2007, Piran, Slovenia

2007, Piran, Slovenia 2007, Piran, Slovenia

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Environmental Ergonomics XII Igor B. Mekjavic, Stelios N. Kounalakis & Nigel A.S. Taylor (Eds.), © BIOMED, Ljubljana 2007 blood flow during baroreflex stimulation. METHODS Eight healthy male athletes and eight non-athletes were tested (wearing only shorts) at an ambient temperature of 28ºC±0.2ºC and relative humidity of 40%. Subject were tested in a supine position with the lower body below iliac crest placed in a LBNP box. A rubber seal and band were attached to the inside of the box to maintain airtight condition between the abdomen and box. After all variables had stabilized (60 min), the LBNP was applied randomly for 5 min either at 150 or 300 mmH2O. We used a commercially available reversed air pump to draw air from the box, and adjusted the pressure by varying the diameter of air vent valves (Figure 1). Forearm blood flow was measured using two methods. (A) Venous occlusion plethysmography using a mercury-in-Silastic tube strain gauge (10 g tension) around the mid point of the left forearm. (B) Laser Doppler flowmetry (ALF-2100, Advance, Tokyo). To measure forearm blood flow, a 5 cm cuff was applied to the wrist and inflated to 250 mmHg. Blood flow to fingers was blocked, and after checking that the needle of the recorder was about to stop swinging, 40-50 mmHg was applied for 15 seconds to a regular size cuff placed around the upper arm to block venous return. The formula below gives a calculation of the volume of blood flow based on the change of volume per unit time. Pressure for the upper arm was dropped to zero afterwards to remove vein congestion. Forearm blood flow =2 x 100 x Tn x V/G x (α/ρ) where G: the circumference of a forearm (mm) Tn: tangent of G increase due to the increase in the volume of venous blood flow V: chart speed (mm/ min) (α/ρ): change on the chart (mm) at the time of 1 mm change in strain gauge . Finger blood flow was measured using a mercury-in-Silastic strain gauge (10 g tension) around the center of an index-finger (2) . Heart rate was measured using an electrocardiogram (AT-600 G, Nihon Kohden, Tokyo). Blood pressure during exercise was recorded from the right upper arm (at the same level as the heart). At an application of each LBNP intensity, systolic and diastolic blood pressures were measured automatically (Omron Healthcare Co., Ltd.: HEM-757 Fuzzy) for 3.5 min during the latter period of the application. RESULTS Figure 2 illustrates the time course of changes in finger and forearm blood flows, starting from rest, during applications of LBNP, and during recovery. For the both the athletes and the non-athletes, finger blood flow and forearm blood flow decreased after the onset of LBNP application, but rapidly recovered to almost the same levels 44 To Vacuum Pump Manometer 150,300mmH 2 O Fig.1 Experimental set up Blood Pressure Heart Rate Finger Blood Flow T es Forearm Blood Flow

as observed at rest after LBNP was removed. FBF(ml/min/100g) (ml/min/100g) ( (ml/min/100g) ( FBF(ml/min/100g ) LBNP 150mmH 2 O 5 4 3 2 1 0 0 0 70 70 60 60 50 50 40 40 30 30 20 20 10 10 0 0 LBNP 150mmH 2 O 5 10 Time Time (min) (min) recovery rest LBNP recovery 150mmH 2 O 15 5 10 15 Time (min) Fig. 1Changes in forearm blood flow(FAB) and finger blood flow(FBF) FBF) at at the the two levels (150and300mmH 2 2 O) of LBNP in the athletes ( :closed circles) and non athletes ( : open circles). Vertical bars are SEs. } FAB(ml/min/100g) FBF(ml/min/100g ) 6 5 4 3 2 1 70 60 50 40 30 20 10 rest LBNP 300mmH 2 O recovery LBNP 300mmH 2 O Gravitational Physiology 0 0 5 10 15 Time (min) recovery 0 0 5 10 Time (min) 15 DISCUSSION The cardiovascular response was clearly observed in our experiment with the application of 300 mmH2O LBNP (Figure 2). Both forearm blood flow and finger blood flow decreased with the application of LBNP, regardless of the level of endurance training. We also observed significant differences in forearm blood flow (plethysmography) between the athletes and non-athletes. However, when comparing forearm blood flow measured using laser Doppler flowmetry and finger blood flow, there were no significant differences between the groups. When comparing resting forearm blood flow using laser-Doppler flowmetry and plethysmography during LBNP application and recovery, there were no differences between the athletes and non-athletes. Moreover, there was no difference in the reduction of cutaneous blood flow caused by the application of LBNP, which leads us to think that endurance training has only a little influence on the change of cutaneous blood flow in response to baroreceptor reflex of lower pressure. On the contrary, as far as muscle blood flow was concerned, the reduction at rest and during LBNP application were greatly different between the two groups. When compared with the non-athletes, the athletes should a much greater returning blood flow from muscles than from skin in response to gravitational pressure. These results seem to suggest that, although it is important to maintain cutaneous blood flow for heat dissipation by vasodilation in the heat, endurance training makes it possible to mobilize muscle blood flow to respond to baroreceptor reflex when cutaneous blood flow is not enough to compensate baroreceptor reflex arising from the change in posture. Thus, the athletes could be said to have greater tolerance to the heat compared to the non-athletes. rest 45

