Person: Vicente Campos, Davinia
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Davinia
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Vicente Campos
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Ciencias de la Salud
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Item POWERbreathe® Inspiratory Muscle Training in Amyotrophic Lateral Sclerosis.(Journal of Clinical Medicine, 2022) Vicente Campos, Davinia; Sánchez Jorge, Sandra; López Chicharro, José; Becerro-de Bengoa-Vallejo, Ricardo; Rodriguez-Sanz, David; ; Rivoire, Marie; Benet, Astrid; Boubekeur, Sofía; Calvo Lobo, César; García, Arianne RInspiratory muscle training may benefit respiratory function, cardiocirculatory parameters, quality of life and functionality in neuromuscular diseases. This pilot study aimed to demonstrate the POWERbreathe® inspiratory muscle training effects on maximum inspiratory pressure (PImax), heart rate (HR) and HR variability, as well as the quality of life impairment and functionality in patients with Amyotrophic Lateral Sclerosis (ALS). A pilot single-blinded, non-randomized controlled clinical trial was carried out. A total of 20T ALS patients were enrolled and divided into experimental (n = 10) and control (n = 10) groups. The experimental group received POWERbreathe® inspiratory muscle training in conjunction with usual care, and the control group received only usual care for 8 weeks. PImax (measured by POWERbreathe® KH1), HR and HR variability (evaluated by Polar H7), quality of life impairment [measured by the Amyotrophic Lateral Sclerosis Assessment Questionnaire—40 items (ALSAQ-40)] and functionality [assessed by the ALS Functional Rating Scale Revised (ALSFRS-R)] were collected at baseline and after 8 weeks of intervention. We detected statistically significant differences (p < 0.05) with an effect size ranging from medium to large (Cohen’s d = 0.72–1.37); relative to the control group, the experimental group had an increased PImax (mean difference = 10.80 cm H2O; 95% CI = 3.42–18.17) and ALSFRS-R score (mean difference = 5.30 points; 95% CI = −0.03–10.63) and reduced HR (mean difference = −8.80 beats-per-minute; 95% CI = −20.27–2.67) and R-R interval (mean difference = 78.30 ms; 95% CI = 2.89–153.70). POWERbreathe® inspiratory muscle training, in addition to usual care, may improve inspiratory strength and heart rate in patients with ALS. These results encourage larger and longer trials investigating potential clinically relevant benefits of inspiratory muscle training to these patients over the disease course.Item Hepcidin Response to Exercise: A Review.(Turkish Journal of Endocrinology and Metabolism, 2014) Domínguez, Raúl; Vicente Campos, Davinia; López Chicharro, JoséGiven the multiple functions of iron in the body, any state of iron deficiency will induce a series of secondary effects that could compromise sports performance. Low serum iron levels are commonly observed in athletes during the course of a training period, especially in those performing aerobic exercises and resistance training. Sometimes, body iron levels will even fall below those detected in sedentary individuals, and we could go as far as to say that iron deficiency is the most frequently observed nutrition disorder among athletes of any sport. Hepcidin, a hormone secreted by hepatocytes whose principal mechanism of action is the degradation of ferroportin (the main iron exporter from macrophages and the basolateral membrane of duodenal enterocytes), has been proposed as the main regulator of the body’s iron reserves. Thus, elevated serum hepcidin levels lead to diminished iron absorption and recycling, while lower levels of the hormone will cause greater iron absorption. Among the factors that affect the hepcidin response produced, we should highlight an individual’s total iron levels, erythropoietic demands, state of hypoxia, dietary iron, inflammation and physical exercise. Given the important role played by iron regulatory mechanisms in physical performance, this report reviews our current understanding of the physiological response of hepcidin to different sports intensities and modalities.Item Intensidad del ejercicio en ciclismo indoor.