Cardiovascular and metabolic responses to noradrenaline in men acclimatized to cold baths

The purpose of this study was to see whether artificial acclimatization to cold would reduce the pressor response to noradrenaline (NA) as natural acclimatization has been shown to do, and whether it would induce nonshivering thermogenesis. Three white men were infused with NA at four dosage levels between 0.038 and 0.300 g·kg^–1·min^–1 (2–23 g·min^–1), before and after artificial acclimatization to cold and again 4 months later when acclimatization had decayed. Acclimatization was induced by ten daily cold (15°Q baths of 30–60 min followed by rapid rewarming in hot (38–42°C) water, and was confirmed by tests of the subjects responses to whole-body cooling in air. Three control subjects also underwent the first and third tests. Acclimatization substantially reduced the pressor response to NA at 0.150 and 0.300 g·kg^–1·min^–1, confirming earlier findings by the same technique in naturally acclimatized men, and its decay increased this response to beyond its initial levels (P<0.05 for both changes). Acclimatization did not change the response to NA of heart rate, subjective impressions, skin temperature of finger and toe, pulmonary ventilation, or plasma free fatty acids and ketone bodies. At no time did NA increase oxygen consumption, or increase skin temperature or heat flow over reported sites of brown fat. These findings would seem to show that acclimatization to cold reduces sensitivity to the pressor effect of NA but does not induce nonshivering thermogenesis, and that the reduced sensitivity is replaced by a hypersensitivity to NA when acclimatization decays.     

Blood pressure responses to hypnotic and nonhypnotic suggestions in normotensive subjects

Forty normotensive subjects participated on a voluntary basis in a study designed to compare the effect of suggestions on blood pressure (BP). Two experimental groups received suggestions presumed to be specific in lowering or raising BP after simple relaxation (relaxation group) or hypnotic induction (hypnotic group). A control group was used to record the BP changes over time. The time variable was significant for both systolic (SBP) and diastolic blood pressure (DBP). Induction procedures (hypnosis or relaxation) resulted in significant decreases in DBP in both experimental groups. In the control group there was a significant decrease in SBP. A specific suggestion to increase the BP resulted only in DBP increase in the hypnotic group. This group also gave an increase of both SBP and DBP over the entire experiment, whereas the relaxation group resulted in a significant decrease in SBP. There was no significant group variable, indicating no differences between the groups. Further research is needed to enable firm conclusions of the effect of suggestions on BP.     

Seasonal variations in the responses of glycolytic intermediates of human erythrocytes to acute cold exposure

Seven male students were studied to observe the effects of acute cold exposure (at 10°C for 60 min) on erythrocyte concentrations of glycolytic intermediates in summer and in winter. The subjects shivered slightly but frankly in both experiments. Significant decreases were observed in the concentrations of pyruvate and lactate during body cooling in summer, but not in winter. The lactate concentration remained significantly reduced 15 min after cold exposure. After 60 min of cold exposure in summer, a negative crossover point appeared to exist between phosphoenolpyruvate and pyruvate and erythrocyte pyruvate kinase activity showed a significant decrease. No seasonal difference was observed in the initial control values of the intermediates measured. From these results and the fact that glucose, pyruvate and lactate are evenly distributed between erythrocytes and plasma, it is likely that erythrocytes and skeletal muscles need less fuel substrate, glucose during cold exposure in winter than in summer, suggesting that an increased economy of energy for homeostasis is achieved.     

Cheek skin temperature and thermal resistance in active and inactive individuals during exposure to cold wind

1. The present study examined the effect of the thermal state of the body (as reflected by rectal temperature) on cheek skin temperature and thermal resistance in active and inactive subjects.

2. Active subjects were exposed to a 30 min conditioning period (CP) (0 °C air with a 2 m/s wind), followed immediately by a 30 min experimental period (EP) (0 °C with a 5 m/s wind). Inactive subjects were exposed to a 30 min CP (22 °C air with no wind), followed immediately by a 45 min EP (0 °C air with a 4.5 m/s wind). The CP period was used to establish a core temperature difference between the active and inactive subjects prior to the start of EP. The 0 °C exposure was replaced with a −10 °C ambient air exposure and the experiment was repeated on a separate day. Subjects were comfortably dressed for each ambient condition.

3. Cheek skin temperature was not significantly higher in active subjects when compared to inactive subjects, but thermal resistance was higher in active subjects.

