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Metabolic and cardiovascular responses during voluntary pedaling exercise with electrical muscle stimulation

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Abstract

Purpose

We aimed to test the effect of additional electrical muscle stimulation (EMS) during moderate-intensity voluntary pedaling exercise on metabolic and cardiovascular responses.

Methods

Eleven healthy male subjects performed moderate-intensity pedaling exercise at a constant workload (80 % of ventilatory threshold) for 20 min while EMS was applied to thigh muscles from 5 to 10 min and from 15 to 20 min during the exercise.

Results

A significantly higher oxygen uptake (VO2), heart rate, and respiratory gas exchange ratio were observed during the exercise periods with EMS despite the constant workload. These changes were accompanied by an elevated blood lactate concentration, suggesting the existence of additional fast-twitch motor unit (MU) recruitment during the exercise with EMS.

Conclusion

Our data suggest that the use of intermittent EMS during a constant load exercise mimics the high-intensity interval training, possibly due to additional fast-twitch MU recruitment and co-contractions of the quadriceps and hamstrings muscles, leading to higher anaerobic metabolism and a lower mechanical efficiency.

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Abbreviations

ECG:

Electrocardiogram

EMS:

Electrical muscle stimulation

HR:

Heart rate

MU:

Motor unit

PETCO2 :

End-tidal CO2 partial pressure

PETO2 :

End-tidal O2 partial pressure

RPE:

Rate of perceived exertion

T2DM:

Type 2 diabetes mellitus VO2 oxygen uptake

\(\dot{V}{\text{E}}\) :

Ventilation

\(\dot{V}{\text{CO}}_{2}\) :

Carbon dioxide production

\(\dot{V}{\text{O}}_{{2{ \hbox{max} }}}\) :

Maximal oxygen uptake

\(\dot{V}{\text{O}}_{2}\) :

Oxygen uptake

References

  • Adams GR, Duvoisin MR, Dudley GA (1992) Magnetic resonance imaging and electromyography as indexes of muscle function. J Appl Physiol 73:1578–1583

    CAS  PubMed  Google Scholar 

  • Akima H, Kinugasa R, Kuno S (2005) Recruitment of the thigh muscles during sprint cycling by muscle functional magnetic resonance imaging. Int J Sports Med 26:245–252

    CAS  PubMed  Google Scholar 

  • Amano M, Kanda T, Ue H, Moritani T (2001) Exercise training and autonomic nervous system activity in obese individuals. Med Sci Sports Exerc 33:1287–1291

    CAS  PubMed  Google Scholar 

  • Banerjee P, Caulfield B, Crowe L, Clark A (2005) Prolonged electrical muscle stimulation exercise improves strength and aerobic capacity in healthy sedentary adults. J Appl Physiol 99:2307–2311

    PubMed  Google Scholar 

  • Banerjee P, Caulfield B, Crowe L, Clark AL (2009) Prolonged electrical muscle stimulation exercise improves strength, peak VO2, and exercise capacity in patients with stable chronic heart failure. J Card Fail 15:319–326

    PubMed  Google Scholar 

  • Burke RE, Levine DN, Tsairis P, Zajac FE 3rd (1973) Physiological types and histochemical profiles in motor units of the cat gastrocnemius. J Physiol 234:723–748

    CAS  PubMed Central  PubMed  Google Scholar 

  • Clamann HP, Gillies JD, Skinner RD, Henneman E (1974) Quantitative measures of output of a motoneuron pool during monosynaptic reflexes. J Neurophysiol 37:1328–1337

    CAS  PubMed  Google Scholar 

  • Colberg SR, Albright AL, Blissmer BJ, Braun B, Chasan-Taber L, Fernhall B, Regensteiner JG, Rubin RR, Sigal RJ (2010) Exercise and type 2 diabetes: American College of Sports Medicine and the American Diabetes Association: joint position statement. Exercise and type 2 diabetes. Med Sci Sports Exerc 42:2282–2303

    PubMed  Google Scholar 

  • Endo MY, Kobayakawa M, Kinugasa R, Kuno S, Akima H, Rossiter HB, Miura A, Fukuba Y (2007) Thigh muscle activation distribution and pulmonary VO2 kinetics during moderate, heavy, and very heavy intensity cycling exercise in humans. Am J Physiol Regul Integr Comp Physiol 293:R812–R820

    CAS  PubMed  Google Scholar 

  • Fujibayashi M, Matsumoto T, Kishida I, Kimura T, Ishii C, Ishii N, Moritani T (2009) Autonomic nervous system activity and psychiatric severity in schizophrenia. Psychiatry Clin Neurosci 63:538–545

    PubMed  Google Scholar 

  • Gondoh Y, Tashiro M, Itoh M, Masud MM, Sensui H, Watanuki S, Ishii K, Takekura H, Nagatomi R, Fujimoto T (2009) Evaluation of individual skeletal muscle activity by glucose uptake during pedaling exercise at different workloads using positron emission tomography. J Appl Physiol 107:599–604

    PubMed  Google Scholar 

  • Greenhaff PL, Soderlund K, Ren JM, Hultman E (1993) Energy metabolism in single human muscle fibres during intermittent contraction with occluded circulation. J Physiol 460:443–453

    CAS  PubMed Central  PubMed  Google Scholar 

  • Gregory CM, Bickel CS (2005) Recruitment patterns in human skeletal muscle during electrical stimulation. Phys Ther 85:358–364

    PubMed  Google Scholar 

  • Hamada T, Sasaki H, Hayashi T, Moritani T, Nakao K (2003) Enhancement of whole body glucose uptake during and after human skeletal muscle low-frequency electrical stimulation. J Appl Physiol 94:2107–2112

