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Biomedical subjects

James Stray-Gundersen

Publications and source records attributed to James Stray-Gundersen.

13 recordsLinked to original sources
PubMed2007

Intermittent hypobaric hypoxia exposure does not cause sustained alterations in autonomic control of blood pressure in young athletes.

Intermittent hypoxia (IH), which refers to the discontinuous use of hypoxia to reproduce some key features of altitude acclimatization, is commonly used in athletes to improve their performance. However, variations of IH are also used as a model for sleep apnea, causing sustained sympathoexcitation and hypertension in animals and, thus, raising concerns over the safety of this model. We tested the hypothesis that chronic IH at rest alters autonomic control of arterial pressure in healthy trained individuals. Twenty-two young athletes (11 men and 11 women) were randomly assigned to hypobaric hypoxia (simulated altitude of 4,000-5,500 m) or normoxia (500 m) in a double-blind and placebo-controlled design. Both groups rested in a hypobaric chamber for 3 h/day, 5 days/wk for 4 wk. In the sitting position, resting hemodynamics, including heart rate (HR), blood pressure (BP), cardiac output (Q(c), C(2)H(2) rebreathing), stroke volume (SV = Q(c)/HR), and total peripheral resistance (TPR = mean BP/Q(c)), were measured, dynamic cardiovascular regulation was assessed by spectral and transfer function analysis of cardiovascular variability, and cardiac-vagal baroreflex function was evaluated by a Valsalva maneuver, twice before and 3 days after the last chamber exposure. We found no significant differences in HR, BP, Q(c), SV, TPR, cardiovascular variability, or cardiac-vagal baroreflex function between the groups at any time. These results suggest that exposure to intermittent hypobaric hypoxia for 4 wk does not cause sustained alterations in autonomic control of BP in young athletes. In contrast to animal studies, we found no secondary evidence for sustained physiologically significant sympathoexcitation in this model.

Adolescent↗
PubMed2006

Increased serum erythropoietin but not red cell production after 4 wk of intermittent hypobaric hypoxia (4,000-5,500 m).

This study tested the hypothesis that athletes exposed to 4 wk of intermittent hypobaric hypoxia exposure (3 h/day, 5 days/wk at 4,000-5,500 m) or double-blind placebo increase their red blood cell volume (RCV) and hemoglobin mass (Hbmass) secondary to an increase in erythropoietin (EPO). Twenty-three collegiate level athletes were measured before (Pre) and after (Post) the intervention for RCV via Evans blue (EB) dye and in duplicate for Hbmass using CO rebreathing. Hematological indexes including EPO, soluble transferrin receptor, and reticulocyte parameters were measured on 8-10 occasions spanning the intervention. The subjects were randomly divided among hypobaric hypoxia (Hypo, n = 11) and normoxic (Norm, n = 12) groups. Apart from doubling EPO concentration 3 h after hypoxia there was no increase in any of the measures for either Hypo or Norm groups. The mean change in RCV from Pre to Post for the Hypo group was 2.3% (95% confidence limits = -4.8 to 9.5%) and for the Norm group was -0.2% (-5.7 to 5.3%). The corresponding changes in Hbmass were 1.0% (-1.3 to 3.3%) for Hypo and -0.3% (-2.6 to 3.1%) for Norm. There was good agreement between blood volume (BV) from EB and CO: EB BV = 1.03 x CO BV + 142, r2 = 0.85, P < 0.0001. Overall, evidence from four independent techniques (RCV, Hbmass, reticulocyte parameters, and soluble transferrin receptor) suggests that intermittent hypobaric hypoxia exposure did not accelerate erythropoiesis despite the increase in serum EPO.

Adaptation, Physiological↗
PubMed2006

Dose-response of altitude training: how much altitude is enough?

Altitude training continues to be a key adjunctive aid for the training of competitive athletes throughout the world. Over the past decade, evidence has accumulated from many groups of investigators that the "living high--training low" approach to altitude training provides the most robust and reliable performance enhancements. The success of this strategy depends on two key features: 1) living high enough, for enough hours per day, for a long enough period of time, to initiate and sustain an erythropoietic effect of high altitude; and 2) training low enough to allow maximal quality of high intensity workouts, requiring high rates of sustained oxidative flux. Because of the relatively limited access to environments where such a strategy can be practically applied, numerous devices have been developed to "bring the mountain to the athlete," which has raised the key issue of the appropriate "dose" of altitude required to stimulate an acclimatization response and performance enhancement. These include devices using molecular sieve technology to provide a normobaric hypoxic living or sleeping environment, approaches using very high altitudes (5,500m) for shorter periods of time during the day, and "intermittent hypoxic training" involving breathing very hypoxic gas mixtures for alternating 5 minutes periods over the course of 60-90 minutes. Unfortunately, objective testing of the strategies employing short term (less than 4 hours) normobaric or hypobaric hypoxia has failed to demonstrate an advantage of these techniques. Moreover individual variability of the response to even the best of living high--training low strategies has been great, and the mechanisms behind this variability remain obscure. Future research efforts will need to focus on defining the optimal dosing strategy for these devices, and determining the underlying mechanisms of the individual variability so as to enable the individualized "prescription" of altitude exposure to optimize the performance of each athlete.

