A framework of transient hypercapnia to achieve an increased cerebral blood flow induced by nasal breathing during aerobic exercise

During exercise, cerebral blood flow (CBF) is expected to only increase to a maximal volume up to a moderate intensity aerobic effort, suggesting that CBF is expected to decline past 70 % of a maximal aerobic effort. Increasing CBF during exercise permits an increased cerebral metabolic activity tha...

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Main Authors: Jose M. Moris, Arturo Cardona, Brendan Hinckley, Armando Mendez, Alexandra Blades, Vineet K. Paidisetty, Christian J. Chang, Ryan Curtis, Kylie Allen, Yunsuk Koh
Format: Article
Language:English
Published: Elsevier 2023-01-01
Series:Cerebral Circulation - Cognition and Behavior
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666245023000272
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author Jose M. Moris
Arturo Cardona
Brendan Hinckley
Armando Mendez
Alexandra Blades
Vineet K. Paidisetty
Christian J. Chang
Ryan Curtis
Kylie Allen
Yunsuk Koh
author_facet Jose M. Moris
Arturo Cardona
Brendan Hinckley
Armando Mendez
Alexandra Blades
Vineet K. Paidisetty
Christian J. Chang
Ryan Curtis
Kylie Allen
Yunsuk Koh
author_sort Jose M. Moris
collection DOAJ
description During exercise, cerebral blood flow (CBF) is expected to only increase to a maximal volume up to a moderate intensity aerobic effort, suggesting that CBF is expected to decline past 70 % of a maximal aerobic effort. Increasing CBF during exercise permits an increased cerebral metabolic activity that stimulates neuroplasticity and other key processes of cerebral adaptations that ultimately improve cognitive health. Recent work has focused on utilizing gas-induced exposure to intermittent hypoxia during aerobic exercise to maximize the improvements in cognitive function compared to those seen under normoxic conditions. However, it is postulated that exercising by isolating breathing only to the nasal route may provide a similar effect by stimulating a transient hypercapnic condition that is non-gas dependent. Because nasal breathing prevents hyperventilation during exercise, it promotes an increase in the partial arterial pressure of CO2. The rise in systemic CO2 stimulates hypercapnia and permits the upregulation of hypoxia-related genes. In addition, the rise in systemic CO2 stimulates cerebral vasodilation, promoting a greater increase in CBF than seen during normoxic conditions. While more research is warranted, nasal breathing might also promote benefits related to improved sleep, greater immunity, and body fat loss. Altogether, this narrative review presents a theoretical framework by which exercise-induced hypercapnia by utilizing nasal breathing during moderate-intensity aerobic exercise may promote greater health adaptations and cognitive improvements than utilizing oronasal breathing.
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spelling doaj.art-c3a05f57d2f443c09099c82cf4c4acb92023-12-09T06:08:04ZengElsevierCerebral Circulation - Cognition and Behavior2666-24502023-01-015100183A framework of transient hypercapnia to achieve an increased cerebral blood flow induced by nasal breathing during aerobic exerciseJose M. Moris0Arturo Cardona1Brendan Hinckley2Armando Mendez3Alexandra Blades4Vineet K. Paidisetty5Christian J. Chang6Ryan Curtis7Kylie Allen8Yunsuk Koh9Department of Health, Human Performance, and Recreation, Baylor University, One Bear Place #97313, 1312 S. 5th St., Waco, TX 76798, United StatesDepartment of Health, Human Performance, and Recreation, Baylor University, One Bear Place #97313, 1312 S. 5th St., Waco, TX 76798, United StatesDepartment of Health, Human Performance, and Recreation, Baylor University, One Bear Place #97313, 1312 S. 5th St., Waco, TX 76798, United StatesDepartment of Health, Human Performance, and Recreation, Baylor University, One Bear Place #97313, 1312 S. 5th St., Waco, TX 76798, United StatesDepartment of Health, Human Performance, and Recreation, Baylor University, One Bear Place #97313, 1312 S. 5th St., Waco, TX 