Human body-fluid distribution during exercise in hot,temperate and cool environments

Using a simultaneous-dilution technique, we investigated body-fluid volume changes during exercise in seven males, during 50 min of cycling (50% maximal work rate) in hot (36.2 °C), temperate (22.0 °C) and cool conditions (14.4 °C). Total body water (TBW), extracellular fluid (ECFV), plasma (PV) and erythrocyte volumes (RCV) were measured, while blood volume (BV), interstitial fluid volume (IFV), extracellular water (ECW) and intracellular water volumes (ICW) were derived. During the initial 10 min of cycling, BV decreased in all environments (P = 0.01), primarily because of a PV reduction (P = 0.01), while IFV, ECFV and ICW were not significantly changed. By 30 min, BV recovered in the temperate and cool conditions, despite mass losses of 563 and 520 mL (respectively), but remained depleted in the hot condition (P = 0.01). The 50-min volume changes revealed that, throughout exercise, body-fluid losses appeared to be drawn primarily from the extracellular space, regardless of air temperature. In the hot condition, the PV change represented 63% of the TBW loss, with the ICW contributing 23%. It was concluded that, during cycling, progressive dehydration mainly affected the extracellular space, with the intravascular and intracellular spaces being defended in less stressful conditions.     

Evidence of a hyperkinetic state in children with elevated blood pressure

Background: Left ventricular hypertrophy (LVH) and elevated left ventricular mass index (LVMI) are important predictors of cardiovascular morbidity and mortality in adults. Children with hypertension and pre-hypertension demonstrate LVH and greater LVMI compared to normotensive children. The impact of blood pressure (BP) on early changes in left ventricular properties provides an opportunity to understand and identify cardiovascular risk early in childhood.

Aim: The aim of this study was to assess left ventricular structural and functional properties in a sample of children across a wide range of BP values.

Subjects and methods: Children aged 11–14-years were divided into BP groups: hypertensives (HTN; ≥95th percentile; n?=?21) and normotensives (NTN; <90th percentile; n?=?85) based on BP measures taken at two time points. Resting supine heart rate (HR), cardiac output (CO) and total peripheral resistance (TPR) were collected along with left ventricular structural and functional properties using ultrasound sonography. Results: LVMI and TPR were not different between groups. CO, HR and left ventricular end-diastolic and end-systolic volumes were elevated in the HTN group. Furthermore, HR and body mass index were found to be independent predictors of BP group status in children.

Conclusion: These findings show that children with elevated BP are characterized by high HR and CO and normal TPR. Also, the results identify HR as a predictor of BP group status in early childhood.     

Cardiovascular responses to arm static exercise in men with thoracic spinal cord lesions

Isometric muscle contraction (static exercise) induces circulatory response. Static exercise in individuals with thoracic spinal cord injury (TSCI) induces cardiovascular response and blood redistribution to the non-exercising muscles. The aim of our study was to determine the circulatory response during arm static exercise in individuals with TSCI and able-bodied (AB) controls. Mean blood pressure (MBP), heart rate (HR), cardiac output (CO), leg skin blood flow (SBF), and leg muscle blood flow (MBF) were recorded noninvasively, total peripheral resistance (TPR) was estimated by dividing MBP by CO, and hormonal changes were measured before, during and after static 35% maximal voluntary contraction (MVC) of the arm flexor muscles in seven male individuals with TSCI (T7–T11) and seven age-comparable AB control (32.2 ± 7.6 and 31.0 ± 4.7 years, respectively). The 35% MVC was similar in TSCI and AB individuals (107.3 ± 28.2 and 101.0 ± 22.5 N, respectively). HR, CO, MBP, TPR, SBF and MBF increased in both groups during arm static exercise. Plasma epinephrine concentration increased during arm static exercise in AB controls only (P < 0.05). Circulation to leg muscles was similar in TSCI and AB individuals and the lack of sympathetic vasoconstriction in the paralyzed leg area did not alter the cardiovascular responses during 35% MVC of arm static exercise. We conclude that sympathetic vasoconstriction in the resting leg area did not contribute to the pressor reflex during 35% MVC of arm static exercise.     

