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Biomedical subjects

W L Kenney

Publications and source records attributed to W L Kenney.

At least 55 records · Page 3Linked to original sources

Alpha 1-adrenergic blockade does not alter control of skin blood flow during exercise.

Human skin blood flow (SkBF) is controlled by both an alpha-adrenergic vasoconstrictor system and an active vasodilator system. During upright dynamic exercise, SkBF increases linearly with increasing body core temperature (Tc) until higher (i.e., greater than 38 degrees C) Tcs, beyond which little further increase in SkBF occurs. To examine the role of the two efferent control arms in this attenuated SkBF rise, we tested nine men (aged 25-53 yr) with and without (placebo) orally administered prazosin HCl (an alpha 1-adrenergic antagonist) during 1 h of moderate cycle exercise (100 W) in a warm (36 degrees C, 45% relative humidity) environment. Blockade of reflex vasoconstriction was verified via a cold challenge. During exercise, mean arterial pressure (MAP, brachial auscultation) was significantly lower (P less than 0.03) and heart rate significantly higher (P less than 0.02) during the prazosin trials; plasma catecholamine concentrations were unaffected. Neither esophageal temperature (Tes) nor mean skin temperature was affected by the drug during exercise. Forearm vascular conductance (FVC) was calculated from forearm blood flow (FBF, venous occlusion plethysmography) and MAP (FVC = FBF/MAP). FVC plotted as a function of time or Tes resulted in coincident response patterns for the placebo and prazosin treatments, reaching a plateau at a Tes of about 38 degrees C. The responses of the older men were not selectively altered by prazosin treatment, indicating that the lower FBF responses previously seen in older subjects during exercise in the heat does not appear to be the result of an increased alpha 1-adrenergic tone.(ABSTRACT TRUNCATED AT 250 WORDS)

Adrenergic alpha-Antagonists↗

Sweating and skin blood flow during exercise: effects of age and maximal oxygen uptake.

Individuals greater than or equal to 60 yr of age are more susceptible to hyperthermia than younger people. However, the mechanisms involved remain unclear. To gain further insight, we examined the heat loss responses of 7 young (24-30 yr) and 13 older (58-74 yr) men during 20 min of cycle exercise [67.5% maximal O2 uptake (VO2max)] in a warm environment (30 degrees C, 55% relative humidity). Forearm blood flow (FBF) and chest sweat rate (SR) were plotted as a function of the weighted average of mean skin and esophageal temperatures [Tes(w)] during exercise. The sensitivity and threshold for each response were defined as the slope and Tes(w) at the onset of the response, respectively. When the young sedentary men were compared with a subgroup (n = 7) of the older physically active men with similar VO2max, the SR and FBF responses of the two groups did not differ significantly. However, when the young men were compared with a subgroup of older sedentary men with a similar maximal O2 pulse, the SR and FBF sensitivities were significantly reduced by 62 and 40%, respectively. These findings suggest that during a short exercise bout either 1) there is no primary effect of aging on heat loss responses but, rather, changes are associated with the age-related decrease in VO2max or 2) the decline in heat loss responses due to aging may be masked by repeated exercise training.

Adult↗

Age and hypohydration independently influence the peripheral vascular response to heat stress.

Seven young (Y, 22-28 yr) and seven middle-aged (MA, 49-60 yr) normotensive men of similar body size, fatness, and maximal oxygen uptake (VO2max) were exposed to a heat challenge in an environmental chamber (48 degrees C, 15% relative humidity). Tests were performed in two hydration states: hydrated (H, 25 ml water/kg body wt 1 h before the test, 2.5 h before exercise) and hypohydrated (Hypo, after 18-20 h of water deprivation). Each test began with a 90-min rest period during which the transiently increased plasma volume and decreased osmolality after drinking in the H condition returned to base line. This period was followed by 30 min of cycle exercise at a mean intensity of 43% VO2max and a 60-min resting recovery period with water ad libitum. Although prior drinking caused no sustained changes in plasma osmolality, Hypo increased plasma osmolality by 7-10 mosmol/kg in both groups. There were no significant age differences in water intake, urine output or osmolality, overall change in body weight, or sweating rate. In the H state, the percent change in plasma volume was less (P less than 0.01) during exercise for the Y group (-5.9 +/- 0.7%) than for the MA group (-9.4 +/- 0.6%). Esophageal temperature (Tes) was higher in the Hypo condition for both groups with no age-related differences. Throughout the 3-h period, mean skin temperature was higher in the Y group and significantly so (P less than 0.05) in the Hypo condition.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

Control of heat-induced cutaneous vasodilatation in relation to age.

