Nerijus Eimantas

Two strategies for the acute response to cold exposure but one strategy for the response to heat stress

Abstract Purpose: The main aim of this study was to compare physiological and psychological reactions to heat stress between people who exhibited fast cooling (FC, n = 20) or slow cooling (SC; n = 20) responses to 14 °C cold water immersion. Methods: Forty healthy young men (19–25 years old) were recruited to this study based on their tolerance to cold exposure (FC versus SC). The heat stress was induced using immersion in bath water at 43–44 °C. Motor and cognitive performance, immune variables, markers of hypothalamic–pituitary–adrenal axis activity (i.e. stress hormone concentrations), and autonomic nervous system activity were monitored. Results: In the FC group, time to warm the body from a resting rectal temperature (Tre) of 37.1 ± 0.2 °C before warming to 39.5 °C was 63.7 ± 22.4 min. In the SC group, the time to warm the body from a Tre 37.1 ± 0.3 °C before warming to 39.5 °C was 67.2 ± 13.8 min (p > 0.05 between groups). The physiological stress index (PSI) after warming was 8.0 ± 0.6 and 8.2 ± 1.0 in the FC and SC groups, respectively (p > 0.05 between groups). During warming, the changes in subjective indicators of heat stress did not differ significantly between the FC (7.4 ± 0.5) and SC (7.1 ± 1.1) groups, respectively. Conclusion: The increase in cortisol, epinephrine, norepinephrine, and corticosterone concentrations after passive body heating did not differ between the FC and SC groups. Heat stress did not change indicators of innate and specific immunity in the FC or the SC group. An interesting finding was that heat stress did not affect motor and cognitive function in either group, although central fatigue during 1-min maximal voluntary contraction increased after heat stress in both groups.

Time course of physiological and psychological responses in humans during a 20-day severe-cold-acclimation programme.

The time course of physiological and psychological markers during cold acclimation (CA) was explored. The experiment included 17 controlled (i.e., until the rectal temperature reached 35.5°C or 170 min had elapsed; for the CA-17 session, the subjects (n = 14) were immersed in water for the same amount of time as that used in the CA-1 session) head-out water immersions at a temperature of 14°C over 20 days. The data obtained in this study suggest that the subjects exhibited a thermoregulatory shift from peripheral-to-central to solely central input thermoregulation, as well as from shivering to non-shivering thermogenesis throughout the CA. In the first six CA sessions, a hypothermic type of acclimation was found; further CA (CA-7 to CA-16) led to a transitional shift to a hypothermic–insulative type of acclimation. Interestingly, when the subjects were immersed in water for the same time as that used in the CA-1 session (CA-17), the CA led to a hypothermic type of acclimation. The presence of a metabolic type of thermogenesis was evident only under thermoneutral conditions. Cold-water immersion decreased the concentration of cold-stress markers, reduced the activity of the innate immune system, suppressed specific immunity to a lesser degree and yielded less discomfort and cold sensation. We found a negative correlation between body mass index and Δ metabolic heat production before and after CA.

Two Strategies for Response to 14°C Cold-Water Immersion: Is there a Difference in the Response of Motor, Cognitive, Immune and Stress Markers?

Here, we address the question of why some people have a greater chance of surviving and/or better resistance to cold-related-injuries in prolonged exposure to acute cold environments than do others, despite similar physical characteristics. The main aim of this study was to compare physiological and psychological reactions between people who exhibited fast cooling (FC; n = 20) or slow cooling (SC; n = 20) responses to cold water immersion. Individuals in whom the Tre decreased to a set point of 35.5°C before the end of the 170-min cooling time were indicated as the FC group; individuals in whom the Tre did not decrease to the set point of 35.5°C before the end of the 170-min cooling time were classified as the SC group. Cold stress was induced using intermittent immersion in bath water at 14°C. Motor (spinal and supraspinal reflexes, voluntary and electrically induced skeletal muscle contraction force) and cognitive (executive function, short term memory, short term spatial recognition) performance, immune variables (neutrophils, leucocytes, lymphocytes, monocytes, IL-6, TNF-α), markers of hypothalamic–pituitary–adrenal axis activity (cortisol, corticosterone) and autonomic nervous system activity (epinephrine, norepinephrine) were monitored. The data obtained in this study suggest that the response of the FC group to cooling vs the SC group response was more likely an insulative–hypothermic response and that the SC vs the FC group displayed a metabolic–insulative response. The observations that an exposure time to 14°C cold water—which was nearly twice as short (96-min vs 170-min) with a greater rectal temperature decrease (35.5°C vs 36.2°C) in the FC group compared with the SC group—induces similar responses of motor, cognitive, and blood stress markers were novel. The most important finding is that subjects with a lower cold-strain-index (SC group) showed stimulation of some markers of innate immunity and suppression of markers of specific immunity.