Acclimatization↗
PubMed2006

American College of Sports Medicine position stand: prevention of cold injuries during exercise.

It is the position of the American College of Sports Medicine that exercise can be performed safely in most cold-weather environments without incurring cold-weather injuries. The key to prevention is use of a comprehensive risk management strategy that: a) identifies/assesses the cold hazard; b) identifies/assesses contributing factors for cold-weather injuries; c) develops controls to mitigate cold stress/strain; d) implements controls into formal plans; and e) utilizes administrative oversight to ensure controls are enforced or modified. The American College of Sports Medicine recommends that: 1) coaches/athletes/medical personnel know the signs/symptoms and risk factors for hypothermia, frostbite, and non-freezing cold injuries, identify individuals susceptible to cold injuries, and have the latest up-to-date information about current and future weather conditions before conducting training sessions or competitions; 2) cold-weather clothing be chosen based on each individual's requirements and that standardized clothing ensembles not be mandated for entire groups; 3) the wind-chill temperature index be used to estimate the relative risk of frostbite and that heightened surveillance of exercisers be used at wind-chill temperatures below -27 degrees C (-18 degrees F); and 4) individuals with asthma and cardiovascular disease can exercise in cold environments, but should be monitored closely.

Adaptation, Physiological↗
PubMed2004

Factors affecting swimming economy in children and adults.

The aim of this study was to examine the influence of several explanatory factors: anthropometry, buoyancy, passive underwater torque, drag and swimming technique on the energy cost of swimming front crawl in children and adults. Submaximal V(.)O(2) was measured in ten children (age 12) and 13 adults (age 21), as well as body length (BL), body mass, arm length, propelling size, active drag, hydrostatic lift, passive torque, intracyclic velocity fluctuation, hand slip, stroke length and body angle. The results show that body length ( r=0.74), body mass ( r=0.86) propelling size ( r=0.61), arm length ( r=0.66), distance between the center of mass and the center of volume (Delta d, r=0.74) and body angle during swimming ( r=-0.56) all showed significant linear relationships with the cost of swimming at 1.0 m x s(-1) (CS(1.0)). When normalizing the cost of swimming to body size (CS(1.0) x BL(-1)) there were no differences between the two groups. The conclusions of this study are that the combination of BL, body mass, active drag factor, passive torque, drag efficiency and hydrostatic lift were able to explain 97% of the variation in the cost of swimming for the whole group of swimmers. The size-independent factors of torque and floating abilities (density and Delta d in % of BL), together with swimming technique and active drag were found to explain 75% of the variations in CS(1.0) x BL(-1). The identical values for CS(1.0) x BL(-1) for children and adults are explained through the opposing effects of a better swimming technique in the adults, and a better passive torque in the children.

Adolescent↗
PubMed2004

Passive and active floating torque during swimming.

The purpose of this study was to examine the effect of passive underwater torque on active body angle with the horizontal during front crawl swimming and to assess the effect of body size on passive torque and active body angle. Additionally, the effects of passive torque, body angle and hydrostatic lift on maximal sprinting performance were addressed. Ten boys [aged 11.7 (0.8) years] and 12 male adult [aged 21.4 (3.7) years] swimmers volunteered to participate. Their body angle with the horizontal was measured at maximal velocity, and at two submaximal velocities using an underwater video camera system. Passive torque and hydrostatic lift were measured during an underwater weighing procedure, and the center of mass and center of volume were determined. The results showed that passive torque correlated significantly with the body angle at a velocity 63% of v(max) ( alpha(63) r=-0.57), and that size-normalized passive torque correlated significantly with the alpha(63) and alpha(77) (77% of v(max)) with r=-0.59 and r=-0.54 respectively. Hydrostatic lift correlated with alpha(63) with r=-0.45. The negative correlation coefficients are suggested to be due to the adults having learned to overcome passive torque when swimming at submaximal velocities by correcting their body angle. It is concluded that at higher velocities the passive torque and hydrostatic lift do not influence body angle during swimming. At a velocity of 63% of v(max), hydrostatic lift and passive torque influences body angle. Passive torque and size-normalized passive torque increases with body size. When corrected for body size, hydrostatic lift and passive torque did not influence the maximal sprinting velocity.

