Gregory Gass

Comparison of thermoregulatory responses to exercise in dry heat among prepubertal boys young adults and older males

The purpose of this investigation was to compare the thermoregulatory responses during exercise in a hot climate among three age categories. Eight prepubertal (PP), eight young adult (Y) and eight elderly (O) male subjects cycled at an intensity of 50 ± 1% of their maximum oxygen uptake for 85 min (three 20 min bouts with three 7 min rest periods) in hot and dry conditions (41 ± 0.67°C, 21 ± 1% relative humidity). During the exercise‐in‐heat protocol, rectal temperature (Tre) skin temperatures (Tsk), heart rate (HR), , RER, sweat rate, and the number of heat activated sweat glands (HASG) were determined. Despite highest and lowest end‐exposure Tre in the Y and O groups, respectively, the rise in rectal temperature (accounting for differences in baseline Tre) was similar in all age groups. Changes in body heat storage (ΔS), both absolute and relative to body mass, were highest in the Y and O groups and lowest in the PP group. While end‐session as well as changes in mean skin temperature were similar in all three age groups, HR (absolute and percentage of maximum) was significantly lower for the O compared with the PP and Y groups. Total body as well as per body surface sweating rate was significantly lower for the PP group, while body mass‐related net metabolic heat production ((M−W) kg−1) and heat gained from the environment were highest in the PP and lowest in the O group. Since mass‐related evaporative cooling (Esk kg−1) and sweating efficiency (Esk/Msw kg−1) were highest in the PP and lowest in the O group, the mass‐dependent heat stored in the body (ΔS kg−1) was lowest in the PP (1.87 ± 0.03 W kg−1) and highest in Y and O groups (2.19 ± 0.08 and 1.97 ± 0.11 W kg−1, respectively). Furthermore, it was calculated that while the O group required only 4.1 ± 0.5 W of heat energy to raise their body core temperature by 1°C, and the Y group needed 6.9 ± 0.9 W (1°C)−1, the PP group required as much as 12.3 ± 0.7 W to heat up their body core temperature by 1°C. These results suggest that in conditions similar to those imposed during this study, age and age‐related characteristics affect the overall rate of heat gain as well as the mechanisms through which this heat is being dissipated. While prepubertal boys seem to be the most efficient thermoregulators, the elderly subjects appear to be the least efficient thermoregulators.

Rate and amplitude of adaptation to intermittent and continuous exercise in older men

PURPOSE This study determined the amplitude and rate of adaptation to 10 wk of continuous (CEx) and intermittent exercise (IEx) in a group of older men when the training intensity and total amount of work completed by each exercise group were the same. METHODS Ten healthy men were assigned to either a CEx (63 +/- 1 yr) or IEx (65 +/- 1 yr) group while a further five subjects (65 +/- 1 yr) acted as nonexercising controls (CON). The three groups (CEx, IEx, and CON) were matched for age, peak oxygen uptake (VO2peak), and cardiac output (Qpeak) before commencing training. The CEx group trained for 30 min at an intensity corresponding to 70-75% VO2peak, and the IEx group trained for a total exercise time of 30 min using intermittent exercise (60-s exercise, 60-s rest) at the same absolute intensity as the CEx group (CEx 112 +/- 5W; IEx 112 +/- 5W). The exercise groups trained three times per week and completed a similar amount of work during each training session (CEx, 199 +/- 9 kJ; IEx 195 +/- 9 kJ, P = 0.67). RESULTS The CEx and IEx groups had similar and significant amplitude increases in peak VO2, ventilation (VEpeak), power, Q, and SV after training. Peak VO2, Qpeak, SVpeak, and peak arteriovenous O2 difference for the CON group were unchanged. The change in VO2peak, peak ventilation, and peak power for CEx and IEx groups were best described by a linear model. Moreover, the CEx and IEx groups had the same rate of change in VO2peak (CEx: 0.02 +/- 0.00 L x min(-1) x wk(-1), IEx: 0.02 +/- 0.00 L x min(-1) x wk(-1), P = 0.32), VEpeak (CEx: 2.0 +/- 0.2 L x min(-1) x wk(-1), IEx: 1.2 +/- 0.5 L x min(-1) x wk(-1), P = 0.10), and peak power (CEx: 2.6 +/- 0.4 W x wk(-1), IEx: 2.6 +/- 0.4 W x wk(-1), P = 0.92). CONCLUSION These results suggest that the amplitude and rate of change of select adaptations in men aged 60-70 yr are independent of the mode of training (i.e., continuous or intermittent exercise) when the absolute training intensity and the total amount of work completed were similar.