4. Cheek skin temperature and thermal resistance both decreased as ambient temperature decreased from 0 to −10 °C. The lower cheek thermal resistance at −10 °C may have been due to a greater cheek blood flow as a result of cold-induced vasodilation.

Thermoregulatory and respiratory responses in asthmatic and nonasthmatic subjects breathing cold and warm air during exercise in the cold

1.

The effects of whole-body exposure to ambient temperature of −15 °C on thermoregulatory and respiratory responses in asthmatic and nonasthmatic subjects were investigated. The subjects were exposed to inhalation of cold dry and warm humid air during 30 min submaximal exercise.     

Blood pressure and endocrine responses of healthy subjects in cold pressor test after acutely increased dietary sodium intake

The objective of the study was to compare blood pressure and endocrine responses in a cold pressure test in young healthy subjects who had shown increased blood pressure during an acutely increased sodium intake. Subjects (n = 53) added 121 mmol sodium into their normal diet for one week. If the mean arterial pressure had increased by a minimum of 5 mmHg compared to the control measure, they were selected for the experiments. The selected subjects (n = 8) were given 121 mmol supplemental sodium d-1 for 14 days after which they immersed the right hand into a cold (+10 degrees C) water bath for 5 min. The blood pressure increased (P < 0.05) during the test and was independent of the sodium intake. The plasma noradrenaline increased from 2.41 +/- 0.38 nmol l-1 to 2.82 +/- 0.42 nmol l-1 (P < 0.05) with normal diet and from 1.85 +/- 0.29 nmol l-1 to 2.40 +/- 0.37 nmol l-1 (P < 0.05) with high sodium diet. The starting concentrations and the endpoint concentrations were statistically similar. The plasma levels of natriuretic peptides (NT-proANP, ANP and BNP) did not change during the test, and the concentrations were independent of the sodium diet. To conclude, acutely increased sodium intake does not change blood pressure or hormonal responses in a cold pressor test in young healthy subjects.     

Physiological responses and thermal sensations of the elderly in cold and hot environments

1. 1. 10 elderly and 10 college-aged females served as subjects in cold and heat environments. The subjects changed into the standard clothing (0.63 clo), and stayed in the neutral environment (25°C) for 23 min, thereafter they were exposed to the cold (10°C) or hot (35°C) environment for 49 min.

2. 2. Then they returned to the neutral environment, and stayed there for 47 min. Oral temperature, skin temperatures at 10 sites, blood pressure and thermal sensation were measured during the experiments.

3. 3. In the cold environment, the elderly could not reduce heat loss by vasoconstriction as did young people, and their blood pressures increased more rapidly than in young people. In the hot environment, the elderly could not promote heat loss by vasodilation as did young people. Moreover, there is a delayed sensitivity to cold for the elderly. Therefore, in the houses of the elderly, it is important to have heating and cooling systems which also includes the areas where the people do not stay for a long period of time (e.g. toilet, passageways).

The effects of wind and thermal radiation on thermal responses during rest and exercise in a cold environment

1. 1. The purpose of this study was to investigate the effects of thermal radiation and wind on thermal responses at rest and during exercise in a cold environment.

2. 2. The experimental conditions were radiation and wind (R + W), no radiation and wind (W), radiation and no wind (R), no radiation and no wind (C).

3. 3. The air temperature was −5°C. Thermal radiation was 360 W/m². Air velocities were 0.76, 1.73 and 2.8 m/s. Rectal and skin temperatures, heart rate and oxygen consumption were recorded. Thermal and comfort sensations were questioned.

4. 4. There are no significant effects of thermal radiation and wind on the physiological responses except the mean skin temperature. There are significant effects on the mean skin temperature (P < 0.01) and thermal sensation (P < 0.05).

Alterations in blood pressure due to chronic exposure to natural sour gas leakage containing sulfur compounds

In order to show the alteration of blood pressure in subjects chronically exposed to natural gas containing sulfur compounds, the present study was done. The blood pressure of 94 (43 males, 51 females) of healthy individuals living in the polluted area of Masjid-i-Sulaiman (Khozestan province, southwest of Iran) was measured. The non-parametric Sign test was applied in order to detect differences between the study subjects and the normal mean values according to the sex and age of subjects. Statistical analysis showed that the systolic blood pressure significantly decreased (Z=-2.74; P=0.0031) while the diastolic blood pressure (Z=+2.11; P=0.0174) and heart rate (Z=+3.62; P<0.001) significantly increased in individuals living in the contaminated areas compared with those of normal mean values. The systolic and diastolic blood pressure decreased and increased, respectively, in individuals chronically exposed to natural sour gas containing sulfur compounds.     

