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Effect of altitude acclimatization on thermoregulation efficiency of man.

A study has been conducted on 20 sojourners (SJs) at a high altitude (HA) of 3500 m to evaluate the changes in thermoregulation efficiency (ThE) during acclimatization for 3 weeks, by observing the rate and pattern of rewarming of palm skin temperature (Tsk) after dipping the hand in water of 10 +/- 1 degrees C for 2 min (Tromp's water bath test). The ThE of the SJs was compared to that of 10 acclimatized lowlanders (ALs) staying at the same altitude for about 1 year and 10 high-altitude natives (HANs). In SJ, at sea level (SL), the effect of seasonal variation and ambient temperature on ThE was also studied. The initial Tsk of the palm (29.9 degrees C) was lower at altitude as compared to SL value (32.2 degrees C) in SJs inspite of similar ambient temperature (21 +/- 1 degrees C). There was a prolongation of rewarming time in all the subjects during stay at altitude. The rewarming curve showed a shift towards the right, indicating slower rewarming. The rewarming response of ALs and SJs was comparable at altitude. In HANs, the rewarming at altitude was faster and resembled those of SJs at SL. The rewarming improved in the season following cold months, and at higher ambient temperature in the same season, on the plains. It may be concluded that thermoregulation efficiency of man deteriorates at high altitude, and the peripheral vascular responses to local cold stress do not reach the level attained by natives even after 1 year of acclimatization. General cold acclimatization improves the rewarming response.

Acclimatization↗

Cognitive performance during a heat acclimatization regimen.

The cognitive performance of six male Marines undergoing a 10-d heat acclimatization regimen was assessed using repeated acquisition and time estimation tasks. Subjects performed controlled treadmill exercise in a heat acclimatization chamber at 33.3 degrees C dry bulb, 29.4 degrees C wet bulb temperature. Multiple performance assessments were conducted during each daily heat exposure of 155 min. On the first day of heat exposure, time estimates decreased from preacclimatization baseline values recorded at moderate temperatures while performance on the repeated acquisition tasks yielded slight decrements. By the 10th day of heat exposure, all subjects demonstrated significant heat acclimatization. However, mean performance on the repeated acquisition task was still impaired and time estimates were higher than during the first heat exposure. These results suggest that tasks requiring the acquisition of new behaviors may be difficult to perform in a hot environment, even by partially acclimatized individuals.

Acclimatization↗

Training and acclimatization: effects on responses to exercise in a desert environment.

The purpose of this investigation was to observe differences in responses to work in a desert environment among males representing varying levels of acclimatization and physical training. Three groups of subjects were selected: 1) unacclimatized males (UM), VO2max = 46.8 ml . kg-1 . min-1, 2) acclimatized males (AM), VO2max = 49.6 ml . kg-1 . min-1, and 3) acclimatized-fit males (AFM) VO2max = 65.8 ml . kg-1 . min-1. Each subject sat for 40 min and then walked for 40 min at 3.5 miles/h on a grade which represented his 50% VO2max in a neutral indoor environment (WBGT = 18.1 DEGREES C) and in a desert (hot, dry and sunny) environment (WBGT = 29.9 DEGREES C). The UM experienced consistently higher HR during both rest and work in the heat than did the AM. The AFM exhibited lower HR than either AM or UM during both neutral and hot exposures, despite a higher workload. Both groups of acclimatized subjects possessed lower Tre's than the unacclimatized subjects in the heat. The superior fitness of the AFM gave an advantage in terms of increased sweating sensitivity since they had equal or greater SR at lower Tre. It was concluded that a high level of physical training is an additional and important variable in the ability to tolerate work in the desert.

Acclimatization↗

Effect of acclimatization of microorganisms to heavy metals on the performance of activated sludge process.