76798, United StatesDepartment of Health, Human Performance, and Recreation, Baylor University, One Bear Place #97313, 1312 S. 5th St., Waco, TX 76798, United StatesDepartment of Health, Human Performance, and Recreation, Baylor University, One Bear Place #97313, 1312 S. 5th St., Waco, TX 76798, United StatesDepartment of Health, Human Performance, and Recreation, Baylor University, One Bear Place #97313, 1312 S. 5th St., Waco, TX 76798, United StatesDepartment of Health, Human Performance, and Recreation, Baylor University, One Bear Place #97313, 1312 S. 5th St., Waco, TX 76798, United StatesCorresponding author.; Department of Health, Human Performance, and Recreation, Baylor University, One Bear Place #97313, 1312 S. 5th St., Waco, TX 76798, United StatesDuring exercise, cerebral blood flow (CBF) is expected to only increase to a maximal volume up to a moderate intensity aerobic effort, suggesting that CBF is expected to decline past 70 % of a maximal aerobic effort. Increasing CBF during exercise permits an increased cerebral metabolic activity that stimulates neuroplasticity and other key processes of cerebral adaptations that ultimately improve cognitive health. Recent work has focused on utilizing gas-induced exposure to intermittent hypoxia during aerobic exercise to maximize the improvements in cognitive function compared to those seen under normoxic conditions. However, it is postulated that exercising by isolating breathing only to the nasal route may provide a similar effect by stimulating a transient hypercapnic condition that is non-gas dependent. Because nasal breathing prevents hyperventilation during exercise, it promotes an increase in the partial arterial pressure of CO2. The rise in systemic CO2 stimulates hypercapnia and permits the upregulation of hypoxia-related genes. In addition, the rise in systemic CO2 stimulates cerebral vasodilation, promoting a greater increase in CBF than seen during normoxic conditions. While more research is warranted, nasal breathing might also promote benefits related to improved sleep, greater immunity, and body fat loss. Altogether, this narrative review presents a theoretical framework by which exercise-induced hypercapnia by utilizing nasal breathing during moderate-intensity aerobic exercise may promote greater health adaptations and cognitive improvements than utilizing oronasal breathing.http://www.sciencedirect.com/science/article/pii/S2666245023000272Cerebral autoregulationAngiogenesisHypoxia-inducible factorCarbon dioxideHypoventilationDementia
spellingShingle Jose M. Moris
Arturo Cardona
Brendan Hinckley
Armando Mendez
Alexandra Blades
Vineet K. Paidisetty
Christian J. Chang
Ryan Curtis
Kylie Allen
Yunsuk Koh
A framework of transient hypercapnia to achieve an increased cerebral blood flow induced by nasal breathing during aerobic exercise
Cerebral Circulation - Cognition and Behavior
Cerebral autoregulation
Angiogenesis
Hypoxia-inducible factor
Carbon dioxide
Hypoventilation
Dementia
title A framework of transient hypercapnia to achieve an increased cerebral blood flow induced by nasal breathing during aerobic exercise
title_full A framework of transient hypercapnia to achieve an increased cerebral blood flow induced by nasal breathing during aerobic exercise
title_fullStr A framework of transient hypercapnia to achieve an increased cerebral blood flow induced by nasal breathing during aerobic exercise
title_full_unstemmed A framework of transient hypercapnia to achieve an increased cerebral blood flow induced by nasal breathing during aerobic exercise
title_short A framework of transient hypercapnia to achieve an increased cerebral blood flow induced by nasal breathing during aerobic exercise
title_sort framework of transient hypercapnia to achieve an increased cerebral blood flow induced by nasal breathing during aerobic exercise
topic Cerebral autoregulation
Angiogenesis
Hypoxia-inducible factor
Carbon dioxide
Hypoventilation
Dementia
url http://www.sciencedirect.com/science/article/pii/S2666245023000272
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