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Biomedical subjects

K B Pandolf

Publications and source records attributed to K B Pandolf.

At least 73 records · Page 4Linked to original sources

Human vascular fluid responses to cold stress are not altered by cold acclimation.

Repeated cold water immersion can induce the development of an insulative type of cold acclimation in man. This investigation determined if repeated cold water immersion produced changes in vascular fluid responses to cold stress in addition to the previously reported changes in thermoregulation. Seven male subjects performed a standardized cold air and cold water exposure before and again after a cold acclimation program. The cold acclimation program consisted of daily immersion (90 min) in cold water (18 degrees C, stirred) repeated 5 times/wk for 5 consecutive wk. Cold acclimation did not alter the responses of plasma volume or electrolyte concentrations, nor urinary flow or electrolyte excretion during either cold air or cold water exposure. The percent reduction in plasma volume was larger (P less than 0.01) in cold water (-17%) than in cold air (-12%). Cold water immersion resulted in greater (P less than 0.01) diuresis than cold air exposure. Plasma K+ concentration increased (P less than 0.01) during cold (both air and water) exposure, whereas plasma Na+ concentration was unchanged. Calculated renal clearance and urinary excretion rate of both Na+ and K+ increased during cold (both air and water) exposure. The magnitude of plasma volume reduction during cold exposure was not correlated with either the degree of body cooling or diuresis. It is concluded that a) insulative cold acclimation does not influence vascular fluid responses to cold stress, and b) although vascular fluid shifts, body cooling and diuresis are all greater in cold water than in air, a consistent relationship among these parameters could not be established for an individual's response.

Acclimatization↗

Elite special forces: physiological description and ergogenic influence of blood reinfusion.

We measured the physical exercise capabilities of U.S. Army Special Forces soldiers (male) and determined the subsequent ergogenic influence of autologous blood reinfusion. Twelve subjects (Ss) completed maximal exercise treadmill testing in a comfortable (Ta = 20 degrees C, Tdp = 9 degrees C) environment. Six Ss were later transfused with a 600 ml autologous red blood cell (50% Hct) NaCl glucose-phosphate solution and completed identical maximal exercise tests 3 and 10 d posttransfusion. Pretransfusion, the 12 Ss had a maximal oxygen uptake (VO2max) of 4.36 +/- 0.56 L . min-1 and 55 +/- 4 ml . kg-1 . min-1 with a heart rate of 188 +/- 10 b . min-1 and ventilatory equivalent for oxygen of 37 +/- 3. For the 6 reinfused Ss, hemoglobin and red cell volume (RCV) increased by 10% (p less than 0.05) and 11% (p less than 0.05), respectively, posttransfusion. Reinfusion increased (p less than 0.05) VO2max from 4.28 +/- 0.22 L . min-1 (54 +/- 5 ml . kg-1 . min-1) to 4.75 +/- 0.42 L . min-1 (60 +/- 6 ml . kg-1 . min-1) and 4.63 +/- 0.21 L . min-1 (59 +/- 6 ml . kg-1 . min-1) at 3 and 10 d posttransfusion, respectively. No significant relationship was found between the individual change in RCV and VO2max values pre- to posttransfusion. We conclude that Special Forces soldiers have high levels of aerobic fitness that can be further increased by blood reinfusion for at least 10 d.

Adult↗

Prediction modeling of physiological responses and human performance in the heat.

Over the last two decades, our laboratory has been establishing the data base and developing a series of predictive equations for deep body temperature, heart rate and sweat loss responses of clothed soldiers performing physical work at various environmental extremes. Individual predictive equations for rectal temperature, heart rate and sweat loss as a function of the physical work intensity, environmental conditions and particular clothing ensemble have been published in the open literature. In addition, important modifying factors such as energy expenditure, state of heat acclimation and solar heat load have been evaluated and appropriate predictive equations developed. Currently, we have developed a comprehensive model which is programmed on a Hewlett-Packard 41 CV hand held calculator. The primary physiological inputs are deep body (rectal) temperature and sweat loss while the predicted outputs are the expected physical work--rest cycle, the maximum single physical work time if appropriate, and the associated water requirements. This paper presents the mathematical basis employed in the development of the various individual predictive equations of our heat stress model. In addition, our current heat stress prediction model as programmed on the HP 41 CV is discussed from the standpoint of propriety in meeting the Army's needs and therefore assisting in military mission accomplishment.

Acclimatization↗

Effects of body mass and morphology on thermal responses in water.

