title: Oral antioxidants improve leg blood flow during exercise in patients with chronic obstructive pulmonary disease.
abstract: The consequence of elevated oxidative stress on exercising skeletal muscle blood flow as well as the transport and utilization of O2 in patients with chronic obstructive pulmonary disease (COPD) is not well understood. The present study examined the impact of an oral antioxidant cocktail (AOC) on leg blood flow (LBF) and O2 consumption during dynamic exercise in 16 patients with COPD and 16 healthy subjects. Subjects performed submaximal (3, 6, and 9 W) single-leg knee extensor exercise while LBF (Doppler ultrasound), mean arterial blood pressure, leg vascular conductance, arterial O2 saturation, leg arterial-venous O2 difference, and leg O2 consumption (direct Fick) were evaluated under control conditions and after AOC administration. AOC administration increased LBF (3 W: 1,604 ± 100 vs. 1,798 ± 128 ml/min, 6 W: 1,832 ± 109 vs. 1,992 ± 120 ml/min, and 9W: 2,035 ± 114 vs. 2,187 ± 136 ml/min, P < 0.05, control vs. AOC, respectively), leg vascular conductance, and leg O2 consumption (3 W: 173 ± 12 vs. 210 ± 15 ml O2/min, 6 W: 217 ± 14 vs. 237 ± 15 ml O2/min, and 9 W: 244 ± 16 vs 260 ± 18 ml O2/min, P < 0.05, control vs. AOC, respectively) during exercise in COPD, whereas no effect was observed in healthy subjects. In addition, the AOC afforded a small, but significant, improvement in arterial O2 saturation only in patients with COPD. Thus, these data demonstrate a novel beneficial role of AOC administration on exercising LBF, O2 consumption, and arterial O2 saturation in patients with COPD, implicating oxidative stress as a potential therapeutic target for impaired exercise capacity in this population.
authors.affiliation: Geriatric Research, Education, and Clinical Center, George E. Whalen Veterans Affairs Medical Center, Salt Lake City, Utah; Department of Exercise and Sport Science, University of Utah, Salt Lake City, Utah;
authors.forename: Matthew J
authors.initials: MJ
authors.lastname: Rossman
authors.affiliation: Geriatric Research, Education, and Clinical Center, George E. Whalen Veterans Affairs Medical Center, Salt Lake City, Utah; Division of Geriatrics, Department of Internal Medicine, University of Utah, Salt Lake City, Utah;
authors.forename: Joel D
authors.initials: JD
authors.lastname: Trinity
authors.affiliation: Geriatric Research, Education, and Clinical Center, George E. Whalen Veterans Affairs Medical Center, Salt Lake City, Utah; Division of Geriatrics, Department of Internal Medicine, University of Utah, Salt Lake City, Utah;
authors.forename: Ryan S
authors.initials: RS
authors.lastname: Garten
authors.affiliation: Geriatric Research, Education, and Clinical Center, George E. Whalen Veterans Affairs Medical Center, Salt Lake City, Utah; Department of Health and Exercise Sciences, Skidmore College, Saratoga Springs, New York;
authors.forename: Stephen J
authors.initials: SJ
authors.lastname: Ives
authors.affiliation: Geriatric Research, Education, and Clinical Center, George E. Whalen Veterans Affairs Medical Center, Salt Lake City, Utah; Division of Respiratory, Critical Care and Occupational Pulmonary Medicine, Department of Internal Medicine, University of Utah, Salt Lake City, Utah; and.
authors.forename: Jamie D
authors.initials: JD
authors.lastname: Conklin
authors.affiliation: Geriatric Research, Education, and Clinical Center, George E. Whalen Veterans Affairs Medical Center, Salt Lake City, Utah; Department of Exercise and Sport Science, University of Utah, Salt Lake City, Utah;
authors.forename: Zachary
authors.initials: Z
authors.lastname: Barrett-O'Keefe
authors.affiliation: Geriatric Research, Education, and Clinical Center, George E. Whalen Veterans Affairs Medical Center, Salt Lake City, Utah; Division of Geriatrics, Department of Internal Medicine, University of Utah, Salt Lake City, Utah;
authors.forename: Melissa A H
authors.initials: MA
authors.lastname: Witman
authors.affiliation: Department of Anesthesiology, University of Utah, Salt Lake City, Utah.
authors.forename: Amber D
authors.initials: AD
authors.lastname: Bledsoe
authors.affiliation: Department of Anesthesiology, University of Utah, Salt Lake City, Utah.
authors.forename: David E
authors.initials: DE
authors.lastname: Morgan
authors.affiliation: Department of Anesthesiology, University of Utah, Salt Lake City, Utah.
authors.forename: Sean
authors.initials: S
authors.lastname: Runnels
authors.affiliation: Geriatric Research, Education, and Clinical Center, George E. Whalen Veterans Affairs Medical Center, Salt Lake City, Utah; Division of Geriatrics, Department of Internal Medicine, University of Utah, Salt Lake City, Utah;
authors.forename: Van R
authors.initials: VR
authors.lastname: Reese
authors.affiliation: Geriatric Research, Education, and Clinical Center, George E. Whalen Veterans Affairs Medical Center, Salt Lake City, Utah; Division of Geriatrics, Department of Internal Medicine, University of Utah, Salt Lake City, Utah;
authors.forename: Jia
authors.initials: J
authors.lastname: Zhao
authors.affiliation: Geriatric Research, Education, and Clinical Center, George E. Whalen Veterans Affairs Medical Center, Salt Lake City, Utah; Division of Geriatrics, Department of Internal Medicine, University of Utah, Salt Lake City, Utah;
authors.forename: Markus
authors.initials: M
authors.lastname: Amann
authors.affiliation: Geriatric Research, Education, and Clinical Center, George E. Whalen Veterans Affairs Medical Center, Salt Lake City, Utah; Department of Exercise and Sport Science, University of Utah, Salt Lake City, Utah; Division of Geriatrics, Department of Internal Medicine, University of Utah, Salt Lake City, Utah;
authors.forename: D Walter
authors.initials: DW
authors.lastname: Wray
authors.affiliation: Geriatric Research, Education, and Clinical Center, George E. Whalen Veterans Affairs Medical Center, Salt Lake City, Utah; Department of Exercise and Sport Science, University of Utah, Salt Lake City, Utah; Division of Geriatrics, Department of Internal Medicine, University of Utah, Salt Lake City, Utah; r.richardson@hsc.utah.edu.
authors.forename: Russell S
authors.initials: RS
authors.lastname: Richardson
mesh_terms: D000284:Administration, Oral; D000368:Aged; D000975:Antioxidants / Q000008:administration & dosage / Q000627:therapeutic use*; D015444:Exercise; D005260:Female; D006801:Humans; D007866:Leg / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D029424:Pulmonary Disease, Chronic Obstructive / Q000175:diagnosis / Q000188:drug therapy* / Q000503:physiopathology; D012039:Regional Blood Flow
chemical_list: D000975:Antioxidants
keywords: chronic bronchitis; chronic obstructive pulmonary disease; emphysema; exercise; oxidative stress; oxygen transport