Biomedical subjects

K B Pandolf

Publications and source records attributed to K B Pandolf.

At least 55 records · Page 3Linked to original sources

PubMed1992

Erythrocyte, plasma, and blood volume of healthy young men.

Insufficient data are readily available concerning the vascular fluid volumes of healthy young men. The primary purpose of this study was to develop a normative database for the erythrocyte volume, plasma volume, and blood volume of healthy young men. The secondary purposes were to relate these vascular fluid volumes to the person's body size and physical fitness level and to develop equations that enable their prediction. Fifty-one male soldiers with a mean age of 22 (range 18-35) yr and with a mean maximal aerobic power of 53 (range 42-65) ml O2.kg-1.min-1 had their lean body mass and vascular fluid volumes measured. Erythrocyte volume was measured by 51Cr, and plasma volume was measured by 125I. The findings concerning the erythrocyte volume, plasma volume, and blood volume of these young men are summarized as follows: 1) these vascular fluid volumes are accurately predicted from several indices of body size; 2) lean body mass is the anthropometric index that is most closely correlated to these vascular fluid volumes; 3) the erythrocyte volumes for a given body surface area are lower, particularly for large individuals, than values previously reported in surveys of undefined populations; 4) aerobic fitness is generally not related to vascular volumes; and 5) F-cell ratio is not related to aerobic fitness.

Adolescent↗

PubMed1991

Aging and heat tolerance at rest or during work.

Collectively, the literature on heat tolerance suggests that middle-aged (45-64 year old) men and women are more work-heat intolerant, and suffer more physiological strain during heat acclimation, than do younger individuals. However, it is unclear whether the age differences in work-heat intolerance and physiological strain during heat acclimation are related to age per se or associated with other factors such as certain disease states, decreased physical activity, and/or lowered aerobic fitness. In contrast, the work-heat tolerance and physiological responses during heat acclimation of habitually active or aerobically trained middle-aged men are the same or better than younger individuals. The reviewed studies emphasize the importance of aerobic fitness and pertinent morphological factors, such as body fat, body weight, and surface area in maintaining work-heat tolerance with aging. Recent studies suggest that middle-aged and older men and women may be more susceptible to greater heat strain at physiologically significant levels of dehydration than those younger. However, additional research appears necessary to support this hypothesis. When the effects of chronic debilitating diseases in the elderly (greater than 64 years old) are minimized, their heat tolerance and thermoregulatory responses are comparable to those younger. In fact, healthy and well-acclimated elderly men and women appear to perform as well as those younger during desert walks in dry heat. This review shall discuss experimental observations from previously published studies concerning aging and heat tolerance or the physiological heat strain during heat acclimation at rest or during work; and, will suggest future research efforts needed to advance the area.

Acclimatization↗

PubMed1991

Quantification of conservative endurance times in thermally insulated cold-stressed digits.

The estimation of endurance times of the digits exposed to cold weather is performed by an analytical, one-dimensional cylindrical model. Blood perfusion effects are lumped into a volumetric heat-generation term. Cold-induced vasodilatation (CIVD) effects are not included in the present analysis. Endurance times, defined by a drop in cylinder tip temperature to 5 degrees C, were evaluated. Parameters included in this evaluation were 1) environmental temperatures, 2) thermal insulation applied on the cylinder, 3) length of the cylinder, and 4) diameter of the cylinder. It was found that the lower the ambient temperature, the longer the finger, and the smaller its diameter, then the shorter the endurance time for the same thermal insulation. Results of the model were compared with measured data for a subject not exhibiting CIVD response to cold stress. Conformity of results calculated for an adjusted value of the volumetric heat-generation term and measured data was very good, with a maximum deviation of less than 10% at only one particular point in time. This model facilitates the conservative estimation of lower bounds to thermally insulated fingers and toes exposed to cold stress.

Body Temperature Regulation↗

PubMed1989

Control of thermoregulatory sweating during exercise in the heat.