Comparison of thermal responses with and without cold protective clothing in a warm environment after severe cold exposures

1. 1. Ten male students remained in a severely cold room (-25°C) for 20 min. thereafter, they transferred in a warm room (25°C) for 20 min.

2. 2. This pattern was repeated three times, total cold exposure time amounting to 60 min.

3. 3. In the warm room, the subjects removed their cold-protective jackets, or wore them continously.

4. 4. Rectal temperature, skin temperatures, manual performance and thermal comfort were measured during the experiment.

5. 5. Removing cold-protective jackets after severe cold exposure increased peripheral skin temperatures and reduced the discomfort in the warm room.

6. 6. However, these results were accompanied by a greater decrease in rectal temperature and manual performance.

7. 7. It is recommended that workers continue to wear cold-protective clothing in the warm areas outside of the cold storage to prevent decreases in deep body temperature and work efficiency caused by repated cold exposures.

Thermal responses and survival after heat exposure are modulated by maintained differences in body temperature in mice

When individual mice were examined, it was found that the colonic body temperatureT _col of each individual within a genetically heterogeneous population tended to remain either above (warm) or below (cool) the population mean.T _col of warm, but not cool, mice showed circadian variation. When exposed to aT _a of 43° C, theT _col of cool mice increased by as musch as 2.4° C more than that of warm mice for a given 15 min increment of heating at 43°C. Survival of mice after acute lethal heat load (LD₇₅, –45°C) was significantly inversely correlated withT _col. Small persistent differences in body temperature of individuals may indicate differing thermal adaptedness.     

Overexpression of proadrenomedullin N-terminal 20 peptide blunts blood pressure rise and attenuates myocardial hypertrophy and fibrosis in hypertensive rats

We developed a transgenic (Tg) rat model that overexpresses human proadrenomedullin N-terminal 20 peptide (PAMP) only and then compared the effects of unilateral nephrectomy followed by a high salt diet for five weeks in Tg and wild-type rats. We found that systolic blood pressure was significantly lower in Tg UNX rats and cardiac hypertrophy and myocardial fibrosis was also attenuated in Tg rats. Evaluation of gene expression showed suppression of cardiac local renin-angiotensin system (RAS) in Tg rat. These results suggest that in addition to reducing blood pressure, PAMP suppresses cardiac hypertrophy through negative regulation of the local cardiac RAS.     

The increase in systolic and diastolic blood pressure after exposure to cryogenic temperatures in normotensive men as a contraindication for whole-body cryostimulation

1.

The changes which occur in a human body subjected to cryogenic temperatures are still not completely understood. Thus the aim of this study was to evaluate changes in blood circulation induced by a single exposure to very low temperature during whole-body cryostimulation of young and clinically healthy male subjects. Prior to the study, candidates underwent a medical examination in order to eliminate individuals with contraindications towards cryostimulation.

2.

The study included 40 young men aged 22±0.7 years, average body weight 76.65±7.8 kg and height 175.5±7.2 cm. The participants were exposed to extremely low temperatures in a cryogenic chamber. Each session lasted for 3 min at −130 °C and was preceded by 30 s of adaptation in a vestibule at −60 °C. Blood pressure and heart rate were measured before entering the chamber, immediately after exiting, and 10 and 20 min after exiting.

3.

Our results showed a significant increase in systolic blood pressure after cryostimulation (by an average of 21 mmHg in comparison with the initial level before cryostimulation) and an increase in diastolic blood pressure after the cryostimulation (by 9 mmHg). The increase in systolic blood pressure was accompanied by a significant decrease in heart rate (by about 10 bpm). Cryostimulation of the whole body is a stress factor and a stimulus for the body which significantly increases systolic blood pressure, but the changes are temporary and not harmful for normotensive individuals.

     

The effect of muscularity on thermal responses,muscle performance,and dexterity during whole body exposure to 10 °C

1.

The study evaluated the effects of exposure to cold air (10 °C) on thermal responses, muscle performance and dexterity of muscular subjects and their matched lean counterparts.     

