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Am J Physiol Regul Integr Comp Physiol 275: R286-R290, 1998;
0363-6119/98 $5.00
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Vol. 275, Issue 1, R286-R290, July 1998

Role of plasma osmolality in the delayed onset of thermal cutaneous vasodilation during exercise in humans

Akira Takamata, Kei Nagashima, Hiroshi Nose, and Taketoshi Morimoto

Department of Physiology, Kyoto Prefectural University of Medicine, Kamigyo-ku, Kyoto 602-0841, Japan

    ABSTRACT
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Abstract
Introduction
Methods
Results
Discussion
References

To elucidate the role of increased plasma osmolality (Posmol), which occurs during exercise in the regulation of cutaneous vasodilation (CVD) during exercise, we determined the relationship between the change in esophageal temperature (Delta Tes) required to elicit CVD (Delta Tes threshold for CVD) and Posmol during light and moderate exercise (30 and 55% of peak oxygen consumption, respectively) and passive body heating. Then we compared the relationship with the data obtained in our previous study [A. Takamata, K. Nagashima, H. Nose, and T. Morimoto. Am. J. Physiol. 273 (Regulatory Integrative Comp. Physiol. 42): R197-R204, 1997], in which we determined the relationships during passive body heating following isotonic (0.9% NaCl) or hypertonic (2 or 3% NaCl) saline infusions in the same subjects. Posmol values at 5 min after the onset of exercise were 287.5 ± 0.9 mosmol/kgH2O during light exercise and 293.0 ± 1.2 mosmol/kgH2O during moderate exercise. Posmol just before passive body heating was 289.9 ± 1.4 mosmol/kgH2O. The Delta Tes threshold for CVD was 0.09 ± 0.05°C during light exercise, 0.31 ± 0.09°C during moderate exercise, and 0.10 ± 0.05°C during passive body heating. The relationship between the Delta Tes threshold for CVD and Posmol was shown to be on the same regression line both during exercise and during passive body heating with or without infusions [A. Takamata, K. Nagashima, H. Nose, and T. Morimoto. Am. J. Physiol. 273 (Regulatory Integrative Comp. Physiol. 42): R197-R204, 1997]. Our data suggest that the elevated body core temperature threshold for CVD during exercise could be the result of increased Posmol induced by exercise and is not due to reduced plasma volume or the intensity of the exercise itself.

body temperature threshold; thermoregulation; exercise intensity

    INTRODUCTION
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Abstract
Introduction
Methods
Results
Discussion
References

CUTANEOUS CIRCULATION is primarily controlled by thermal drive or body temperature, and a couple of nonthermal factors are known to modify this thermoregulatory response (6). Exercise has been known to modify thermoregulatory cutaneous vasodilation (CVD) by elevating the body core temperature threshold for CVD (6, 8). Several studies have reported that the effect of exercise is intensity dependent; low-intensity exercise does not alter thermoregulatory CVD, whereas high-intensity exercise shifts the body core temperature threshold for CVD (10, 15, 18). Kellogg et al. (7) reported that the shifted esophageal temperature (Tes) threshold for CVD was not abolished with sympathetic adrenergic blockade by bretylium tosylate and concluded that the shifted body temperature threshold for CVD is not due to increased vasoconstrictor tone but rather to reduced active vasodilator outflow. However, the stimulus that induces an exercise-induced shift in the body temperature threshold for CVD remains unknown (6, 8).

Dehydration is another factor that modifies thermoregulatory CVD (1, 6, 11). Recently, we have shown that an increase in plasma osmolality (Posmol) linearly elevates the change in Tes (Delta Tes) threshold for CVD (17). In addition, an increase in Posmol in response to exercise intensity occurs in a fashion similar to the increase in Delta Tes threshold for CVD (2, 13). From these facts, we hypothesized that the exercise-induced shift in the threshold for CVD is due to an exercise-induced increase in Posmol.

