作速率进行了 6 分钟的恒定负载循环测试。V̇ E /V̇CO 2斜率在有 (32.7 ± 4.3) 和没有 (32.2 ± 6.1) 肥胖的儿童之间相似(p = 0.67);然而,女孩 (35.4 ± 5.6) 高于男孩 (32.6 ± 4.9) (p = 0.02)。我们还检查了修正后的 V̇ E /V̇CO2斜率的机械死区(V效果DM),通过减去V̇ DM从V È(V自腐蚀电位/ VCO 2斜率)。在V自腐蚀电位/ VCO 2斜率保持类似的儿童之间(P = 0.37)与(26.8±3.2)和不肥胖(26.1±3.1); 然而,没有观察到性别差异(p = 0.13)。因此,在评估 V̇ E /V̇CO 2斜率之前,应考虑V DM,尤其是在进行性别比较时。

更新日期:2020-06-05
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