Thermal and metabolic responses to cold-water immersion at knee, hip, and shoulder levels.

To examine the effect of cold-water immersion at different depths on thermal and metabolic responses, eight men (25 yr old, 16% body fat) attempted 12 tests: immersed to the knee (K), hip (H), and shoulder (Sh) in 15 and 25 degrees C water during both rest (R) or leg cycling [35% peak oxygen uptake; (E)] for up to 135 min. At 15 degrees C, rectal (Tre) and esophageal temperatures (Tes) between R and E were not different in Sh and H groups (P > 0.05), whereas both in K group were higher during E than R (P < 0.05). At 25 degrees C, Tre was higher (P < 0.05) during E than R at all depths, whereas Tes during E was higher than during R in H and K groups. Tre remained at control levels in K-E at 15 degrees C, K-E at 25 degrees C, and in H-E groups at 25 degrees C, whereas Tes remained unchanged in K-E at 15 degrees C, in K-R at 15 degrees C, and in all 25 degrees C conditions (P > 0.05). During R and E, the magnitude of Tre change was greater (P < 0.05) than the magnitude of Tes change in Sh and H groups, whereas it was not different in the K group (P > 0.05). Total heat flow was progressive with water depth. During R at 15 and 25 degrees C, heat production was not increased in K and H groups from control level (P > 0.05) but it did increase in Sh group (P < 0.05). The increase in heat production during E compared with R was smaller (P < 0.05) in Sh (121 +/- 7 W/m2 at 15 degrees C and 97 +/- 6 W/m2 at 25 degrees C) than in H (156 +/- 6 and 126 +/- 5 W/m2, respectively) and K groups (155 +/- 4 and 165 +/- 6 W/m2, respectively). These data suggest that Tre and Tes respond differently during partial cold-water immersion. In addition, water levels above knee in 15 degrees C and above hip in 25 degrees C cause depression of internal temperatures mainly due to insufficient heat production offsetting heat loss even during light exercise.

Thermal responses of men and women during cold-water immersion: influence of exercise intensity.

The influence of exercise intensity on thermoregulation was studied in 8 men and 8 women volunteers during three levels of arm-leg exercise (level I: 700 ml oxygen (O2).min-1; level II: 1250 ml O2.min-1; level III: 1700 ml O2.min-1) for 1 h in water at 20 and 28 degrees C (Tw). For the men in Tw 28 degrees C the rectal temperature (Tre) fell 0.79 degree C (P less than 0.05) during immersion in both rest and level-I exercise. With level-II exercise a drop in Tre of 0.54 degree C (P less than 0.05) was noted, while at level-III exercise Tre did not change from the pre-immersion value. At Tw of 20 degrees C, Tre fell throughout immersion with no significant difference in final Tre observed between rest and any exercise level. For the women at rest at Tw 28 degrees C, Tre fell 0.80 degree C (P less than 0.05) below the pre-immersion value. With the two more intense levels of exercise Tre did not decrease during immersion. In Tw 20 degrees C, the women maintained higher Tre (P less than 0.05) during level-II and level-III exercise compared to rest and exercise at level I. The Tre responses were related to changes in tissue insulation (I(t)) between rest and exercise with the largest reductions in I(t) noted between rest and level-I exercise across Tw and gender. For mean and women of similar percentage body fat, decreases in Tre were greater for the women at rest and level-I exercise in Tw 20 degrees C (P less than 0.05).(ABSTRACT TRUNCATED AT 250 WORDS)

Lipid and lipoprotein profiles relate to peak aerobic power in spinal cord injured men.

