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Greenleaf, J. E.

Publications and source records attributed to Greenleaf, J. E..

At least 109 records · Page 6

Blood pressure and plasma renin activity as predictors of orthostatic intolerance

The effect of 3 h standing, followed by a period of head-up tilt (HUT) on physiological response (orthostatic tolerance, blood pressure and heart rate), as well as on plasma vasopressin (PVP) and renin activity (PRA) were studied in 13 dehydrated (to 2.4 pct loss of body weight) subjects. Seven subjects showed signs of orthostatic intolerance (INT), manifested by sweating, pallor, nausea and dizziness. Prior to these symptoms, the INT subjects exhibited lower systolic (SP) and pulse (PP) pressures, and an elevated PRA, compared to the tolerant (TOL) subjects. HUT has aggravated increases of RPA in the INT subjects and caused an increase, higher than in TOL subjects, in PVP, while rehydration has greatly attenuated the PVP response to the HUT and decreased the PRA response. It is concluded that dehydration, together with measurements of SP, PP and PRA, may serve as a means of predicting orthostatic intolerance and may provide a physiological model for studying the causes of intolerance.

Harrison, M. H.↗

Exercise hyperthermia as a factor limiting physical performance - Temperature effect on muscle metabolism

The effect of trunk cooling on the muscle contents of ATP, ADP, AMP, creatine phosphate (CrP), and creatine, as well as of glycogen, some glycolytic intermediates, pyruvate, and lactate were assessed in 11 fasted dogs exercised at 20 C on treadmill to exhaustion. Without cooling, dogs were able to run 57 min, and their rectal (Tre) and muscle (Tm) temperatures increased to 41.8 and 43.0 C, respectively. Cooling with ice packs prolonged the ability to run by 45 percent, and resulted in lower Tre (by 1.1 C) and Tm (by 1.2 C). Depletion of muscle content of total high-energy phosphates (ATP + CrP) and glycogen, and increases in contents of AMP, pyruvate, and lactate were lower in cooled dogs than in non-cooled dogs. The muscle content of lactiate correlated positively with TM. These results indicate that hypothermia accelerates glycolysis, and shifts the equilibrium between high- and low-energy phosphates in favor of the latter. The adverse effect of hypothermia on muscle metabolism may be relevant to the limitation of endurance.

Kozlowski, S.↗

Effects of exercise-heat acclimation on fluid, electrolyte, and endocrine responses during tilt and +Gz acceleration in women and men

Two aspects of prolonged endurance training were investigated: (1) the effects of exercise-heat acclimation (on a cycle ergometer at 40 C, 42 rh) on orthostatic tolerance (70 deg head-up tilt) and on a +Gz (head-to-foot) acceleration tolerance of male and female subjects; and (2) comparison of their fluid-electrolyte shifts and hormonal (plasma epinephdrine, norepinephrine, renin, and vasopressin) responses during tilting and centrifugation. The adaptive responses during the 12 d, 2-h acclimation did not alter acceleration tolerance of either men or women, or the women's tilt tolerance, but did increase men's tilt tolerance from 30.4 min before to 58.3 min after acclimation. The patterns of fluid, electrolyte, and protein shifts at tolerance in acceleration and tilting tests were virtually the same in men and women. On the other hand, the hormonal plasma epinephrine, norepinephrine, renin, and vasopressin resonses displayed different shift patterns during acceleration and tilting. It is concluded that the responses to tilting cannot be used to predict responses to acceleration. Future experiments for relating the orthostatic and the acceleration tolerances, and the practical questions of the training regimens for future astronauts are discussed.

Greenleaf, J. E.↗

Hypothalamic, rectal, and muscle temperatures in exercising dogs - Effect of cooling

An experimental investigation of the mechanisms of performance prolongation during exercise is presented. Measurements were obtained of the rectal, muscle, and hypothalamic temperature of dogs during treadmill exercise at an ambient temperature of 22 + or - 1 C, with and without cooling by use of ice packs. In comparison with exercise without cooling, exercise with cooling was found to: (1) increase exercise duration from 90 + or - 14 to 145 + or - 15 min; (2) attenuate increases in hypothalamic, rectal and muscle temperature; (3) decrease respiratory and heart rates; and (4) lower blood lactic acid content. It is shown that although significant differences were found between the brain, core, and muscle temperatures during exercise with and without cooling, an inverse relation was observed between muscle temperature and the total duration of exercise. It is suggested that sustained muscle hyperthermia may have contributed to the limitation of working ability in exercise with and without cooling.

Kruk, B.↗

Plasma lactic dehydrogenase activities in men during bed rest with exercise training

Peak oxygen uptake and the activity of lactic dehydrogenase (LDH-T) and its five isoenzymes were measured by spectrophotometer in seven men before, during, and after bed rest and exercise training. Exercise training consisted of isometric leg exercises of 250 kcal/hr for a period of one hour per day. It is found that LDH-T was reduced by 0.05 percent in all three regimens by day 10 of bed rest, and that the decrease occurred at different rates. The earliest reduction in LDH-T activity in the no-exercise regimen was associated with a decrease in peak oxygen uptake of 12.3 percent. It is concluded that isometric (aerobic) muscular strength training appear to maintain skeletal muscle integrity better during bed rest than isotonic exercise training. Reduced hydrostatic pressure during bed rest, however, ultimately counteracts the effects of both moderate isometric and isotonic exercise training, and may result in decreased LDH-T activity.