Respiratory muscle training increases cycling endurance without affecting cardiovascular responses to exercise

We tested whether the increased cycling endurance observed after respiratory muscle training (RMT) in healthy sedentary humans was associated with a training-induced increase in cardiac stroke volume (SV) during exercise, similar to the known effect of endurance training. Thirteen subjects underwent RMT by normocapnic hyperpnea, nine underwent aerobic endurance training (cycling and/or running) and fifteen served as non-training controls. Training comprised 40 sessions performed within 15 weeks, where each session lasted 30 min. RMT increased cycling endurance at 70% maximal aerobic power ( ) by 24% [mean (SD) 35.6 (11.9) min vs 44.2 (17.6) min, P<0.05], but SV at 60% was unchanged [94 (21) ml vs 93 (20) ml]. Aerobic endurance training increased both SV [89 (24) ml vs 104 (32) ml, P<0.01] and cycling endurance [37.4 (12.8) min vs 52.6 (16.9) min, P<0.01]. In the control group, no changes were observed in any of these variables. It is concluded that the increased cycling endurance that is observed after RMT is not due to cardiovascular adaptations, and that the results provide evidence for the role of the respiratory system as an exercise-limitingfactor. Electronic Publication     

Body composition and sleeping metabolic rate in response to a 5-month endurance-training programme in adults

Summary This study examined the effect of exercise training on body composition and sleeping metabolic rate (SMR) in 15 men and 13 women who participated in a 20-week training programme aimed at running a half marathon. Body mass (BM) was measured after waking up, fasted and with an empty bladder. Body composition was assessed using densitometry. The SMR was measured from 0300–0600 hours during an overnight sleep in a respiration chamber. Assessment of SMR was at least 36 h after the last period of exercise training. After 20 weeks of endurance training no change in BM was observed. However, body composition changed significantly. On average men lost 2.4 kg body fat (P< 0.01) and gained 1.7 kg fat free mass (FFM) (P<0.01). In women fat loss averaged 0.9 kg after 20 weeks (P<0.01), while FFM increased by 1.0 kg (P<0.05). Loss of fat mass was significantly larger in males (P<0.05). No changes in SMR were found, either in absolute terms, or when normalised for BM or FFM. Therefore, we have concluded that exercise training has no chronic, long-term effect on SMR: A possible explanation for this outcome in view of the different findings in similar studies is discussed.     

Can extracellular fluid volume expansion in hemodialysis patients be safely reduced using the hemocontrol biofeedback algorithm? A randomized trial

Extracellular fluid volume (ECFV) expansion in hemodialysis patients is associated with increased mortality. Attempts to remove excess fluid often result in intradialytic hypotension (IDH). Blood volume monitoring has been used to aid selection of ultrafiltration rates and dialysate conductivity to minimize IDH. Automating ultrafiltration and dialysate conductivity using the Hemocontrol Biofeedback System (HBS) has reduced IDH in IDH-prone subjects. We undertook a randomized controlled trial to determine if the HBS could safely reduce ECFV in ECF-expanded subjects. Patients with ECFV >45% of total body water were randomized to receive hemodialysis by either HBS or best clinical practices for 6 months. The primary endpoint was change in ECFV; exploratory variables included frequency of IDH, interdialytic weight gain, and changes in serum Na. Treatment with HBS did not result in any change in ECFV, even after multivariable adjustment. The frequency of IDH was however significantly lower with HBS when compared with best clinical practices without differences in other variables.     

Effect of ingestion pattern on rehydration and exercise performance subsequent to passive dehydration

Six male volunteers performed three tests, each comprising a passive heating session to obtain dehydration (loss of 2.6% body mass), followed by exercise on a treadmill until exhaustion (50% of maximal oxygen consumption) in a warm environment (dry bulb temperature 35° C, relative humidity 20%–30%). In one test, the subjects exercised without rehydration (Dh). In the two other tests, 50% of the fluid lost in the dehydration session was replaced by drinking mineral water given either in one amount [913 (SEM 23) ml] before the exercise (Rh1) or divided into four equal portions [228 (SEM 5) ml] before the exercise and on three occasions at 15-min intervals during exercise (Rh4). Rehydration increased exercise duration in Rh1 compared to Dh [112 (SEM 7) min and 82 (SEM 3) min, respectively;P < 0.05]. The difference was not significant with Rh4 [103 (SEM 9) min]. A restoration of the time course of changes in plasma volume, plasma osmolality, heart rate and rectal temperature occurred immediately in Rh1 and was delayed in Rh4 until after 60 min of exercise. Our results demonstrated that the swift replacement of the fluid loss in the dehydrated subjects was beneficial to exercise performance by rapidly correcting the disturbances in body fluid balance.     