Well matched unacclimatised older (age 55-68, 4 women, 2 men) and younger (age 19-30, 4 women, 2 men) subjects performed 75 min cycle exercise (approximately 40% VO2max) in a hot environment (37 degrees C, 60% rh). Rectal temperature (Tre), mean skin temperature (Tsk), arm blood flow (ABF, strain gauge plethysmography), and cardiac output (Q, CO2 rebreathing) were measured to examine age-related differences in heat-induced vasodilatation. Tre and Tsk rose to the same extent in each group during the exposure. There was no significant intergroup difference in sweat rate (older: 332 +/- 43 ml.m-2.h-1, younger: 435 +/- 49 ml.m-2.h-1; mean +/- SEM). However, the older subjects responded to exercise in the heat with a lower ABF response which could be attributed to a lower Q for the same exercise intensity. The slope of the ABF-Tre relationship was attenuated in the older subjects (9.3 +/- 1.3 vs 17.9 +/- 3.3 ml.100 ml-1.min-1.degrees C-1, p less than 0.05), but the Tre threshold for vasodilatation was about 37.0 degrees C for both groups. These results suggest an altered control of skin vasodilatation during exercise in the heat in older individuals. This attenuated ABF response appears to be unrelated to VO2max, and may reflect an age-related change in thermoregulatory cardiovascular function.

Adult↗

Psychrometric limits to prolonged work in protective clothing ensembles.

When work is performed by workers in protective clothing, sweat evaporation is limited and body temperature rises. In an attempt to quantify the limits such ensembles place on safe work, 6 acclimated men and women walked at 30% VO2max (150-200 W/m2) in 2 protocols involving environmental transients. In one, ambient water vapor pressure (Pw) was fixed at 10 torr, and after rectal temperature (Tre) plateaued, ambient dry-bulb temperature (Tdb) was raised 2 degrees C every 10 min. In the second, Tdb was constant and Pw was increased 2 torr every 10 min. Critical temperature (Tcrit) and pressure (Pcrit) were defined as the Tdb or Pw at which thermal balance could no longer be maintained and Tre rose sharply. Each test was performed in various clothing ensembles ranging from light cotton work clothes to "impermeable" suits. Lines connecting mean Tcrit and mean Pcrit define a limit for safe prolonged exposure/exercise for approximately 50% of the population in each ensemble. Similar lines, drawn to represent values 2 standard deviations below the mean, should provide critical environmental limits for 95% of the population.

Body Temperature↗

Lactate and gas exchange responses to incremental and steady state running.

This study compared the oxygen uptake (VO2) and running velocity at which the lactate threshold (LT), the ventilatory threshold (VT), and the maximal lactate steady state (MSSLA), and the maximal VO2 steady state (MSSVO2) occurred in 11 trained male runners (mean age = 22.4 years, range 18-28 years). Each underwent an incremental treadmill test to exhaustion. The LT was defined by a systematic, continuous increase in arterialised venous blood lactate; the VT was determined by an abrupt rise in VE.VO2(-1) without an increase in VE.VCO2(-1). Each subject also completed a series of steady state treadmill runs of 20 minutes duration. The MSSLA was determined as the highest velocity and VO2 at which lactate concentration increased by less than 0.2 mmol.l-1 from minute 10 to minute 20. The MSSVO2 was determined as the highest velocity or VO2 at which a steady state in VO2 was not delayed for more than 3 minutes (with a steady state defined as VO2 within 0.2 l.min-1 of the average VO2 over the last 10 minutes of each test). Each subject also completed a 5 km time trial run to assess performance. No significant differences were found among the four variables expressed either as VO2 or velocity. Significant correlations were found between MSSLA and MSSVO2 (r = 0.74) expressed as VO2, and between MSSLA and MSSVO2 (r = 0.90), MSSVO2 and VT (r = 0.70) and MSSLA and VT (r = 0.67) expressed as velocity. A stepwise regression analysis found MSSLA (expressed as velocity) to be the best predictor of 5 km performance (r = 0.87). It was concluded that (a) MSSLA and MSSVO2 are closely related, and (b) MSSLA is a good predictor of performance and may be an important, objective measure of cardiorespiratory endurance capacity.

Adolescent↗

Methylcholine-activated eccrine sweat gland density and output as a function of age.