The purposes of this study were the following: 1) to determine whether erythrocyte infusion alters the control of thermoregulatory sweating and 2) to demonstrate how increases and decreases of both plasma tonicity and blood volume influence the thermoregulatory control parameters of threshold temperature and sweating sensitivity. Six non-heat-acclimated and five heat-acclimated males attempted heat stress tests (HSTs) both before and shortly after (48-96 h) autologous erythrocyte infusion. The non-heat-acclimated subjects were euhydrated for both HSTs, whereas the heat-acclimated subjects were studied in a euhydrated and a hypohydrated (-5% body wt) condition both pre- and postinfusion (500 ml of solution containing approximately 60% hematocrit of autologous erythrocytes). The HSTs consisted of treadmill exercise (335 W.m-2) in a hot (35 degrees C, 45% relative humidity) environment, and esophageal temperature and local sweating rate were continuously measured during 25 min of exercise. These experiments resulted in a matrix of conditions where both plasma tonicity and blood volume were increased or decreased relative to control conditions (euhydration, preinfusion). The findings concerning thermoregulatory sweating during exercise in the heat were summarized as follows: 1) acute polycythemia decreases the threshold temperature and increases the sweating sensitivity, 2) both threshold temperature and sweating sensitivity are increased or decreased from control levels dependent on the combined influence of plasma tonicity and blood volume, and 3) equations are presented that describe how plasma tonicity and blood volume alter threshold temperature and sweating sensitivity values.

Acclimatization↗

PubMed1989

Thermoregulation during cold water immersion is unimpaired by low muscle glycogen levels.

This investigation studied the importance of muscle glycogen levels for body temperature regulation during cold stress. Physiological responses of eight euglycemic males were measured while they rested in cold (18 degrees C, stirred) water on two separate occasions. The trials followed a 3-day program of diet and exercise manipulation designed to produce either high (HMG) or low (LMG) preimmersion glycogen levels in the muscles of the legs, arms, and upper torso. Preimmersion vastus lateralis muscle glycogen concentrations were lower during the LMG trial (144 +/- 14 mmol glucose/kg dry tissue) than the HMG trial (543 +/- 53 mmol glucose/kg dry tissue). There were no significant differences between the two trials in shivering as reflected by aerobic metabolic rate or in the amount of body cooling as reflected by changes in rectal temperature during the immersions. Postimmersion muscle glycogen levels remained unchanged from preimmersion levels in both trials. Small but significant increases in plasma glucose and lactate concentration occurred during both immersions. Plasma glycerol increased during immersion in the LMG trial but not in the HMG trial. Plasma free fatty acid concentration increased during both immersion trials, but the change was apparent sooner in the LMG immersion. It was concluded that thermoregulatory responses of moderately lean and fatter individuals exposed to cold stress were not impaired by a substantial reduction in the muscle glycogen levels of several major skeletal muscle groups. Furthermore, the data suggest that, depending on the intensity of shivering, other metabolic substrates are available to enable muscle glycogen to be spared.

Adult↗

PubMed1989

Temperature regulation during upper body exercise: able-bodied and spinal cord injured.

This paper will consider human thermoregulatory response differences between upper and lower body exercise. In addition, the thermoregulatory problems of spinal cord injured individuals are examined. For able-bodied individuals, the rise in core temperature is independent of the skeletal muscle mass employed and dependent upon the metabolic rate during exercise. The avenues of heat exchange, however, are different for individuals performing upper body as opposed to lower body exercise. During upper body exercise, there is a greater dry heat loss from the torso; however, no additional heat loss (as compared to lower body exercise) occurs from the exercising arms. If an individual performs upper body exercise in cold water, there will be a greater heat loss and susceptibility to hypothermia than during lower body exercise. A spinal cord injury impairs one's ability to thermoregulate because of: (a) loss of autonomic nervous system control for vasomotor and sudomotor responses in the areas of the insensate skin; (b) a reduced thermoregulatory effector response for a given core temperature; and (c) a loss of skeletal muscle pump activity from the paralyzed limbs. As a result, a spinal cord injured person has a reduced ability to tolerate thermal extremes and to perform aerobic exercise. Surprisingly little research, however, has focused on the ability of the disabled to thermoregulate during exercise. Recent data suggest that rectal temperature measurements may underestimate the thermal burden imposed on wheelchair athletes during competition.