The purpose of the present study was to elucidate the role of the exercise-induced increase in Posmol in the regulation of CVD during exercise. We determined the relationship between the change in Tes required to elicit CVD (Delta Tes threshold for CVD) and Posmol during light (~30% of peak oxygen consumption; VO2 peak)- and moderate (~55% VO2 peak)-intensity exercise and passive body heating. Then we compared these relationships with those found during passive body heating following isotonic or hypertonic saline infusions obtained in our previous study in the same subjects (17) to account for the role of the intensity of exercise itself and the exercise-induced reduction in plasma volume (PV).

    METHODS
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Abstract
Introduction
Methods
Results
Discussion
References

Subjects

This study was approved by the Review Board on Human Experiments, Kyoto Prefectural University of Medicine. Six healthy male subjects gave their written informed consent before participating in the study. The subjects who participated in this study were the same as in our previous study (17). The experiments were conducted 1 mo after our previous study, and the subjects did not participate in any exercise training program during this period. Thus we assumed that any changes in the state of their training and acclimation from the previous study were minimal. Their age was 26 ± 3 yr (mean ± SE); body weight, 67.9 ± 6.9 kg; and peak aerobic power (VO2 peak) measured with a cycle ergometer in a recumbent position before the experiments, 47.6 ± 4.4 ml · min-1 · kg body wt-1.

Protocol

Control period. Subjects reported to the laboratory at 1000. They had refrained from heavy exercise for 24 h and from salty food, alcohol, and caffeine for 17 h before arriving at the laboratory. They were allowed to eat breakfast and drink water if they desired. On reporting to the laboratory they were provided with 200 ml of water to avoid dehydration. Then the subjects sat on a chair for 1 h during the control period. At the end of the control period, a blood sample was taken.

Exercise/passive body heating. In the exercise protocol, subjects were asked to exercise with a cycle ergometer in a semirecumbent position at intensities of ~30% VO2 peak (light exercise) or at ~55% VO2 peak (moderate exercise) for 40 min after a 10-min resting period at a room temperature of 28°C. In the passive heating protocol, the subjects immersed their lower legs in water at 42°C with a room temperature of 28°C for 40 min following a 10-min preheating control period. Blood samples were taken just before (0 min) and at 5, 20, and 40 min after the onset of exercise and just before and at 20 and 40 min after the onset of passive body heating.

Measurements

Tes was measured with a copper-constantan thermocouple placed in polyethylene tubing (PE-90). The tip of the probe was advanced at a distance of one-fourth of the subject's standing height from the external nares. Skin blood flow was measured with a laser Doppler flowmeter on the chest, with the assumption that the chest skin response represents the whole body skin response (Advance ALF 21). The site of the probe placement on the chest skin was always the same for each subject. These data were collected by a computer through an analog-to-digital converter every 1 s, and mean values of every 30 s were used for further analyses. Heart rate (HR) was continuously monitored from electrocardiograph recording, and blood pressure was measured every 1 min with an R-wave gated automated sphygmomanometer (Colin STBP-780). Mean arterial pressure (MAP) was calculated as <FR><NU>1</NU><DE>3</DE></FR>(SBP - DBP) + DBP, where SBP is systolic blood pressure and DBP is diastolic blood pressure. Cutaneous vascular conductance (CVC) was calculated as the laser-Doppler flowmeter voltage output divided by MAP and shown as a percentage of the mean value of pre-exercise or preheating control (Delta CVC).

Blood samples were drawn without stasis, and an aliquot for measurement of Posmol was immediately transferred into the tube containing heparin and centrifuged. The separated plasma was stored in the freezer at -20°C until measurement. Blood for the determination of hematocrit and hemoglobin concentration was processed immediately. Posmol was measured by the freezing-point depression (Fiske one-ten osmometer), hematocrit by microhematocrit tube centrifugation, and hemoglobin concentrations by the cyanomethemoglobin method (Sigma hemoglobin kit).

