Two water environment adaptation models enhance motor behavior and improve the success of the lactate minimum test in swimming rats

Abstract AIMS This study was designed to investigate the effects of 14 water environment adaptation days on motor behavior and physiological condition of swimming rats. METHODS Sixty male Wistar rats were divided into four groups-baseline (Bl) and control (Co) groups-which did not perform the water environment adaptation; and sub (SubAnT) and (SupraAnT) anaerobic threshold groups, which performed 14 water environment adaptation days with sub or supra anaerobic threshold progressive loads (from the tenth day), respectively. The climbing-swimming prevalence (i.e. motor behavior) was analyzed during the water environment adaptation days. Lactate minimum test (LMT) parameters and muscular/hepatic glycogen content in addition to serum creatine kinase were also measured. RESULTS Animals from SubAnT and SupraAnT groups presented a lower climbing-swimming pattern throughout the extent of the experiment (p=0.000), especially after the 5th session. These results were achieved without an improvement in the LMT results or glycogen/creatine kinase. In addition, improvements of 26.6% and 25% for the LMT success rate (i.e. LMT reliability) were obtained only for SubAnT and SupraAnT animals. CONCLUSION Overall, we demonstrated that a water environment adaptation period is necessary for lowering the climbing-swimming pattern without physiological improvement.(AU)

La polisomnografía en noche dividida es eficaz para titular la presión en la ventilación con presión positiva continua ("CPAP") en pacientes con apnea obstructiva del sueño / Split night polysomnography to titrate continuous positive airway pressure therapy in adult patients with obstructive sleep apnea

Background: Nasal continuous positive airway pressure therapy (CPAP) in the treatment of choice for adult obstructive sleep apnea (OSA). The diagnosis is established with polysomnography, but this study is expensive and must be repeated in those patients that require CPAP, to titrate the pressure of the therapy. Split polysomnography during one night to establish the diagnosis and titrate the pressure has been proposed to reduce costs. Aim: To assess if CPAP pressure can be adequately titrated in patients with OSA using a split-night polysomnography. Material and methods: One hundred fifty six patients with OSA were studied with split night polysomnography. CPAP pressure titration was considered adequate when there were less than five apnea/hypopnea episodes per hour, the registry time was more than 30 min, REM sleep occurred in more than 15 percent of the time and measurements were made in supine position. Results: An adequate titration was achieved in 80 percent of patients. The variables associated with an adequate titration were a higher registry time during the titration period, a higher percentage of stage III/IV or REM sleep during such period and the comfort experienced by the patient during the study. On the other hand, patients with an inadequate titration had a longer basal registry period. Conclusions: An adequate CPAP pressure can be prescribed to 80 percent of patients subjected to a split-night polysomnography. The basal registry period should not be longer than three hours, to allow an adequate titration lapse.