Test-Retest Cross-Reliability of Tests to Assess Neuromuscular Function as a Multidimensional Concept.

Abstract Bernecke, V, Pukenas, K, Imbrasiene, D, Mickeviciene, D, Baranauskiene, N, Eimantas, N, and Brazaitis, M. Test-retest cross-reliability of tests to assess neuromuscular function as a multidimensional concept. J Strength Cond Res 29(7): 1972–1984, 2015—The purpose of this investigation was to estimate the test-retest cross-reliability of peripheral and central changes with respect to nonlinear and linear measures of a surface electromyography (EMG) signal measured during isometric maximal voluntary contraction (MVC) combined with superimposed electrical stimulation during a brief and fatiguing task involving the ankle plantar flexors over 2 follicular phases of menstrual cycle. Ten healthy female adults underwent 1 familiarization session and 5 identical test-retest sessions. The results showed that the decrease in plantar flexor EMG components (root mean square [RMS], mean frequency [MnF], wavelet packet entropy [WPE]) for soleus and gastrocnemius muscles, central activation ratio (CAR) and MVC, and contractile properties (P20, P100, PTT-100, and half-relaxation time) of the plantar flexor muscles at the end of 2-minute MVC were similar (time effect; p < 0.001, > 0.7, statistical power [SP] > 99%) and exhibited high stability over 5 trials (trial effect; p > 0.05; < 0.2, SP < 30%). High reliability between trials was found for 5-second MVC (intraclass correlation coefficient [ICC] > 0.82, p < 0.001) and meaningful reliability for 2-minute MVC (ICC > 0.66, p < 0.01). In conclusion, in young healthy women, measurements of neuromuscular function, such as RMS, MnF, and WPE of a surface EMG signal, MVC, and CAR from a brief and sustained MVC of the ankle plantar flexors, are reliable, and multidimensional stability was found with respect to both high and low correlation outcomes across the 5 identical test-retest trials of any 2 properties measured during brief and sustained MVC.

Physiological and Psychological Responses during Exercise and Recovery in a Cold Environment Is Gender-Related Rather Than Fabric-Related

We evaluated gender-specific effects of two types of undergarments on exercise-induced physiological and psychological stress and subsequent recovery in cold conditions for male and female participants. Ten healthy men and eleven healthy women (25.0 ± 1.5 versus 23.4 ± 1.2 years old, respectively) completed the experimental session twice with two different types of undergarments: polyester or merino wool leggings and long-sleeve tops; specifically, merino fabric had greater thermal resistance and water absorbency, and less water vapor as well as air permeability than polyester. Experimental sessions involved performing 1 h of exercise on a cycle ergometer at 8°C ambient temperature and 55% relative humidity, holding at 70–80 revolutions per minute and 60% of each participant’s predetermined maximal power output (assessed by maximal oxygen uptake test), followed by 1 h recovery in the same environment. Every 5 min during exercise and every 10 min during recovery, rectal temperature, heart rate, subjective ratings for thermal, shivering/sweating and clothing wetness sensations, and clothing next-to-skin and outer side surface temperature and humidity on the chest, back and thigh were recorded. All participants experienced high physiological stress (assessed by physiological strain index) during exercise. No significant gender differences were found in core temperature or heart rate changes during exercise, but women cooled down faster during recovery. Next-to-skin humidity was similar between genders and different garment sets during exercise and recovery, but such temperatures at the chest during exercise and at the thigh during exercise and recovery were lower in women with both sets of garments. Subjective thermal sensations were similar in all cases. In the last 20 min of cycling, women started to feel wetter than men (P < 0.05) for both garment sets. Shivering was reported as stronger in women in the last 10 min of recovery. Most of the changes in the garment microclimates during exercise and recovery in the cold were associated with gender-related differences rather than with fabric-related differences.

Brief Rewarming Blunts Hypothermia-Induced Alterations in Sensation, Motor Drive and Cognition.

