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1 Department of Physiology, Kyoto Prefectural University of Medicine, Kamigyo-ku, Kyoto 602-0841; and 2 Department of Sports Medicine, Shinshu University School of Medicine, Matsumoto 390-8621, Japan
To test the
hypothesis that acute hypoxia does not modify the relationship between
plasma vasopressin concentration ([AVP]p) and plasma
osmolality (Posmol) during exercise and that the increase in [AVP]p during exercise is due mainly to the exercise
intensity-dependent increase in Posmol, we examined
[AVP]p during a graded exercise in a hypoxic condition
(13% O2, N2 balance) in seven healthy male subjects. A graded exercise in a normoxic condition on a separate day
served as the control. Hypoxia reduced peak aerobic power (
O2 peak) by 32.4 ± 2.7%. Blood
samples obtained during rest and at around 25, 45, 65, 80, and 100% of
O2 peak of each of the respective
conditions were used for analyses of intravascular water and
electrolyte balance. The pattern of the changes in fluid and
electrolyte balance in response to percent
O2 peak was similar between the two
conditions. Plasma volume decreased linearly as percent
O2 peak increased while
Posmol increased in a curvilinear fashion with a steep
increase occurring at above ~66%
O2 peak. Above this relative exercise
intensity, plasma sodium, potassium, and lactate concentrations also
increased, whereas plasma bicarbonate concentration decreased. Thus
transvascular fluid movement at above ~66%
O2 peak was due to the net efflux of
hypotonic fluid out of the vascular space in both conditions. The
relationship between [AVP]p and Posmol during
exercise in response to relative exercise intensity was similar between
the two conditions. The results indicate that acute mild hypoxia itself
has no direct effect on vasopressin release, and it does not modify the
relationship between [AVP]p and Posmol during
exercise. The results also support the hypothesis that exercise-induced
vasopressin release is primarily stimulated by increased
Posmol produced by hypotonic fluid movement out of the
vascular space in a relative exercise intensity-dependent manner.
arginine vasopressin; plasma osmolality; plasma volume; normobaric hypoxia; exercise intensity
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