Consumption of a representative fast‐food meal (FFMeal) acutely impairs peripheral conduit artery vascular function; however, the effect on cerebral vascular function remains unknown. This study tested the hypothesis that a FFMeal would impair cerebral vascular function as indexed by an attenuated increase in cerebral vascular conductance (CVCI) in the middle cerebral artery (MCA) during a hypercapnic challenge. Ten healthy men (age: 24 ± 3 years, BMI: 24.3 ± 3.8 kg/m2) were studied under two conditions; a standardized FFMeal (990 kcals, 50% fat, 36% carbohydrate, 14% protein, and 2120 mg sodium) and a fasting control condition. Basal hemodynamics, cerebral vasomotor reactivity (CVMR), and brachial artery flow‐mediated dilation (BA FMD) were completed after an overnight fast (Pre) and again 2 h and 4 h later both days. To assess CVMR, subjects rebreathed from a 5‐L bag while MCA velocity (MCAV mean) was measured using transcranial Doppler (TCD) ultrasound and converted into CVCI (MCAV mean/mean arterial pressure). Peripheral artery endothelial function was assessed via BA FMD following a standard 5‐min occlusion protocol. As expected, BA FMD was reduced at 2 h (Pre: 6.6 ± 1.7% vs. 5.2 ± 1.8%, P = 0.01). However, despite significant impairment in BA FMD, neither peak CVCI %baseline nor CVMR was affected by the FFMeal (Control–Pre: 1.9 ± 1.1, 2 h: 2.1 ± 1.1, 4 h: 1.7 ± 1.1 ∆CVCI%·∆PETCO 2 −1 vs. FFMeal–Pre: 2.1 ± 1.1, 2 h: 2.2 ± 0.7, 4 h: 1.9 ± 0.9 ∆CVCI%·∆PETCO 2 −1, time × condition P = 0.88). These results suggest that cerebral vascular reactivity to hypercapnia in healthy young men is not altered by an acute FFMeal.
Age is the greatest risk factor for chronic disease and is associated with a marked decline in functional capacity and quality of life. A key factor contributing to loss of function in older adults is the decline in skeletal muscle function. While the exact mechanism(s) remains incompletely understood, age‐related mitochondrial dysfunction is thought to play a major role. To explore this question further, we studied 15 independently living seniors (age: 72 ± 5 years; m/f: 4/11; BMI: 27.6 ± 5.9) and 17 young volunteers (age: 25 ± 4 years; m/f: 8/9; BMI: 24.0 ± 3.3). Skeletal muscle oxidative function was measured in forearm muscle from the recovery kinetics of muscle oxygen consumption using near‐infrared spectroscopy (NIRS). Muscle oxygen consumption was calculated as the slope of change in hemoglobin saturation during a series of rapid, supra‐systolic arterial cuff occlusions following a brief bout of exercise. Aging was associated with a significant prolongation of the time constant of oxidative recovery following exercise (51.8 ± 5.4 sec vs. 37.1 ± 2.1 sec, P = 0.04, old vs. young, respectively). This finding suggests an overall reduction in mitochondrial function with age in nonlocomotor skeletal muscle. That these data were obtained using NIRS holds great promise in gerontology for quantitative assessment of skeletal muscle oxidative function at the bed side or clinic.
Orthogonal code-hopping multiplexing (OCHM) is a statistical multiplexing scheme designed to increase the number of allowable downlink channels in code division multiple access (CDMA) systems. OCHM is expected to compensate for a lack of codewords in future communication systems. In CDMA systems including OCHM, system capacity is limited by the number of codewords and power (or interference), and the maximum system capacity is determined by a stronger limitation between them. Call blockings due to power limitation may occur firstly if downlink channels demand large E b /I 0 values and a high-channel activity. On the other hand, code limitation may occur prior to power limitation in CDMA. The maximum system capacities determined by both code and power limitations must be known, even in OCHM. However, previous studies on OCHM system capacity focused only on increasing the number of multiplexed users with no consideration of the power limitation. In this paper, the overall system capacity of OCHM considering both code and power limitations was evaluated. For this analysis, the transmission chip energy of base station (BS) and inner/outer-cell interference is mathematically derived in a multicell and multiuser environment. The downlink system capacity for OCHM is larger than for orthogonal code division multiplexing (OCDM) as other cell interference (OCI), mean channel activity, and the required E b /I 0 value decrease. Index Terms-Code division multiple access (CDMA), downlink capacity, orthogonal code-hopping multiplexing (OCHM), perforation, synergy. I. INTRODUCTION P ACKET-TYPE services, such as hypertext transfer protocol (HTTP), file transfer protocol (FTP), and wireless application protocol (WAP), have gradually increased and may become dominant in future wireless communications. In contrast to voice traffic, which is a major service in 2G, these packet-based services have two different characteristics. First, they exhibit high burstiness with low activity and second,
Background Cycle exercise echocardiography is a useful tool to “unmask” diastolic dysfunction; however, this approach can be limited by respiratory and movement artifacts. Isometric handgrip avoids these issues while reproducibly increasing afterload and myocardial oxygen demand. Hypothesis Isometric handgrip echocardiography (IHE) can differentiate normal from abnormal diastolic function. Methods First recruited 19 young healthy individuals (mean age, 24 ± 4 years) to establish the “normal” response. To extend these observations to a more at‐risk population, we performed IHE on 17 elderly individuals (mean age, 72 ± 6 years) with age‐related diastolic dysfunction. The change in the ratio of mitral valve inflow velocity to lateral wall tissue velocity (E/e'), a surrogate for left ventricular filling pressure, was used to assess the diastolic stress response in each group. Results In the young subjects, isometric handgrip increased heart rate and mean arterial pressure (25 ± 12 bpm and 26 ± 17 mmHg, respectively), whereas E/e' changed minimally (0.6 ± 0.9). In the elderly subjects, heart rate and mean arterial pressure were similarly increased with isometric handgrip (19 ± 16 bpm and 25 ± 11 mmHg, respectively), whereas E/e' increased more dramatically (2.3 ± 1.7). Remarkably, 11 of the 17 elderly subjects had an abnormal diastolic response (ΔE/e': 3.4 ± 1.1), whereas the remaining 6 elderly subjects showed very little change (ΔE/e': 0.3 ± 0.7), independent of age or the change in myocardial oxygen demand. Conclusions IHE is a simple, effective tool for evaluating diastolic function during simulated activities of daily living.
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