Data Analyses

We defined the body core temperature threshold for CVD as the Delta Tes required to elicit a rapid increase in Delta CVC (Delta Tes threshold for CVD), characterized by an increase in Delta CVC over three consecutive measurements. We employed the Delta Tes threshold for CVD instead of absolute Tes value because the day-to-day variability in baseline Tes among the 6 conditions employed, including our previous infusion study (17), was 0.10 ± 0.03°C, which was larger than the Delta Tes threshold for CVD during passive body heating and light exercise, although the mean baseline Tes between conditions were not statistically different. We assumed that day-to-day variation "reset" the onset of thermoregulatory responses (10, 17). This assumption is derived from the fact that circadian variation or menstrual variation in female subjects shifted the Tes thresholds for the sweating and CVD, but the Delta Tes required to elicit these responses are not influenced by these shifts (5, 16). Thus to examine the effect of exercise and plasma osmolality and to eliminate day-to-day variation, we determined the Delta Tes required for CVD instead of absolute Tes thresholds.

Percent change in PV was calculated from hematocrit and hemoglobin concentration using the following equation
&Dgr;PV (%) = 100 × (Hb<SUB>B</SUB>/Hb<SUB>A</SUB>) 
× {[1 − (Hct<SUB>A</SUB>/100)]/[1 − (Hct<SUB>B</SUB>/100)]} − 100
where Delta PV is percent change in PV, Hb is hemoglobin concentration, and Hct is hematocrit. Subscript B indicates before (control) and A, after (experiment).

The values were shown as mean and SE of six subjects. The effects of exercise intensity or time were determined by ANOVA with repeated measures. The differences between data of specific interest were determined by Fisher's least-significant difference test. A P value < 0.05 was considered to indicate statistical significance. Regression analysis was performed using standard least-squares test.

    RESULTS
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Abstract
Introduction
Methods
Results
Discussion
References

Table 1 shows Posmol and Delta PV during the experiment. Posmol just before passive body heating was 289.9 ± 1.4 mosmol/kgH2O. Posmol values at 5 min after the onset of light and moderate exercise were 287.5 ± 0.9 and 293.0 ± 1.2 mosmol/kgH2O, respectively. Delta PV at 5 min after the onset of light and moderate exercise were -1.7 ± 1.5 and -4.9 ± 0.9%, respectively.

                              
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Table 1.   Posmol and Delta PV during the experiment

Figure 1 shows the relationship between Delta CVC and Delta Tes. The relationship shifted rightward during moderate exercise compared with during passive body heating or light exercise. We determined the threshold for CVD in each condition in each subject. Delta Tes threshold for CVD was 0.10 ± 0.05°C during passive body heating, 0.09 ± 0.05°C during light exercise, and 0.31 ± 0.09°C during moderate exercise. The Delta Tes threshold for CVD during moderate exercise was higher than that during passive body heating, but the Delta Tes threshold for CVD during light exercise was not different from that found during passive body heating.


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Fig. 1.   Relationship between change in cutaneous vascular conductance (Delta CVC) and change in esophageal temperature (Delta Tes) during passive body heating (Rest), light exercise (Light Ex; 30% VO2 peak), and moderate exercise (Moderate Ex; 55% VO2 peak). Values are mean and SE of 6 subjects at each time period.

In Fig. 2, we compared the relationship between the Delta Tes threshold for CVD and Posmol during exercise and passive body heating with those during passive body heating following hypertonic (2 or 3% NaCl) or isotonic (0.9% NaCl) saline infusion that were obtained in our previous study (17). Posmol values of exercise experiments were those at 5 min after the onset of exercise. Posmol values of passive body heating experiments (with or without infusion) were those just before the onset of passive body heating (17). The data both during exercise and passive body heating with or without infusions were shown to be on the same regression line (Fig. 2). The regression equation determined in the present study (y = 0.40x - 11.39), including the data during exercise and passive body heating with and without infusions, was not different from that determined during passive body heating with and without infusions in our previous study (y = 0.44x - 12.69).