Ten male volunteers were divided into two groups based on body morphology and mass. The large-body mass (LM) group (n = 5) was 16.3 kg heavier and 0.22 cm2 X kg-1 X 10(-2) smaller in surface area-to-mass ratio (AD X wt-1) (P less than 0.05) than the small-body mass (SM) group (n = 5). Both groups were similar in total body fat and skinfold thicknesses (P greater than 0.05). All individuals were immersed for 1 h in stirred water at 26 degrees C during both rest and one intensity of exercise (metabolic rate approximately 550 W). During resting exposures metabolic rate (M) and rectal temperature (Tre) were not different (P greater than 0.05) between the LM and SM groups at min 60. Esophageal temperature (Tes) was higher (P less than 0.05) for the SM group at min 60, although the change in Tes during the 60 min between groups was similar (LM, -0.4 degrees C; SM, -0.2 degrees C). Tissue insulation (I) was lower (P less than 0.05) for SM (0.061 degrees C X m-2 X W-1) compared with the LM group (0.098 degrees C X m-2 X W-1). During exercise M, Tre, Tes, and I were not different (P greater than 0.05) between groups at min 60. These data illustrate that a greater body mass between individuals increases the overall tissue insulation during rest, most likely as a result of a greater volume of muscle tissue to provide insulation.(ABSTRACT TRUNCATED AT 250 WORDS)

Body Constitution↗

Human thermoregulatory responses to cold air are altered by repeated cold water immersion.

The effects of repeated cold water immersion on thermoregulatory responses to cold air were studied in seven males. A cold air stress test (CAST) was performed before and after completion of an acclimation program consisting of daily 90-min cold (18 degrees C) water immersion, repeated 5 times/wk for 5 consecutive wk. The CAST consisted of resting 30 min in a comfortable [24 degrees C, 30% relative humidity (rh)] environment followed by 90 min in cold (5 degrees C, 30% rh) air. Pre- and postacclimation, metabolism (M) increased (P less than 0.01) by 85% during the first 10 min of CAST and thereafter rose slowly. After acclimation, M was lower (P less than 0.02) at 10 min of CAST compared with before, but by 30 min M was the same. Therefore, shivering onset may have been delayed following acclimation. After acclimation, rectal temperature (Tre) was lower (P less than 0.01) before and during CAST, and the drop in Tre during CAST was greater (P less than 0.01) than before. Mean weighted skin temperature (Tsk) was lower (P less than 0.01) following acclimation than before, and acclimation resulted in a larger (P less than 0.02) Tre-to-Tsk gradient. Plasma norepinephrine increased during both CAST (P less than 0.002), but the increase was larger (P less than 0.004) following acclimation. These findings suggest that repeated cold water immersion stimulates development of true cold acclimation in humans as opposed to habituation. The cold acclimation produced appears to be of the insulative type.

Acclimatization↗

Perceptual and physiological responses during exercise in cool and cold water.

This investigation examined the interaction of exposure to cold water stress with both perceived exertion and thermal sensation during exercise. Eight male volunteers performed arm, leg, and combined arm and leg exercise for 45 min. in water at 20 and 26 degrees C. Exercise was performed at a low (n = 7) and a high (n = 8) intensity relative to the ergometer specific peak oxygen uptake (VO2 peak). In general, percent VO2 peak did not differ between types of exercise in either 20 or 26 degrees C water. During low intensity exercise when power output was matched across water temperatures (Tw), percent VO2 peak was greater in 20 degrees C water (52%) compared to 26 degrees C water (42%). Ratings of perceived exertion (RPE) did not differ between Tw. During high intensity exercise when percent VO2 peak was matched across Tw, RPE was lower during exercise in 20 degrees C compared to 26 degrees C. Multiple correlation analyses comparing both final RPE and thermal sensation (TS) with physiological and thermal measures were performed across type of exercise and Tw. RPE was moderately correlated with heart rate (r = 0.68) and ventilation (r = 0.61), whereas very slight relationships were established with TS (r = 0.16), skin and rectal temperatures (r = 0.10 and r = 0.20). TS was moderately correlated with skin and rectal temperatures (r = 0.64 and r = 0.73), whereas low correlations existed between TS and both heart rate (r = 0.32) and ventilation (r = -0.12). These data suggest that the change in oxygen uptake associated with exercise in cold water does not add to the over-all perception of exertion. This perception appears to be related to cardiopulmonary variables rather than thermal measures, whereas thermal sensation is related to thermal measures and not cardiopulmonary variables.

Adult↗

Power spectral analysis of the surface electromyogram during shivering.