The relationship between peak VO2 and serum lipids, lipoproteins, and apolipoproteins was assessed in nine traumatic spinal cord injured (SCI), active, male volunteers. Mean (SD) age, height, and weight were 30.6 (11.6) yr, 171.1 (11.3) cm, and 74.2 (12.5) kg, respectively. Peak VO2 (X = 2.13 l.min-1) was assessed by a graded arm-crank test to maximum, percent body fat (X = 28.7%) by densitometry, and lipid profile by measures of serum triglycerides, total cholesterol (TC), high and low density lipoprotein cholesterol (HDL-C and LDL-C, respectively), apolipoproteins (apoA-1, apoB), and various ratios of lipids, lipoproteins, and apolipoproteins. Significant inverse relationships emerged between peak VO2 and TC/HDL-C (r = -0.86; P less than 0.01), apoB/apoA-1 (r = -0.75; P less than 0.05), triglycerides (r = -0.73; P less than 0.05), and LDL-C/HDL-C (r = -0.72; P less than 0.05). Direct correlations (P less than 0.05) were demonstrated between peak VO2 and apoA-1/apoB (r = 0.71) and HDL-C/apoA-1 (r = 0.64). The present results indicate that, for active, mid-to-lower thoracic SCI men, the putative atherogenic and antiatherogenic lipid, lipoprotein, and apolipoprotein indices are significantly related to peak VO2 in a manner similar to that described for the able-bodied. These findings indicate the relevance of aerobic fitness assessment in planning CHD prevention strategies for the SCI.

Cardiovascular adjustments to exercise distributed between the upper and lower body.

The present study examined the hemodynamic differences between upper- and lower-body exercise where the total power output (PO) was proportionally distributed between the upper and lower body. Six males completed five combinations of arm-leg exercise at maximal and three submaximal intensities. The ratio of arm PO to total PO for each exercise combination was 0, 25, 50, 75, and 100%. At each submaximal intensity, VO2 and cardiac output (Q) were not different (P greater than 0.05) across exercise combinations. Likewise, heart rate (HR) responses were not different for 0, 25, 50, and 75% at level 1 (mean = 102, 102, 106, 106 beats.min-1, respectively), level 2 (mean = 114, 110, 119, 118 beats.min-1, respectively), and level 3 (mean = 127, 124, 132, 131 beats.min-1, respectively). However, HR for 100% (arm-only exercise) tended to be higher than 0% at level 1 (delta HR = 10 beats.min-1; P less than 0.10), level 2 (delta HR = 12 beats.min-1, P less than 0.06) and level 3 (delta HR = 10 beats.min-1; P less than 0.06). At level 1, stroke volume (SV) remained essentially unchanged from 0-75%, while SV at 100% (108 ml) was slightly though not significantly lower (P less than 0.10) than 0% (125 ml). At exercise levels 2 and 3, SV remained unchanged for 0 and 25%; however, SV at 50, 75, and 100% were generally lower (P less than 0.05) compared with 0%. These results indicate that involving the leg musculature to varying degrees during arm-leg exercise attenuates the hemodynamic differences observed during strict upper body versus strict lower body exercise.

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.

Perceptual and physiological responses during exercise in cool and cold water.

This investigation examined the interaction of exposure to cold water stress with both perceived exertion and thermal sensation during exercise. Eight male volunteers performed arm, leg, and combined arm and leg exercise for 45 min. in water at 20 and 26 degrees C. Exercise was performed at a low (n = 7) and a high (n = 8) intensity relative to the ergometer specific peak oxygen uptake (VO2 peak). In general, percent VO2 peak did not differ between types of exercise in either 20 or 26 degrees C water. During low intensity exercise when power output was matched across water temperatures (Tw), percent VO2 peak was greater in 20 degrees C water (52%) compared to 26 degrees C water (42%). Ratings of perceived exertion (RPE) did not differ between Tw. During high intensity exercise when percent VO2 peak was matched across Tw, RPE was lower during exercise in 20 degrees C compared to 26 degrees C. Multiple correlation analyses comparing both final RPE and thermal sensation (TS) with physiological and thermal measures were performed across type of exercise and Tw. RPE was moderately correlated with heart rate (r = 0.68) and ventilation (r = 0.61), whereas very slight relationships were established with TS (r = 0.16), skin and rectal temperatures (r = 0.10 and r = 0.20). TS was moderately correlated with skin and rectal temperatures (r = 0.64 and r = 0.73), whereas low correlations existed between TS and both heart rate (r = 0.32) and ventilation (r = -0.12). These data suggest that the change in oxygen uptake associated with exercise in cold water does not add to the over-all perception of exertion. This perception appears to be related to cardiopulmonary variables rather than thermal measures, whereas thermal sensation is related to thermal measures and not cardiopulmonary variables.