Metabolic and cardiorespiratory responses relative to the anaerobic threshold

The present study has compared the metabolic and cardiorespiratory responses for two groups of male subjects during 20 min of exercise at the anaerobic threshold (AT), at AT + 1/3, and at AT + 2/3 of the difference (delta) between AT and VO2max. A log-log transformation of the lactate (LA)-power output relationship was used to define AT and divide subjects into a high (N = 7, AT = 51.9 +/- 1.5% VO2max) and low (N = 5; AT = 41.9 +/- 1.8% VO2max) AT group. No differences were observed between groups during exercise at AT for VE.VO2-(1), VE.VCO2(-1), pH, pCO2, blood LA, and plasma strong ions Na+, K+, and Cl-. Although blood LA values were significantly elevated for the low AT subjects (2.3 +/- 0.6 mmol.l-1) compared with the high AT group (1.0 +/- 0.1 mmol.l-1) during exercise at AT + 1/3 delta, no other differences between groups were noted. In contrast, marked differences were observed between groups during exercise at AT + 2/3 delta. The high AT group showed no change in VE (79.1 +/- 4.8 l.min-1), pH (7.367 +/- 0.01), pCO2 (37.3 +/- 1.2 mm Hg), and blood LA (2.9 +/- 0.3 mmol.l-1) during the final 10 min of the 20 min exercise test.(ABSTRACT TRUNCATED AT 250 WORDS)

Preliminary findings in the heart rate variability and haemorheology response to varied frequency and duration of walking in women 65–74 yr with type 2 diabetes

Heart rate variability (HRV) and haemorheology adaptations to 12 wk of varied-dose treadmill walking were investigated in women aged 65-74 yr with type 2 diabetes. Subjects were randomly allocated into two groups where exercise frequency and session duration were manipulated (Group 1: 2 × 60 min·wk(-1) or Group 2: 4 × 30 min·wk(-1)), but intensity and accumulated weekly duration of exercise were consistent between groups (100% gas-exchange threshold; 120 min·wk(-1)). Twelve weeks of exercise training significantly improved peak oxygen uptake, time to exhaustion, and gas-exchange threshold (p < 0.05), independent of exercise group. Exercise training did not significantly change glycaemic control or body mass. Red blood cell (RBC) aggregation and RBC deformability significantly decreased (p < 0.05) for both groups. No change in HRV was observed for Group 1, whereas several key indicators of HRV were significantly improved in Group 2 (p < 0.05). The present study was the first to report decreased RBC aggregation following an exercise-only intervention and that exercise training improved RBC aggregation without a concomitant improvement in glycaemic control. The accumulated weekly exercise duration may be the most important training component for the prescription of exercise in older women with type 2 diabetes.

Heart rate variability is related to impaired haemorheology in older women with type 2 diabetes

Impaired heart rate variability (HRV)and haemorheology are independently associated with cardiovascular disease and diabetic complications. The aim of the present study was to investigate the relationships between parameters of HRV,and red blood cell (RBC) aggregation and deformability, in older women with type 2 diabetes. Twenty women (age 69 ± 2 yr) with uncomplicated type 2 diabetes and twenty controls (age 69 ± 3 yr) participated in the study. Beat-to-beat cardiac (RR) intervals over 5 min were analysed for HRV parameters in the time and frequency domains. Blood was sampled for RBC deformability, as well as RBC aggregation in two suspending mediums: haematocrit adjusted plasma and 3% dextran 70. RBC aggregation was increased and HRV was impaired for those with type 2 diabetes when compared with control. RBC aggregation was negatively related to low frequency power of HRV, and was positively related to high frequency power of HRV, for subjects with type 2 diabetes. RBC deformability was positively related to HRV only for those with type 2 diabetes. Impaired haemorheology is associated with reduced HRV in older women with type 2 diabetes, suggesting changes in the microcirculation may result in impaired modulation of cardiac cycles.