The purpose of this investigation was to examine eccrine sweat gland responsiveness to intradermal injections of methylcholine (MCh) across three age groups of men [young (Y) = 22-24; middle (M) = 33-40; older (O) = 58-67 yr old, n = 5 per group]. Subjects were matched with respect to maximum O2 consumption, body size, and body composition, and were thoroughly heat acclimated before participation. Randomly ordered concentrations of acetyl-beta-methylcholine chloride ranging from 0% (saline) to 0.1% (5 x 10(-3) M) were injected into the skin of the dorsal thigh in a thermoneutral environment, and activated sweat glands were photographed at 30-s intervals for the next 8 min. Density of MCh-activated glands was independent of both age and [MCh] (e.g., 2 min after injection of 5 x 10(-3) M [MCh]: Y = 45 +/- 7, M = 46 +/- 12, O = 42 +/- 5 glands/cm2). However, sweat gland output (SGO) per active gland was significantly lower for the O group and failed to increase with increasing [MCh] above 5 x 10(-4) M. When MCh (5 x 10(-3) M) was injected after 1 h of exercise in the heat, higher SGO's were elicited in each group; however, the SGO of the O group was again significantly lower than that of the Y group (91 +/- 11 vs. 39 +/- 4 ng/gland, P less than 0.02) with the M group intermediate (69 +/- 11 nl/gland; 2 min postinjection data).(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

Responses of older and younger women to exercise in dry and humid heat without fluid replacement.

Eight older (52 to 62 yr old) post-menopausal and 8 younger (20 to 30 yr old) women were matched with respect to body size, fatness, and maximal oxygen consumption, heat-acclimated, and then exercised at 35 to 40% maximal oxygen consumption in a warm-humid (37 degrees C, 60% relative humidity) environment. Results were compared with similar data from a hot-dry (48 degrees C, 15% relative humidity) environment. No fluid replacement was provided during either of these sessions. In each environment, the older women stored more heat as evidenced by a higher rectal temperature response, but there were no inter-group differences in skin temperature or percent maximal heart rate. Four of the older women were unable to complete either the hot-dry or the warm-humid exposure, although they completed the full 2 h during acclimation sessions when water was provided ad libitum. In the hot-dry environment, the younger women's whole body and local sweat rates were significantly higher than those of the older women; in the warm-humid environment, there was no age-related difference in sweat rate. When local skin temperature and wettedness were artificially elevated, both groups exhibited the same pattern and rate of sweating. Percent decrease in plasma volume was greater for the older women in both conditions, but significantly so only in the warm-humid environment.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

Cardiovascular responses to head-up tilt after an endurance exercise program.

The cardiovascular responses to 10 min of orthostasis were assessed before and after an aerobic exercise program. Five men and five women (18-25 years old) exercised for 7 weeks, four times per week, for 50 min per session at 70% of maximal heart rate (HR). Before and after the exercise program, maximal aerobic power (VO2max) was determined, and HR, systolic (SBP), diastolic (DBP), and pulse (PP) blood pressures were measured each minute during 5 min of supine rest, 10 min of foot-supported 70 degree head-up tilt (HUT), and 5 min of supine rest. Orthostatic tolerance was not determined. Calf compliance was measured in five of the subjects before and after the program as the change in leg volume at occluding pressures of 20, 40, 60, 80, and 100 mm Hg. Following the program, VO2max increased by 8.7% (p = 0.012), while decreases were noted in resting HR (9.4%, p = 0.041), SBP (5.0%, p less than 0.0005), and DBP (14.2%, p less than 0.0005). Despite a greater HR increase during HUT (7.1 beat.min-1, p = 0.034), SBP decreased by 3.4 mm Hg during HUT after the exercise program (p = 0.008). No differences were noted in the changes in DBP, MAP, or PP upon tilting (p greater than 0.05). After the program, the amount of fluid pooled in the calf at high occluding pressures (80 and 100 mm Hg) increased by 0.96 +/- 0.24 and 1.10 +/- 0.33 ml.100 ml tissue-1 (X +/- S.E.M., p = 0.017 and p = 0.028, respectively). We suggest that control of blood pressure during 10 min of orthostasis may be altered by endurance exercise training.

Adult↗

Effect of age on heat-activated sweat gland density and flow during exercise in dry heat.

