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A single high-fat meal impairs functional sympatholysis in young healthy adults

2023· article· en· W4378674369 on OpenAlexaffabout
André L. Teixeira, Ayesha Gangat, Philip J. Millar

Bibliographic record

VenuePhysiology · 2023
Typearticle
Languageen
FieldMedicine
TopicHeart Rate Variability and Autonomic Control
Canadian institutionsUniversity of Guelph-HumberUniversity of Guelph
Fundersnot available
KeywordsMedicineInternal medicineMealVasodilationCardiologyForearmMicroneurographyHyperaemiaBlood pressureSkeletal muscleEndocrinologyVasoconstrictionBlood flowAnatomyHeart rateBaroreflex

Abstract

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Introduction: A high-fat diet increases the risk of cardiovascular disease and mortality, but the underlying mechanisms remain incompletely understood. During exercise, sympathetically mediated vasoconstriction is dampened in active skeletal muscle due to the counteracting vasodilatory effects of metabolic by-products from muscle contraction. This phenomenon, termed functional sympatholysis, plays a critical role in the redistribution of cardiac output to contracting skeletal muscles to meet the metabolic demands of exercise. Whether a high-fat meal modulates the magnitude of sympatholysis is currently unknown. Herein, we tested the hypothesis that a high-fat meal would acutely impair functional sympatholysis in young healthy adults. Methods: In a randomized, controlled, and cross-over design, 14 healthy adults (8 women, 26±4 years), consumed either a high- (1030kcals, 91g fat) or a low-fat (1006kcals, 1g fat) meal on two separate days. Forearm blood flow (FBF; Doppler ultrasound) and beat-to-beat mean arterial pressure (MAP; finger photoplethysmography) were measured during sympathetic activation induced by -20 mmHg lower-body negative pressure (LBNP) applied at rest and simultaneously during rhythmic handgrip exercise at 15% and 30% maximum voluntary contraction (MVC). Measurements were taken pre-meal and at 1-, 2-, and 3-hours post-prandial. Forearm vascular conductance (FVC) was calculated as FBF/MAP and the magnitude of sympatholysis as the difference of LBNP-induced changes in FVC between handgrip and rest. Results: Prior to the high-fat meal, LBNP decreased resting FVC (Δ-57±10%), and this response was attenuated during exercise at 15% (Δ-18±8%) and 30% MVC (Δ-9±7%). After the high-fat meal, LBNP induced smaller decreases in resting FVC (1h: Δ-43±12%, 2h: Δ-45±12%, 3h: Δ-49±8%, all P≤0.01 vs. pre), but during exercise greater decreases in FVC were observed at both 15% (1h: Δ-22±10%, 2h: Δ-23±8%, 3h: Δ-25±8%, all P≤0.04 vs. pre) and 30% MVC (1h: Δ-15±8%, 2h: Δ-15±6%, 3h: Δ-16±6%, all P≤0.04 vs. pre). As a result, the high-fat meal decreased the magnitude of sympatholysis during rhythmic handgrip exercise at 15% (pre-prandial: 39±8%, 1h: 20±10%, 2h: 21±8%, 3h: 24±7%, all P≤0.001) and 30% MVC (pre-prandial: 48±11%, 1h: 28±10%, 2h: 30±11%, 3h: 33±8%, all P≤0.001). The low-fat meal did not change the magnitude of sympatholysis at either 15% (pre-prandial: 37±6%, 1h: 39±6%, 2h: 38±7%, 3h: 37±8%, all P≥0.07) or 30% MVC (pre-prandial: 45±10%, 1h: 47±8%, 2h: 47±9%, 3h: 46±7%, all P≥0.39). Conclusion: These findings demonstrate the capacity of a high-fat meal to acutely impair the ability of contracting skeletal muscle to offset the vascular responsiveness to α1-adrenoreceptor activation during low- and moderate-intensity rhythmic handgrip exercise. Natural Science and Engineering Research Council (NSERC) of Canada Discovery Grant (P.J.M) This is the full abstract presented at the American Physiology Summit 2023 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.

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How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.971
Threshold uncertainty score0.824

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.001

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.020
GPT teacher head0.256
Teacher spread0.236 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

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Citations0
Published2023
Admission routes2
Has abstractyes

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