(Revista International de Medicina y Ciencias de la Actividad Fisica y del Deporte, 2017) Barbado, C.; Foster, C.; Vicente Campos, Davinia; López Chicharro, JoséEl objetivo de este estudio fue cuantificar la intensidad de una sesión de ciclismo indoor. 300 sujetos experimentados realizaron una sesión en la que se registró la FC media entre el minuto 1-15 (FCmedia1), minuto 16-30 (FCmedia2), y minuto 31-intensidad pico de la sesión (FCmedia3). Se obtuvieron valores de RPE en el minuto 15 (RPE15), 30 (RPE30), y 45 (RPE45). La FC media de la sesión fue 144.84 ± 15.59 lpm. La FCmedia1, FCmedia2 y FCmedia3 fue 135.37 ± 16.50 lpm, 148.84 ± 15.85 lpm, y 153.79 ± 16.66 lpm, respectivamente. La RPE15, RPE30 y RPE45 fue 5.39 ± 1.72, 7.14 ± 1.34 y 7.14 ± 2.44, respectivamente. Las correlaciones bivariadas entre la FC y la RPE mostraron correlación significativa en el minuto 15 (r=0.336; p<0.01), 30 (r=0.291; p<0.01), y 45 (r=0.459; p<0.01). Estos datos sugieren que el ciclismo indoor puede ser una actividad de alta intensidad.Item Mechanical efficiency of high versus moderate intensity aerobic exercise in coronary heart disease patients: A randomized clinical trial.(Cardiology Journal, 2019) Villelabeitia Jaureguizar, Koldobika; Vicente Campos, Davinia; Berenguel Senen, Alejandro; Hernández Jiménez, Verónica; Ruiz Bautista, Lorena; Barrios Garrido-Lestache, María Elvira; López Chicharro, JoséBackground: Mechanical efficiency (ME) refers to the ability of an individual to transfer energy consumed by external work. A decreased ME, could represent an increased energy cost during exercise and may, therefore, be limited in terms of physical activity. This study aimed to compare the influence of two different exercise protocols: moderate continuous training (MCT) versus high intensity interval training (HIIT), as part of a cardiac rehabilitation program on ME values among coronary patients. Methods: One hundred and ten coronary patients were assigned to either HIIT or MCT groups for 8 weeks. Incremental exercise tests in a cycle ergometer were performed to obtain VO2peak. Net energy expenditure (EE) and ME were obtained at intensities corresponding to the first (VT1) and second (VT2) ventilatory thresholds, and at VO2peak. Results: Both exercise programs significantly increase VO2peak with a higher increase in the HIIT group (2.96 ± 2.33 mL/kg/min vs. 3.88 ± 2.40 mL/kg/min, for patients of the MCT and HIIT groups, respectively, p < 0.001). The ME at VO2peak and VT2 only significantly increased in the HIIT group. At VT1, ME significantly increased in both groups, with a greater increase in the HIIT group (2.20 ± ± 6.25% vs. 5.52 ± 5.53%, for patients of the MCT and HIIT groups, respectively, p < 0.001). Conclusions: The application of HIIT to patients with chronic ischemic heart disease of low risk resulted in a greater improvement in VO2peak and in ME at VT1, than when MCT was applied. Moreover, only the application of HIIT brought about a significant increase in ME at VT2 and at VO2peak. (Cardiol J 2019; 26, 2: 130–137)Item Unraveling the Role of Respiratory Muscle Metaboloreceptors under Inspiratory Training in Patients with Heart Failure.(International journal of enviromental research and public health, 2021) Fernández Rubio, Hugo; Becerro de Bengoa Vallejo, Ricardo; Rodríguez Sanz, David; Calvo Lobo, César; Vicente Campos, Davinia; López Chicharro, JoséExercise intolerance may be considered a hallmark in patients who suffer from heart failure (HF) syndrome. Currently, there is enough scientific evidence regarding functional and structural deterioration of skeletal musculature in these patients. It is worth noting that muscle weakness appears first in the respiratory muscles and then in the musculature of the limbs, which may be considered one of the main causes of exercise intolerance. Functional deterioration and associated atrophy of these respiratory muscles are related to an increased muscle metaboreflex leading to sympathetic–adrenal system hyperactivity and increased pulmonary ventilation. This issue contributes to increased dyspnea and/or fatigue