Dose- and administration time-dependent effects of nifedipine gits on ambulatory blood pressure in hypertensive subjects

Previous chronotherapy studies have shown that the circadian pattern of blood pressure (BP) remains unchanged after either morning or evening dosing of several calcium channel blockers (CCB), including amlodipine, isradipine, verapamil, nitrendipine, and cilnidipine. This trial investigated the antihypertensive efficacy and safety profile of the slow-release, once-a-day nifedipine gastrointestinal therapeutic system (GITS) formulation administered at different times with reference to the rest-activity cycle of each participant. We studied 80 diurnally active subjects (36 men and 44 women), 52.1±10.7 yrs of age, with grade 1-2 essential hypertension, who were randomly assigned to receive nifedipine GITS (30 mg/day) as a monotherapy for eight weeks, either upon awakening in the morning or at bedtime at night. Patients with uncontrolled BP were up-titrated to a higher dose, 60 mg/day nifedipine GITS, for an additional eight weeks. BP was measured by ambulatory monitoring every 20 min during the day and every 30 min at night for 48 consecutive hours before and after therapy with either dose. The BP reduction after eight weeks of therapy with the lower dose of 30 mg/day was slightly, but not significantly, larger with bedtime dosing. The efficacy of 60 mg/day nifedipine GITS in non-responders to the initial 30 mg/day dose was twice as great with bedtime as compared to morning dosing. Moreover, bedtime administration of nifedipine GITS reduced the incidence of edema as an adverse event by 91%, and the total number of all adverse events by 74% as compared to morning dosing (p=0.026). Independent of the time of day of administration, a single daily dose of 30 mg/day of nifedipine GITS provides full 24 h therapeutic coverage. The dose-dependent increased efficacy and the markedly improved safety profile of bedtime as compared to morning administration of nifedipine GITS should be taken into account when prescribing this CCB in the treatment of essential hypertension.     

Chronic effects of centrally administered adiponectin on appetite, metabolism and blood pressure regulation in normotensive and hypertensive rats

Acute studies suggest that adiponectin may reduce sympathetic activity and blood pressure (BP) via actions on the central nervous system (CNS). However, the chronic effects of adiponectin on energy expenditure and cardiovascular function are still poorly understood. We tested if chronic intracerebroventricular (ICV) infusion of adiponectin (1 or 7μg/day) in Sprague-Dawley rats fed a high fat diet (HFD) for 8 weeks and at the high dose (7μg/day) in spontaneously hypertensive rats (SHRs), a hypertensive model associated with sympathetic overactivity, evoked chronic reductions in BP and heart rate (HR). We also determined if chronic ICV adiponectin infusion alters appetite, whole body oxygen consumption (VO(2)), and insulin and leptin levels. Neither dose of adiponectin infused for 7 days significantly altered BP or HR in the HFD group (115±2 to 112±2mmHg and 384±6 to 379±6bpm at 1μg/day; 109±3 to 111±3mmHg and 366±5 and 367±5bpm at 7μg/day). The higher dose slightly reduced food intake (14±1 to 11±1g/day), whereas VO(2), insulin and leptin levels were not affected by the treatment. In SHRs, ICV adiponectin infusion reduced appetite (22±2 to 12±2g/day) and insulin levels (～55%), but did not alter BP (162±4 to 164±3mmHg) or HR (312±5 to 322±8bpm). These results suggest that adiponectin, acting via its direct actions on the CNS, has a small effect to reduce appetite and insulin levels, but it has no long-term action to reduce BP or HR, or to alter whole body metabolic rate.     

Changes in body core temperatures and heat balance after an abrupt release of lower body negative pressure in humans

Changes in body core temperature (T _cor) and heat balance after an abrupt release of lower body negative pressure (LBNP) were investigated in 5 volunteers under the following conditions: (1) an ambient temperature (T _a) of 20 °C or (2) 35 °C, and (3)T _a of 25 °C with a leg skin temperature of 30°C or (4) 35°C. The leg skin temperature was controlled with water perfusion devices wound around the legs. Rectal (T _re), tympanic (T _ty) and esophageal (T _es) temperatures, skin temperatures (7 sites) and oxygen consumption were measured. The intensity of LBNP was adjusted so that the amount of blood pooled in the legs was the same under all conditions. When a thermal balance was attained during LBNP, application of LBNP was suddenly halted. The skin temperatures increased significantly after the release of LBNP under all conditions, while oxygen consumption hardly changed. The release of LBNP caused significant falls inT _cor s under conditions (1) and (3), but loweredT _cor s very slightly under conditions (2) and (4). The changes inT _es were always more rapid and greater than those ofT _ty andT _re. The falls inT _ty andT _re appeared to be explained by changes in heat balance, whereas the sharp drop ofT _es could not be explained especially during the first 8 min after the release of LBNP. The results suggest that a fall inT _cor after a release of LBNP is attributed to an increase in heat loss due to reflexive skin vasodilation and is dependent on the temperature of venous blood returning from the lower body. It is presumed thatT _es may not be an appropriate indicator forT _cor when venous return changes rapidly.     