Arm↗

PubMed1989

Human intravascular immunoglobulin responses to exercise-heat and hypohydration.

Several investigators have suggested that prolonged exercise and hypohydration alter the intravascular mass of immunoglobulins. Those studies, however, have methodological concerns which make generalizations from their data very tenuous. This study examined the effects of prolonged moderate intensity exercise in the heat and hypohydration on changes in the intravascular mass of immunoglobulins. Five heat-acclimated males attempted two Heat Stress Tests (HSTs). One HST was completed when subjects were euhydrated and the other HST when subjects were hypohydrated (-5% from base line body weight). The HSTs consisted of 30 min of rest in a 20 degrees C antechamber, followed by a 120-min exposure (2 repeats of 15 min rest and 45 min walking) in a hot (35 degrees C, 45% rh) environment. The following observations were made concerning immunoglobulin responses to hypohydration and exercise-heat stress: a) the changes in concentrations (mg.dl-1) of the measured immunoglobulins were often a reflection of changes in the plasma volume; b) hypohydration increased the intravascular mass (g) of the complement enzyme C3 during resting conditions, but did not alter the intravascular mass of IgG, IgA, and IgM, and c) prolonged treadmill exercise in the heat, when either euhydrated or hypohydrated, did not alter the intravascular mass of IgG, IgA, IgM, and C3. These data indicate that the intravascular mass of immunoglobulins does not change during prolonged moderate intensity exercise in the heat, and that hypohydration results in a translocation of C3 to the intravascular space. In addition, these data indicate that immunoglobulins do not provide a stress index for hypohydration.

Adult↗

PubMed1989

Influence of clothing and body-fat insulation on thermal adjustments to cold-water stress.

Male volunteers were divided into a low body fat (L) group (X = 10.6%, N = 5) and moderate fat (M) group (X = 18.6%, N = 5). Each was dressed in both dry suit plus medium insulation undergarment (DS-M) and dry suit plus heavy insulation (DS-H) and immersed in 10 and 15 degrees C water for 3 h. In 10 degrees C water, through not significantly different, rectal temperature (Tre) at h 3 was slightly higher in M (DS-M 36.4 degrees C, DS-H 36.5 degrees C) compared with L (DS-M 35.9 degrees C, DS-H 36.3 degrees C), whereas mean skin temperature (Tsk) and metabolic rate (MR) were in general, slightly lower for M(DS-M 23.6 degrees C, 184 W; DS-H 25.5 degrees C, 147 W, respectively). Over time the metabolic and thermal responses tended to stabilize after 120 min of immersion in both groups. Similar responses were observed in 15 degrees C water. These data suggested that despite the variation in body fatness, minimal thermal differences between groups were noted because of the attenuating effects of the insulated clothing.

Adaptation, Biological↗

PubMed1988

Polycythemia and hydration: effects on thermoregulation and blood volume during exercise-heat stress.

We studied the effects of autologous erythrocyte infusion on thermoregulation and blood volume during exercise in the heat. Specifically, we wanted to determine whether heat-acclimated subjects, as well as hypohydrated subjects, would have a thermoregulatory advantage from acute polycythemia during exercise in the heat. Five heat-acclimated males attempted four heat stress tests (HSTs): two pre- and two postinfusion. Autologous erythrocyte infusion was accomplished with 500 ml of a NaCl-glucose-phosphate solution containing approximately 60% hematocrit. One HST, both pre- and postinfusion, was done while subjects were euhydrated, and one HST was done while subjects were hypohydrated (-5% of body wt). After 30 min of rest in a 20 degrees C antechamber, the HST consisted of a 120-min exposure (2 repeats of 15 min rest and 45 min walking) in a hot (35 degrees C, 45% relative humidity) environment. The findings concerning acute polycythemia in heat-acclimated subjects are summarized: 1) polycythemia increased (P less than 0.05) sweating rate and reduced (P less than 0.01) core temperature during exercise-heat stress for both euhydrated and hypohydrated subjects; 2) the erythrocyte infusion caused an increased (P less than 0.05) plasma volume and increased (P less than 0.01) blood volume; 3) the increased plasma volume was associated with an increased (P less than 0.05) total circulating protein mass; 4) the increased total circulating protein mass tended to better maintain plasma volume when hypohydrated; and 5) heat acclimation may increase extravascular protein mass. Therefore, it is concluded that erythrocyte infusion provides a thermoregulatory advantage during exercise in the heat for heat acclimated subjects when both euhydrated and hypohydrated.