and decreased aerobic function. Consequently, respiratory muscle weakness produces exercise limitations in these patients. In the present review, the key role that respiratory muscle metaboloreceptors play in exercise intolerance is accurately addressed in patients who suffer from HF. In conclusion, currently available scientific evidence seems to affirm that excessive metaboreflex activity of respiratory musculature under HF is the main cause of exercise intolerance and sympathetic–adrenal system hyperactivity. Inspiratory muscle training seems to be a useful personalized medicine intervention to reduce respiratory muscle metaboreflex in order to increase patients’ exercise tolerance under HF condition.Item Upper extremity deep vein thrombosis in a triathlete: Again intense endurance exercise as a thrombogenic risk.(American Journal of Emergency Medicine, 2017) Sancho González, Ignacio; Bonilla Hernández, María Vicenta; Ibañez Muñoz, David; Vicente Campos, Davinia; López Chicharro, JoséTriathlon followers increase each year and long-distance events have seen major growth worldwide. In the cycling phase, athletes must maintain an aerodynamic posture on the bike for long periods of time. We report a case of a 38-year-old triathlete with symptoms of an axillary vein thrombosis 48 h after a long triathlon competition. After 3 days of hospitalizationwith a treatment consisted on enoxaparin anticoagulant and acenocumarol, the patient was discharged with instructions to continue treatment under home hospitalization with acetaminophen. Four weeks after the process, the patient was asymptomatic and the diameter of his armwas near normality. Due to the growing popularity of events based on endurance exercise, it is necessary more research to determine the etiopathogeny of deep venous thrombosis in athletes.Item Effects of age, sex, sweat rate and environmental conditions on heart rate and perceived exertion in indoor cycling.(The Journal of Sports Medicine and Physical Fitness, 2018) Barbado, Carlos; Vicente Campos, Davinia; López Chicharro, JoséItem Exercise Physiology at “Conversational Level” Is Not Impaired in Healthy Young Subjects Wearing Masks or Respirators.(Respiration, 2022) Sánchez Migallón, Violeta; Calvo Lobo, César; Sánchez Jorge, Sandra; Arce, Mónica; Vicente, Alejandra; Bello, Elena; Rodríguez Sanz, David; Becerro-de-Bengoa-Vallejo, Ricardo; López Chicharro, José; Vicente Campos, DaviniaObjective: The aim of this study was to evaluate the effects of the use of both surgical masks and FFP2 respirators on the inspiratory muscle strength, metabolic parameters, heart rate, subjective perceived exertion, and dyspnea perception, before and during 30 min stable load exercise at “conversational level”. Methods: A randomized cross-over study was carried out. Nineteen healthy adults completed 3 conditions (without a mask, with a surgical mask or an FFP2 respirator) during a 30-min steady-state test at the lactate threshold intensity. Inspiratory muscle strength was measured before and after the test, and metabolic parameters, heart rate, subjective perceived exertion, and dyspnea perception were collected at baseline, during, and after the test. Results: There was a significant reduction in inspiratory muscle strength after the 30-min test in all conditions (control: 6.26 mm Hg, p < 0.5; surgical mask: 8.55 mm Hg, p < 0.01; FFP2 respirator: 12.42 mm Hg, p < 0.001), but without significant differences between them (p = 0.283). Data showed a statistically significant effect for time, but did not show a statistically significant interaction between condition and time for heart rate (p = 0.674), oxygen saturation (p = 0.297), blood lactate level (p = 0.991), rating perceived exertion (p = 0.734) and dyspnea (p = 0.532) comparisons. Conclusions: The present study findings suggested that inspiratory muscle strength and physiological parameters during “conversational level” exercise were not impaired under wearing masks in healthy, nonsmoking young adults.Item Low Intensity Respiratory Muscle Training in COVID-19 Patients after Invasive Mechanical Ventilation: A Retrospective Case-Series Study.