Physiological effects of dehydration and rehydration with water and acidic or neutral carbohydrate electrolyte solutions

Summary Five healthy young men exercised on an ergocycle for six 25-min periods separated by 5-min rest intervals in a warm dry environment (36°C). After 1 h of exercise without fluid intake, the subjects continued to be dehydrated or were rehydrated either with water (W) or with isosmotic electrolyte carbohydrate solutions, either acidic (AISO) or close to neutrality (NISO). The average amount of the fluid ingested progressively every 10 min (120 ml) at 20°C was calculated so as to compensate for 80% of the whole body water loss due to exercise in the heat. Dehydration associated with hyperosmotic hypovolaemia elicited large increases in heart rate (HR), and in rectal temperature (T _re), while no decrease was found in either whole body or local sweat rates. Rehydration with water significantly reduced the observed disturbances, except for plasma osmolality and Na⁺ concentration which were significantly lower than normal. With both AISO and NISO there was no plasma volume reduction and osmolality increase. Although a plasma volume expansion was induced by NISO ingestion, the cardiac cost was not improved, as reflected by the absence of a decrease in HR. With NISO, sweating was not enhanced andT _re tended to remain higher. It is concluded that efficient rehydration requires the avoidance of plasma volume expansion at the expense of interstitial and intracellular rehydration. During rehydration by oral ingestion of fluid, the pH of the drink may be an important factor; its effect remains unclear, however.     

Effect of diazepam on endocrine and cardiovascular responses to head-up tilt in humans

Effects of the GABAergic drug diazepam (0.15 mg kg^-1, i.v.) on cardiovascular and endocrine responses to 50± head-up tilt were evaluated in seven men. During the initial phase of tilt (normotensive phase), increases in heart rate (HR) and total peripheral resistance (TPR) and decreases in cardiac output were unaffected by diazepam. Also the associated increase in plasma noradrenaline did not change, while response in plasma ACTH was diminished and in plasma cortisol abolished by diazepam (F(1, 10) = 6.45; P < 0.03). After 42 ± 4 min of sustained tilt with saline (control) and 47 ± 6 min (n.s.) after diazepam, presyncopal symptoms appeared (hypotensive phase) associated with decreases in HR, MAP, and TPR (P < 0.01). This episode induced a 2–3-fold increase in plasma ACTH, β-endorphin, prolactin, cortisol (< 0.01), and a moderate increase in plasma adrenaline (P < 0.05). Diazepam did not significantly change cardiovascular and endocrine responses to the hypotensive phase of tilt. Results indicate that diazepam attenuates the cortisol part of pituitary-adrenal responses to moderate, but not to severe, central hypovolaemia in humans with no effect on cardiovascular tolerance.     

A comparison of the effects of milk and a carbohydrate-electrolyte drink on the restoration of fluid balance and exercise capacity in a hot,humid environment

Following a 2.0 ± 0.1% body mass loss induced by intermittent exercise in the heat, seven male volunteers ingested either a carbohydrate–electrolyte solution (CE) or skimmed milk (M) in a volume equal to 150% of body mass loss. At the end of the 3 h recovery period, subjects were essentially in positive fluid balance on trial M (191 ± 162 mL), and euhydrated on trial CE (−135 ± 392 mL) despite being in negative sodium balance on both trials and negative potassium balance on trial CE. This difference of 326 ± 354 mL or 0.4% body mass approached significance (P = 0.051). Subjects ingested 137 ± 15 and 113 ± 12 g of CHO during the CE and M trials, respectively, as well as 75 ± 8 g of protein during the M trial. At the end of the 3 h recovery period, an exercise capacity test was completed at 61% VO_2peak in warm (35.3 ± 0.5°C), humid (63 ± 2%) conditions. HR (P = 0.020) and rectal temperature (P = 0.045) were higher on trial M, but no difference in exercise time to exhaustion was observed between trials (39.6 ± 7.3 min vs. 39.7 ± 8.1 min on trials CE and M, respectively). The results of the present study suggest that milk can be an effective post-exercise rehydration drink, with subjects remaining in net positive fluid balance throughout the recovery period. Despite the effect on fluid retention, exercise capacity was not different between skimmed milk and a commercially available carbohydrate–electrolyte drink 4 h following exercise/heat-induced body mass loss.     