Although selected heavy metals (HMs) stimulate biological reactions at low concentrations, all HMs are toxic to microorganisms (MOs) at moderate concentrations and can cause inhibitory effects on the biological processes. Therefore, MOs must be acclimated to HMs or other toxic substances present in wastewaters (WWs) before they are used in an activated sludge process (ASP). In this study, combined effect of Cu(2+) and Zn(2+) ions in a synthetic WW on the efficiency of a laboratory-scale ASP without recycle was investigated using acclimated MOs at different extents.A synthetic feed solution of 1222 mg L(-1) proteose-peptone (corresponding to 1300 mg COD L(-1)) served as a source of carbon. Cu(2+) and Zn(2+) ions at different concentrations (1.5, 4.5 and 9, 27 mg L(-1), respectively) were introduced in the feed to a continuously stirred activated sludge reactor at different hydraulic residence times (2-40 h) keeping pH, temperature and stock feed composition constant. The combined effects of copper and zinc ions were determined by mixing these metallic ions at the specified combinations of concentrations such as "1.5 mg L(-1) of Cu(2+)+9 mg L(-1) of Zn(2+)" and "4.5 mg L(-1) of Cu(2+)+27 mg L(-1) of Zn(2+)". It was observed that using seed MOs acclimatized to two times of the combined threshold concentration of these HMs for an unduly long period of time (1-4 months) caused adverse effects on the ASP performance. Besides, it was found that usual inhibition effects of these HMs were enhanced with increasing period of acclimation. Substantially lower substrate removal efficiencies were obtained with acclimatized MOs than those obtained with non-acclimatized MOs. At the higher initial substrate concentration of 2500 mg COD L(-1), substrate-inhibition occurred causing a decrease in the specific growth rate constant (k); however, HM inhibition was suppressed, resulting to about 20% increase in treatment efficiency of the ASP. It can be concluded that the time period necessary for acclimatization of seed MOs must be adjusted carefully with concentrations of HMs lower than their threshold concentrations to achieve an optimal operation of an aerobic biological process.

Adaptation, Physiological↗

Protein synthesis in the intestine of goldfish acclimatized to different temperatures.

1. The incorporation of [(14)C]valine and [(3)H]threonine has been studied in mucosa of goldfish acclimatized to different temperatures. 2. [(14)C]Valine was incorporated more rapidly than [(3)H]threonine at acclimatization temperatures below 15 degrees ; this distinction disappeared at higher temperatures. 3. The rate of amino acid incorporation rose as the environmental temperature was increased. 4. The number of valine residues in mucosal protein fell and the number of methionine residues rose as the acclimatization temperature was raised. 5. The concentration of free methionine was closely related to the amount in protein in goldfish mucosa; both increased at higher acclimatization temperatures. 6. An attempt is made to show that these changes are integrated with possible homoeostatic mechanisms in the goldfish intestine.

Journal Article↗

Possible application of functional imaging of the human auditory system in the study of acclimatization and late onset deprivation.

After some period of experience with a single hearing aid, speech recognition performance may increase for material presented to the aided ear. Conversely, performance may decline for material presented to the unaided ear. Improved performance for the normally aided ear beyond that observed at the initial fitting of the hearing aid has been described as the acclimatization effect. The decline in speech recognition for material presented to the unaided ear has been described as the late onset auditory deprivation effect. For both the acclimatization and deprivation effects, the observed changes in performance are not considered to be a consequence of a change in the functional status of the cochlea. Rather, the benefits and decrements in speech recognition performance presumably reflect functional changes or reorganization in the central auditory pathway. In nonhuman species, changes in central auditory function can be examined by physiological recordings directly from various structures along the auditory pathway. However, these techniques are invasive and inappropriate for studying possible changes in central function for the human auditory system. The purpose of this review is to describe noninvasive "imaging" techniques appropriate for use with human subjects and the ways they could be applied to objectively identify physiological changes that might be associated with either acclimatization or late onset deprivation effects. Currently, few of these techniques have been applied to the study of acclimatization and late onset auditory deprivation. Possible application of these techniques to assess the differential performance changes for material presented to the normally aided and normally unaided ear will be discussed.

Acoustic Stimulation↗

Acclimatization to hearing aids.