Background: It is well known that cold exposure experienced during occupational or recreational activities may adversely affect motor, cognitive performance, and health. Most research has used prolonged passive external rewarming modalities and focused on the direct effects on the kinetics of physiological and psychological responses in hypothermic subjects. However, the brief whole body rewarming effects on physiological and psychological responses in parallel with functional consequences on cognitive and neurophysiological functions have not been investigated. This study explores these effects in 12 healthy young men. Methods: Subjects (20 ± 1 years) participated in 4 randomized trials, which were designed to compare the effects of whole-body brief (5-min) rewarming in 37°C water with rewarming for the same duration in 24°C (air) thermoneutral environment in mildly hypothermic subjects. After each rewarming, indicators of neuromuscular function (reflexes, central activation ratio, electromyography of exercising muscle, and contractile properties of calf muscles) and cognitive function (attention, simple motor speed, and information processing speed) were assessed. Results: Compared to rewarming in thermoneutral environment, after brief rewarming in 37°C water, significantly lower metabolic heat production (MHP) (206 ± 33.4 vs. 121.9 ± 24.3 W·m2, P < 0.01), heart rate (76 ± 16 vs. 60 ± 12 b·min−1, P < 0.01), cold strain (6.4 ± 3.1 vs. 5.3 ± 2.7, P < 0.01), improved thermal comfort and induced cessation of shivering were found. Electrically induced maximum torque amplitudes increased (P100, 102.8 ± 21.3 vs. 109.2 ± 17.5 Nm and PTT100, 83.1 ± 17.1 vs. 92.7 ± 16.0 Nm, P < 0.05), contraction half-relaxation time decreased (599.0 ± 53.8 vs. 589.0 ± 56.3 ms, P < 0.05), and Mmax-wave latency shortened (17.5 ± 2.2 vs. 15.6 ± 2.0 ms, P < 0.05) after 37°C water rewarming. Unlike rewarming in thermoneutral environment, 37°C water rewarming blunted the hypothermia-induced alterations in neural drive transmission (4.3 ± 0.5 vs. 3.4 ± 0.8 mV H-reflex and 4.9 ± 0.2 vs. 4.4 ± 0.4 mV V-wave, P < 0.05), which increased central fatigue during a 2-min maximum load (P < 0.05). Furthermore, only in brief warm water rewarming cerebral alterations were restored to the control level and it was indicated by shortened reaction times (P < 0.05). Conclusions: Brief rewarming in warm water rather than the same duration rewarming in thermoneutral environment blunted the hypothermia-induced alterations for sensation, motor drive, and cognition, despite the fact that rectal and deep muscle temperature remained lowered.

Sex-specific reliability and multidimensional stability of responses to tests assessing neuromuscular function

The objective of this study was to estimate sex-specific effects in the test-retest cross-reliability of peripheral and central changes in nonlinear and linear measures of a surface electromyography signal during a brief (5 second) and sustained (2minute) isometric maximal voluntary contraction, combined with superimposed electrical stimulation involving the ankle plantar flexors over five identical trials. In this study, we repeated the testing protocol used in our previous study of 10 women (age 20.9, SD=0.3 years) (Bernecke et al., 2015) in a group of 10 men (age 21.2, SD=0.4 years). Despite the central (sex effect; p<0.05, ηp2>0.71, SP>70%) and peripheral fatigability (sex effect; p<0.01, ηp2>0.8, SP>90%) during sustained isometric maximal voluntary contraction, and lower reliability for central activation ratio during brief (intraclass correlation coefficient [ICC]=0.95 for men and ICC=0.82 for women) and sustained maximal voluntary contraction (ICC>0.82 for men and ICC>0.66 for women) over ankle plantar flexors expressed in women more than in men, all the ICCs of all indices measured by tests assessing neuromuscular function across the five identical test-retest trials were found as meaningful (correlation significance of p<0.05 was reached) and no significant differences were found between trials for any of the measured variables. In conclusion, the present study demonstrated greater central and peripheral fatigue for female participants following sustained (2minute) isometric maximal voluntary contraction of the plantar flexor muscles for all repeated trials and indicated an acceptable agreement between measurements of the characteristic variables made using the three different devices (dynamometry, electrical stimulation, and surface electromyography) over time for both sexes.

Psychological and Physiological Biomarkers of Neuromuscular Fatigue after Two Bouts of Sprint Interval Exercise

The main aim of our study was to determinate whether a repeated bout (RB) (vs. first bout [FB]) of sprint interval cycling exercise (SIE) is sufficient to mitigate SIE-induced psychological and physiological biomarker kinetics within 48 h after the exercise. Ten physically active men (age, 22.6 ± 5.2 years; VO2max, 44.3 ± 5.7 ml/kg/min) performed the FB of SIE (12 repeats of 5 s each) on one day and the RB 2 weeks later. The following parameters were measured: motor performance (voluntary, electrically induced and isokinetic skeletal muscle contraction torque, and central activation ratio [CAR]); stress markers [brain-derived neurotrophic factor (BDNF), cortisol, norepinephrine, and epinephrine]; inflammatory markers (IL-6, IL-10, and TNF-α); metabolic markers (glucose and lactate); muscle and rectal temperature; cycling power output; and psychological perceptions. The average cycling power output and neuromuscular fatigue after exercise did not differ between the FB and RB. There were significant decreases in cortisol and BDNF concentration at 12 h (P < 0.05) and 24 h (P < 0.001) after the FB, respectively. The decrease in cortisol concentration observed 12 h after exercise was significantly greater after the RB (P < 0.05) than after the FB. The immune-metabolic response to the RB (vs. FB) SIE was suppressed and accompanied by lower psychological exertion. Most of the changes in psychological and physiological biomarkers in the FB and RB were closely related to the response kinetics of changes in BDNF concentration.