Thermoregulatory responses to exercise and warm water immersion in physically trained men with tetraplegia

Objective: To compare thermoregulatory responses of highly trained men who are tetraplegic during 40 min exercise at 65% [Vdot ]O2 peak and 60 min immersion in 39°C water.Methods: Four physically trained men who are tetraplegic participated in three laboratory visits. The first visit involved familiarisation and then determination of [Vdot ]O2 peak using open circuit spirometry during an incremental test to exhaustion with each man propelling his sport wheelchair on a motor driven treadmill. The order of second and third visits was randomly allocated. Visit 2 involved 40 min of exercise at 65% [Vdot ]O2 peak propelling each mans sport wheelchair on treadmill. Visit 3 involved sitting immersed to nipple line in 39°C water for 60 min. Venous blood was obtained pre, during and after each intervention and analyzed for haemoglobin, haematocrit and changes in plasma volume were calculated. Separated plasma was analyzed for noradrenalin and adrenalin (high performance liquid chromatography). Heart rate, rectal temperature, and sweat rate estimated from a sweat capsule placed on forehead (dew point hygrometry) were recorded throughout.Results: [Vdot ]O2 peak and HR max of these subjects were 1.14±0.16 l·min−1 and 99±4 b·min−1 respectively. Heart rate preimmersion was 67±4 b·min−1 rising to 75±4 b·min−1 after 40 min and 87±3 b·min−1 after 60 min immersion. Heart rate was 68±3 b·min−1 pre-exercise rising to 91±5 b·min−1 after 40 min exercise. Rectal temperature rose from 35.97±0.30°C pre immersion to 37.32±0.51°C after 60 min immersion, and from 36.42±0.20°C pre-exercise to 36.67±0.19°C after 40 min exercise. Haemoconcentration occurred during 40 min of exercise and haemodilution occurred throughout 60 min of water immersion. Three participants demonstrated no sweating on the forehead during immersion or exercise. One subject commenced sweating after 20 min exercise and after 5 min of immersion.Conclusion: Compared to exercise, immersion was associated with a lower heart rate, a lower plasma noradrenalin concentration and an expanded plasma volume. When considering exercise or warm water immersion as therapeutic modalities in men who are tetraplegic, attention should be paid to heat gain and changes in plasma volume.

Erythrocyte Aggregation and Neutrophil Function in an Aging Population

There are limited investigations which have examined the relationship between neutrophil activation and erythrocyte aggregation in older persons. The purpose of the present study was to investigate the relationship between neutrophil activation and erythrocyte aggregation (EA) in an aging population. Twenty-eight male and female subjects were allocated into one of four groups with 7 participants in each group (group 1, 20–29 years; group 2, 30–39 years; group 3, 40–49 years; group 4, 50–59 years). EA was determined using the Myrenne aggregometer. Neutrophil function (respiratory burst and phagocytic activity) was assessed using flow cytometry. EA was found to increase with age. An ANOVA showed a significant (p < 0.05) increase for EA in autologous plasma in group 4 compared to groups 1 and 2. An ANOVA and Pearson’s correlation showed that phagocytic activity decreased with age. Furthermore, a positive correlation between stimulated phagocytic activity and erythrocyte aggregability at low shear in 3% dextran-70 solution was observed. The current investigation suggests a decrease in neutrophil phagocytic activity with age and EA was increased with age. Additionally, the current study is novel as it suggests a possible relationship between neutrophil phagocytic activity and erythrocyte aggregability.

Does endurance training affect orthostatic responses in healthy elderly men

PURPOSE To investigate the effects and time course of endurance training on the regulation of heart rate (HR), arterial pressure (AP), norepinephrine (NE), and plasma volume (PV) during orthostatic stress in healthy elderly men. METHODS Thirty-one healthy men (65--75 yr) were randomly allocated into endurance training (N = 20, EX) and control (N = 11, CON) groups. The EX group cycled 3 d x wk(-1) for 30 min at 70% VO(2peak) for 12 wk x VO(2peak) was determined on an electronically braked cycle ergometer, before training and after 4, 8, and 12 wk of endurance training. The immediate (initial 30 s), early steady-state (1 min), and prolonged (5, 10, 15 min) beat-by-beat HR and AP responses during 90 degrees head-up tilt (HUT) were measured at least 3 d after each VO(2peak) test. Spontaneous baroreflex slopes were determined by application of linear regression to sequences of at least three cardiac cycles in which systolic blood pressure (SBP) and R-R interval changed in the same direction. Venous blood was collected during 90 degrees HUT and analyzed for changes in plasma NE concentrations, as well as hematocrit and hemoglobin to determine changes in PV. RESULTS Endurance training significantly (P < 0.01) increased VO(2peak) (mL x kg(-1) x min(-1)) in EX by 10 +/- 2%. The immediate, early steady-state, and prolonged HR and AP responses and spontaneous baroreflex slopes during 90 degrees HUT were not significantly different (P > 0.05) between EX and CON groups before or after 4, 8, or 12 wk of endurance training. No significant differences (P > 0.05) were observed between EX and CON groups for peak changes in PV during orthostasis before (-15.0 +/- 1.4% vs -11.9 +/- 1.3%) or after 4 (-12.2 +/- 1.0% vs -12.7 +/- 1.4%), 8 (-13.7 +/- 1.2% vs -12.4 +/- 0.7%), and 12 wk (-10.8 +/- 1.6% vs -10.6 +/- 0.6%) of endurance training, suggesting a similar stimulus presented by 90 degrees HUT in both groups. Peak changes in NE concentrations during HUT were similar (P > 0.05) between EX and CON groups before (119 +/- 23 pg x mL(-1) vs 191 +/- 36 pg x mL(-1)) and after 4 (139 +/- 29 pg x mL(-1) vs 146 +/- 25 pg x mL(-1)), 8 (114 +/- 32 pg x mL(-1) vs 182 +/- 41 pg x mL(-1)), and 12 wk (143 +/- 35 pg x mL(-1) vs 206 +/- 42 pg.mL-1) of endurance training. CONCLUSIONS These data indicate that in healthy elderly men, improvements in VO(2peak) can occur without compromising the regulation of HR, AP, NE, and PV during orthostatic stress.