as observed at rest after LBNP was removed.<br />

FBF(ml/min/100g)<br />

(ml/min/100g)<br />

( (ml/min/100g)<br />

(<br />

FBF(ml/min/100g )<br />

LBNP<br />

150mmH 2 O<br />

5<br />

4<br />

3<br />

2<br />

1<br />

0<br />

0<br />

0<br />

70<br />

70<br />

60<br />

60<br />

50<br />

50<br />

40<br />

40<br />

30<br />

30<br />

20<br />

20<br />

10<br />

10<br />

0<br />

0<br />

LBNP<br />

150mmH 2 O<br />

5 10<br />

Time Time (min)<br />

(min)<br />

recovery<br />

rest LBNP<br />

recovery<br />

150mmH 2 O<br />

15<br />

5 10 15<br />

Time (min)<br />

Fig. 1Changes in forearm blood flow(FAB) and finger blood flow(FBF) FBF) at at the<br />

the<br />

two levels (150and300mmH 2<br />

2 O) of LBNP in the athletes ( :closed circles) and<br />

non athletes ( : open circles). Vertical bars are SEs. }<br />

FAB(ml/min/100g)<br />

FBF(ml/min/100g )<br />

6<br />

5<br />

4<br />

3<br />

2<br />

1<br />

70<br />

60<br />

50<br />

40<br />

30<br />

20<br />

10<br />

rest LBNP<br />

300mmH 2 O<br />

recovery<br />

LBNP<br />

300mmH 2 O<br />

Gravitational Physiology<br />

0 0 5 10 15<br />

Time (min)<br />

recovery<br />

0 0 5 10<br />

Time (min)<br />

15<br />

DISCUSSION<br />

The cardiovascular response was clearly observed in our experiment with the<br />

application of 300 mmH2O LBNP (Figure 2). Both forearm blood flow and finger<br />

blood flow decreased with the application of LBNP, regardless of the level of<br />

endurance training. We also observed significant differences in forearm blood flow<br />

(plethysmography) between the athletes and non-athletes. However, when comparing<br />

forearm blood flow measured using laser Doppler flowmetry and finger blood flow,<br />

there were no significant differences between the groups. When comparing resting<br />

forearm blood flow using laser-Doppler flowmetry and plethysmography during<br />

LBNP application and recovery, there were no differences between the athletes and<br />

non-athletes. Moreover, there was no difference in the reduction of cutaneous blood<br />

flow caused by the application of LBNP, which leads us to think that endurance<br />

training has only a little influence on the change of cutaneous blood flow in response<br />

to baroreceptor reflex of lower pressure. On the contrary, as far as muscle blood flow<br />

was concerned, the reduction at rest and during LBNP application were greatly<br />

different between the two groups. When compared with the non-athletes, the athletes<br />

should a much greater returning blood flow from muscles than from skin in response<br />

to gravitational pressure. These results seem to suggest that, although it is important to<br />

maintain cutaneous blood flow for heat dissipation by vasodilation in the heat,<br />

endurance training makes it possible to mobilize muscle blood flow to respond to<br />

baroreceptor reflex when cutaneous blood flow is not enough to compensate<br />

baroreceptor reflex arising from the change in posture. Thus, the athletes could be said<br />

to have greater tolerance to the heat compared to the non-athletes.<br />

rest<br />

45

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