OBJECTIVE: To investigate acclimatization to hearing aids. DESIGN: Forty-eight subjects took part in a study in which hearing aid benefit was measured four times over the initial 3 mos of participation. At the start, 24 subjects were experienced hearing aid users and 24 had never worn a hearing aid before. Subjects wore one of three models of hearing aid with one of six different configurations (combination of frequency response and method of output limiting). Hearing aid benefit was measured with CID W-1 spondees and the Hearing in Noise Test (HINT) test. Testing took place on Days 0 (day of fitting), 30, 60, and 90. Analyses of variance were used to determine whether hearing aid benefit changed over time as a function of hearing aid user status, hearing aid configuration, and hearing aid volume setting. RESULTS: There were small, nonsignificant changes in hearing aid benefit over the test sessions with both sets of test materials. There were no interactions between hearing aid benefit over time and hearing aid user status or hearing aid volume setting. There was an interaction between benefit over time and hearing aid configuration on one test measure only. CONCLUSIONS: The data showed little evidence of acclimatization over the 3 mo of hearing aid use. The test materials used here were low- to mid-frequency sensitive, and, therefore, it is concluded that if acclimatization did occur, it did so primarily at high frequencies. Because the HINT test has good face validity to everyday listening situations, it is suggested that the clinical ramifications of acclimatization are probably small.

Aged↗

The effect of speech presentation level on measurement of auditory acclimatization to amplified speech.

A systematic improvement in auditory performance over time, following a change in the acoustic information available to the listener (that cannot be attributed to task, procedural or training effects) is known as auditory acclimatization. However, there is conflicting evidence concerning the existence of auditory acclimatization; some studies show an improvement in performance over time while other studies show no change. In an attempt to resolve this conflict, speech recognition abilities of 16 subjects with bilateral sensorineural hearing impairments were measured over a 12-week period following provision of a monaural hearing instrument for the first time. The not-fitted ear was used as the control. Three presentation levels were used representing quiet, normal, and raised speech. The results confirm the presence of acclimatization. In addition, the results show that acclimatization is evident at the higher presentation levels but not at the lowest.

Aged↗

Ventilatory responses to chemoreceptor stimulation after hypoxic acclimatization in awake goats.

Our objective was to test the hypothesis that exposure to prolonged hypoxia results in altered responsiveness to chemoreceptor stimulation. Acclimatization to hypoxia occurs rapidly in the awake goat relative to other species. We tested the sensitivity of the central and peripheral chemoreceptors to chemical stimuli before and after 4 h of either isocapnic or poikilocapnic hypoxia (arterial PO2 40 Torr). We confirmed that arterial PCO2 decreased progressively, reaching a stable value after 4 h of hypoxic exposure (poikilocapnic group). In the isocapnic group, inspired minute ventilation increased over the same time course. Thus, acclimatization occurred in both groups. In goats, isocapnic hypoxia did not result in hyperventilation on return to normoxia, whereas poikilocapnic hypoxia did cause hyperventilation, indicating a different mechanism for acclimatization and the persistent hyperventilation on return to normoxia. Goats exposed to isocapnic hypoxia exhibited an increased slope of the CO2 response curve. Goats exposed to poikilocapnic hypoxia had no increase in slope but did exhibit a parallel leftward shift of the CO2 response curve. Neither group exhibited a significant change in response to bolus NaCN injections or dopamine infusions after prolonged hypoxia. However, both groups demonstrated a similar significant increase in the ventilatory response to subsequent acute exposure to isocapnic hypoxia. The increase in hypoxic ventilatory sensitivity, which was not dependent on the modality of hypoxic exposure (isocapnic vs. poikilocapnic), reinforces the key role of the carotid chemoreceptors in ventilatory acclimatization to hypoxia.

Adaptation, Physiological↗

Effect of acclimatization to an excreta-collection harness on excreta energy voided during a nitrogen-corrected true metabolizable energy bioassay.

Two TMEn bioassays were made with adult cockerels to test the hypothesis that excretion inhibition, observed previously as induced by excreta-collection harnesses, can be overcome by a suitable acclimatization period. Each experiment was designed as a 2 x 2 x 3 factorial with normal birds and acclimatization birds fitted with harnesses or housed over collection trays and given one of three dietary treatments. The acclimatization period was 5.75 days. The harnesses generally reduced excreta energy output, and their removal was followed by a compensatory increase. Acclimatization failed to eliminate the harness effect.

Adaptation, Physiological↗

Estimation of the degree of acclimatization to high altitude by a rapid and simple physiological examination.