Effects of body mass and morphology on thermal responses in water.

Ten male volunteers were divided into two groups based on body morphology and mass. The large-body mass (LM) group (n = 5) was 16.3 kg heavier and 0.22 cm2 X kg-1 X 10(-2) smaller in surface area-to-mass ratio (AD X wt-1) (P less than 0.05) than the small-body mass (SM) group (n = 5). Both groups were similar in total body fat and skinfold thicknesses (P greater than 0.05). All individuals were immersed for 1 h in stirred water at 26 degrees C during both rest and one intensity of exercise (metabolic rate approximately 550 W). During resting exposures metabolic rate (M) and rectal temperature (Tre) were not different (P greater than 0.05) between the LM and SM groups at min 60. Esophageal temperature (Tes) was higher (P less than 0.05) for the SM group at min 60, although the change in Tes during the 60 min between groups was similar (LM, -0.4 degrees C; SM, -0.2 degrees C). Tissue insulation (I) was lower (P less than 0.05) for SM (0.061 degrees C X m-2 X W-1) compared with the LM group (0.098 degrees C X m-2 X W-1). During exercise M, Tre, Tes, and I were not different (P greater than 0.05) between groups at min 60. These data illustrate that a greater body mass between individuals increases the overall tissue insulation during rest, most likely as a result of a greater volume of muscle tissue to provide insulation.(ABSTRACT TRUNCATED AT 250 WORDS)

Comparison of thermal responses between rest and leg exercise in water.

This study examined both the thermal and metabolic responses of individuals in cool (30 degrees C, n = 9) and cold (18 degrees C, n = 7; 20 degrees C, n = 2) water. Male volunteers were immersed up to the neck for 1 h during both seated rest (R) and leg exercise (LE). In 30 degrees C water, metabolic rate (M) remained unchanged over time during both R (115 W, 60 min) and LE (528 W, 60 min). Mean skin temperature (Tsk) declined (P less than 0.05) over 1 h during R, while Tsk was unchanged during LE. Rectal (Tre) and esophageal (Tes) temperatures decreased (P less than 0.05) during R (delta Tre, -0.5 degrees C; delta Tes, -0.3 degrees C) and increased (P less than 0.05) during LE (delta Tre, 0.4 degrees C; Tsk, 0.4 degrees C). M, Tsk, Tre, and Tes were higher (P less than 0.05) during LE compared with R. In cool water, all regional heat flows (leg, chest, and arm) were generally greater (P less than 0.05) during LE than R. In cold water, M increased (P less than 0.05) over 1 h during R but remained unchanged during LE. Tre decreased (P less than 0.05) during R (delta Tre, -0.8 degrees C) but was unchanged during LE. Tes declined (P less than 0.05) during R (delta Tes, -0.4 degrees C) but increased (P less than 0.05) during LE (delta Tes, 0.2 degrees C). M, Tre, and Tes were higher (P less than 0.05), whereas Tsk was not different during LE compared with R at 60 min.(ABSTRACT TRUNCATED AT 250 WORDS)

Specificity of arm training on aerobic power during swimming and running.

