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Biomedical subjects

S P Tzankoff

Publications and source records attributed to S P Tzankoff.

17 recordsLinked to original sources

Central control of cardiovascular adjustments to exercise.

Voluntary heart rate (HR) control during moderate exercise on a bicycle ergometer was studied in 10 healthy physically conditioned men (5 experimental and 5 control). The results showed that subjects could learn to attenuate the tachycardia of exercise while exercising at a steady work level of 60-70% of maximum HR. Experimental subjects who saw beat-to-beat displays of HR and were instructed to slow HR showed 22% less increase in HR than did control subjects who exercised without HR displays or instruction to slow HR (42.6 vs. 54.6 beats/min). When the control subjects were given feedback in additional sessions, they also decreased HR significantly by 9% (54.6 vs. 49.9 beats/min). Analyses of concomitant respiratory and metabolic data showed that HR attenuation was accompanied by decreased O2 consumption (P less than 0.06) and pulmonary ventilation (P less than 0.01). Rate pressure product also fell, indicating a decrease in myocardial O2 consumption. Comparisons among pre- and postsubmaximal and cardiovascular pulmonary and humoral responses during maximal test sessions suggested that the improvement in cardiopulmonary function during feedback training occurred with no sacrifice to working muscle requirements because blood lactate concentrations were similar. The attenuation of the HR response obtained in the present study indicates that feedback training in physically conditioned subjects can influence cardiovascular responses even under conditions of heavy local demands imposed by working muscles.

Adult↗

Age-related augmentation of plasma catecholamines during dynamic exercise in healthy males.

Although plasma norepinephrine (NE) increases with age in response to a variety of submaximal adrenergic stimuli, the effect of age on plasma catecholamine levels during maximal aerobic effort and during submaximal work at a fixed percent of peak O2 consumption (VO2) is unknown. We therefore measured NE, epinephrine (E), and VO2 at rest and during graded maximal treadmill exercise in 24 healthy male volunteers (ages 22-77 yr) from the Baltimore Longitudinal Study of Aging who were rigorously screened to exclude the presence of cardiovascular disease. At rest neither heart rate (HR) nor VO2 were age related. Resting NE (pg/ml) was not age related, but resting E (pg/ml) was higher in male subjects 68-77 yr old (group III) than in those aged 22-37 (group I) or 44-55 yr (group II), P less than 0.01. Maximal HR (beats/min) showed a strong inverse relationship to age (203.5 - 0.65 age, r = -0.80, P less than 0.001). Peak VO2 in milliliters per kilogram total body weight per minute decreased with age (47.7 - 0.23 age, r = -0.71, P less than 0.001). At maximal effort both NE (P less than 0.01) and E (P less than 0.05) were higher in group III than in either of the younger groups. At submaximal work levels NE and E also increased with age, and when normalized for relative effort at loads between 45 and 80% of peak VO2 both NE and E were higher in the group III male subjects, although statistical significance was reached for NE (P less than 0.01) but not for E (P = 0.09).(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

Effect of age and obesity on fasting levels of glucose, insulin, glucagon, and growth hormone in man.

The influence of age and obesity on glucose homeostasis may be mediated via changes in basal levels of the main glucoregulatory hormones, insulin, glucagon, and growth hormone. Fasting plasma levels of these hormones and of glucose were measured in 186 normal male volunteers, 23 to 93 years old. Obesity was assessed as obesity index and by a more accurate anthropometric method as percentage of fat. Age and obesity index had a significant but low linear correlation (r = -.16, p less than .05). Age was not significantly correlated to any other metabolic variable. Percentage of fat was, however, significantly related to the fasting plasma levels of glucose (r = .27, p less than .001), insulin (r = .26, p less than .01), and glucagon (r = .16 less than .05). Fasting glucose was significantly correlated to insulin (r = .30 , p less than .001). These significant correlations persisted when age was held constant. In the basal state the main glucoregulatory hormones are not influenced by age, but plasma glucose, insulin, and glucagon levels are influenced by obesity.

Adult↗

Chemoreceptor involvement in cortisol responses to hypoxia in ventilated dogs.