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Fig. 2.   Relationship between Delta Tes threshold for CVD and plasma osmolality (Posmol) during light (bullet ) and moderate exercise (black-triangle) and passive body heating (open circle ) and passive body heating following isotonic or hypertonic saline infusion (square ) in the same subjects (17). Mean values of each condition are shown as large symbols. All subject's data in each condition are shown as small symbols. Posmol values of exercise experiments were those obtained 5 min after the onset of exercise. Posmol values of passive body heating experiments (with or without infusion) were those obtained just before the onset of passive body heating. Regression equation was determined from all data points including during exercise and passive body heating with and without infusions.

    DISCUSSION
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Abstract
Introduction
Methods
Results
Discussion
References

Exercise increases body temperature threshold for CVD in an exercise intensity-dependent manner (6). Moderate to heavy exercise elevates the Tes threshold for CVD, whereas light exercise does not influence the Tes threshold for CVD (10, 18). However, the stimulus that induces the shift in body temperature threshold for CVD still remains unknown (6, 8). Because Posmol increases during exercise and the pattern of the increase in Posmol and body temperature threshold for CVD in response to exercise intensity are similar (2, 10, 13), we examined the involvement of increased Posmol in the elevated body temperature threshold for CVD. To account for the role of exercise-induced reduction in PV and exercise intensity itself, we compared the relationship between the Delta Tes threshold for CVD and Posmol during exercise of different intensities with those found during passive body heating and during passive body heating with isotonic or hypertonic saline infusion (17).

The Delta Tes threshold for CVD increased during moderate exercise compared with passive body heating, with an increased Posmol and a reduced Delta PV (Fig. 1, Table 1). Neither the Delta Tes threshold for CVD, Posmol, or Delta PV were changed by light exercise (Fig. 1, Table 1). The increase in Posmol and the shift in Delta Tes threshold for CVD were comparable with the results obtained in other studies (2, 10, 13). The relationship between Delta Tes threshold for CVD and Posmol during exercise was similar to that obtained in passively heated subjects with infusions (17), and the data both during exercise and passive body heating with or without infusions were shown to be on the same regression line (Fig. 2). The Delta Tes threshold for CVD correlated linearly with Posmol regardless of exercise intensity or PV level (Fig. 2). Delta PV just before the onset of passive body heating in infusion studies increased by ~10% (17). Thus the present data are consistent with our hypothesis that the primary factor responsible for the shift of the body temperature threshold for CVD during exercise is increased Posmol and not reduced PV or the intensity of the exercise itself.

Mack et al. (9) reported that baroreceptor unloading with a lower body negative pressure of -40 mmHg increased the body temperature threshold for CVD during exercise. Thus baroreceptor unloading has an impact on body temperature threshold for CVD. Nose et al. (12) reported that the right atrial pressure increased at the onset of exercise in a semirecumbent position. Reeves et al. (14) reported that pulmonary wedge pressure and right atrial pressure increased during upright cycle exercise. Arterial pressure increased immediately after the onset of exercise, and PV expansion by infusion did not influence the relationship between Delta Tes threshold for CVD and Posmol (Fig. 2). In addition, the effect of exercise intensity on the Delta Tes threshold for CVD in supine position was similar to that in our study (10). Taken together, the involvement of baroreceptor unloading itself could be excluded. Although it is unknown whether the resetting of baroreflex plays a role, exercise did not shift the relationship between Delta Tes threshold for CVD and Posmol, suggesting that exercise-induced resetting of baroreflex is probably not involved in the exercise-induced shift in body temperature threshold for CVD.

We determined the relationship between the Delta Tes threshold for CVD against the Posmol obtained 5 min after the onset of exercise in the exercise experiments. The increase in Posmol in response to exercise intensity was similar to those found in other studies (2). In addition, a blood sample was taken before CVD occurred in our present study and Posmol was assumed to have reached a plateau by this time (4) and remained constant throughout the exercise period thereafter (Table 1). Thus our analysis is reasonable for a determination of the relationship between Delta Tes threshold for CVD and Posmol during exercise. The Posmol before passive body heating was higher than at 5 min after the onset of light exercise. This may reflect the difference of hydration status between the experiments. However, because we analyzed the relationship between Delta Tes threshold for CVD and Posmol, this difference did not influence our analysis.