Acclimatization↗

PubMed1988

Thermoregulatory model for immersion of humans in cold water.

The mathematical models of thermoregulation of Stolwijk and Hardy, and Montgomery were used to develop a model suitable for the simulation of human physiological responses to cold-water immersion. Data were obtained from experiments where 13 healthy male volunteers were totally immersed under resting and nude conditions for 1 h in water temperatures of 20 and 28 degrees C. At these temperatures, the mean measured rectal temperature (Tre) fell by approximately 0.9 and 0.5 degrees C, respectively, yet mean measured metabolic rate (M) rose by approximately 275 and 90 W for the low body fat group (n = 7) and 195 and 45 W for the moderate body fat group (n = 6). To predict the observed Tre and M values, the present model 1) included thermal inputs for shivering from the skin independent of their inclusion with the central temperature to account for the observed initial rapid rise in M, 2) determined a thermally neutral body temperature profile such that the measured and predicted initial values of Tre and M were matched, 3) confined the initial shivering to the trunk region to avoid an overly large predicted initial rate of rectal cooling, and 4) calculated the steady-state convective heat loss by assuming a zero heat storage in the skin compartment to circumvent the acute sensitivity to the small skin-water temperature difference when using conventional methods. The last three modifications are unique to thermoregulatory modeling.

Body Temperature Regulation↗

PubMed1988

Thermoregulatory responses of middle-aged and young men during dry-heat acclimation.

Thermoregulatory responses during heat acclimation were compared between nine young (mean age 21.2 yr) and nine middle-aged men (mean age 46.4 yr) who were matched (P greater than 0.05) for body weight, surface area, surface area-to-weight ratio, percent body fat, and maximal aerobic power. After evaluation in a comfortable environment (22 degrees C, 50% relative humidity), the men were heat acclimated by treadmill walking (1.56 m/s, 5% grade) for two 50-min exercise bouts separated by 10 min of rest for 10 consecutive days in a hot dry (49 degrees C ambient temperature, 20% relative humidity) environment. During the first day of heat exposure performance time was 27 min longer (P less than 0.05) for the middle-aged men, whereas final rectal and skin temperatures and heart rate were lower, and final total body sweat loss was higher (P less than 0.05) compared with the young men. These thermoregulatory advantages for the middle-aged men persisted for the first few days of exercise-heat acclimation (P less than 0.05). After acclimation no thermoregulatory or performance time differences were observed between groups (P greater than 0.05). Sweating sensitivity, esophageal temperature at sweating onset, and the sweating onset time did not differ (P greater than 0.05) between groups either pre- or postacclimatization. Plasma osmolality and sodium concentration were slightly lower for the young men both pre- and postacclimatization; however, both groups had a similar percent change in plasma volume from rest to exercise during these tests.(ABSTRACT TRUNCATED AT 250 WORDS)

Adaptation, Physiological↗

PubMed1988

Prediction of human thermoregulatory responses and endurance time in water at 20 and 24 degrees C.

A multi-compartmental mathematical model for predicting human thermoregulatory responses was applied to immersion in moderately cold water. Data were used from experiments where eight healthy male volunteers were immersed nude and up to the neck for 1 h in water at 20 and 24 degrees C under conditions of rest and exercise. Rectal temperature and metabolic rate were measured before and during immersion. Once agreement between the model prediction and experimental observation was obtained, the model was used for prediction beyond the duration of the experiment. Stabilization of core temperature was predicted after 4-5 h of immersion for rest and after 2-4 h for exercise. Stabilization for resting individuals has been observed in other experiments under similar conditions. These results suggest that linear extrapolations based on linear body cooling rates are inadequate for predicting endurance times in moderately cold water. In this study, predicted endurance times were based on the concept of relative exercise intensity and are in agreement with the limited data available.