Prior endurance exercise attenuates growth hormone response to subsequent resistance exercise

This study examined the influence of prior endurance exercise on hormonal responses to subsequent resistance exercise. Ten males exercised on a cycle ergometer at 50% of maximal oxygen uptake for 60 min and subsequently completed a resistance exercise (bench and leg press, four sets at ten repetitions maximum with an interset rest period of 90 s). Alternatively, the subjects performed the protocol on a separate day with prior endurance exercise limited to 5 min. Blood was obtained before and after the endurance exercise, and 10, 20, and 30 min after the resistance exercise. Maximal isometric torque measured before and after endurance and resistance exercises showed no significant difference between trials. No significant difference was seen in the concentrations of glucose, lactate, testosterone, and cortisol between the trials, but free fatty acids (FFA) and growth hormone (GH) increased (P<0.01 and P<0.05, respectively) after 60 min of endurance exercise. Conversely, after the resistance exercise, GH was attenuated by 60 min of prior exercise (P<0.05). These results indicate that the GH response to resistance exercise is attenuated by prior endurance exercise. This effect might be caused by the increase in blood FFA concentration at the beginning of resistance exercise.     

Cardiovascular and respiratory responses to passive leg cycle exercise in people with spinal cord injuries

The purpose of this study was to determine the effect of passive leg cycle exercise (PLE) on cardiovascular and respiratory responses in people with spinal cord injuries (PSCI). Eight PSCI with lesions from T8 to L1 and five control subjects (CS) performed PLE at pedalling frequencies of 20 or 40 rpm for 7 min at room temperature of about 25°C. We measured, at rest and during PLE, the pulmonary ventilation (V_E), oxygen uptake (VO₂), cardiac output (Q), stroke volume (SV), heart rate (HR) and arterial blood pressure, as well as the skin blood flow (SBF) in the lower limb after PLE. An increase in pedalling frequency promoted an increase in V_E and VO₂ in both groups. Compared with the CS, the PSCI showed significantly smaller increases in VO₂ (P < 0.05). The Q_c was significantly elevated during PLE at 20 and 40 rpm in CS, and at 40 rpm in PSCI (P < 0.05). In CS, it resulted from increases in both SV and HR, whereas in PSCI, it was contributed to by a greater increase in SV without a rise in HR. In CS, the increase in pedalling frequency promoted the increases in SV and HR and consequently in Q_c In PSCI, however, the values remained constant irrespective of pedalling frequency. The arterial blood pressure and SBF in the lower limbs were unchanged by PLE in both groups. These results would suggest that passive leg exercise promotes venous return from the paralyzed lower limbs in PSCI.     

Influence of alcohol on the hydromineral hormone responses to exercise in a warm environment

Alcohol consumption at rest is associated with disturbed water and salt regulation reflected by changed responses in the hydromineral hormones. This study investigated the effect of alcohol on endocrine systems involved in body fluid and electrolyte regulation under conditions of physical exercise in the heat, a situation in which under normal circumstances, the hydromineral hormones are stimulated in an attempt to preserve physiological homeostasis. Eight healthy male volunteers participated in two trials, which differed only in the presence or absence of alcohol (1.2 g alcohol · kg^–1 body mass) in a cocktail drink. After consuming the cocktail, the subjects exercised for 60 min on a cycle ergometer (45% maximal oxygen consumption) at 35°C. Compared to the control situation alcohol consumption (maximal plasma concentrations reaching about 1.08 g · l^–1) produced an increase in body fluid loss (P < 0.05), but did not induce significant differences in plasma volume changes. Plasma volume decreased in both sessions during exercise (P < 0.01) and a significant rebound (P < 0.001) occurred during recovery. Osmolality was significantly higher (P < 0.001) during rest, exercise and recovery periods compared to the placebo trials, but no effect of alcohol on plasma Na⁺ and K⁺ concentrations was observed. In the alcohol test conditions, the arginine vasopressin (AVP) response to exercise was significantly dampened (P < 0.05). In contrast, alcohol had no effect on aldosterone or atrial natriuretic peptide (ANP). These results demonstrated that alcohol ingestion augmented body fluid losses due to a suppressive effect on AVP during physical exercise conducted in a warm environment. The increase in osmolality due to alcohol did not influence the aldosterone and ANP responses, which would suggest that total osmolality does not play a major role in the regulation of these hormones.     

