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Intermittent hypoxia revisited: a promising non-pharmaceutical strategy to reduce cardio-metabolic risk factors?

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Abstract

Purpose

The study aims to investigate the effects of moderate intermittent hypoxia (IH) on key cardio-metabolic risk factors in overweight and obese subjects.

Methods

Six subjects were exposed to 10 sessions of moderate IH over 2 weeks (based on \( \overline{SpO_2}=80\% \); ~70 min per session). Measures were made of blood glucose (GLU) and lactate (La); high (HDLc) and low-density lipoproteins (LDLc); triglycerides (TRG), systolic (SBP), and diastolic blood pressure (DBP); and cardiac autonomic indices [root mean square of successive R-R interval differences (RMSSD) and short-term fractal scaling exponent (DFAα1)].

Results

GLU decreased and La increased following a single IH session (6.21 ± 1.62 vs. 5.32 ± 1.03 mmol L−1; p < 0.05; 1.14 ± 0.21 vs. 1.47 ± 0.22 mmol L−1), but no sustained change after 10 sessions of IH occurred (p > 0.05). Conversely, LDLc (3.00 ± 0.68 vs. 2.51 ± 0.60 mmol L−1; p < 0.05), LDLc/HDLc ratio (2.52 ± 0.66 vs. 2.26 ± 0.70 mmol L−1; p < 0.05), and SBP (118.6 ± 13.3 vs. 109.6 ± 11.3 mmHg; p < 0.05) were all significantly decreased after 10 sessions.

Conclusion

A short course of recurrent IH appears to be a safe and effective non-pharmacological method of reducing key cardiovascular risk factors associated with metabolic disorders.

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References

  1. Almendros I, Wang Y, Gozal D (2014) The polymorphic and contradictory aspects of intermittent hypoxia. Am J Phys Lung Cell Mol Phys 307(2):L129–L140. doi:10.1152/ajplung.00089.2014

    CAS  Google Scholar 

  2. Dempsey JA, Veasey SC, Morgan BJ, O'Donnell CP (2010) Pathophysiology of sleep apnea. Physiol Rev 90(1):47–112. doi:10.1152/physrev.00043.2008

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Navarrete-Opazo A, Mitchell GS (2014) Therapeutic potential of intermittent hypoxia: a matter of dose. Regulatory, Integrative and Comparative Physiology 307(10):R1181–R1197. doi:10.1152/ajpregu.00208.2014

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Tobin B (2011) An Examination of Intermittent Hypoxia Exposure on Key Haematological and Immune-Stress Responses in Normally Active Humans (thesis)

  5. Xhyheri B, Manfrini O, Mazzolini M, Pizzi C, Bugiardini R (2012) Heart rate variability today. Prog Cardiovasc Dis 55(3):321–331. doi:10.1016/j.pcad.2012.09.001

    Article  PubMed  Google Scholar 

  6. Tulppo MP, Kiviniemi AM, Hautala AJ, Kallio M, Seppänen T, Mäkikallio TH, Huikuri HV (2005) Physiological background of the loss of fractal heart rate dynamics. Circulation 112(3):314–319. doi:10.1161/circulationaha.104.523712

    Article  PubMed  Google Scholar 

  7. Duennwald T, Gatterer H, Groop P-H, Burtscher M, Bernardi L (2013) Effects of a single bout of interval hypoxia on cardiorespiratory control and blood glucose in patients with type 2 diabetes. Diabetes Care 36(8):2183–2189. doi:10.2337/dc12-2113

    Article  PubMed  PubMed Central  Google Scholar 

  8. Sakata S, Shimizu S, Kishi T, Hirai K, Mori I, Ohno Y, Ueda M, Takaki M, Kohzuki H, Okamoto S, Shimamoto I, Yanagi S, Ogoshi K, Sherchand JB (2000) Correlation between erythropoietin and lactate in humans during altitude exposure. Jpn J Physiol 50(2):285–288

    Article  CAS  PubMed  Google Scholar 

  9. Chapman RF, Karlsen T, Resaland GK, Ge R-L, Harber MP, Witkowski S, Stray-Gundersen J, Levine BD (2014) Defining the “dose” of altitude training: how high to live for optimal sea level performance enhancement. J Appl Physiol 116(6):595–603. doi:10.1152/japplphysiol.00634.2013

    Article  PubMed  Google Scholar 

  10. DeBose-Boyd RA (2008) Feedback regulation of cholesterol synthesis: sterol-accelerated ubiquitination and degradation of HMG CoA reductase. Cell Res 18(6):609–621. doi:10.1038/cr.2008.61

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Nguyen NT, Magno CP, Lane KT, Hinojosa MW, Lane JS (2008) Association of hypertension, diabetes, dyslipidemia, and metabolic syndrome with obesity: findings from the National Health and nutrition examination survey, 1999 to 2004. J Am Coll Surg 207(6):928–934. doi:10.1016/j.jamcollsurg.2008.08.022

    Article  PubMed  Google Scholar 

  12. Lyamina NP, Lyamina SV, Senchiknin VN, Mallet RT, Downey HF, Manukhina EB (2011) Normobaric hypoxia conditioning reduces blood pressure and normalizes nitric oxide synthesis in patients with arterial hypertension. J Hypertens 29(11):2265–2272. doi:10.1097/HJH.0b013e32834b5846

    Article  CAS  PubMed  Google Scholar 

  13. Sassi R, Cerutti S, Lombardi F, Malik M, Huikuri HV, Peng C-K, Schmidt G, Yamamoto Y, Gorenek B, Lip GH, Grassi G, Kudaiberdieva G, Fisher JP, Zabel M, Macfadyen R (2015) Advances in heart rate variability signal analysis: joint position statement by the e-cardiology ESC working group and the European heart rhythm association co-endorsed by the Asia Pacific Heart Rhythm Society. Europace 17(9):1341–1353. doi:10.1093/europace/euv015

    Article  PubMed  Google Scholar 

  14. Sahn SA, Zwillich CW, Dick N, McCullough RE, Lakshminarayan S, Weil JV (1977) Variability of ventilatory responses to hypoxia and hypercapnia. J Appl Physiol 43(6):1019–1025

    Article  CAS  PubMed  Google Scholar 

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Acknowledgements

The investigators would like to thank Dr. Surendran Sabapathy and Dr. Devansh for their help during the study.

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Correspondence to Guillaume Costalat.

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Funding

Funding was provided by an internal grant from Griffith University.

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Costalat, G., Lemaitre, F., Tobin, B. et al. Intermittent hypoxia revisited: a promising non-pharmaceutical strategy to reduce cardio-metabolic risk factors?. Sleep Breath 22, 267–271 (2018). https://doi.org/10.1007/s11325-017-1459-8

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  • DOI: https://doi.org/10.1007/s11325-017-1459-8

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