The purpose of this study was to describe the frequency content of the electromyogram (EMG) recorded during shivering and determine if the EMG power spectrum changed as a function of the shivering duration. Six semi-nude males were exposed to cold air (5 degrees C, 20% rh) for 80 min while quietly sitting. Rectal (Tre) and mean skin (Tsk) temperatures were recorded. Shivering of the masseter muscle was determined using bipolar surface electrodes. The EMG was amplified, recorded, and subsequently digitized at 2048 Hz. The power spectrum was calculated from eight serial 0.25s EMG samples by Fourier analysis from a frequency of 4 through 480 Hz. The eight power spectra were averaged and centroid frequency (fc) calculated. During the first 10 min of exposure, Tsk rapidly dropped from 32.6 +/- 1.6 to 26.2 +/- 1.3 degrees C, then slowly declined reaching 22.5 +/- 0.7 degrees C after 80 min. Tre rose from 37.1 +/- 0.1 to 37.4 +/- 0.1 degrees C, declining after 40 min to 37.2 +/- 0.1 degrees C. Shivering was observed within 5 min after entering the cold chamber. EMG activity after 10 min exhibited an fc of 177.2 +/- 6.2 Hz. When power was integrated over 60 Hz bandwidths, the predominant frequency band of the EMG power spectrum was 60-120 Hz. Although shivering intensity increased with time, the EMG power spectrum exhibited no significant changes. These results suggest that the EMG power spectrum during shivering did not exhibit changes characteristic of muscle fatigue or muscle cooling during the 80-min cold air exposure.

Adult↗

Influence of heat stress and acclimation on maximal aerobic power.

Thirteen male volunteers performed cycle ergometer maximal oxygen uptake (VO2max tests) in moderate (21 degrees C, 30% rh) and hot (49 degrees C, 20% rh) environments, before and after a 9-day heat acclimation program. This program resulted in significantly decreased (P less than 0.01) final heart rate (24 bt X min-1) and rectal temperature (0.4 degrees C) from the first to last day of acclimation. The VO2max was lower (P less than 0.01) in the hot environment relative to the moderate environment both before (8%) and after (7%) acclimation with no significant difference (P greater than 0.05) shown for maximal power output (PO max, watts) between environments either before or after acclimation. The VO2max was higher (P less than 0.01) by 4% after acclimation in both environments. Also, PO max was higher (P less than 0.05) after acclimation in both the moderate (4%) and hot (2%) environments. The reduction in VO2max in the hot compared to moderate environment was not related to the difference in core temperature at VO2max between moderate and hot trials, nor was it strongly related with aerobic fitness level. These findings indicate that heat stress, per se, reduced the VO2max. Further, the reduction in VO2max due to heat was not affect be state of heat acclimation, the degree of elevation in core temperature, or level of aerobic fitness.

Acclimatization↗

Comparison of thermal responses between rest and leg exercise in water.

This study examined both the thermal and metabolic responses of individuals in cool (30 degrees C, n = 9) and cold (18 degrees C, n = 7; 20 degrees C, n = 2) water. Male volunteers were immersed up to the neck for 1 h during both seated rest (R) and leg exercise (LE). In 30 degrees C water, metabolic rate (M) remained unchanged over time during both R (115 W, 60 min) and LE (528 W, 60 min). Mean skin temperature (Tsk) declined (P less than 0.05) over 1 h during R, while Tsk was unchanged during LE. Rectal (Tre) and esophageal (Tes) temperatures decreased (P less than 0.05) during R (delta Tre, -0.5 degrees C; delta Tes, -0.3 degrees C) and increased (P less than 0.05) during LE (delta Tre, 0.4 degrees C; Tsk, 0.4 degrees C). M, Tsk, Tre, and Tes were higher (P less than 0.05) during LE compared with R. In cool water, all regional heat flows (leg, chest, and arm) were generally greater (P less than 0.05) during LE than R. In cold water, M increased (P less than 0.05) over 1 h during R but remained unchanged during LE. Tre decreased (P less than 0.05) during R (delta Tre, -0.8 degrees C) but was unchanged during LE. Tes declined (P less than 0.05) during R (delta Tes, -0.4 degrees C) but increased (P less than 0.05) during LE (delta Tes, 0.2 degrees C). M, Tre, and Tes were higher (P less than 0.05), whereas Tsk was not different during LE compared with R at 60 min.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

Thermoregulatory and blood responses during exercise at graded hypohydration levels.

