Skeletal Muscle Blood Flow and NIRS Oxygenation Kinetics as a Tool to Evaluate Adaptations to High-Intensity Exercise Training

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Heru S. Lesmana, Patrick Rodrigues, Lydia L. Simpson, Kyohei Marume, Dean R. Perkins, Justin S. Lawley

2026 Sensors Vol. 26 Issue 10 Article Cited by 0

Abstract

Exercise training improves maximum aerobic capacity, in part, through improvements in skeletal muscle function. This study aimed to investigate adaptations to improved aerobic capacity training through non-invasive and non-exhaustive tests of hyperemic muscle blood flow and near-infrared spectroscopy (NIRS) muscle oxygenation kinetics. An experimental study was conducted on 18 participants (age, 28.2 ± 5.3 yr; absVO2max, 3.60 ± 0.67 L·min−1). Before and after the intervention of a 6-week of high-intensity interval training (HIIT), participants underwent three tests: (1) a graded cardiopulmonary exercise test; (2) a vascular occlusion test; and (3) a steady-state exercise (SSE) at 60% of PPO. Expired gas analysis, superficial femoral blood flow (occlusion test only) and SmO2 kinetics were measured. The intervention increased maximal aerobic capacity absVO2max (p < 0.001, d = 0.65) and PPO (p < 0.001; d = 0.41). Moreover, steady-state absVO2 (p = 0.006; d = 0.37) and HR (p = 0.001; d = 0.65) were reduced. With the cuff test, the SmO2 desaturation slope increased (p = 0.04; d = 0.52), while peak muscle blood flow (p = 0.02; d = 0.51) and the SmO2 10 s reoxygenation rate increased (p < 0.001 d = 1.11; 0.74 ± 0.28 to 1.17 ± 0.45%/s). During steady-state exercise, SmO2 decreased less (p = 0.02; d = 0.43), and the 10s recovery kinetics rate was slowed (p = 0.01 d = 0.30; 0.28 ± 0.20 to 0.22 ± 0.21%/s). The improvement in VO2max had a moderate correlation with the SmO2 recovery rate post-steady-state exercise (p = 0.05, r = −0.54). HIIT changed maximal aerobic capacity alongside improvements in skeletal muscle hyperemic blood flow, SmO2 post-occlusive reactive hyperemia and SmO2 post-exercise recovery kinetics. Thus, the findings indicated that non-invasive and non-exhaustive hemodynamic kinetic profiles can monitor adaptations to improved aerobic capacity. © 2026 by the authors.

Affiliations

Department of Sport Science, University of Innsbruck, Innsbruck, 6020, Austria; Department of Sport Coaching, Universitas Negeri Padang, Padang, 25132, Indonesia; Division of Health, School of Sport and Human Movement, University of Waikato, Hamilton, 3240, New Zealand; School of Physiology, Pharmacology and Neuroscience, University of Bristol, Bristol, BS8 1QU, United Kingdom; Department of Cardiovascular, National Cerebral and Cardiovascular Center, Suita, 564-0018, Japan; Doctock Co., Ltd., Tokyo, 107-0062, Japan; Institute of Mountain Emergency Medicine, Eurac Research, Bolzano, 39100, Italy