Skin cooling aids cerebrovascular function more effectively under severe than moderate heat stress

Skin surface cooling has been shown to improve orthostatic tolerance; however, the influence of severe heat stress on cardiovascular and cerebrovascular responses to skin cooling remains unknown. Nine healthy males, resting supine in a water-perfusion suit, were heated to +1.0 and +2.0°C elevation in body core temperature (T _c). Blood flow velocity in the middle cerebral artery (transcranial Doppler ultrasound), mean arterial pressure (MAP; photoplethysmography), stroke volume (SV; Modelflow), total peripheral resistance (TPR; Modelflow), heart rate (HR; ECG) and the partial pressure of end-tidal carbon dioxide (P_ETCO₂) were measured continuously during 1-min baseline and 3-min lower body negative pressure (LBNP, −15 mm Hg) when heated without and again with skin surface cooling. Nine participants tolerated +1°C and six participants reached +2°C. Skin cooling elevated (P = 0.004) MAP ~4% during baseline and LBNP at +1°C T _c. During LBNP, skin cooling increased SV (9%; P = 0.010) and TPR (0.9 mm Hg L⁻¹ min, P = 0.013) and lowered HR (13 b min⁻¹, P = 0.012) at +1°C T _c and +2°C T _c collectively. At +2°C T _c, skin cooling elevated P_ETCO₂ ~4.3 mm Hg (P = 0.011) and therefore reduced cerebral vascular resistance ~0.1 mm Hg cm⁻¹ s at baseline and LBNP (P = 0.012). In conclusion, skin cooling under severe heating and mild orthostatic stress maintained cerebral blood flow more effectively than it did under moderate heating, in conjunction with elevated carbon dioxide pressure, SV and arterial resistance.     

Plasma endothelin-1 during central hypovolaemia in man.

Endothelin-1 (ET-1) is a potent vasoconstricting peptide with effect on resistance as well as capacitance vessels. We followed ET-1 in arterial plasma together with heart rate (HR), central venous pressure (CVP), mean arterial pressure (MAP), and thoracic electrical impedance (TI) in seven men during central hypovolaemia induced by 50 degrees head-up tilt. During tilting plasma ET-1 increased from 1.1 +/- 0.2 to 1.4 +/- 0.3 pmol l-1 (mean +/- SE) concomitant with an increase in total peripheral resistance (TPR) (from 15 +/- 2 to 25 +/- 3 mmHg min l-1) (P < 0.01), and HR (from 67 +/- 2 to 94 +/- 5 beats min-1) (P < 0.01) while MAP remained unchanged. CVP decreased (from 1.8 +/- 0.9 to -1.6 +/- 1.0 mmHg) (P < 0.01) during tilting and remained unchanged during sustained tilt despite further reduction of central blood volume as recorded by TI. Presyncopal symptoms occurred after 28 +/- 6 min associated with decreases in HR (to 70 +/- 6 beats min-1), MAP (from 90 +/- 3 to 52 +/- 4 mmHg) and TPR (to 11 +/- 2 mmHg min l-1) (P < 0.01). At this time plasma ET-1 reached its highest level of 1.6 +/- 0.3 pmol l-1 (P < 0.01). Data show that head-up tilt is associated with increased plasma concentrations of ET-1 which may play a role in maintaining vascular tone in situations with a reduced central blood volume.     