We studied the effects of graded hypohydration levels on thermoregulatory and blood responses during exercise in the heat. Eight heat-acclimated male subjects attempted four heat-stress tests (HSTs). One HST was attempted during euhydration, and three HSTs were attempted while the subjects were hypohydrated by 3, 5, and 7% of their body weight. Hypohydration was achieved by an exercise-heat regimen on the day prior to each HST. After 30 min of rest in a 20 degrees C antechamber the HST consisted of a 140-min exposure (4 repeats of 10 min rest and 25 min treadmill walking) in a hot-dry (49 degrees C, 20% relative humidity) environment. The following observations were made: 1) a low-to-moderate hypohydration level primarily reduced plasma volume with little effect on plasma osmolality, whereas a more severe hypohydration level resulted in no further plasma volume reduction but a large increment in plasma osmolality; 2) core temperature and heart rate responses increased with severity of hypohydration; 3) sweating rate responses for a given rectal temperature were systematically decreased with severity of hypohydration; and 4) the reduction in sweating rate was more strongly associated with plasma hyperosmolality than hypovolemia. In conclusion, an individual's thermal strain increases linearly with the severity of hypohydration during exercise in the heat, and plasma hyperosmolality influences the reduction in sweating more profoundly than hypovolemia.

Adult↗

Plasma hormonal responses at graded hypohydration levels during exercise-heat stress.

The effects of graded levels of hypohydration (3, 5, and 7% of body weight) on hormonal responses to exercise in the heat were examined in six heat-acclimated male volunteers. On the day following dehydration, subjects performed light (approximately 25% maximal O2 consumption, 1.03 1 X min-1) exercise in a hot (49 degrees C, 20% relative humidity) environment for four consecutive 25-min intervals interspaced by 10-min rests; blood was obtained before exercise and at approximately 10 min before completion of each exercise period. During euhydration, plasma cortisol (PC) levels manifested significant decrements over time (e.g., time 0, 14.2 micrograms X 100 ml-1 vs. time 2, 8.9 micrograms X 100 ml-1), probably related to its diurnal periodicity. However, during hypohydration, levels of PC were increased and correlated with hypohydration intensity (e.g., time 0, 0, 3, 5, and 7% hypohydration, 14.2, 16.5, 19.8, and 36.2 micrograms X 100 ml-1, respectively). Plasma renin activity (PRA) was increased significantly by hypohydration (e.g., time 0, euhydrated vs. 3%, 3.7 vs. 6.2 units) but was unaffected by exercise in the heat. Plasma aldosterone (ALD) levels were generally increased by exercise in the heat (e.g., time 0 vs. time 4, 3% hypohydration, 12.1 vs. 18.7 ng X 100 ml-1). Regression analysis illustrated that graded intensities of hypohydration were correlated with incremented PRA and ALD through 5% hypohydration. Conversely, PC was incrementally elevated through 7% hypohydration.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

Skeletal muscle metabolism during exercise is influenced by heat acclimation.

The influence of heat acclimation on skeletal muscle metabolism during submaximal exercise was studied in 13 healthy men. The subjects performed 30 min of cycle exercise (70% of individual maximal O2 uptake) in a cool [21 degrees C, 30% relative humidity (rh)] and a hot (49 degrees C, 20% rh) environment before and again after they were heat acclimated. Aerobic metabolic rate was lower (0.1 l X min-1; P less than 0.01) during exercise in the heat compared with the cool both before and after heat acclimation. Muscle and plasma lactate accumulation with exercise was greater (P less than 0.01) in the hot relative to the cool environment both before and after acclimation. Acclimation lowered (P less than 0.01) aerobic metabolic rate as well as muscle and plasma lactate accumulation in both environments. The amount of muscle glycogen utilized during exercise in the hot environment did not differ from that in the cool either before or after acclimation. These findings indicate that accumulation of muscle lactate is increased and aerobic metabolic rate is decreased during exercise in the heat before and after heat acclimation; increased muscle glycogen utilization does not account for the increased muscle lactate accumulation during exercise under extreme heat stress; and heat acclimation lowers the aerobic metabolic rate and muscle and blood lactate accumulation during exercise in a cool as well as a hot environment.

Adaptation, Biological↗

Influence of hydration level and body fluids on exercise performance in the heat.

During exercise in the heat, sweat output often exceeds water intake, resulting in hypohydration, which is defined as a body fluid deficit. This fluid deficit is comprised of water loss from both the intracellular and extracellular fluid compartments. Hypohydration during exercise causes a greater heat storage and reduces endurance in comparison with euhydration levels. The greater heat storage is attributed to a decreased sweating rate (evaporative heat loss) as well as a decreased cutaneous blood flow (dry heat loss). These response decrements have been attributed to both plasma hyperosmolality and a plasma hypovolemia. Subject gender, acclimation state, and aerobic fitness do not alter the increased heat storage when hypohydrated. Hyperhydration, or body fluid excess, does not seem to provide a clear advantage during exercise-heat stress, but will delay the development of hypohydration.