Posmol gradually increased during passive body heating and became similar to that during moderate exercise at the end of experiment (Table 1), but the relationship between Delta CVC and Delta Tes during the passive body heating did not shift rightward during the experiment with the increase in Posmol (Fig. 1). Fortney et al. (3) reported that hypertonic saline infusion during exercise did not alter forearm blood flow response. This result was different from their previous study (4), in which they found hypertonic saline infusion before exercise shifted the Tes threshold for forearm blood flow. In addition, they failed to increase forearm blood flow by infusion of hypotonic saline during exercise (3). Taken together, we postulate that increased Posmol has an effect on the onset of CVD but that it does not influence the relationship between CVC and body core temperature once CVD has occurred. Because the increase in forearm blood flow had already occurred when they started infusions in the later study by Fortney et al. (3), the contradictory results could be explained by our hypothesis, although further study is required.

It still remains unknown whether osmotic inhibition of CVD is the result of reduced active vasodilator outflow or increased vasoconstrictor tone (6). Kellogg et al. (7) reported that the shifted esophageal temperature threshold for CVD during exercise was not abolished with sympathetic adrenergic blockade by bretylium tosylate and concluded that the shifted body temperature threshold for CVD is not due to increased vasoconstrictor tone but rather reduced active vasodilator outflow. Thus, if the exercise-induced shift in the Delta Tes threshold for CVD is mediated by increased Posmol caused by exercise, the efferent pathway that shifts the Delta Tes threshold for CVD, found in our previous study, can be attributed to the reduced active vasodilator outflow. An experiment to examine the efferent mechanism of osmotic inhibition of CVD is expected to be performed.

In summary, we confirmed that exercise inhibits thermoregulatory CVD in an exercise intensity-dependent fashion by elevating the body temperature threshold. Our results were consistent with our hypothesis that the increased body temperature threshold for CVD during exercise is due to the increased Posmol that occurs during exercise. In addition, this inhibitory effect seems to be acting on the onset of CVD specifically.

    ACKNOWLEDGEMENTS

This study was supported in part by the Ministry of Education, Science, Culture, and Sports of Japan and the Ono Sports Science Foundation.

    FOOTNOTES

Present address of H. Nose: Dept. of Sports Medicine, Research Institute for Aging and Adaptation, Shinshu University School of Medicine, Matsumoto 390, Japan.

Address for reprint requests: A. Takamata, Dept. of Physiology, Kyoto Prefectural Univ. of Medicine, Kawaramachi Hirokoji, Kamigyo-ku, Kyoto 602-0841, Japan (E-mail: akira{at}phys.kpu-m.ac.jp).

Received 22 December 1997; accepted in final form 31 March 1998.

    REFERENCES
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Abstract
Introduction
Methods
Results
Discussion
References

1.   Baker, M. A. Thermoregulation in dehydrated vertebrates. In: Milestones in Environmental Physiology: Progress in Biometeorology. The Hague, The Netherlands: SPB Academic, 1989, vol. 7, p. 101-107.

2.   Convertino, V. A., L. C. Keil, E. M. Bernauer, and J. E. Greenleaf. Plasma volume, osmolality, vasopressin, and renin activity during graded exercise in man. J. Appl. Physiol. 50: 123-128, 1981[Abstract/Free Full Text].

3.   Fortney, S. M., N. B. Vroman, W. S. Backett, S. Permutt, and N. D. LaFrance. Effect of exercise hemoconcentration and hyperosmolality on exercise responses. J. Appl. Physiol. 65: 519-524, 1988[Abstract/Free Full Text].