Changes in cortisol secretion rate (CSR) in response to hypoxic hypoxia (HH) and to carbon monoxide hypoxia (COH) were assessed in mongrel dogs that had intact chemoreceptors (INT); surgically deafferented carotid bodies (CBD) or aortic bodies (ABD); or both carotid and aortic chemoreceptors denervated (SAD). All dogs were anesthetized, paralyzed, ventilated, and maintained normocapnic. In the INT and ABD groups, CSR responded "maximally" to HH, whereas in CBD and SAD animals, the CSR was attenuated but not eliminated. COH, which does not stimulate the carotid body, caused a submaximal increase in CSR regardless of chemoreceptor status. It is concluded that 1) the carotid bodies are the principal chemoreceptor influence on CSR during HH and 2) there is a nonchemoreceptor-mediated increase in CSR during hypoxia.

Adrenal Cortex↗

Effects of age on control of lipolysis during fasting.

Loss of body weight, girth, epididymal fat pad weight, and adipocyte size were examined in male, virgin, Wistar rats aged 2, 6, 12 and 22-24 months during 5 days of fasting. Relative reductions in all four parameters were greatest in the 2-month-old animals, with little differences among the older three age groups. In contrast, absolute weight loss was greatest in 12, and 24-month-old rats. Body weights were also greatest in these two groups. Plasma epinephrine and norepinephrine increased to the same levels in all 4 groups during the fast. Similarly, insulin decreased to the same levels in all groups although the oldest rats already exhibited low levels prior to fasting. Thus, possible age differences in the lipolytic response to fasting do not appear due to age-related differences in important lipolytic (catecholamine) and antilipolytic (insulin) hormone levels. Possible age-related differences in lipolytic response to fasting may instead reflect changes in other hormones which regulate lipolysis, or an altered sensitivity of adipocytes to such hormones.

Aging↗

Arm and leg intravascular temperatures of men during submaximal exercise.

Rectal (Tre) and blood temperatures in the femoral artery (Tfa), femoral vein (Tfv), axillary artery (Taa), and axillary vein (Tav) were determined in three men over a range of steady-state treadmill exercise (173-401 W/m2) in a 24 degree C db, 15 degree C wb environment. When the men were standing quietly before the walks Tre greater than Tfa greater than Taa greater than Tfv greater than Tav, indicating that under these resting conditions both the arms and the legs served as avenues for arterial heat dissipation. By the end of all 1-h walks, Tre, Tfa, Tasa, and Tfv had increased in a linear fashion with work load, Tav had dropped, and Tre greater than Tfv greater than or equal to Tfa greater than or equal to Taa greater than Tav. The maintenance or expansion of axillary arteriovenous temperature differences during exercise indicated that the less active arms continued to serve as routes for arterial heat loss. The lack of femoral arteriovenous temperature differences demonstrated that under these steady-state exercise conditions there was little or no net vascular heat transfer between the active legs and the central circulation. Rectal-femoral intravascular temperature differences at rest and over the full range of submaximal work employed favor heat transfer from the rectum to the circulation. Consequently the rise in Tre during leg work was considered the result of a reduction in local heat dissipation and some possible heat gained from nearby intrapelvic muscles.

Adult↗

ACTH and cortisol responses to hypoxia in dogs.

To determine the role of endogenous ACTH and hyperventilation in the adrenocortical response to hypoxia, pentobarbital-anesthetized dogs equipped with left adrenal venous cannulas for measurement of cortisol secretion rate (CSR) and arterial cannulas for measurement of plasma ACTH were exposed to 20 min of normoxia (group I), spontaneous ventilation, normocapnic hypoxic hypoxia (group II), controlled ventilation, normocapnic hypoxic hypoxia (group III), controlled ventilation, normocapnic carbon monoxide hypoxia (group IV), or hypoxic hypoxia with elevated carboxyhemoglobin (group V). Group I showed no change in ACTH and CSR. Groups II and III greatly increased CSR whereas only group III increased ACTH significantly. Group IV greatly increased ACTH whereas CSR increased but less than group III. Group V showed a significant increase in ACTH but no significant CSR response. In addition, 5 U of ACTh were infused in several animals from groups I, III, and IV. Exogenous ACTH caused increases in CSR that were larger in group I than groups III and IV. The data are consistent with the hypothesis that ACTH in arterial blood is not the sole controller of CSR during hypoxic stress.