Aldosterone↗

Thermoregulatory responses to upper body exercise.

The purpose of this study was to compare thermoregulatory responses between upper body and lower body exercise. Nine male subjects performed 60 min of arm crank (AC) and cycle (CY) exercise at the same absolute intensity (oxygen uptake = 1.61 X min-1) and at the same relative intensity (60% of ergometer specific peak oxygen uptake) in a temperate (24 degrees C, 20% rh) environment. During the absolute intensity experiments, rectal temperature and sweating rate responses were essentially the same for both modes of exercise. In addition, no differences were found for chest, back, arm, or thigh skin temperatures, but calf skin temperature was significantly (P less than 0.05) lower during arm crank than cycle exercise. During the relative intensity experiments, thermoregulatory responses were lower during arm crank than cycle exercise. In addition, we found no difference between esophageal and rectal temperature values elicited by arm crank exercise. These results indicate that the examined thermoregulatory responses are independent of the skeletal muscle mass employed and dependent upon the absolute metabolic intensity.

Adult↗

Differential ratings of perceived exertion and various physiological responses during prolonged upper and lower body exercise.

This study examined whether prolonged exercise employing upper or lower body muscle groups led to significant alterations in three differentiated ratings of perceived exertion (RPE). Multiple regression analyses were used to identify those physiological responses which accounted for the greatest variability in these three RPE. Nine volunteer males performed 60 min of arm crank and cycle exercise at similar absolute and at similar relative exercise intensities. There were no significant differences (P greater than 0.05) between arm and leg exercise for oxygen uptake (VO2) during the absolute tests (approximately 1.60 1 . min-1) or during the relative tests (approximately 60% peak VO2). The RPE included local RPE (muscle and joint exertion), central RPE (ventilatory and circulatory exertion), and overall RPE. During the absolute tests, the final means for all three RPE were lower (P less than 0.05) for leg than arm exercise. No differences (P greater than 0.05) were found during the relative tests between arm and leg exercise for any of the three RPE. Local RPE was generally higher than central RPE. The various physiological responses accounted for more (total) variance in all three RPE for arm than leg exercise (absolute and relative arm exercise: median R2 = 0.99; absolute and relative leg exercise: median R2 = 0.75). Lactate and the ventilatory equivalent of oxygen made the greatest contribution to R2. These data suggest that RPE may be more closely related to relative exercise intensity, and perceptual cues may be more readily monitored from smaller muscle masses such as the upper body. Further, steady-state RPE was not attained during prolonged upper body exercise.

Adult↗

Varied and repeated atropine dosages and exercise-heat stress.

Comparisons of physiological responses to 0, 0.5, 1, and 2 mg atropine (IM) were made in seven males (X +/- SD: age, 24 +/- 3 years; ht, 174 +/- 12 cm; wt, 76 +/- 3 kg) while they exercised (approximately 390 W) in a hot-dry (40 degrees C, 20% rh) environment. Responses to 4 mg, as well as repeatability of responses to 2 mg, were studied in two and six of these subjects, respectively. On 8 test days an intramuscular injection of atropine or saline control was administered 20 min before subjects walked on a treadmill for two 50-min bouts. Heart rate (HR) during exercise did not change in the control trial but by min 50 increased during all atropine trials (P less than 0.01). Rectal temperature (Tre) increased (P less than 0.01) in all trials by min 50 and continued increasing (P less than 0.01) in the 2-mg trial during the second exercise bout. For the two subjects tested with all dosages (0.5 - 4 mg atropine), the change in HR and Tre between the atropine and control trials at 50 min of exercise was regressed against the various atropine dosages. The relationship (r = 0.92) for HR was curvilinear while the relationship (r = 0.99) for Tre was linear. Mean weighted skin temperature (Tsk) was relatively constant during exercise and was warmer (P less than 0.05) with increasing atropine dosage. In a repeat 2 mg trial, HR was 6 bt . min-1 lower (P less than 0.05) on the second exposure but Tre was the same (P greater than 0.05) on both days. For subjects walking in the heat, three new observations were: 1) 0.5 mg of atropine resulted in increased HR and Tsk compared to control values; 2) HR was elevated but the magnitude of change decreased with increasing dosage, while the elevation in Tre was consistent with increasing dosage; and 3) rectal temperatures (in trials with and without atropine) were unaffected by previous days of atropine administration.

Adult↗