4.   Fortney, S. M., C. B. Wenger, J. R. Bove, and E. R. Nadel. Effect of hyperosmolality on control of blood flow and sweating. J. Appl. Physiol. 57: 1688-1695, 1984[Abstract/Free Full Text].

5.   Hessemer, V., and K. Brück. Influence of menstrual cycle on shivering, skin blood flow, and sweating responses measured at night. J. Appl. Physiol. 59: 1902-1910, 1985[Abstract/Free Full Text].

6.   Johnson, J. M., and D. W. Proppe. Cardiovascular adjustments to heat stress. In: Handbook of Physiology. Environmental Physiology. Bethesda, MD: Am. Physiol. Soc., 1996, sect. 4, vol. I, chapt. 11, p. 215-243.

7.   Kellogg, D. L., Jr., J. M. Johnson, and W. A. Kosiba. Control of internal temperature threshold for active cutaneous vasodilation by dynamic exercise. J. Appl. Physiol. 71: 2476-2482, 1991[Abstract/Free Full Text].

8.   Kenney, W. L., and J. M. Johnson. Control of skin blood flow during exercise. Med. Sci. Sports Exerc. 24: 303-312, 1992[Medline].

9.   Mack, G. W., T. Nishiyasu, and X. Shi. Baroreceptor modulation of cutaneous vasodilator and sudomotor responses to thermal stress in humans. J. Physiol. (Lond.) 483: 537-547, 1995[Medline].

10.   Mack, G. W., H. Nose, A. Takamata, T. Okuno, and T. Morimoto. Influence of exercise intensity and plasma volume on active cutaneous vasodilation in humans. Med. Sci. Sports Exerc. 26: 209-216, 1994[Medline].

11.   Morimoto, T. Thermoregulation and body fluids: role of blood volume and central venous pressure. Jpn. J. Physiol. 40: 165-179, 1990[Medline].

12.   Nose, H., A. Takamata, G. W. Mack, Y. Oda, T. Kawabata, S. Hashimoto, M. Hirose, E. Chihara, and T. Morimoto. Right atrial pressure and forearm blood flow during prolonged exercise in a hot environment. Pflügers Arch. 426: 177-182, 1994[Medline].

13.   Nose, H., A. Takamata, G. W. Mack, Y. Oda, T. Okuno, D.-H. Kang, and T. Morimoto. Water and electrolyte balance in the vascular space during graded exercise in humans. J. Appl. Physiol. 70: 2757-2762, 1991[Abstract/Free Full Text].

14.   Reeves, J. T., B. M. Groves, A. Cymerman, J. R. Sutton, P. D. Wagner, D. Turkevich, and C. S. Houston. Operation Everest II: cardiac filling pressures during cycle exercise at sea level. Respir. Physiol. 80: 147-154, 1990[Medline].

15.   Smolander, J., J. Saalo, and O. Korhonen. Effect of work load on cutaneous vascular response to exercise. J. Appl. Physiol. 71: 1614-1619, 1991[Abstract/Free Full Text].

16.   Stephenson, L. A., C. B. Wenger, B. H. O'Donovan, and E. R. Nadel. Circadian rhythm in sweating and cutaneous blood flow. Am. J. Physiol. 246 (Regulatory Integrative Comp. Physiol. 15): R321-R324, 1984[Abstract/Free Full Text].

17.   Takamata, A., K. Nagashima, H. Nose, and T. Morimoto. Osmoregulatory inhibition of thermally induced cutaneous vasodilation in passively heated humans. Am. J. Physiol. 273 (Regulatory Integrative Comp. Physiol. 42): R197-R204, 1997[Abstract/Free Full Text].

18.   Taylor, W. F., J. M. Johnson, W. A. Kosiba, and C. M. Kwan. Graded cutaneous vascular responses to dynamic leg exercise. J. Appl. Physiol. 64: 1803-1809, 1988[Abstract/Free Full Text].


Am J Physiol Regul Integr Compar Physiol 275(1):R286-R290
0002-9513/98 $5.00 Copyright © 1998 the American Physiological Society



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