The recent expansion in the geographical areas open to human activity has made it desirable to have an objective method to evaluate the degree of high-altitude acclimatization. In this study, we measured the arterial oxygen saturation value at rest and just after exercise in healthy high-altitude trekkers using a transportable pulse oximeter. During a 100-day stay at high altitude (around 4000 m), the degree of arterial hemoglobin saturation measured at rest was relatively stable. However, shortly after arrival at high altitude, even light exercise induced an acute reduction in the degree of arterial hemoglobin saturation; this reduction was ameliorated as the trekkers became acclimatized to the high altitude. Preliminary short trekking to high altitudes does not appear sufficient to induce this response. It is suggested that this rapid and simple physiological examination, the measurement of arterial oxygen saturation value after light exercise, could be a convenient means of estimating the level of high-altitude acclimatization among healthy subjects.

Acclimatization↗

Control of erythropoiesis after high altitude acclimatization.

Erythropoiesis was studied in 11 subjects submitted to a 4-h hypoxia (HH) in a hypobaric chamber (4,500 m, barometric pressure 58.9 kPa) both before and after a 3-week sojourn in the Andes. On return to sea level, increased red blood cells (+3.27%), packed cell volume (+4.76%), haemoglobin (+6.55%) ( P<0.05), and increased arterial partial pressure of oxygen (+8.56%), arterial oxygen saturation (+7.40%) and arterial oxygen blood content ( C(a)O(2)) (+12.93%) at the end of HH ( P<0.05) attested high altitude acclimatization. Reticulocytes increased during HH after the sojourn only (+36.8% vs +17.9%, P<0.01) indicating a probable higher reticulocyte release and/or production despite decreased serum erythropoietin (EPO) concentrations (-46%, P<0.01). Hormones (thyroid, catecholamines and cortisol), iron status (serum iron, ferritin, transferrin and haptoglobin) and renal function (creatinine, renal, osmolar and free-water clearances) did not significantly vary (except for lower thyroid stimulating hormone at sea level, P<0.01). Levels of 2,3-diphosphoglycerate (2,3-DPG) increased throughout HH on return (+14.7%, P<0.05) and an inverse linear relationship was found between 2,3-DPG and EPO at the end of HH after the sojourn only ( r=-0.66, P<0.03). Inverse linear relationships were also found between C(a)O(2) and EPO at the end of HH before ( r=-0.63, P<0.05) and after the sojourn ( r=-0.60, P=0.05) with identical slopes but different ordinates at the origin, suggesting that the sensitivity but not the gain of the EPO response to hypoxia was modified by altitude acclimatization. Higher 2,3-DPG levels could partly explain this decreased sensitivity of the EPO response to hypoxia. In conclusion, we show that altitude acclimatization modifies the control of erythropoiesis not only at sea level, but also during a subsequent hypoxia.

Acclimatization↗

Living high-training low: tolerance and acclimatization in elite endurance athletes.

The "living high-training low" (LHTL) model is frequently used to enhance aerobic performance. However, the clinical tolerance and acclimatization process to this intermittent exposure needs to be examined. Forty one athletes from three federations (cross-country skiers, n=11; swimmers, n=18; runners, n=12) separately performed a 13 to 18-day training at the altitude of 1,200 m, by sleeping either at 1,200 m (CON) or in hypoxic rooms (HYP), with an O2 fraction corresponding to 2,500 m (5 nights for swimmers and 6 for skiers and runners), 3,000 m (6 nights for skiers, 8 for swimmers and 12 for runners) and 3,500 m (6 nights for skiers). Measurements performed before, 1 or 15 days after training were ventilatory response (HVRe) and desaturation (deltaSaO2e) during hypoxic exercise, an evaluation of cardiac function by echocardiography, and leukocyte count. Lake Louise AMS score and arterial O2 saturation during sleep were measured daily for HYP. Subjects did not develop symptoms of AMS. Mean nocturnal SaO2 decreased with altitude down to 90% at 3,500 m and increased with acclimatization (except at 3,500 m). Leukocyte count was not affected except at 3,500 m. The heart function was not affected by LHTL. Signs of ventilatory acclimatization were present immediately after training (increased HVRe and decreased deltaSaO2e) and had disappeared 15 days later. In conclusion, LHTL was well tolerated and compatible with aerobic training. Comparison of the three patterns of training suggests that a LHTL session should not exceed 3,000 m, for at least 18 days, with a minimum of 12 h day(-1) of exposure.