Adult↗
PubMed2003

Adults have lower stroke rate during submaximal front crawl swimming than children.

The aim of this study was to examine the effects of body size and propelling surface size on stroke rate (SR) and stroke length (SL) during front crawl swimming. Eleven children [11.7 (0.8) years] and 13 adults [21.4 (3.7) years] were compared. A third group of swimmers (n=5) had their propelling surface altered experimentally, swimming with hands only and using small- and large-sized paddles. Underwater videography was used to analyze four 25-m submaximal and four 25-m maximal swims for SR, SL, velocity (v) and hand slip. The results showed that adults have a lower SR at any submaximal v and a lower slope of the relationship between SR and workload (v(3)) compared to children. At 1.0 m s(-1) the SR values were 0.38 (0.04) and 0.58 (0.06) cycles s(-1) for adults and children respectively ( P<0.01). Adjusting for body size did not change this relationship [0.46 (0.05) and 0.67 (0.08) cycles s(-1) at a v of 1.0 bodylength s(-1) for adults and children respectively, P<0.001]. SL, adjusted for potential anatomical SL, was found to be longer in adults at submaximal velocities but not at maximal v. Hand slip was found to be lower for adults [-0.19 (0.14) and -0.36 (0.18) m for adults and children respectively, P<0.05]. Thirty per cent of the variations in slip could be attributed to propelling size. Increased propelling surface reduces SR and increases SL. It was concluded that adults have a lower SR both at absolute and size relative velocities compared to children; the causes could not be attributed to differences in body size, but probably the propelling size and swimming technique make the adults more effective swimmers.

Adolescent↗
PubMed2003

Intermittent normobaric hypoxia does not alter performance or erythropoietic markers in highly trained distance runners.

This study was designed to test the hypothesis that intermittent normobaric hypoxia at rest is a sufficient stimulus to elicit changes in physiological measures associated with improved performance in highly trained distance runners. Fourteen national-class distance runners completed a 4-wk regimen (5:5-min hypoxia-to-normoxia ratio for 70 min, 5 times/wk) of intermittent normobaric hypoxia (Hyp) or placebo control (Norm) at rest. The experimental group was exposed to a graded decline in fraction of inspired O2: 0.12 (week 1), 0.11 (week 2), and 0.10 (weeks 3 and 4). The placebo control group was exposed to the same temporal regimen but breathed fraction of inspired O2 of 0.209 for the entire 4 wk. Subjects were matched for training history, gender, and baseline measures of maximal O2 uptake and 3,000-m time-trial performance in a randomized, balanced, double-blind design. These parameters, along with submaximal treadmill performance (economy, heart rate, lactate, and ventilation), were measured in duplicate before, as well as 1 and 3 wk after, the intervention. Hematologic indexes, including serum concentrations of erythropoietin and soluble transferrin receptor and reticulocyte parameters (flow cytometry), were measured twice before the intervention, on days 1, 5, 10, and 19 of the intervention, and 10 and 25 days after the intervention. There were no significant differences in maximal O2 uptake, 3,000-m time-trial performance, erythropoietin, soluble transferrin receptor, or reticulocyte parameters between groups at any time. Four weeks of a 5:5-min normobaric hypoxia exposure at rest for 70 min, 5 days/wk, is not a sufficient stimulus to elicit improved performance or change the normal level of erythropoiesis in highly trained runners.

Adult↗
PubMed2003

Differences in the energy cost between children and adults during front crawl swimming.

There is little information available about the swimming economy of children. The aim of this study was to examine any possible differences in swimming economy in children and adults, swimming front crawl submaximally. Swimming economy was compared in adults [ n=13, aged 21.4 (3.7) years] and children [n=10, aged 11.8 (0.8) years] tested at four submaximal 6-min workloads. Oxygen consumption (VO2) was measured with Douglas bags in a 25-m pool and pacer lights were used to control the velocities. Swimming economy was scaled to body size using mass (BM), body surface area (BSA) and body length (BL). Children had lower VO2 (litres per minute) at a given velocity than the adults, with 1.86 (0.28) and 2.39 (0.20) l min(-1) respectively (at 1.00 m s(-1)). When scaling for size, children had higher VO2 measured in litres per square metre per minute and millilitres per kilogram per minute (divided by BSA and BM) than adults. The VO2 divided by BL was found not to differ between the two groups. The O2 cost of swimming 1 m at a velocity of 1.00 m s(-1) was lower in the children [31.0 (4.6) ml m(-1)] than in the adults [39.9 (3.3) ml m(-1) P<0.01], probably due to a lower total drag in the children. The results also showed that for children a relationship between swimming velocity cubed and VO2 exists as shown earlier for adults. It is concluded that, when scaling for BSA and BM, children are less economical than adults, when scaling for BL, children are equally economical, and when considering energy cost per metre and absolute VO2, children are more economical than the adults.