Body Temperature Regulation↗

PubMed1988

Role of body fat in the prediction of the metabolic response for immersion in cold water.

Several empirical models for predicting the metabolic response to a lowered body temperature have been evaluated against available data of young healthy males immersed in cold water under resting conditions. Nude immersions took place in 20 and 24 degrees C water for 1 h, and clothed immersions took place in 10 and 15 degrees C for 3 h. The data were pooled according to low and high percent body fat (%BF). Decreases in the mean weighted skin temperature (Tsk) ranged from 5.3 to 11.9 degrees C and decreases in the core temperature (Tc) ranged from 0.56 to 1.54 degrees C, while increases in the metabolic rate over the immersion period ranged from 34 to 256 W. Through regression analysis, an inverse relationship between %BF and the metabolic response for a given lowered Tsk and lowered Tc was established. When this relationship was explicitly applied to the models, significant improvements in their predictive capability were found. Variables such as body weight, body surface area, and the rate of change of Tsk were not found to contribute to the predictive capability of the models.

Adipose Tissue↗

PubMed1988

Respiratory and cardiovascular responses to cold stress following repeated cold water immersion.

The effects of cold acclimation (CA) on the cardiorespiratory responses to cold air and water stress tests (CST) were studied in 7 males before and after a CA program of daily 90-min cold water (18 degrees C) immersions repeated 5 times a wk for 5 consecutive wk. The CST consisted of a 90-min resting exposure to cold air (5 degrees C, 30% relative humidity) or water (18 degrees C) during which rectal temperature, oxygen consumption (VO2), carbon dioxide production (VCO2), minute ventilation (VE), heart rate, cardiac output (Q), and blood pressure (BP) were periodically measured. In cold air following CA, the VO2 at 10 min was lower (P less than 0.02) post- than pre-CA, however, no differences were found in cold water. The VE increased (P less than 0.01) during CST as a function of VCO2. The CA did not affect the VE-VCO2 relationship or the pattern of breathing during CST in cold air or water. The CA had no effect on Q or (a-v) O2 difference, which both increased (P less than 0.01) during the first 45 min of CST, then remained stable. BP increased significantly during the first cold water exposure, but not during the last cold water immersion. These data indicate that CA attenuated the onset of metabolic heat production during CST in air but did not alter its ultimate magnitude or the relationships between the cardiorespiratory variables and metabolic requirements. Also, the thermoregulatory adjustments associated with CA altered the control of blood pressure during acute cold stress.

Acclimatization↗

PubMed1987

Erythrocyte reinfusion and maximal aerobic power. An examination of modifying factors.

Induced erythrocythemia is associated with a variable increase in maximal oxygen uptake. To examine the roles of the magnitude of change in hemoglobin concentration and the individual's initial aerobic fitness in this effect, we combined individual data from our own research and three other studies. In each study freeze-preserved erythrocytes from the product of 2 units of blood were reinfused, and maximal oxygen uptake was measured within 24 to 72 hours after reinfusion. The 30 subjects had an initial aerobic power of 36 to 88 mL of oxygen per kilogram per minute. The combined results from these studies indicate that after erythrocyte reinfusion the increase in hemoglobin concentration is fairly homogeneous (mean +/- SD, 1.36 +/- 0.6 g/dL [13.6 +/- 6 g/L]), nearly all individuals demonstrate an increase in maximal oxygen uptake (0.357 +/- 0.216 L/min), the magnitude of increase in hemoglobin concentration is not related to the magnitude of increase in maximal oxygen uptake, and the magnitude of increase in maximal oxygen uptake is related to the individual's initial aerobic fitness. Individuals with an initial aerobic fitness between 50 and 65 mL X kg-1 X min-1 experience approximately twice the increase in maximal oxygen uptake after erythrocyte reinfusion of individuals with greater fitness and also of lesser fitness.

Aerobiosis↗

PubMed1987

Predicting metabolic cost of running with and without backpack loads.

