Dissociation of local and global skeletal muscle oxygen transport metrics in type 2 diabetes.

Abstract

AIMS Exercise capacity is impaired in type 2 diabetes, and this impairment predicts excess morbidity and mortality. This defect appears to involve excess skeletal muscle deoxygenation, but the underlying mechanisms remain unclear. We hypothesized that reduced blood flow, reduced local recruitment of blood volume/hematocrit, or both contribute to excess skeletal muscle deoxygenation in type 2 diabetes. METHODS In patients with (n=23) and without (n=18) type 2 diabetes, we recorded maximal reactive hyperemic leg blood flow, peak oxygen utilization during cycling ergometer exercise (VO2peak), and near-infrared spectroscopy-derived measures of exercise-induced changes in skeletal muscle oxygenation and blood volume/hematocrit. RESULTS We observed a significant increase (p<0.05) in skeletal muscle deoxygenation in type 2 diabetes despite similar blood flow and recruitment of local blood volume/hematocrit. Within the control group skeletal muscle deoxygenation, local recruitment of microvascular blood volume/hematocrit, blood flow, and VO2peak are all mutually correlated. None of these correlations were preserved in type 2 diabetes. CONCLUSIONS These results suggest that in type 2 diabetes 1) skeletal muscle oxygenation is impaired, 2) this impairment may occur independently of bulk blood flow or local recruitment of blood volume/hematocrit, and 3) local and global metrics of oxygen transport are dissociated.

DOI: 10.1016/j.jdiacomp.2017.05.004

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Cite this paper

@article{McClatchey2017DissociationOL, title={Dissociation of local and global skeletal muscle oxygen transport metrics in type 2 diabetes.}, author={P Mason McClatchey and Timothy A. Bauer and Judith G. Regensteiner and Irene E. Schauer and Amy G . Huebschmann and Jane E . B . Reusch}, journal={Journal of diabetes and its complications}, year={2017}, volume={31 8}, pages={1311-1317} }