Adult↗
PubMed2003

Discrepancy between cardiorespiratory system and skeletal muscle in elite cyclists after hypoxic training.

BACKGROUND: The purpose of this study was to determine the effects of hypoxic training on the cardiorespiratory system and skeletal muscle among well-trained endurance athletes in a randomized cross-over design. METHODS: Eight junior national level competitive cyclists were separated into two groups; Group A trained under normoxic condition (21% O2) for 2 hours/day, 3 days/week for 3 weeks while Group B used the same training protocol under hypoxic condition (15% O2). After 3 weeks of each initial training condition, five weeks of self-training under usual field conditions intervened before the training condition was switched from NT to HT in Group A, from HT to NT in Group B. The subjects were tested at sea level before and after each training period. O2 uptake (O2), blood samples, and muscle deoxygenation were measured during bicycle exercise test. RESULTS AND DISCUSSION: No changes in maximal workload, arterial O2 content, O2 at lactate threshold and O2max were observed before or after each training period. In contrast, deoxygenation change during submaximal exercise in the vastus lateralis was significantly higher at HT than NT (p < 0.01). In addition, half time of oxygenation recovery was significantly faster after HT (13.2 PlusMinus; 2.6 sec) than NT (18.8 PlusMinus; 2.7 sec) (p < 0.001). CONCLUSIONS: Three weeks of HT may not give an additional performance benefit at sea level for elite competitive cyclists, even though HT may induce some physiological adaptations on muscle tissue level.

Journal Article↗
PubMed2003

Abnormal hematologic profiles in elite cross-country skiers: blood doping or?

OBJECTIVE: There is widespread public concern about fairness in sports. Blood doping undermines fairness and places athletes' health at risk. The purpose of this study was to examine the prevalence of abnormal hematologic profiles in elite cross-country skiers, which may indicate a high probability of blood doping. SETTING AND PARTICIPANTS: Samples were obtained as part of routine International Ski Federation blood testing procedures from participants at the World Ski Championships. Sixty-eight percent of all skiers and 92% of those finishing in the top 10 places were tested. MAIN OUTCOME MEASURES: Using flow cytometry, we analyzed erythrocyte and reticulocyte indices. Reference values were from the 1989 Nordic Ski World Championships data set and the International Olympic Committee Erythropoietin 2000 project. RESULTS: Of the skiers tested and finishing within the top 50 places in the competitions, 17% had "highly abnormal" hematologic profiles, 19% had "abnormal" values, and 64% were normal. Fifty percent of medal winners and 33% of those finishing from 4th to 10th place had highly abnormal hematologic profiles. In contrast, only 3% of skiers finishing from 41st to 50th place had highly abnormal values. CONCLUSIONS: These data suggest that blood doping is both prevalent and effective in cross-country ski racing, and current testing programs for blood doping are ineffective. It is unlikely that blood doping is less common in other endurance sports. Ramifications of doping affect not only elite athletes who may feel compelled to risk their health but also the general population, particularly young people.

Doping in Sports↗
PubMedDate not supplied

Search for genetic determinants of individual variability of the erythropoietin response to high altitude.

There is marked variability in the erythropoietin (Epo) and erythrocytic response to extreme high altitude among mountain dwellers, as well as to hypoxic training among athletes, at least in part because of the variation in the erythropoietic response to hypoxia. We hypothesized that this may be genetically determined. Forty-eight athletes were exposed to 24 h of simulated altitude to 2,800 m in a hypobaric chamber. Serum Epo concentrations were determined at baseline and after 24 h. The Epo responses ranged from -41 to 433% of baseline values after 24 h at simulated altitude. The association of the Epo response to hypoxia with the EPO gene and eight genes involved in Epo regulation utilizing 16 polymorphic dinucleotide repeats was examined. Initial analysis showed a possible association between the EPO gene (marker D7S477) and the increase of the Epo level (P = 0.018). We then tested the possibility that sequence abnormalities in the 3' and 5' hypoxia response elements (3' HRE) and (5' HRE) of the EPO gene could explain the differences in Epo response. We found a 3434 C --> T polymorphism in the 3' HRE sequence. However, this polymorphism showed no correlation with the differences in Epo levels. Further, when we analyzed two additional markers flanking the EPO gene by less than 0.3 cM, we found no association of the allelic variants at these loci with the Epo hypoxic response. In conclusion, we could find not convincing association between markers tightly linked to EPO or eight genes involved in Epo regulation and Epo differential responses to hypoxia.

Adult↗