In the past, a mathematical equation to predict the metabolic cost of standing or walking (Mw) was developed. However, this equation was limited to speeds less than 2.2 m.s-1 and overestimated the metabolic cost of walking or running at higher speeds. The purpose of this study was, therefore, to develop a mathematical model for the metabolic cost of running (Mr), in order to be able to predict the metabolic cost under a wide range of speeds, external loads and grades. Twelve male subjects were tested on a level treadmill under different combinations of speed and external load. Speed varied between 2.2 to 3.2 m.s-1 using 0.2 m.s-1 intervals and external loads between 0-30 kg with 10 kg intervals. Four of the subjects were also tested at 2 and 4% incline while speed and load remained constant (2.4 m.s-1, 20 kg). The model developed is based on Mw and is proportionately linear with external load (L) carried as follows: Mr = Mw-0.5 (1-0.01L)(Mw -15L-850), (watt) The correlation coefficient between predicted and observed values was 0.99 (P less than 0.01) with SER of 7.7%. The accuracy of the model was validated by its ability to predict the metabolic cost of running under different conditions extracted from the literature. A highly significant correlation (r = 0.95, P less than 0.02, SER = 6.5%) was found between our predicted and the reported values. In conclusion, the new equation permits accurate calculation of energy cost of running under a large range of speeds, external loads and inclines.

Adult↗

PubMed1987

Influence of polycythemia on blood volume and thermoregulation during exercise-heat stress.

We studied the effects of autologous erythrocyte infusion on blood volume and thermoregulation during exercise in the heat. By use of a double-blind design, nine unacclimated male subjects were infused with either 600 ml of a NaCl-glucose-phosphate solution containing a approximately 50% hematocrit (n = 6, reinfusion) or 600 ml of this solution only (n = 3, saline). A heat stress test (HST) was attempted approximately 2-wk pre- and 48-h postinfusion during the late spring months. After 30 min of rest in a 20 degrees C antechamber, the HST consisted of a 120-min exposure (2 repeats of 15 min rest and 45 min treadmill walking) in a hot (35 degrees C, 45% rh) environment while euhydrated. Erythrocyte volume (RCV, 51Cr) and plasma volume (PV, 125I) were measured 24 h before each HST, and maximal O2 uptake (VO2max) was measured 24 h after each HST. Generally, no significant effects were found for the saline group. For the reinfusion group, RCV (11%, P less than 0.01) and VO2max (11%, P less than 0.05) increased after infusion, and the following observations were made: 1) the increased RCV was associated with a reduction in PV to maintain the same blood volume as during the preinfusion measurements; 2) polycythemia reduced total circulating protein but did not alter F-cell ratio, plasma osmolality, plasma protein content, or plasma lactate at rest or during exercise-heat stress; 3) polycythemia did not change the volume of fluid entering the intravascular space from rest to exercise-heat stress; and 4) polycythemia tended to reduce the rate of heat storage during exercise-heat stress.

Blood Proteins↗

PubMed1987

Cooling different body surfaces during upper and lower body exercise.

The effect of varying the body surface area being cooled by a liquid microclimate system was evaluated during exercise heat-stress conditions. Six male subjects performed a total of six exercise (O2 uptake = 1.2 l/min) tests in a hot environment (ambient temperature = 38 degrees C, relative humidity = 30%) while dressed in clothing having low moisture permeability and high insulation. Each subject completed two upper body exercise (U; arm crank) tests: 1) with only the torso surface (T) cooled; and 2) with the surfaces of both the torso and upper arms (TA) cooled [coolant temperature at the inlet (Ti) was 20 degrees C for all upper body tests]. Each subject also completed four lower body exercise (L; walking) tests: 1) with only the T cooled (Ti = 20 degrees C); 2) with only the T cooled (Ti = 26 degrees C); 3) with torso, upper arm, and thigh surface (TAT) cooled (Ti = 20 degrees C); and 4) with TAT cooled (Ti = 26 degrees C). During U exercise, TA cooling had no effects compared with cooling only T. During L exercise, sweat rates, heart rates, and rectal temperature (Tre) changes were less with TAT cooling compared with cooling only the T. Altering Ti had no effect on Tre changes, but higher heart rates were observed with 26 than with 20 degrees C. These data indicate that cooling arms during upper body exercise provides no thermoregulatory advantage, although cooling the thigh surfaces during lower body exercise does provide an advantage.

Adult↗