Whole body hyperthermia, but not skin hyperthermia, accelerates brain and locomotor limb circulatory strain and impairs exercise capacity in humans
Author(s)
Trangmar, Steven J
Chiesa, Scott T
Kalsi, Kameljit K
Secher, Niels H
González-Alonso, José
Type
Journal Article
Abstract
Cardiovascular strain and hyperthermia are thought to be important factors limiting exercise capacity in heat-stressed humans, however, the contribution of elevations in skin (Tsk) versus whole body temperatures on exercise capacity has not been characterized. To ascertain their relationships with exercise capacity, blood temperature (TB), oxygen uptake (V̇O2), brain perfusion (MCA Vmean), locomotor limb hemodynamics, and hematological parameters were assessed during incremental cycling exercise with elevated skin (mild hyperthermia; HYPmild), combined core and skin temperatures (moderate hyperthermia; HYPmod), and under control conditions. Both hyperthermic conditions increased Tsk versus control (6.2 ± 0.2°C; P < 0.001), however, only HYPmod increased resting TB, leg blood flow and cardiac output (Q̇), but not MCA Vmean Throughout exercise, Tsk remained elevated in both hyperthermic conditions, whereas only TB was greater in HYPmod At exhaustion, oxygen uptake and exercise capacity were reduced in HYPmod in association with lower leg blood flow, MCA Vmean and mean arterial pressure (MAP), but similar maximal heart rate and TB The attenuated brain and leg perfusion with hyperthermia was associated with a plateau in MCA and two-legged vascular conductance (VC). Mechanistically, the falling MCA VC was coupled to reductions in PaCO2, whereas the plateau in leg vascular conductance was related to markedly elevated plasma [NA] and a plateau in plasma ATP These findings reveal that whole-body hyperthermia, but not skin hyperthermia, compromises exercise capacity in heat-stressed humans through the early attenuation of brain and active muscle blood flow.
Date Issued
2017-01-01
Date Acceptance
2016-12-09
Citation
Physiological Reports, 2017, 5 (2)
ISSN
2051-817X
Publisher
Wiley
Journal / Book Title
Physiological Reports
Volume
5
Issue
2
Copyright Statement
© 2017 The Authors. Physiological Reports published by Wiley Periodicals, Inc. on behalf of The Physiological Society and the American Physiological Society.
This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
License URL
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/28108645
PII: 5/2/e13108
Subjects
Hyperthermia
maximal exercise
regional blood flow and metabolism
Adenosine Triphosphate
Adult
Blood Gas Analysis
Blood Pressure
Body Temperature
Brain
Catecholamines
Exercise
Fever
Heart Rate
Heat-Shock Response
Hemodynamics
Humans
Leg
Male
Middle Cerebral Artery
Oxygen Consumption
Skin Physiological Phenomena
Young Adult
Publication Status
Published
Coverage Spatial
United States
Article Number
ARTN e13108
Date Publish Online
2017-01-20