PubMed Health⌕ Search

Biomedical subjects

H E Refsum

Publications and source records attributed to H E Refsum.

At least 55 records · Page 3Linked to original sources

Changes in plasma amino acid distribution and urine amino acids excretion during prolonged heavy exercise.

Venous plasma and urine amino acids and urea were measured in ten well-trained men, aged 23--45 years, in connection with a 70 km cross-country ski race, lasting 4.39--6.04 h, leading to slight dehydration. The estimated urea production rate during the race was of the order 7.6 mumol/min, kg b.wt, i.e. twice the rate for such men on ordinary protein intake, during ordinary activity, thus suggesting increased protein catabolism. The race led to a fall of the total plasma amino acid concentration to about 60% of the pre-race level. In particular, the branched chain amino acids (valine, iso-leucine, leucine) and alanine were markedly reduced, whereas the S-containing amino acids (taurine, cystine, methionine) and the aromatic (phenylalanine, tyrosine, trytophan, histidine) and glutamine/glutamate were increased, unchanged or only moderately reduced. It is concluded that prolonged heavy exercise is accompanied by increased protein catabolism and changes in the plasma amino acid concentrations similar to those observed during prolonged starvation, but differing from those seen at heavy exercise of less than 2 h duration or prolonged exercise of moderate intensity.

Adult↗

Serum thyroxine, triiodothyronine and thyroid stimulating hormone after prolonged heavy exercise.

Serum thyroxine (T4), triiodothyronine (T3) and thyroid stimulating hormone (TSH) was measured before, immediately after and on the following days after a 70 km cross-country ski race in two groups of ten well-trained men, one aged 21--29 years, taking 5.01--7.03 h, and one aged 51--57 years, taking 6.07--7.38 h. T4 was definitely increased immediately after the race, but fell to below the initial level on the following day and was not restored to the pre-race level until 4 days after the race. T3 showed essentially the same pattern, though less pronounced, a major part of the changes being possibly due to plasma volume variations. TSH showed a tendency to rise immediately after the race, but rose further to 175% of the initial level on the following day and was not restored to the initial level 4 days after the race. The pattern of changes were independent of age. It is suggested that the prolonged rise in TSH is probably due to an exercise-induced increased peripheral need for thyroid hormone.

Adult↗

Renal osmol clearance during prolonged heavy exercise.

Serum and urine osmolality and creatinine were measured in fifty-eight well-trained men, aged 21-57 years, in connection with three 70 km cross-country ski races taking place under essentially the same external circumstances, leading to slight dehydration. Although the race urine flow was low, 0.51 (0.05-1.10) ml/min, the urine osmolality and the urine to serum osmolality ratio were relatively low, averaging 860 (399-1220) mosm/kg H2O and 2.84 (1.32-4.10), respectively. Decreasing urine flow and endogenou- creatinine clearance were associated with decreasing urine to serum osmolality ratio, indicating declining urine concentrating ability. Thus, the data confirm the author's recent suggestion, based on the measurement of a limited number of urine solutes, that during prolonged heavy exercise a decrease in urine flow and glomerular filtration rate is accompanied by a decline in the urine concentrating ability.

Adult↗

Effects of prolonged, strenuous exercise on lipids and thyroxine in serum.

Serum lipids and thyroxine were determined in 26 men participating in a 90-km cross-country ski race, before, immediately after, and on the following days. Serum cholesterol was unchanged immediately after the race, but then fell significantly and remained low during the observation period. During the race the fatty acid composition of serum free fatty acids changed towards the composition of ordinary adipose tissue. The compostiion of serum triglycerides showed similar but less pronouced changes. On the following days an increase in the arachidonic, and a decrease in the linoleic acid fraction of the total serum lipids were observed. Total thyroxine and free thyroxine in serum were significantly increased at the end of the race, but had returned to the pre-raced levels during the rest of the observation period. The observations correspond to the findings during acute, severe illness, and are compatible with the hypothesis that some of the changes in serum lipids following severe somatic stress are due to increased thyroid hormone activity.

Adult↗

Fibrin/fibrinogen degradation products (FDP) in urine and serum after prolonged heavy exercise.

The presence of FDP in the urine, known to be a sensitive indicator of various kidney disorders, was studied in 14 well-trained men participating in a 70-km cross-country ski race. None of the urine samples contained FDP on the day before the race. Immediately after the race, 4 samples contained FDP. High molecular weight FDP were found in 2 of them, whereas 2 others contained low molecular weight products only. 2 days after the race, 1 of these subjects still had FDP in the urine. In addition, 2 newly FDP positives were observed. Serum FDP were slightly elevated in 2 subjects before the race, and in another subject immediately after the race. The presence of urinary FDP did not correlate either with urinary albumin or uromucoid, or with serum FDP. A drop in plasma fibrinogen immediately after the race was noted in all subjects. It is suggested that the present observations may reflect a transient hyperproteolysis (coagulation and fibrinolysis) in the glomerular circulation, including fibrin formation and dissolution, associated with a transient damage of glomerular capillaries.

Adult↗

Influence of posture on pulmonary gas exchange and heart rate in chronic obstructive lung disease.

Sixteen subjects with chronic obstructive lung disease were studied in supine and sitting position. VT, VE, VD and VD/VT were definitely higher in the sitting position (p less than 0.001). PaCO2 was slightly lower in the sitting position, whereas Pa¿O2 was the same in both positions. P(A-a)O2 was essentially the same in both positions, but the estimated QS/QT was definitely lower in the sitting position. In patients with low FEV1.0 the heart rate showed a tendency towards higher values in the sitting position.

Adult↗

Relationship between urine flow, glomerular filtration, and urine solute concentrations during prolonged heavy exercise.

Serum and urine electrolytes, creatinine, and urea were determined in 21 well-trained men, aged 21-56 years, in connection with a 70-km cross-country ski race, lasting 4.39-6.52 h, leading to slight dehydration. Although the race urine flow was low, averaging 0.41 (0.1-0.9) ml/min, the average urine concentrations of urea, Na, Ca, Mg, Cl and P were markedly lower than during the preceding night, while the concentrations of K and creatinine were higher, the total of measured solutes being 621 nmol/l, compared with 911 nmol/l during the preceding night. Decreasing urine flow and endogenous creatinine clearance were accompanied by a falling urine solute concentration, particularly when the race creatinine clearance decreased to below 70 ml/min, mainly due to a fall in the urea, Na, and Cl concentrations. Thus, a decrease in the glomerular filtration rate was accompanied by a progressive decline in the urine concentrating ability.

Adult↗