Towards a Reliable and Valid Analysis of VO2m Off-Kinetics

Sammanfattning: Non-invasive methods to evaluate skeletal muscle oxidative capacity have beenemerging as a viable substitute for invasive methods in recent years. One ofthose methods utilises near-infrared spectroscopy (NIRS) to calculate V O2mrecovery off-kinetics following an exercise. The data analysis of the measuredsignals from the NIRS is still done manually in a time-consuming and dauntingprocess. The present thesis aimed to develop software, associated with theNIRS method, capable of analysing the recovery from a repeated arterialocclusion protocol following an exercise to assess muscle oxidative capacity.Additionally, to analyse the recovery from ischemic preconditioning as a singletest to assess muscle oxidative capacity. A method that has never been utilisedbefore.11 active, healthy subjects were analysed to calculate their recovery rate.Subjects underwent ischemic preconditioning before exercising for 6 minutesat 80% of gas exchange threshold. A repeated arterial occlusion protocol wascarried out after the exercise. A software was developed in R that utilised linearregression as well as exponential fitting to calculate the recovery rate of eachsubject during both the ischemic preconditioning and the occlusion protocol.The calculated results were compared to predetermined recovery rate results ofeach subject. The calculated results of the repeated arterial occlusion protocolgave similar results to the predetermined ones and even more data on eachsubject’s recovery from an exercise. The calculated results of the ischemicpreconditioning were promising and implied that ischemic preconditioning asa single test can be utilised as a method to assess muscle oxidative capacity.However, further research is required to confirm it.