(Biomedicines, 2022) Villelabeitia Jaureguizar, Koldobika; Calvo Lobo, César; Rodríguez-Sanz, David; Vicente Campos, Davinia; Castro-Portal, José Adrián; López Cañadas, Marta; Becerro-de-Bengoa-Vallejo, Ricardo; López Chicharro, JoséWorldwide, healthcare systems had to respond to an exponential increase in COVID-19 patients with a noteworthy increment in intensive care units (ICU) admissions and invasive mechanical ventilation (IMV). The aim was to determine low intensity respiratory muscle training (RMT) effects in COVID-19 patients upon medical discharge and after an ICU stay with IMV. A retrospective case-series study was performed. Forty COVID-19 patients were enrolled and divided into twenty participants who received IMV during ICU stay (IMV group) and 20 participants who did not receive IMV nor an ICU stay (non-IMV group). Maximal expiratory pressure (PEmax), maximal inspiratory pressure (PImax), COPD assessment test (CAT) and Medical Research Council (MRC) dyspnea scale were collected at baseline and after 12 weeks of low intensity RMT. A greater MRC dyspnea score and lower PImax were shown at baseline in the IMV group versus the non-IMV group (p < 0.01). RMT effects on the total sample improved all outcome measurements (p < 0.05; d = 0.38–0.98). Intragroup comparisons after RMT improved PImax, CAT and MRC scores in the IMV group (p = 0.001; d = 0.94–1.09), but not for PImax in the non-IMV group (p > 0.05). Between-groups comparison after RMT only showed MRC dyspnea improvements (p = 0.020; d = 0.74) in the IMV group versus non-IMV group. Furthermore, PImax decrease was only predicted by the IMV presence (R2 = 0.378). Low intensity RMT may improve respiratory muscle strength, health related quality of life and dyspnea in COVID-19 patients. Especially, low intensity RMT could improve dyspnea level and maybe PImax in COVID-19 patients who received IMV in ICU.Item The Main Role of Diaphragm Muscle as a Mechanism of Hypopressive Abdominal Gymnastics to Improve Non-Specific Chronic Low Back Pain: A Randomized Controlled Trial.(Journal of Clinical Medicine, 2021) Vicente Campos, Davinia; Sánchez Jorge, Sandra; Terrón Manrique, Pablo; Guisard, Marion; Collin, Marion; Castaño, Borja; Rodríguez Sanz, David; Becerro de Bengoa Vallejo, Ricardo; López Chicharro, José; Calvo Lobo, CésarBackground: Chronic low back pain (LBP) has been stated as one of the main health concerns in the XXI century due to its high incidence. Objective: The objective of this study was to determine the effects of an 8-week program of hypopressive abdominal gymnastics (HAG) on inspiratory muscle strength, diaphragm thickness, disability and pain in patients suffering from non-specific chronic LBP. Methods: A total of 40 patients with chronic LBP were randomly divided into two groups. The experimental group carried out an 8-week supervised program of HAG (two sessions/week), whereas the control group did not receive any treatment. Outcomes were measured before and after the intervention, comprising diaphragm thickness during relaxed respiratory activity, maximal inspiratory pressure (PImax), pain intensity (NRS), pressure pain threshold and responses to four questionnaires: Physical Activity Questionnaire (PAQ), Roland–Morris Disability Questionnaire (RMQ), Central Sensitization Inventory (CSI) and Tampa Scale of Kinesiophobia-11 Items (TSK-11). Results: Statistically significant differences (p < 0.05) were observed for greater thickness of the left and right hemi-diaphragms at inspiration, as well as higher PImax and decreased NRS, CSI and RMQ scores in the intervention group. After treatment, the increases in the thickness of the left and right hemi-diaphragms at inspiration and PImax, as well as the decrease in the NRS and RMQ scores, were only predicted by the proposed intervention (R2 = 0.118–0.552). Conclusions: An 8-week HAG intervention seemed to show beneficial effects and predicted an increase in diaphragm thickness and strength during inspiration, as well as a reduction in pain intensity, central sensitization and disability, in patients suffering from chronic non-specific LBP with respect to non-intervention.