A brain MRI study of chronic fatigue syndrome: evidence of brainstem dysfunction and altered homeostasis.

To explore brain involvement in chronic fatigue syndrome (CFS), the statistical parametric mapping of brain MR images has been extended to voxel-based regressions against clinical scores. Using SPM5 we performed voxel-based morphometry (VBM) and analysed T(1) - and T(2) -weighted spin-echo MR signal levels in 25 CFS subjects and 25 normal controls (NC). Clinical scores included CFS fatigue duration, a score based on the 10 most common CFS symptoms, the Bell score, the hospital anxiety and depression scale (HADS) anxiety and depression, and hemodynamic parameters from 24-h blood pressure monitoring.

Exercise-induced hypoxemia: fact or fallacy?

Unlabelled: Whereas the prevalence of exercise-induced hypoxemia (EIH) in endurance athletes is commonly reported as approximately 50%, most previous studies have not corrected PaO2 for exercise-induced hyperthermia. Furthermore, although a detrimental effect on aerobic performance has been assumed, no study has measured arterial oxygen content (CaO2) in this context.

Purpose: To determine the effect of temperature-correcting PaO2 values for rectal, arterial blood, esophageal, and exercising muscle temperatures during exercise on CaO2 and the prevalence of EIH.

Plasma lactate accumulation is reduced during incremental exercise in untrained women compared with untrained men.

The lactate threshold (LT) is commonly reported as not different between sexes, yet lower blood lactate concentrations have been reported in women during submaximal exercise. The purpose of the present study was to measure the changes in plasma lactate concentration [La(-1)] in men and women during incremental cycle ergometer exercise using the same protocol and compare the data using several different methods of analysis. A group of untrained men (n = 21) and women (n = 22) were studied and venous blood drawn at regular intervals during and after exercise for assay of plasma [La(-1)].

Time and sample site dependency of the optimized co-rebreathing method.

Purpose: A new method to estimate hemoglobin mass (Hbmass) requires capillary blood and rebreathing a carbon-monoxide (CO) bolus for 2 min. We hypothesized that incomplete circulatory mixing of CO could confound this method, so we compared capillary with venous blood to determine whether sampling site altered the percentage of carboxyhemoglobin (%HbCO) and the reliability and accuracy of the "2-min Hbmass." The conventional 20-min CO-rebreathing procedure was used as the Hbmass criterion.