Acclimatization↗

Blood and CSF acid-base changes, and rate of ventilatory acclimatization of awake dogs to 3,550 m.

Awake, intact dogs trained to wear a respiratory mask were studied in a hypobaric chamber at 140 m and at various stages of a 4-week exposure to 3,550 m. Resting ventilation, pulmonary gas exchanges, arterial blood gases and pH, acid-base status of the cisternal fluid (CSF) and ventilatory responses to transient O2 inhalation were measured. Attention is focussed on the time course of ventilatory acclimatization to altitude, characterized by hyperventilation with hypocapnia and a consequent increase of arterial Po2. (1) 75 percent of the increment in pulmonary ventilation due to hypoxia was achieved in 30 minutes; (2) the further increase, 25 percent of the total hyperventilation, was complete after 3 hr, with a corresponding Pco2 drop and pH increase in blood and CSF, and an increase in Pao2; (3) the secondary increase in ventilation, beyond the acute exposure period, was not related to return of [H+] in CSF towards control value; (4) the large transient decrease of ventilation following brief oxygen inhalation demonstrated a strong arterial chemoreflex drive in acclimatized animals. The extremely rapid ventilatory acclimatization to moderately high altitude in normal dogs appears to be mediated not by CSF hydrogen ion concentration but by a strong chemoreflex drive of ventilation.

Acclimatization↗

Role of carotid chemoreflex in respiratory acclimatization to hypoxemia in goat and sheep.

The role of the carotid body chemoreflex in the ventilatory acclimatization to chronic hypoxia was studied in the unanesthetized goat and sheep. The time-cours of changes in ventilation, PCO2, pH and PO2 of arterial blood and cisternal fluid (CF) were measured before and following exposure to a simulated altitude of 3660-5000 m, with and without intact carotid sinus nerves. At sea level, after section of carotid sinus nerves most animals hypoventilated chronically, and developed mild arterial hypoxemia and hypercapnia. Upon exposure to acute hypoxia, all of the intact animals hyperventilated and CF pH increased from 7.310 to 7.380 whereas after chemodenervation, the increase in ventilation was small and delayed, and CF pH decreased from 7.285 to 7.143. During exposure of the intact animals to chronic hypoxia, hyperventilation accompanied by decreases in arterial and CF P CO2 reached its peak in two days; these changes partially subsided during the next few days. Partial compensation of respiratory alkalosis occurred during the first day. In contrast, several chemodenervated animals died during chronic hypoxia; the survivors showed either a small decrease or an increase in Pa CO2. Thus, an intact peripheral chemoreflex drive during hypoxia is necessary for ventilatory acclimatization which raises the arterial and presumably tissue PO2 in spite of alkalosis. The new proposal is that a central tissue metabolic acidosis resulting from a direct effect of acute hypoxia is partly compensated as hypoxia is prolonged. This central compensation decreases ventilatory drive and hence opposes the ventilatory acclimatization during chronic hypoxia initiated by the peripheral chemoreflexes.

Acclimatization↗

Carotid body hypercapnia does not elicit ventilatory acclimatization in goats.

The carotid body (CB) perfusion model utilizes surgical vascular ligations to allow isolated blood supply to a single in situ CB in awake goats. The contralateral CB was excised. By use of an extracorporeal pump-oxygenator system the blood gas composition perfusing the CB can be controlled independently from that of the systemic arterial system including the brain. Using this model we compared the responses of systemically normoxic goats to CB hypercapnia and CB hypoxia. In 6 goats CB stimulation with hypercapnic-normoxic blood (mean PcbCO2 = 78 Torr, mean PcbO2 congruent to 100 Torr) produced acute hyperventilation (mean decrease in PaCO2 of 5.2 Torr, P less than 0.05) which remained constant over the 4-h perfusion period. Lack of a progressively increasing hyperventilation indicates that ventilatory acclimatization did not occur with hypercapnic CB perfusion. Hypoxic-normocapnic CB stimulation (mean PcbO2 = 40 Torr, mean PcbCO2 = 39 Torr) produced an acute mean decrease in PaCO2 of 5.5 Torr (P less than 0.05) in 6 additional goats. In contrast to CB hypercapnia, the acute hyperventilation induced by CB hypoxia was followed by a progressive time-dependent additional mean decrease in PaCO2 of 5.6 Torr (P less than 0.05) over a 4-h period (ventilatory acclimatization). These data are compatible with the concept of separate receptor mechanisms for hypercapnia and hypoxia in the CB and suggest that the early phase of ventilatory acclimatization to hypoxia in goats may result from a time-dependent increase in CB afferent output.