The specificity of aerobic training for upper-body exercise requiring differing amounts of muscle mass was evaluated in 25 college-aged male recreational swimmers who were randomly assigned to either a non-training control group (N = 9), a 10-wk swim(S)-training group (N = 9), or a group that trained with a standard swim-bench pulley system (SB; N = 7). For all subjects prior to training, tethered-swimming peak VO2 averaged 19% below treadmill values (P less than 0.01), while SB-ergometry peak VO2 was 50% and 39% below running and swimming values, respectively (P less than 0.01). Significant (P less than 0.01) increases of peak VO2 in tethered swimming (11%) and SB (21%) were observed for the SB-trained group, while the S-trained group improved (P less than 0.01) 18% and 19% on the tethered swimming and SB tests, respectively. No changes were observed during treadmill running, and the control subjects remained unchanged on all measures. Comparisons between training groups indicated that although both groups improved to a similar extent when measured on the swim bench, the 0.53 l X min-1 improvement in tethered-swimming peak VO2 for the S-trained group was greater (P less than 0.05) than the 0.32 l X min-1 increase noted for the SB-trained group. The comparisons between SB and S exercise vs treadmill exercise support the specificity of aerobic improvement with training and suggest that local adaptations contribute significantly to improvements in peak VO2. Furthermore, the present data indicate that SB exercise activates a considerable portion of the musculature involved in swimming, and that aerobic improvements with SB training are directly transferred to swimming.

Aerobic fitness and the hypohydration response to exercise-heat stress.

This study examined the influence that aerobic fitness (VO2 max) had on final heart rate (HR), final rectal temperature (Tre), and total body sweat rate (Msw) when subjects exercised while euhydrated and hypohydrated (-5.0% from baseline body weight). Eight male and six female subjects completed four exercise tests both before and after a 10-d heat acclimation program. The tests were a euhydration and a hypohydration exposure conducted in a comfortable (20 degrees C, 40% rh) and in a hot-dry (49 degrees C, 20% rh) environment. Significant differences were not generally found between the genders for HR, Tre and Msw during the tests. In the comfortable environment, HR, Tre and Msw were not generally significantly correlated (p greater than 0.05) with VO2max. In the hot-dry environment, Tre and VO2max were significantly correlated (r = -0.58) when euhydrated before acclimation. HR was significantly related to VO2max before acclimation when eu- (r = -0.61) and hypohydrated (r = -0.60) as well as after acclimation when eu- (r = -0.57) and hypohydrated (r = -0.67). These data indicate that, when euhydrated in the heat, aerobic fitness provides cardiovascular and thermoregulatory benefits before acclimation, but only cardiovascular benefits after acclimation. However, when hypohydrated in the heat, cardiovascular benefits are present for fit subjects both before and after acclimation, but thermoregulatory benefits are not associated with fitness.

Thermal adjustment to cold-water exposure in resting men and women.

Thermoregulatory responses were studied in 10 men and 8 women at rest in air and during 1-h immersion in water at 20, 24, and 28 degrees C. For men of high body fat (27.6%), rectal temperature (Tre) and oxygen consumption (VO2) were maintained at air values at all water temperatures (Tw). For men of average (16.8%) and low (9.2%) fat the change in Tre (delta Tre) was inversely related to body fat at all Tw with VO2 increasing to 1.07 l X min-1 for a -1.6 degrees C delta Tre for lean men. For women of average (25.2%) and low (18.5%) fat Tre decreased steadily during immersion at all Tw. The greatest changes occurred at 20 degrees C with little differences in delta Tre and VO2 noted between these groups of women. In comparison with males of similar percent fat, Tre dropped to a greater extent (P less than 0.05) in females at 20 and 24 degrees C. Stated somewhat differently, lean women with twice the percentage of fat have similar delta Tre as lean men at all Tw. For delta Tre greater than -1.0 degree C men showed significantly greater (P less than 0.05) thermogenesis compared with women. The differences in thermoregulation between men and women during cold stress at rest may be due partly to the sensitivity of the thermogenic response as well as the significant differences in lean body weight and surface area-to-mass ratio between the sexes.

Thermal adjustment to cold-water exposure in exercising men and women.