Effects of heat acclimation on endurance capacity and prolactin response to exercise in the heat

We examined the effect of heat acclimation (HA) on endurance capacity and blood prolactin (PRL) response to moderate intensity exercise in the heat in young male subjects (n?=?21). Three exercise tests (ET) were completed on a treadmill: H1 (walk at 60% VO₂peak until exhaustion at 42°C), N (walk at 22°C; duration equal to H1) and H2 (walk until exhaustion at 42°C after a 10-day HA program). Heart rate (HR), skin (T _sk) and core (T _c) temperatures and body heat storage (HS) were measured. Blood samples were taken immediately before, during and immediately after each ET. HA resulted in lower HR, T _sk, T _c and HS rate (P?<?0.05) during ET, whereas endurance capacity increased from 88.6?±?27.5?min in H1 to 162.0?±?47.8?min in H2 (P?<?0.001). Blood PRL concentration was lower (P?<?0.05) during exercise in H2 compared to H1 but the peak PRL level observed at the time of exhaustion did not differ in the two trials. Blood PRL concentration at 60?min of exercise in H1 correlated with time to exhaustion in H1 (r?=?–0.497, P?=?0.020) and H2 (r?=?–0.528, P?=?0.014). In conclusion, HA slows down the increase in blood PRL concentration but does not reduce the peak PRL level occurring at the end of exhausting endurance exercise in the heat. Blood PRL response to exercise in the heat in non-heat-acclimated subjects is associated with their endurance capacity in the heat in a heat-acclimated state.     

Effects of dynamic and static handgrip exercises on hand and wrist volume

It is not known how the mode of exercise, dynamic and static exercises, affects the limb volume. Therefore, the purpose of this study was to investigate hand and wrist volume (HWV) after dynamic and static handgrip exercise. Nine healthy subjects (age 31.8 ± 7.3 years; height 172.0 ± 5.7 cm; body mass 66.9 ± 8.1 kg, mean ± SD) volunteered for this study. HWV was measured with a hand and wrist volumeter before and immediately after dynamic and static exercises. Initially during rest, HWV was measured after the hand was passively hung for 5 min. Handgrip exercises with an ergonomic hand exerciser were performed at 20% of maximum voluntary contraction in right and left hands by static and dynamic exercises, respectively. Both dynamic and static handgrip exercises consisted of six sets of 30-s contractions with 10-s rest intervals between exercise bouts. The dynamic handgrip exercise was performed by repetitive contraction and relaxation of the hand at a maximum frequency. In order to determine intensity of handgrip exercises, maximum isometric handgrip strength of the right and left hand was measured with a handgrip dynamometer. Data are presented as mean ± SD. After dynamic and static handgrip exercises, HWV increased significantly, and these increases represent 2.2 ± 0.7% (P < 0.001) and 1.4 ± 0.8% (P < 0.001) of resting HWV, respectively. The elevation of HWV after dynamic exercise was significantly higher than that after static exercise (P < 0.05). These results suggest that the higher HWV after dynamic exercise may be caused by higher increased interstitial fluid volume, capillary volume and venous volume in hand and wrist tissues.     

Hemodynamic and hormonal responses to a short-term low-intensity resistance exercise with the reduction of muscle blood flow

We investigated the hemodynamic and hormonal responses to a short-term low-intensity resistance exercise (STLIRE) with the reduction of muscle blood flow. Eleven untrained men performed bilateral leg extension exercise under the reduction of muscle blood flow of the proximal end of both legs pressure-applied by a specially designed belt (a banding pressure of 1.3 times higher than resting systolic blood pressure, 160–180 mmHg), named as Kaatsu. The intensity of STLIRE was 20% of one repetition maximum. The subjects performed 30 repetitions, and after a 20-seconds rest, they performed three sets again until exhaustion. The superficial femoral arterial blood flow and hemodynamic parameters were measured by using the ultrasound and impedance cardiography. Serum concentrations of growth hormone (GH), vascular endothelial growth factor (VEGF), noradrenaline (NE), insulin-like growth factor (IGF)-1, ghrelin, and lactate were also measured. Under the conditions with Kaatsu, the arterial flow was reduced to about 30% of the control. STLIRE with Kaatsu significantly increased GH (0.11±0.03 to 8.6±1.1 ng/ml, P < 0.01), IGF-1 (210±40 to 236±56 ng/ml, P < 0.01), and VEGF (41±13 to 103±38 pg/ml, P < 0.05). The increase in GH was related to neither NE nor lactate, but the increase in VEGF was related to that in lactate (r = 0.57, P < 0.05). Ghrelin did not change during the exercise. The maximal heart rate (HR) and blood pressure (BP) in STLIRE with Kaatsu were higher than that without Kaatsu. Stroke volume (SV) was lower due to the decrease of the venous return by Kaatsu, but, total peripheral resistance (TPR) did not change significantly. These results suggest that STLIRE with Kaatsu significantly stimulates the exercise-induced GH, IGF, and VEGF responses with the reduction of cardiac preload during exercise, which may become a unique method for rehabilitation in patients with cardiovascular diseases.     

