Phenotypic differences have been described between patients with systemic sclerosis (SSc)-associated interstitial lung disease (ILD) and SSc-associated pulmonary hypertension, including performance differences in the 6-min walk test (6MWT). Moreover, the correlations between the 6MWT and traditional pulmonary function tests (PFTs) are weak, indicating the need to search for new parameters that explain exercise performance. Thus, our objective was to evaluate the impact of ventilation distribution heterogeneity assessed by the nitrogen single-breath washout (N2SBW) test and peripheral muscle dysfunction on the exercise capacity in patients with SSc-ILD and limited involvement of the pulmonary parenchyma. In this cross-sectional study, 20 women with SSc-ILD and 20 matched controls underwent PFTs (including spirometry, diffusing capacity for carbon monoxide (DLco), and the N2SBW test) and performed the 6MWT and knee isometric dynamometry. The 6-min walking distance (6MWD, % predicted) was strongly correlated with the phase III slope of the single-breath nitrogen washout (phase III slopeN2SBW) (r=−0.753, P<0.0001) and reasonably correlated with the forced vital capacity (FVC) (r=0.466, P=0.008) and DLco (r=0.398, P=0.011). The peripheral oxygen saturation (SpO2) during exercise was not significantly correlated with any of the pulmonary or muscle function parameters. The phase III slopeN2SBW was the only predictive variable for the 6MWD, whereas quadriceps strength and FVC/DLco were predictive variables for SpO2. Ventilation distribution heterogeneity is one factor that contributes to a lower 6MWD in SSc-ILD patients. In addition, muscle dysfunction and abnormal lung diffusion at least partly explain the decreased SpO2 of these patients.

The 30, 45 and 60 day-old elephant grasses were evaluated by monitoring their nutritional profile and DM (DMI) and NDF (NDFI) intake by crossbred lactating cows in a 3 x 3 Latin square trial, where the split-plots were the rumen evacuation times: 0, 2, 4 and 6 h after meal. Chemical composition, in vitro dry matter digestibility and ruminal content ranged with grass age. Means (in kg/cow/day) of DMI and NDFI of 30 day-old grass (8.0 and 5.3) were lower than those of grasses with 45 days (10.0 and 6.6) and 60 days (11.0 and 7.3). The maximum of rumen fill was observed at 4:22, 3:55 and 3:49 hours after feeding for treatments with 30, 45 and 60 day-old elephant grass, respectively. Rumen fill did not limit the DMI and NDFI of elephant grass, but the dry matter intake of 30 day-old grass may be affected by the wet content.

O capim-elefante com 30, 45 e 60 dias de idade foi avaliado por meio do monitoramento das características nutricionais do capim e do consumo de MS (CMS) e de FDN (CFDN) por vacas mestiças lactantes em um experimento em quadrado latino 3 x 3 em que as sub-parcelas foram os horários de esvaziamento ruminal: 0, 2, 4 e 6 h após a refeição. A composição química e a digestibilidade in vitro da MS e o conteúdo ruminal variaram em relação à idade do capim. As médias (em kg/vaca/ dia) do CMS e do CFDN do capim cortado com 30 dias (8,0 e 5,3) foram inferiores em relação àquelas do capim com 45 (10,0 e 6,6) e 60 dias (11,0 e 7,3). O conteúdo ruminal máximo ocorreu nos horários de 4:22, 3:55 e 3:49 h após o oferecimento do capim cortado com 30, 45 e 60 dias, respectivamente. O enchimento físico do rúmen não limitou o consumo do capim-elefante, o qual pode ter sido afetado pelo maior teor de umidade do capim cortado com 30 dias.

Determinaram-se a degradabilidade potencial (DP) e a digestibilidade intestinal da proteína não degradada no rúmen (DIPNDR) do capim-elefante em diferentes idades de rebrote (30, 45 e 60 dias) e comparou-se a técnica do saco de náilon móvel (in situ) com o método de três estádios (in vitro). Para tanto, utilizaram-se seis novilhos mestiços canulados no rúmen e duodeno alimentados exclusivamente com capim-elefante picado. O ensaio de degradabilidade foi realizado com amostras do capim incubadas no rúmen por 3, 6, 9, 12, 24, 48, 72, 96 e 120h. A digestibilidade intestinal foi determinada utilizando-se os resíduos de incubação por 24 horas. Na técnica in situ os resíduos em sacos de náilon foram colocados no duodeno e recuperados nas fezes. No método in vitro, os resíduos foram submetidos à digestão com HCl-pepsina-pancreatina. Em amostras de capim com idades de 30, 45 e 60 dias foram observados valores de DP da proteína de 87,5; 87,8 e 83,8%, respectivamente. A DIPNDR variou com a idade do capim e foi semelhante entre os métodos in situ e in vitro somente para o capim com 60 dias. O método in situ apresentou estimativa de digestibilidade intestinal mais coerente com as mudanças na composição química do capim-elefante decorrentes do envelhecimento.

The potential degradability (PD) and intestinal digestibility of ruminal escape protein (IDREP) of elephant-grass at 30, 45, and 60 days of regrowth were determined and the mobile bag technique (in situ) was compared to the three-stage method (in vitro). Thus, six cross-bred steers with rumen and duodenum canulas were used and fed exclusively with chopped elephant grass. The degradability trial was carried out with grass samples incubated in rumen by 3, 6, 9, 12, 24, 48, 72, 96, and 120 h. The intestinal digestibility was determined using 24-h ruminal incubation residue. In the in situ technique, residues in nylon bags were placed in duodenum and recovered in feces. In the in vitro method, residues were digested with solution of HCl-pepsin-pancreatin. In samples of grass at 30, 45, and 60 days of age, the values of protein PD were 87.5, 87.8, and 83.8%, respectively. The IDREP ranged with grass age and it was similar between in situ and in vitro methods only for 60-day old grass. Considering the changes in elephant-grass chemical composition due to aging, the in situ method supplied a more coherent estimative of intestinal digestibility.