Thermoregulatory responses were studied in 10 men and 8 women during 36-W exercise for 1 h in air and water at 20, 24, and 28 degrees C. Men were classified as high (27.6%; n = 2), average (16.8%; n = 4), and low (9.2%; n = 4) percent body fat, whereas women were classified as average (25.2%; n = 4) and low (18.5%; n = 4) fat. For both men and women, exercise of about 1.7 l O2 X min-1 was beneficial in either preventing or retarding the fall in rectal temperature (Tre) observed in a previous study for the same subjects at rest. The greatest thermal strain was noted for the leanest subjects. However, in no instance did exercise facilitate a drop in Tre compared with resting conditions. Despite a larger surface area-to-mass ratio (P less than 0.05) and less effective thermoregulation for women at rest compared with men, essentially similar thermoregulatory responses were observed for both sexes during exercise at each water temperature. For both the men and women, the thermoregulatory benefits of exercise were due largely to the added heat production from physical activity. For the female, an additional benefit of exercise may in part be derived from a more favorable distribution of subcutaneous fat over the active musculature.

Thermal responses during arm and leg and combined arm-leg exercise in water.

Thermal and metabolic responses were examined during exposures in stirred water at approximately 20, 26, and 33 degrees C while subjects were performing 45 min of either arm (A), leg (L), or combined arm-leg (AL) exercise. Eight males immersed to the neck completed a low exercise intensity for A exercise and both a low and high exercise intensity for L and AL exercise. During low-intensity exercise, final metabolic rate (M) for A, L, and AL exercise was not different (P greater than 0.05) between exercise type for each water temperature (Tw). In contrast final rectal temperatures (Tre) for A and AL exercise were significantly lower than L values for each Tw during low-intensity exercise. These findings were supported by both mean weighted skin temperature (Tsk) and mean weighted heat flow (Hc) values, which were greater during A than L for each Tw. During high-intensity exercise, final Tre values were lower (P less than 0.05) during AL compared with L exercise across all Tw. Final Tsk and Hc values were not different between each type of exercise, although M was significantly lower during L exercise in 20 degrees C water. These data suggest a greater conductive and convective heat loss during exercise utilizing the arms when compared with leg-only exercise.

Hypohydration and exercise: effects of heat acclimation, gender, and environment.

This study examined the effects of heat acclimation and subject gender on treadmill exercise in comfortable (20 degrees C, 40% rh), hot-dry (49 degrees C, 20% rh), and hot-wet (35 degrees C, 79% rh) environments while subjects were hypo- or euhydrated. Six male and six female subjects, matched for maximal aerobic power and percent body fat, completed two exercise tests in each environment both before and after a 10-day heat acclimation program. One exercise test was completed during euhydration and one during hypohydration (-5.0% from baseline body weight). In general, no significant (P greater than 0.05) differences were noted between men and women at the completion of exercise for rectal temperature (Tre), mean skin temperature (Tsk), or heat rate (HR) during any of the experimental conditions. Hypohydration generally increased Tre and HR values and decreased sweat rate values while not altering Tsk values. In the hypohydration experiments, heat acclimation significantly reduced Tre (0.19 degrees C) and HR (13 beats X min-1) values in the comfortable environment, but only HR values were reduced in hot-dry (21 beats X min-1) and hot-wet (21 beats X min-1) environments. The present findings indicated that men and women respond in a physiologically similar manner to hypohydration during exercise. They also indicated that for hypohydrated subjects heat acclimation decreased thermoregulatory and cardiovascular strain in a comfortable environment, but only cardiovascular strain decreased in hot environments.

Cardiorespiratory responses to exercise distributed between the upper and lower body.

