Hemodynamic responses to heat stress in the resting and exercising human leg: insight into the effect of temperature on skeletal muscle blood flow

Publikation: Beitrag in FachzeitschriftArtikelForschungPeer-Review

Autoren

  • James Pearson
  • David A. Low
  • Eric Stöhr
  • Kameljit Kalsi
  • Leena Ali
  • Horace Barker
  • José González-Alonso

Externe Organisationen

  • Brunel University
  • Ealing Hospital
Forschungs-netzwerk anzeigen

Details

OriginalspracheEnglisch
Seiten (von - bis)R663-R673
FachzeitschriftAmerican Journal of Physiology - Regulatory Integrative and Comparative Physiology
Jahrgang300
Ausgabenummer3
Frühes Online-Datum1 März 2011
PublikationsstatusVeröffentlicht - 1 März 2011
Extern publiziertJa

Abstract

Heat stress increases limb blood flow and cardiac output (Q) in humans, presumably in sole response to an augmented thermoregulatory demand of the skin circulation. Here we tested the hypothesis that local hyperthermia also increases skeletal muscle blood flow at rest and during exercise. Hemodynamics, blood and tissue oxygenation, and muscle, skin, and core temperatures were measured at rest and during exercise in 11 males across four conditions of progressive whole body heat stress and at rest during isolated leg heat stress. During whole body heat stress, leg blood flow (LBF), Q, and leg (LVC) and systemic vascular conductance increased gradually with elevations in muscle temperature both at rest and during exercise (r2 = 0.86-0.99; P < 0.05). Enhanced LBF and LVC were accompanied by reductions in leg arteriovenous oxygen (a-vO2) difference and increases in deep femoral venous O2 content and quadriceps tissue oxygenation, reflecting elevations in muscle and skin perfusion. The increase in LVC occurred despite an augmented plasma norepinephrine (P < 0.05) and was associated with elevations in muscle temperature (r2 = 0.85; P = 0.001) and arterial plasma ATP (r2 = 0.87; P < 0.001). Isolated leg heat stress accounted for one-half of the increase in LBF with severe whole body heat stress. Our findings suggest that local hyperthermia also induces vasodilatation of the skeletal muscle microvasculature, thereby contributing to heat stress and exercise hyperemia. The increased limb muscle vasodilatation in these conditions of elevated muscle sympathetic vasoconstrictor activity is closely related to the rise in arterial plasma ATP and local tissue temperature.

ASJC Scopus Sachgebiete

Zitieren

Hemodynamic responses to heat stress in the resting and exercising human leg: insight into the effect of temperature on skeletal muscle blood flow. / Pearson, James; Low, David A.; Stöhr, Eric et al.
in: American Journal of Physiology - Regulatory Integrative and Comparative Physiology, Jahrgang 300, Nr. 3, 01.03.2011, S. R663-R673.

Publikation: Beitrag in FachzeitschriftArtikelForschungPeer-Review

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T1 - Hemodynamic responses to heat stress in the resting and exercising human leg

T2 - insight into the effect of temperature on skeletal muscle blood flow

AU - Pearson, James

AU - Low, David A.

AU - Stöhr, Eric

AU - Kalsi, Kameljit

AU - Ali, Leena

AU - Barker, Horace

AU - González-Alonso, José

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Y1 - 2011/3/1

N2 - Heat stress increases limb blood flow and cardiac output (Q) in humans, presumably in sole response to an augmented thermoregulatory demand of the skin circulation. Here we tested the hypothesis that local hyperthermia also increases skeletal muscle blood flow at rest and during exercise. Hemodynamics, blood and tissue oxygenation, and muscle, skin, and core temperatures were measured at rest and during exercise in 11 males across four conditions of progressive whole body heat stress and at rest during isolated leg heat stress. During whole body heat stress, leg blood flow (LBF), Q, and leg (LVC) and systemic vascular conductance increased gradually with elevations in muscle temperature both at rest and during exercise (r2 = 0.86-0.99; P < 0.05). Enhanced LBF and LVC were accompanied by reductions in leg arteriovenous oxygen (a-vO2) difference and increases in deep femoral venous O2 content and quadriceps tissue oxygenation, reflecting elevations in muscle and skin perfusion. The increase in LVC occurred despite an augmented plasma norepinephrine (P < 0.05) and was associated with elevations in muscle temperature (r2 = 0.85; P = 0.001) and arterial plasma ATP (r2 = 0.87; P < 0.001). Isolated leg heat stress accounted for one-half of the increase in LBF with severe whole body heat stress. Our findings suggest that local hyperthermia also induces vasodilatation of the skeletal muscle microvasculature, thereby contributing to heat stress and exercise hyperemia. The increased limb muscle vasodilatation in these conditions of elevated muscle sympathetic vasoconstrictor activity is closely related to the rise in arterial plasma ATP and local tissue temperature.

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