Physiological responses of eight postmenopausal older women (age 52-62 yr) and eight younger women (age 20-30 yr) were compared during moderate intensity exercise in a hot dry environment (48 degrees C dry bulb, 25 degrees C wet bulb). The age groups were matched on the basis of maximal O2 consumption (VO2max), body surface area, and body fatness. After heat acclimation the women walked at 40% VO2max for up to 2 h in the hot dry environment while heart rate (HR), rectal temperature (Tre), mean skin temperature (Tsk), whole-body sweating rate (Msw), and local sweating rates (msw; forearm, chest, and scapula) were measured. Additionally, the density of heat-activated sweat glands (HASG) was determined and average sweat gland flow (SGF) was calculated for the scapular area. Although no differences between age groups were found in HR response (when analyzed as percent of maximal HR) or Tsk, the older women had a significantly higher Tre throughout the heat-exercise session. The greater heat storage of the older women may be explained by their significantly lower Msw and msw. There were no differences between the younger and older women in the density of HASG after 30 min; therefore, the lower msw reflects a diminished output per HASG rather than a decrease in the number of sweat glands recruited. The diminished thermoregulatory ability of the older women, unrelated to differences in VO2max, appears to reflect either 1) a diminished response of the sweat glands to central and/or peripheral stimuli, or 2) an age-related structural alteration in the eccrine glands or surrounding skin cells.

Adult↗

Physiologically derived critical evaporative coefficients for protective clothing ensembles.

When work is performed in heavy clothing, evaporation of sweat from the skin to the environment is limited by layers of wet clothing and air. The magnitude of decrement in evaporative cooling is a function of the clothing's resistance to permeation of water vapor. A physiological approach has been used to derive effective evaporative coefficients (he) which define this ability to evaporate sweat. We refined this approach by correcting the critical effective evaporative coefficient (K for sweating efficiency (Ke,eta') since only a portion of the sweat produced under such conditions is evaporated through the clothing. Six acclimated men and women walked at 30% maximal O2 consumption (150-200 W.m-2) at a constant dry bulb temperature as ambient water vapor pressure was systematically increased 1 Torr every 10 min. Critical pressure was defined as the partial pressure of water vapor (Pw) at which thermal balance could no longer be maintained and rectal temperature rose sharply. Each test was performed in various clothing ensembles ranging from cotton shirt and pants to "impermeable" suits. This approach was used to derive he by solving the general heat balance equation, M - W +/- (R + C) = w.he.(Psk - Pw), where M is metabolic heat production, W is external work, R is radiant heat exchange, C is convective heat transfer, w is skin wettedness, and Psk is water vapor pressure of fully wet skin.(ABSTRACT TRUNCATED AT 250 WORDS)

Acclimatization↗

The effect of aerobic conditioning on venous pooling in the foot.

Nineteen fit college-age men were studied using foot (mid-arch) mercury-in-silastic strain gauge plethysmography before and after an 8-wk aerobic conditioning (running) program. Foot volume changes were followed through two maneuvers: a 15-s Trendelenburg procedure (passive leg elevation with subsequent relaxation in the dependent position) and a 15-s dynamic dorsi-flexion/plantar flexion exercise and subsequent relaxation. The conditioning regimen consisted of running 40 min, 3 d.wk-1 and resulted in a 10% (P less than 0.01) increase in VO2max. Following this regimen, subjects exhibited an increased blood volume drainage during the Trendelenburg procedure (mean delta VT = 3.3 ml.100 ml-1 pre-training, 3.8 ml.100 ml-1 post-training, P less than 0.05), but no significant change in delta VE (2.7 ml.100 ml-1 for all subjects). Muscle pump efficacy, defined as the ratio between delta VE and delta VT, did not change (64%). These data suggest that increased aerobic power via weight-bearing exercise training results in an increased foot venous pooling, but does not affect relative muscle pump function. This apparent increase in vascular pooling may be a physical response to the hypervolemia induced by endurance training, aiding in maintaining the constancy of vascular pressures.

Adolescent↗

A simple exercise test for the prediction of relative heat tolerance.

A medical screening exercise test is presented which accurately predicts relative heat tolerance during work in very hot environments. The test consisted of 15-20 min of exercise at a standard absolute intensity of about 600 kcal/hr (140W) with the subject wearing a vapor-barrier suit. Five minutes after the subject exercised, recovery heart rate was measured. When this heart rate is used, a physiological limit (+/- approximately 5 min) can be predicted with 95% confidence for the most intense work-heat conditions found in nuclear power stations. In addition, site health and safety personnel can establish qualification criteria for work on hot jobs, based on the test results. The test as developed can be performed in an office environment with the use of a minimum of equipment by personnel with minimal expertise and training. Total maximal test duration is about 20-25 min per person and only heart rate need be monitored (simple pulse palpation will suffice). Test modality is adaptable to any ergometer, the most readily available and least expensive of which is bench-stepping. It is recommended that this test be available for use for those persons who, based upon routine medical examination or past history, are suspected of being relatively heat intolerant.