Adrenocorticotropic Hormone↗

Age-related differences in lactate distribution kinetics following maximal exercise.

Lactate concentrations were determined at 3, 5, and 7 min of recovery following maximal, continuous, multi-stage treadmill work in 180 men, aged 20-80 years, who were participants of the Baltimore Longitudinal Study of Aging. Each subject was placed into one of six age groups, e.g., 20-29, 30-39, etc. As expected, average concentrations decreased consistently with age. All three sampling times were similar in characterizing maximal lactates for the youngest men. For each older group, except for the oldest, the later values were significantly (p less than 0.01) higher than the 3-min values. For subjects in their 50's and 60's mean concentrations continued to rise through the 7th min. These data suggest that in man there is a progressive, age-related diminution of ability to diffuse lactate from muscle and/or distribute it into its space. This may result in decreased endurance and work capacity and a prolongation of recovery. As an alternative to multiple sampling and analyses for maximal lactate, single blood samples should be obtained no sooner than 5 min of recovery for men up to age 50, and at 7 min for those between 50 and 70 years. Variability among the men over 70 years of age was large enough to preclude single-sample alternatives.

Adult↗

Physiological aging of champion runners.

The physiological adjustments to aerobic work (5.6 km/h, up a 9% grade) and to exhausting treadmill work of former champion middle-distance runners were determined in 1971, at ages 47-68 yr, 25-43 yr after their competitive careers in track. In the resting state the former athletes as a group are very much like nonathletes of the same ages. Efficiency in the aerobic walk was the same in both groups and did not change with age in either, but the former athletes on the average performed the walk with less strain as indicated by lower blood lactates, "ventilatory equivalents," and heart rates than nonathletes at corresponding ages. Mean VO2max of the runners declined from 71.4 ml/min-kg-1 in youth to 41.8 at a mean age of 56.6 yr, as compared with mean values of 50.6 and 36.5 ml/min-kg-1 in nonathletes at corresponding ages. VO2max had declined below the average of nonathletic men in only two of the former runners. Mean maximal heart rate declined with age from 186 to 180 in the runners, and from 199 to 186 in nonathletes at corresponding ages. Ventilatory responses of men in both groups were closely related to the increases of blood lactate in both aerobic and maximal work.

Aged↗

Longitudinal studies of aging in 37 men.

The physiological adjustments of the men to both aerobic (5.6 km/h, up 9% grade), and maximal treadmill work were first determined when they were healthy college students, ages 18-22 yr. They were restudied at ages 40-44, and again at ages 49-53 yr. In the aerobic walk VO2 increased in proportion to weight gain, but efficiency did not change with age. The men who had gained most weight showed the greatest elevations of heart rate, blood lactate and "ventilatory equivalent," and reductions of the "O2 pulse" in the walk. At age 50 mean "O2 pulse" in exhausting work had declined 13%, even though mean maximal heart rate had declined 15 beats/min from values observed in youth. At ages 40-44 yr mean VO2 max had declined 25% to values 12% lower than mean values reported in 1938 for men of this age. Eight of the men imporved an average of 11% in VO2 max between ages 40-44 and 49-53 yr; mean VO2 max of the others continued to decline with age. The five men who improved most had increased their participation in vigorous activities (tennis, squash, skiing, jogging, etc.) and had quit or reduced their smoking.

Adolescent↗

A design improvement in continuous blood sampling and analysis for glucose in rest and exercise.

In the past 15 yr attempts to sample blood continuously for glucose analysis with the AutoAnalyzer (Technicon Corp.) have been reasonably successful in resting subjects. However, they have sometimes required heparinization of the subjects so as to avoid clotting in the tubes of the system. To avoid the hazards of heparinization during exercise, a method is described for sampling and analyzing blood glucose continuously with the AutoAnalyzer, using a specially designed male Luer adaptor which fits into disposable Teflon catheters.

Blood Glucose↗