Heat transfer and loss by whole-body hyperthermia during severe lower-body heating are impaired in healthy older men

Abstract Most studies demonstrate that aging is associated with a weakened thermoregulation. However, it remains unclear whether heat transfer (for heat loss) from the lower (uncompensable) to the upper (compensable) body during passively‐induced severe lower‐body heating is delayed or attenuated with aging. Therefore, the main purpose of this study was to investigate heat transfer from uncompensable to compensable body areas in young men and healthy older men during passively‐induced whole‐body hyperthermia with a demonstrated post‐heating change in core body (rectal; Tre) temperature. Nine healthy older men and eleven healthy young men (69 ± 6 vs. 21 ± 1 years old, mean ± SD, P < 0.05) participated in passively‐induced severe lower‐body heating in water at approximately 43 °C. Despite a similar increment in Tre (approximately 2.5 °C) in both groups, the heating rate was significantly lower in older men than in young men (1.69 ± 0.12 vs. 2.47 ± 0.29 °C/h, respectively; P < 0.05). The temperature increase in calf muscle and calf skin (uncompensable areas) was significantly higher in older men than in young men (5.10 ± 0.18 vs. 3.99 ± 0.14 °C; P < 0.05 and 9.92 ± 0.22 vs. 7.65 ± 0.33 °C; P < 0.05, respectively). However, the temperature increase in back skin and forearm skin (compensable areas) was significantly lower in older men than in young men (0.76 ± 0.63 vs. 2.83 ± 0.68 °C; P < 0.05 and 0.39 ± 0.76 vs. 2.73 ± 0.5 °C; P < 0.05, respectively). Furthermore, a post‐warming increase in Tre of approximately 0.2 °C was observed only in older men (P < 0.05). In conclusion, older men whose lower extremities were immersed showed greater accumulation and storage of heat in the skin and deep muscles than young men, and this was associated with a greater heat‐transfer delay and subsequent inertia in the increased core body (Tre) temperature. HighlightsThe rate of Tre increase was greater in young men than in older men.Heat transfer from the lower to the upper body was less efficient in older men.More heat was stored in the skin and deep muscles of immersed extremities of older men.A greater delay in Tre increase and subsequent post‐heating inertia was observed in older men.Healthy aging leads to lower physiological stress and thermal sensation.

Prolonged force depression after mechanically demanding contractions is largely independent of Ca2+ and reactive oxygen species

Increased production of reactive oxygen/nitrogen species (ROS) and impaired cellular Ca2+ handling are implicated in the prolonged low‐frequency force depression (PLFFD) observed in skeletal muscle after both metabolically and mechanically demanding exercise. Metabolically demanding high‐intensity exercise can induce PLFFD accompanied by ROS‐dependent fragmentation of the sarcoplasmic reticulum Ca2+ release channels, the ryanodine receptor 1s (RyR1s). We tested whether similar changes occur after mechanically demanding eccentric contractions. Human subjects performed 100 repeated drop jumps, which require eccentric knee extensor contractions upon landing. This exercise caused a major PLFFD, such that maximum voluntary and electrically evoked forces did not recover within 24 h. Drop jumps induced only minor signs of increased ROS, and RyR1 fragmentation was observed in only 3 of 7 elderly subjects. Also, isolated mouse muscle preparations exposed to drop‐jump–mimicking eccentric contractions showed neither signs of increased ROS nor RyR1 fragmentation. Still, the free cytosolic [Ca2+] during tetanic contractions was decreased by ~15% 1 h after contractions, which can explain the exaggerated force decrease at low‐stimulation frequencies but not the major frequency‐independent force depression. In conclusion, PLFFD caused by mechanically demanding eccentric contractions does not involve any major increase in ROS or RyR1 fragmentation.—Kamandulis, S., de Souza Leite, F., Hernandez, A., Katz, A., Brazaitis, M., Bruton, J. D., Venckunas, T., Masiulis, N., Mickeviciene, D., Eimantas, N., Subocius, A., Rassier, D. E., Skurvydas, A., Ivarsson, N., Westerblad, H. Prolonged force depression after mechanically demanding contractions is largely independent of Ca2+ and reactive oxygen species. FASEB J. 31, 4809–4820 (2017). www.fasebj.org