Effects of a five-hour exposure of arm and leg to a slightly cool thermal environment in the afternoon on the body temperature rhythm

The purpose of this study was to determine whether the different thermal conditions of the arm and leg due to wearing different types of clothing during the afternoon could modulate the circadian rhythm of body temperature and subjective sleep quality. Six healthy female volunteers were studied twice with two types of clothing, leaving the arm and leg covered or uncovered. The environmental chamber was controlled at 24 ± 0.5°C and 50 ± 5% RH during wakefulness and 28 ± 0.5°C and 50 ± 5% RH during night sleep. One type of clothing consisted of long-sleeved shirts and full-length trousers (Type L, 989 g, 0.991 clo); the other type was of half-sleeved shirts and knee-length trousers (Type H, 750 g, 0.747 clo). One testing session lasted for 16 h from 14:00 to 06:00 h the next morning. Subjects wore Type L or Type H clothing during the afternoon exposure (14:00 - 19:00), and Type L clothing during the evening (19:00 - 22:30 h) and the night sleep (22:30 - 06:00 h). Results were as follows. (1) When wearing Type H rather than Type L clothing, skin temperatures of the arm and leg were significantly lower during the time of exposure, and increased more after the evening. (2) Rectal temperature was not significantly different between the two types of clothing except during the early part of the exposure period, but it decreased during the evening by a significantly greater amount when wearing Type H clothing. (3) Subjective sleep quality was not significantly different between the two clothing types. These results suggest that afternoon exposure of the arm and leg to a slightly cool environment does not have a strong after-effect on the body temperature and subjective sleep quality.     

Perceptual and physiological responses to cycling and running in groups of trained and untrained subjects

An interesting aspect, when comparing athletes, is the effect of specialized training upon both physiological performance and perceptual responses. To study this, four groups (with six individuals each) served as subjects. Two of these consisted of highly specialized individuals (racing cyclists and marathon runners) and the other two of non-specialized individuals (sedentary and all-round trained). Cycling on a cycle ergometer and running on a treadmill were chosen as modes of exercise. Variables measured included heart rate, blood lactate and perceived exertion, rated on two different scales. Results show a linear increase of both heart rate and perceived exertion (rated on the RPE scale) in all four groups, although at different absolute levels. Blood lactate accumulation, during cycling and running, differentiates very clearly between the groups. When heart rate and perceived exertion were plotted against each other, the difference at the same subjective rating (RPE 15) between cycling and running amounted to about 15-20 beats.min-1 in the non-specialized groups. The cyclists exhibited almost no difference at all as compared to 40 beats.min-1 for the runners. It can be concluded that specialized training changes both the physiological as well as the psychological response to exercise.     

Cardiovascular responses to light isometric and aerobic exercise in 21- and 59-year-old males

The effects of aging on the cardiovascular response to continuous light isometric and aerobic exercise remains to be determined. Thus, the purpose of this study was to compare the cardiovascular response of young and older males during light handgrip and cycle ergometry exercise. Blood pressure, heart rate, rate pressure product, as well as pre-ejection period (derived from impedance cardiography) were obtained for 15 young [mean (SE) age: 21 (0.7) years] and 15 older males [59 (0.8) years] during and after light handgrip exercise and cycle ergometry. The parasympathetic influence on the heart was also assessed through a time-series analysis of heart period variability (HPVts). Both during and when recovering from the handgrip exercise and cycle ergometry, the older subjects exhibited a significantly higher absolute systolic and diastolic blood pressure, and rate pressure product, and a lower HRVts than the young subjects. Relative to baseline, the change in pre-ejection period was lower for the young subjects during the handgrip and cycle ergometry, tasks. These results indicate that although the sympathetic influence on both the myocardium and the vasculature was less pronounced in the older males, the aging cardiovasculature was under greater hemodynamic stress both during rest and during exposure to light isometric and aerobic challenge.