Thermoregulatory responses to repeated warm water immersion in subjects who are paraplegic.

Objective: To compare thermoregulatory responses to repeated warm water immersion (39°C) between physically active subjects who are paraplegic or able-bodied in order to gain insight into rehabilitative and adaptive processes.Methods: Five paraplegic (P) and six able-bodied (AB) males participated. [Vdot ]O2 peak was determined by open-circuit spirometry using a cycle ergometer (AB) and propelling a wheelchair on a motor driven treadmill (P). Subjects sat immersed to the nipple line in 39°C water for 60 min for 5 consecutive days. Pre- and post-test measurements included heart rate (HR), oesophageal temperature (Tes), sweat onset and rate (dew point hygrometry). Venous blood was obtained before, and during immersion to estimate changes in plasma volume.Results: The P group was older and lighter than AB group (P<0.05). [Vdot ]O2max, [Vdot ]CO2max and [Vdot ]Emax were significantly greater in AB group. HR at rest and after 60 min immersion was not significantly different between the groups pre- or post-test. Tes significantly increased after 60 min immersion in both groups, at both pre- and post-testing sessions. Post-test Tes after 60 min immersion (AB) was significantly less than Tes after 60 min of immersion pre-test. The ΔTes (Tes 60 min–Tes 0 min) was significantly higher in AB group than the P group at pre- but not post-testing. No significant changes in sweat onset or rate were found for the AB or P groups during the pre- or post testing sessions. Significant expansion of plasma volume occurred during immersion in both groups, pre- and post-immersion sessions.Conclusions: Repeated warm water immersion (39°C) for 60 min per day for a total of 5 days did not produce a significant adaptive response in P group. In the AB group, Tes at the end of 60 min immersion was significantly lower after the adaptation period.Spinal Cord (2001) 39, 149–155.

Rapid Communication – Effect of Exercise Training on Asymmetric Dimethylarginine Concentration in Women Aged 65-74 years with Type 2 Diabetes

Aims/hypothesis: Basal plasma concentration of asymmetric dimethylarginine (ADMA), an endogenous, competitive inhibitor of nitric oxide synthase, is elevated in patients with type 2 diabetes. ADMA may contribute to the endothelial dysfunction and associated vascular complications observed in individuals with type 2 diabetes. The present study investigated the effect of 12 weeks of supervised walking exercise on plasma ADMA concentration in women aged 65-74 years with type 2 diabetes. Materials and methods: Fourteen women (aged 69 ± 3 yrs) with uncomplicated type 2 diabetes, completed 12 weeks of supervised, moderate-intensity walking at an intensity equivalent to their individual gas-exchange threshold. Blood was sampled for ADMA concentration before and after a 6-week intervention-free control period, and again after 6 and 12 weeks of exercise training. Results: Plasma ADMA concentration was found to be significantly lower after 12-weeks of exercise training when compared with baseline (0 wk) measurements. These results were accompanied by significant increases in time to exhaustion, relative and absolute peak oxygen uptake, and oxygen uptake at gas-exchange threshold. Conclusion/interpretation: Regular, moderate-intensity exercise decreases circulating ADMA concentrations in older women with type 2 diabetes. These results suggest that ADMA may play a role in the training-induced reduction in cardiovascular disease risk seen with exercise training in individuals with type 2 Diabetes.