Adolescent↗

Readdressing personal cooling with ice.

An ice-based system of personal, non-restrictive cooling of workers exposed to high temperature work environments in nuclear power plants was evaluated. The garments were designed to be worn under the protective clothing donned for penetration into radiation areas. The cooling system consisted of direct body contact with small packets of frozen water enclosed in the pockets of a shirt in high ambient temperatures (55 degrees C) and moderate metabolic heat production (200-300 kcal/hr). Mean exposure time without cooling (control) was 52 min for workloads demanding 200 kcal/hr energy expenditure. A long garment with 7.2 kg of frozen water (LFWG) increased mean exposure time over the control by 242% (163% for the same garment with 6.2 kg of frozen water). A short version garment with 3.8 kg of frozen water (SFWG) increased the stay time by 115%. In field observations, the LFWG with 6.2 kg of frozen water improved stay time by 125%. The leveling off of the body temperatures and heart rates during the work both in the laboratory and in the field confirmed a reduction of heat strain associated with the use of these garments. Calculated heat balance equations of heat uptake by the ice predicted these results very closely. It was concluded that direct body contact with frozen water provided predictable adequate body cooling for the work and ambient conditions investigated in this study.

Adult↗

A review of comparative responses of men and women to heat stress.

Most of our present knowledge regarding human responses to thermal stress is primarily a result of research conducted on male subjects. Recently, as women have moved into the industrial workplace and forefront of athletic activity, attention has turned to comparative responses of men and women. Very limited research on preadolescent children suggests no physiological thermoregulatory sex differences except for a slightly higher sweat rate in lean boys as compared to lean girls of a similar age. Boys also tended to be more tolerant of higher temperatures. Current beliefs regarding men and women are: Women, as a population, are less tolerant to a given imposed heat stress; however, if cardiovascular fitness level, body size, and acclimation state are standardized, the differences tend to disappear; women have a lower sweat rate than men of equal fitness, size, and acclimation which is disadvantageous in hot-dry environments, but advantageous in hot-wet environments; and menstrual cycle effects are minimal. It is concluded that aerobic capacity, surface area-to-mass ratio, and state of acclimation are more important than sex in determining physiological responses to heat stress.

Acclimatization↗

Variables predictive of performance in elite middle-distance runners.

The purpose of this study was to investigate possible factors which may account for differences in performance times within a closely-matched group (in terms of performance) of elite distance runners. The runners were training for competition in the 1984 Olympic Games in either the 5000 m or the 3000 m steeplechase events. Each runner's best performance time (BPT) was obtained and a stepwise regression analysis was performed with the following independent variables: age, weight, % body fat, VO2 max, aerobic threshold (AerT), and anaerobic threshold (AnT). For the 5000 m-runners, a multiple correlation of age and AnT accounted for 77% of the variance (p less than 0.02); for the 3000 m steeplechase runners, body weight alone and body weight and AnT accounted for 94% (p less than .01) and 98% (p less than .05) of the variance, respectively. The results suggest that, among elite middle-distance runners, these parameters deserve attention as potential predictors of performance.

Adipose Tissue↗

Parasympathetic control of resting heart rate: relationship to aerobic power.

The degree of parasympathetic control of resting heart rate (PC) was assessed by measurement of variation in heart period (VHP) during cardiopulmonary synchronization of respiration. Respiratory period was arbitrarily preset and standardized at 7 heart beats (3 beats inspiration, 4 beats expiration). The mathematical and experimental evidence for this technique is elucidated. Twenty-one healthy subjects were examined for the relationship of aerobic power (VO2max) to (1) VHP and (2) respiratory sinus arrhythmia (RSA) waveform amplitude and phase. Intraindividual variability in VHP was low (test-retest r = 0.97-0.98). VHP in msec was a logarithmic function of VO2max (ml X kg FFW-1 X min-1) according to the equation: 1n VHP = 0.27 + 0.082 X VO2max where r = 0.92, P less than 0.001). VHP was more closely related to VO2max than was resting HR (r = -0.75). In addition, a higher VO2max was associated with a leftward shift of the HR: respiratory cycle sinusoidal curve. These results illustrate the close relationship between aerobic power and vagal tone in control of resting heart rate. Individuals with a higher aerobic power maintain lower resting heart rates mainly via an increase in parasympathetic tone (as opposed to a decreased sympathetic tone). Previous correlations between RSA characteristics and age may be accounted for by age-related decreases in VO2max.

Adult↗