    CAS  PubMed  Google Scholar 

  • Hamada T, Hayashi T, Kimura T, Nakao K, Moritani T (2004) Electrical stimulation of human lower extremities enhances energy consumption, carbohydrate oxidation, and whole body glucose uptake. J Appl Physiol 96:911–916

    PubMed  Google Scholar 

  • Hasegawa S, Kobayashi M, Arai R, Tamaki A, Nakamura T, Moritani T (2011) Effect of early implementation of electrical muscle stimulation to prevent muscle atrophy and weakness in patients after anterior cruciate ligament reconstruction. J Electromyogr Kinesiol 21:622–630

    PubMed  Google Scholar 

  • Henneman E, Somjen G, Carpenter DO (1965) Functional significance of cell size in spinal motoneurons. J Neurophysiol 28:560–580

    CAS  PubMed  Google Scholar 

  • Hug F, Dorel S (2009) Electromyographic analysis of pedaling: a review. J Electromyogr Kinesiol 19:182–198

    PubMed  Google Scholar 

  • Hug F, Bendahan D, Le Fur Y, Cozzone PJ, Grelot L (2004) Heterogeneity of muscle recruitment pattern during pedaling in professional road cyclists: a magnetic resonance imaging and electromyography study. Eur J Appl Physiol 92:334–342

    PubMed  Google Scholar 

  • Hultman E, Spriet LL (1986) Skeletal muscle metabolism, contraction force and glycogen utilization during prolonged electrical stimulation in humans. J Physiol 374:493–501

    CAS  PubMed Central  PubMed  Google Scholar 

  • Jubeau M, Gondin J, Martin A, Sartorio A, Maffiuletti NA (2007) Random motor unit activation by electrostimulation. Int J Sports Med 28:901–904

    CAS  PubMed  Google Scholar 

  • Kimura T, Matsumoto K, Kameda N, Tanaka S, Hayashi T, Moritani T (2010) Percutaneous electrical muscle stimulation attenuates postprandial hyperglycemia in obese and pre-obese Japanese men. Int J Sport Health Sci 8:1–6

    Google Scholar 

  • Maffiuletti NA, Minetto MA, Farina D, Bottinelli R (2011) Electrical stimulation for neuromuscular testing and training: state-of-the art and unresolved issues. Eur J Appl Physiol 111:2391–2397

    PubMed  Google Scholar 

  • Miyamoto T, Fukuda K, Kimura T, Matsubara Y, Tsuda K, Moritani T (2012) Effect of percutaneous electrical muscle stimulation on postprandial hyperglycemia in type 2 diabetes. Diabetes Res Clin Pract 96:306–312

    PubMed  Google Scholar 

  • Mogensen M, Sahlin K, Fernstrom M, Glintborg D, Vind BF, Beck-Nielsen H, Hojlund K (2007) Mitochondrial respiration is decreased in skeletal muscle of patients with type 2 diabetes. Diabetes 56:1592–1599

    CAS  PubMed  Google Scholar 

  • Moritani T, Takaishi T, Matsumoto T (1993) Determination of maximal power output at neuromuscular fatigue threshold. J Appl Physiol 74:1729–1734

    CAS  PubMed  Google Scholar 

  • Moritani T, Kimura T, Hamada T, Nagai N (2005) Electrophysiology and kinesiology for health and disease. J Electromyogr Kinesiol 15:240–255

    PubMed  Google Scholar 

  • Regensteiner JG, Bauer TA, Reusch JE, Brandenburg SL, Sippel JM, Vogelsong AM, Smith S, Wolfel EE, Eckel RH, Hiatt WR (1998) Abnormal oxygen uptake kinetic responses in women with type II diabetes mellitus. J Appl Physiol 85:310–317

    CAS  PubMed  Google Scholar 

  • Scheuermann-Freestone M, Madsen PL, Manners D, Blamire AM, Buckingham RE, Styles P, Radda GK, Neubauer S, Clarke K (2003) Abnormal cardiac and skeletal muscle energy metabolism in patients with type 2 diabetes. Circulation 107:3040–3046

    CAS  PubMed  Google Scholar 

  • Watanabe K, Katayama K, Ishida K, Akima H (2009) Electromyographic analysis of hip adductor muscles during incremental fatiguing pedaling exercise. Eur J Appl Physiol 106:815–825

    PubMed  Google Scholar 

  • Watanabe K, Miyamoto T, Tanaka Y, Fukuda K, Moritani T (2012) Type 2 diabetes mellitus patients manifest characteristic spatial EMG potential distribution pattern during sustained isometric contraction. Diabetes Res Clin Pract 97:468–473

    PubMed  Google Scholar 

  • Watanabe K, Gazzoni M, Holobar A, Miyamoto T, Fukuda K, Merletti R, Moritani T (2013) Motor unit firing pattern of vastus lateralis muscle in type 2 diabetes mellitus patients. Muscle Nerve 48:806–813

    PubMed  Google Scholar 

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Acknowledgments

This research was supported by Grant-in-Aid for Scientific Research (B) (No. 23300253, PI: Moritani) and Grant-Aid for Japan Society for the Promotion of Science (No. 22-1944, PI: Watanabe).

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Correspondence to Toshio Moritani.

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Communicated by Jean-René Lacour.

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Watanabe, K., Taniguchi, Y. & Moritani, T. Metabolic and cardiovascular responses during voluntary pedaling exercise with electrical muscle stimulation. Eur J Appl Physiol 114, 1801–1807 (2014). https://doi.org/10.1007/s00421-014-2906-x

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  • DOI: https://doi.org/10.1007/s00421-014-2906-x

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