The present study examined the influence that distributing exercise between upper (arm crank exercise) and lower (cycle exercise) body muscle groups had on cardiorespiratory responses to constant power output (PO) exercise. Six male volunteers completed five submaximal exercise bouts of 7-min duration at both 76 and 109 W. The arm PO/total PO (% arm) for these bouts was approximately 0, 20, 40, 60, and 100%. At 76 W, O2 uptake (VO2) did not change (P greater than 0.05) from 0 to approximately 20% arm (approximately 1.30 1 x min-1) but increased with increasing percent arm values up to 100% (1.58 1 x min-1). At 109 W, VO2 increased throughout the range of 0 (1.70 1 x min-1) to 100% arm (2.33 1 x min-1). In general, minute ventilation (VE) and respiratory exchange ratio (R) increased with increased percent arm values at 76 and 109 W. The heart rate (HR) responses remained unchanged from 0 to 60% arm at both 76 and 109 W; however, between 60 and 100% arm, a 26-beats x min-1 increase was observed at 76 W (143 beats x min-1 at 100% arm) and a 45-beats x min-1 increase at 109 W (174 beats x min-1 at 100% arm). These data suggested that during upper body exercise, the increased VO2 associated with increased percent arm values was not accompanied by an elevated HR response when at least 40% of the PO was performed by the lower body. This might be attributed to a facilitated venous return and/or a decreased total peripheral resistance when the lower body was involved in the exercise.

Determination of maximal aerobic power during upper-body exercise.

The purpose of this investigation was to evaluate four protocols for their effectiveness in eliciting maximal aerobic power (peak VO2) during arm-crank exercise. Comparisons were made 1) between a continuous (CON) and an intermittent (INT) protocol (both employed a crank rate of 50 rpm) and 2) among the CON protocols employing crank rates of 30, 50, or 70 rpm. For the first group of experiments no significant (P greater than 0.05) differences were found between the CON and INT protocols for peak VO2, maximal pulmonary ventilation (VEmax), maximal heart rate (HRmax), or maximal blood lactate (LAmax) responses. For the second group of experiments, the CON-50 was compared with the CON-30 and CON-70 protocols. In comparison to the CON-50, significantly higher peak VO2 (+10%) and VEmax (+14%) responses were elicited by the CON-70 protocol, whereas significantly lower peak VO2 (-11%), VEmax (-23%), HRmax (-8%), and LAmax (-29%) responses were elicited by the CON-30 protocol. Of the arm-crank protocols examined the combination of a continuous design and a crank rate of 70 rpm provided the most effective protocol to elicit peak VO2 values.

Auxiliary cooling: comparison of air-cooled vs. water-cooled vests in hot-dry and hot-wet environments.

Water-cooled, air-cooled, and ambient air-ventilated auxiliary cooling vests were evaluated in a hot-wet climate (HW) (35 degrees C, 75% R.H.) and a hot-dry environment (HD) with additional infrared radiation (Ta = 49 degrees C, 20% R.H., 68 degrees C black globe temperature). Twelve subjects dressed in full chemical warfare combat uniforms underwent 120 min of heat exposure in each combination of climate and cooling vest, except for the hot-dry environment and ambient-air vest. During each exposure, total exercise time was 20 min and rest time 100 min. This resulted in a mean time weighted metabolic rate of 180 W. Both water-cooled and air-cooled vests were sufficient for cooling in the HW climate: heat storage (delta S) was 13 and 7 W, final rectal temperature (Tre) 37.4 and 37.3 degrees C, and heart rate (HR) 124 and 112 b . min-1, respectively. While using the ambient-air vest, all variables were significantly (p less than 0.05) higher (delta S, 25 W; Tre, 37.7 degrees C; HR, 139 b . min-1; respectively). In the HD climate, both water and air-cooled vests were insufficient with a delta S of 46 and 48 W, final Tre of 38.4 and 38.3 degrees C, and final HR of 151 and 147 b . min-1. However, both cooling vests improved the subjects' physiological status compared to these predicted variables without auxiliary cooling. No significant differences were found between the air or the water-cooled vests in either the HD or HW climates. It was concluded that an air-cooled vest can be used with the same efficiency as a water-cooled vest. In contrast, the ambient-air vest was shown to have a low effectiveness in HW and to be dangerous in a HD climate.