Document Detail


Chronic L-arginine supplementation enhances endurance exercise tolerance in heart failure patients.
MedLine Citation:
PMID:  16802253     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The purpose of the study was to determine the potential beneficial effect of six weeks oral L-arginine supplementation (LAS) on endurance exercise, an important determinant of daily-life activity in patients with chronic stable heart failure (CHF). After an initial incremental maximal exercise test, CHF patients performed an identical thirty-minute interval endurance exercise test before and after six weeks with (L-arginine group; ARG) or without LAS (control group; CTL). Hemodynamic, respiratory, and metabolic parameters were determined at rest, during exercise, and during recovery. Mean heart rate decreased throughout exercise and recovery after LAS (- 8.2 +/- 1.4 b x min(-1); p = 0.003 and - 6.7 +/- 1.6 b x min(-1); p < 0.001, respectively), systemic blood pressure and respiratory parameters remaining unchanged. Resting L-argininaemia increased from 102 +/- 11 to 181 +/- 37 micromol x l(-1) (p < 0.004) and exercise-induced peak increase in plasma lactate was blunted after LAS (4.13 +/- 0.75 vs. 3.13 +/- 0.39 mmol x l(-1); p = 0.02). No significant change was observed in the control group. In heart failure patients, six weeks oral LAS enhances endurance exercise tolerance, reducing both heart rate and circulating lactates. This suggests that chronic LAS might be useful as a therapeutic adjuvant in order to improve the patient's physical fitness.
Authors:
S Doutreleau; B Mettauer; F Piquard; O Rouyer; A Schaefer; J Lonsdorfer; B Geny
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International journal of sports medicine     Volume:  27     ISSN:  0172-4622     ISO Abbreviation:  Int J Sports Med     Publication Date:  2006 Jul 
Date Detail:
Created Date:  2006-06-27     Completed Date:  2006-11-30     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8008349     Medline TA:  Int J Sports Med     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  567-72     Citation Subset:  IM    
Affiliation:
Service de Physiologie et d'Explorations Fonctionnelles et UPRES EA 3072, Institut de Physiologie, Faculté de Médecine, Strasbourg, France. Stephane.Doutreleau@physio-ulp.u-strasbg.fr
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MeSH Terms
Descriptor/Qualifier:
Administration, Oral
Analysis of Variance
Arginine / administration & dosage,  therapeutic use*
Exercise Test
Exercise Tolerance / drug effects*,  physiology*
Heart Failure / drug therapy*,  physiopathology*
Heart Rate / drug effects,  physiology
Humans
Lactates / blood
Middle Aged
Oxygen Consumption / drug effects,  physiology
Time Factors
Treatment Outcome
Chemical
Reg. No./Substance:
0/Lactates; 74-79-3/Arginine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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