Cardiovascular and hormonal responses to static handgrip in young and older healthy men

The purpose of this study was to investigate the effect of age on cardiovascular changes and plasma concentrations of adrenomedullin (ADM), catecholamines, endothelin-1 (ET-1) and plasma renin activity (PRA) in healthy men. A total of 15 young (21 ± 0.3 years) and 15 older (64 ± 0.7 years) healthy men performed two 3-min bouts of static handgrip at 30% of maximal voluntary contraction, alternately with each hand without any break between the bouts. During exercise heart rate (HR), blood pressure (BP), stroke volume (SV) and pre-ejection period (PEP) and left ventricle ejection time (LVET) were measured. Blood samples were taken before exercise, at the end of both exercise bouts and in the fifth minute of the recovery period. The handgrip-induced increases in HR and cardiac output were significantly smaller in older than in young men (p < 0.01). SV decreased only in older men (p < 0.001). There were no differences between groups in BP increases. The baseline plasma ADM and catecholamines were higher in older man compared to young subjects. Handgrip caused increases in plasma ADM, ET-1 and PRA only in older men (p < 0.05). The increases in plasma ADM correlated positively with those of noradrenaline (NA), PRA, ET-1 and LVET and negatively with changes in total peripheral resistance (TPR), SV, PEP and PEP/LVET ratio. The increases in plasma ET-1 correlated positively with those of NA, PRA, TPR, mean BP and SV. These results revealed that ADM, ET-1 and angiotensin II can contribute to maintain vascular tone during static exercise in older but not in younger men.     

Cytokines and cell adhesion molecules associated with high-intensity eccentric exercise

Unaccustomed, eccentrically biased exercise induces trauma to muscle and/or connective tissue. Tissue damage activates an acute inflammatory response. Inflammation requires the effective interaction of different physiological and biological systems. Much of this is coordinated by the de novo synthesis of families of protein molecules, cytokines. The purpose of the present paper was to determine changes in blood levels of various cytokines in response to exercise-induced muscle damage that was effected using high-intensity eccentric exercise. Six healthy, untrained, college-age male subjects were required to perform the eccentric phase of a bench press and a leg curl (4 sets, 12 repetitions/set) at an intensity equivalent to 100% of their previously determined one-repetition maximum. Samples of blood were drawn at the following times: before exercise and 1.5, 6, 12, 24, 48, 72, 96, 120, and 144 h after exercise. These samples were analyzed for interleukins (IL): IL-lβ, IL-6, and IL-10; tumor necrosis factor-α; colony stimulating factors (CSF): granulocyte-CSF, macrophage-CSF, and GM-CSF; for cell adhesion molecules (CAM): P- and E-selectin, and intercellular cell adhesion molecule (ICAM-1), and vascular cell adhesion molecule (VCAM-1). Results were analyzed using a repeated-measures analysis of variance (P=0.05). Compared to baseline values, IL-1β was reduced (P=0.03) at 6, 24, and 96–144 h after exercise; IL-6 was elevated (P=0.01) at 12, 24, and 72 h after exercise; IL-10 was elevated (P=0.009) between 72 and 144 h after exercise; M-CSF was elevated (P=0.005) at 12 and 48–144 h after exercise; and P-selectin was reduced (P=0.01) between 24 and 144 h after exercise. It is concluded that when high-intensity eccentric exercise is compared to strenuous endurance exercise, post-exercise changes in cytokines do occur, but they are generally of a smaller magnitude, and occur at a later time period after the termination of exercise. Accepted: 28 December 1999