Acclimatization↗

Dopamine blockade alters ventilatory acclimatization to hypoxia in goats.

Dopamine (DA) is generally accepted to be an inhibitory neurotransmitter in the carotid body (CB). It is released and depleted from the CB by acute hypoxia. From this background we made the hypothesis that hypoxic depletion of CB DA could be responsible for a time-dependent increase in CB afferent output and the early phase of ventilatory acclimatization to hypoxia (VAH) in goats. We reasoned, then, that blockade of DA receptors in the CB would accelerate the time course of VAH in the goat, i.e. produce a greater acute response to hypoxia (first 15 min) followed by a reduced rate of change of the subsequent time-dependent hyperventilation. We tested this hypothesis by exposing 7 adult female goats to up to 28 h of hypobaric hypoxia (PB = 380 Torr) on 3 different occasions separated by at least 2 months. The first was as control. During the second and third exposures different doses of the DA antagonist, domperidone, were administered prior to and during the hypoxic exposure (0.5 mg/kg followed by 0.25 mg/kg every 3 h and in the second study 1.0 mg/kg followed by 0.5 mg/kg every 2 h). The time course of acclimatization was assessed by measurement of arterial blood gases and pH in the awake goats. The data obtained in the first 4-5 h of hypoxia in domperidone treated animals appeared to support the hypothesis. Domperidone treated animals had a significantly greater acute ventilatory response to hypoxia followed by a lower rate of progressive hyperventilation in this period. However, variation in control values, greater respiratory alkalosis and a secondary significant hyperventilation after 6-7 h of hypoxia in the domperidone treated animals prevents a clear conclusion as to the precise role of CB dopaminergic mechanisms in acclimatization to hypoxia. Nevertheless, peripheral DA receptor blockade with domperidone does alter the time course and magnitude of hyperventilation during the first 7 h of hypobaric hypoxia in goats.

Acclimatization↗

Carotid body noradrenergic sensitivity in ventilatory acclimatization to hypoxia.

Norepinephrine inhibits ventilation in awake goats under normoxic, resting conditions. This inhibition is carotid body (CB) mediated and may be due to stimulation of noradrenergic receptor on the CB. Cao et al. (FASEB J. A118, 1991) recently suggested that CB noradrenergic receptors may be down regulated following 24-36 hours of hypoxic exposure in cats. Our study was aimed at determining whether a change in noradrenergic receptor sensitivity during ventilatory acclimatization to hypoxia (VAH) was responsible for the increased sensitivity of the CB to hypoxia during prolonged exposure to hypoxia in goats. We tested this hypothesis using intracarotid infusions of norepinephrine (NE) (0.5, 1.0, 5.0 micrograms.kg-1.min-1) and dopamine (DA) (1.0 micrograms.kg-1.min-1) in awake goats under control normoxic conditions, during 4 h of isocapnic hypoxia, and upon return to normoxia. NE and DA (1.0 micrograms.kg-1.min-1) both inhibited control ventilation significantly during the intracarotid infusions (56% and 62% decreases, respectively). No significant differences were found between the pre- and post-hypoxic infusions of NE and DA in normoxia. During hypoxia, inhibition of VE during NE and DA infusions was attenuated relative to control. Time-dependent change of the NE response were not apparent during the acclimatization period suggesting that a decreased carotid body chemoreceptor sensitivity to NE and DA is not responsible for the increased drive to breathe characteristic of ventilatory acclimatization to hypoxia.

Acclimatization↗