Autonomic and cognitive function response to normobaric hyperoxia exposure in healthy subjects. Preliminary study

<p><strong>Background and objective:</strong> This is the first study to investigate the effect of high-flow oxygen therapy, using a normobaric chamber on cognitive, biochemical (oxidative stress parameters and the level of neurotrophins), cardiovascular and autonomic functioning.&...

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Main Authors: Kujawski, S, Słomko, J, Morten, KJ, Murovska, M, Buszko, K, Newton, JL, Zalewski, P
Format: Journal article
Language:English
Published: MDPI 2020
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author Kujawski, S
Słomko, J
Morten, KJ
Murovska, M
Buszko, K
Newton, JL
Zalewski, P
author_facet Kujawski, S
Słomko, J
Morten, KJ
Murovska, M
Buszko, K
Newton, JL
Zalewski, P
author_sort Kujawski, S
collection OXFORD
description <p><strong>Background and objective:</strong> This is the first study to investigate the effect of high-flow oxygen therapy, using a normobaric chamber on cognitive, biochemical (oxidative stress parameters and the level of neurotrophins), cardiovascular and autonomic functioning.</p> <p><strong>Materials and methods:</strong> 17 healthy volunteers, eight males and nine females, with a mean age of 37.5 years, were examined. The experimental study involved ten two-hour exposures in a normobaric chamber with a total pressure of 1500 hPa, in air adjusted to 37% oxygen, 1.079% carbon dioxide and 0.44% hydrogen. Cognitive function was assessed by using Trail Making Test parts A, B and difference in results of these tests (TMT A, TMT B and TMT B-A); California Verbal Learning Test (CVLT); Digit symbol substitution test (DSST); and Digit Span (DS). Fatigue (Fatigue Severity Scale (FSS)), cardiovascular, autonomic and baroreceptor functioning (Task Force Monitor) and biochemical parameters were measured before and after intervention.</p> <p><strong>Results:</strong> After 10 sessions in the normobaric chamber, significant decreases in weight, caused mainly by body fat % decrease (24.86 vs. 23.93%, p = 0.04 were observed. TMT part A and B results improved (p = 0.0007 and p = 0.001, respectively). In contrast, there was no statistically significant influence on TMT B-A. Moreover, decrease in the number of symbols left after a one-minute test in DSST was noted (p = 0.0001). The mean number of words correctly recalled in the CVLT Long Delay Free Recall test improved (p = 0.002), and a reduction in fatigue was observed (p = 0.001). Biochemical tests showed a reduction in levels of malondialdehyde (p &lt; 0.001), with increased levels of Cu Zn superoxide dismutase (p &lt; 0.001), Neurotrophin 4 (p = 0.0001) and brain-derived neurotrophic factor (p = 0.001). A significant increase in nitric oxide synthase 2 (Z = 2.29, p = 0.02) and Club cell secretory protein (p = 0.015) was also noted. Baroreceptor function was significantly improved after normobaric exposures (p = 0.003). Significant effect of normobaric exposures and BDNF in CVLT Long Delay Free Recall was noted.</p> <p><strong>Conclusions:</strong> This study demonstrates that 10 exposures in a normobaric chamber have a positive impact on visual information and set-shifting processing speed and increase auditory-verbal short-term memory, neurotrophic levels and baroreceptor function. A response of the respiratory tract to oxidative stress was also noted. There is a need to rigorously examine the safety of normobaric therapy. Further studies should be carried out with physician examination, both pre and post treatment.</p>
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spelling oxford-uuid:d7a62f3f-b214-411a-bdec-ad717eeb47f22022-03-27T08:42:38ZAutonomic and cognitive function response to normobaric hyperoxia exposure in healthy subjects. Preliminary studyJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:d7a62f3f-b214-411a-bdec-ad717eeb47f2EnglishSymplectic ElementsMDPI2020Kujawski, SSłomko, JMorten, KJMurovska, MBuszko, KNewton, JLZalewski, P<p><strong>Background and objective:</strong> This is the first study to investigate the effect of high-flow oxygen therapy, using a normobaric chamber on cognitive, biochemical (oxidative stress parameters and the level of neurotrophins), cardiovascular and autonomic functioning.</p> <p><strong>Materials and methods:</strong> 17 healthy volunteers, eight males and nine females, with a mean age of 37.5 years, were examined. The experimental study involved ten two-hour exposures in a normobaric chamber with a total pressure of 1500 hPa, in air adjusted to 37% oxygen, 1.079% carbon dioxide and 0.44% hydrogen. Cognitive function was assessed by using Trail Making Test parts A, B and difference in results of these tests (TMT A, TMT B and TMT B-A); California Verbal Learning Test (CVLT); Digit symbol substitution test (DSST); and Digit Span (DS). Fatigue (Fatigue Severity Scale (FSS)), cardiovascular, autonomic and baroreceptor functioning (Task Force Monitor) and biochemical parameters were measured before and after intervention.</p> <p><strong>Results:</strong> After 10 sessions in the normobaric chamber, significant decreases in weight, caused mainly by body fat % decrease (24.86 vs. 23.93%, p = 0.04 were observed. TMT part A and B results improved (p = 0.0007 and p = 0.001, respectively). In contrast, there was no statistically significant influence on TMT B-A. Moreover, decrease in the number of symbols left after a one-minute test in DSST was noted (p = 0.0001). The mean number of words correctly recalled in the CVLT Long Delay Free Recall test improved (p = 0.002), and a reduction in fatigue was observed (p = 0.001). Biochemical tests showed a reduction in levels of malondialdehyde (p &lt; 0.001), with increased levels of Cu Zn superoxide dismutase (p &lt; 0.001), Neurotrophin 4 (p = 0.0001) and brain-derived neurotrophic factor (p = 0.001). A significant increase in nitric oxide synthase 2 (Z = 2.29, p = 0.02) and Club cell secretory protein (p = 0.015) was also noted. Baroreceptor function was significantly improved after normobaric exposures (p = 0.003). Significant effect of normobaric exposures and BDNF in CVLT Long Delay Free Recall was noted.</p> <p><strong>Conclusions:</strong> This study demonstrates that 10 exposures in a normobaric chamber have a positive impact on visual information and set-shifting processing speed and increase auditory-verbal short-term memory, neurotrophic levels and baroreceptor function. A response of the respiratory tract to oxidative stress was also noted. There is a need to rigorously examine the safety of normobaric therapy. Further studies should be carried out with physician examination, both pre and post treatment.</p>
spellingShingle Kujawski, S
Słomko, J
Morten, KJ
Murovska, M
Buszko, K
Newton, JL
Zalewski, P
Autonomic and cognitive function response to normobaric hyperoxia exposure in healthy subjects. Preliminary study
title Autonomic and cognitive function response to normobaric hyperoxia exposure in healthy subjects. Preliminary study
title_full Autonomic and cognitive function response to normobaric hyperoxia exposure in healthy subjects. Preliminary study
title_fullStr Autonomic and cognitive function response to normobaric hyperoxia exposure in healthy subjects. Preliminary study
title_full_unstemmed Autonomic and cognitive function response to normobaric hyperoxia exposure in healthy subjects. Preliminary study
title_short Autonomic and cognitive function response to normobaric hyperoxia exposure in healthy subjects. Preliminary study
title_sort autonomic and cognitive function response to normobaric hyperoxia exposure in healthy subjects preliminary study
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AT murovskam autonomicandcognitivefunctionresponsetonormobarichyperoxiaexposureinhealthysubjectspreliminarystudy
AT buszkok autonomicandcognitivefunctionresponsetonormobarichyperoxiaexposureinhealthysubjectspreliminarystudy
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