Greenleaf, J. E.↗

Exercise thermoregulation in men after 6 hours of immersion

The present investigation is concerned with thermoregulation at rest and during exercise after water-immersion deconditioning, giving particular attention to the effects of fluid shifts and negative water balance on sweat rate and rectal temperature. Six healthy males 20-35 years old were used in the experiments. Rectal and mean skin temperature, skin heat conductance, heart rate, and total body sweat rate were measured during 70 min of supine leg exercise at 50 percent of peak O2 uptake. The data were taken after a 6-h control period in air and after immersion to the neck in water (34.5 C) for 6 h after overnight food and fluid restriction. Attention is given to end exercise heart rates and data during exercise. The obtained results suggest that, compared with control responses, the equilibrium level of core temperature during submaximal exercise is regulated at a higher level after immersion.

Greenleaf, J. E.↗

Physiological responses to prolonged bed rest and fluid immersion in humans

For many centuries, physicians have used prolonged rest in bed and immersion in water in the treatment of ailments and disease. Both treatments have positive remedial effects. However, adverse physiological responses become evident when patients return to their normal daily activities. The present investigation is concerned with an analysis of the physiological changes during bed rest and the effects produced by water immersion. It is found that abrupt changes in body position related to bed rest cause acute changes in fluid compartment volumes. Attention is given to fluid shifts and body composition, renal function and diuresis, calcium and phosphorus metabolism, and orthostatic tolerance. In a discussion of water immersion, fluid shifts are considered along with cardiovascular-respiratory responses, renal function, and natriuretic and diuretic factors.

Greenleaf, J. E.↗

Cardiovascular responses during orthostasis - Effect of an increase in maximal O2 uptake

A study is described which tests the hypothesis that changes in aerobic activity (increases in maximum oxygen uptake) will reduce the effectiveness of cardiovascular reflexes to regulate blood pressure during orthostasis. The hypothesis was tested by measuring heart rate, blood pressure and blood volume responses in eight healthy male subjects before and after an eight-day endurance regimen. The results of the study suggest that the physiologic responses to orthostasis are dependent upon the rate of plasma volume loss and pooling, and are associated with training-induced hypervolemia. It is indicated that endurance type exercise training enhances cardiovascular adjustments during tilt. The implications of these results for the use of exercise training as a countermeasure and/or therapeutic method for the prevention of cardiovascular instability during orthostatic stress are discussed.

Convertino, V. A.↗

Immersion diuresis without expected suppression of vasopressin

There is a shift of blood from the lower parts of the body to the thoracic circulation during bed rest, water immersion, and presumably during weightlessness. On earth, this central fluid shift is associated with a profound diuresis. However, the mechanism involved is not yet well understood. The present investigation is concerned with measurements regarding the plasma vasopressin, fluid, electrolyte, and plasma renin activity (PRA) responses in subjects with normal preimmersion plasma vasopressin (PVP) concentration. In the conducted experiments, PRA was suppressed significantly at 30 min of immersion and had declined by 74 percent by the end of the experiment. On the basis of previously obtained results, it appears that sodium excretion during immersion may be independent of aldosterone action. Experimental results indicate that PVP is not suppressed by water immersion in normally hydrated subjects and that other factors may be responsible for the diuresis.

Keil, L. C.↗

Inhibition of plasma vasopressin after drinking in dehydrated humans

The effects of nonosmotic and nonvolumetric factors on vasopressin secretion in dehydrated humans has been investigated experimentally, before and after drinking. The subjects of the experiment were five adult men and three adult women weighing 69-77 kg. In order to determine the influence of nonosmotic and nonvolumetric factors on vasopressin secretion, measurements were obtained of the following blood hematological indices: serum Na(+) content; serum K(+) content; osmolality; and hemoglobin. Measurements of hematocrit, plasma arginine vasopressin (AVP), aldosterone, and renin activity were also obtained. It is found that dehydration increased mean serum Na(+) content, osmolality,and AVP. No significant changes were observed in renin activity, hemoglobin, hematocrit, or plasma volume, while plasma aldosterone increased from 11.1 ng/dl after dehydration to 15.6 ng/dl between 30 and 60 min after drinking. A rapid fall of AVP content following rehydration occurred in the absence of changes in the primary regulators of AVP osmolality and plasma volume, with no change in blood pressure. On the basis of the experimental results, it is suggested that oropharyngeal factors may be the mechanism, for the observed decrease in AVP following rehydration.

Geelen, G.↗

Hypervolemia and plasma vasopressin response during water immersion in men

Immersion studies were performed on seven mildly dehydrated male subjects to examine the effect of suppression of plasma vasopressin (PVP) on diuresis in water immersion. The water was kept at close to 34.5 C and the subjects remained in the water for 4 hr after sitting for 2 hr. Na and K levels in the serum and urine were analyzed, as were osmolality, red blood cell count, renin activity, total protein, albumin amounts, hematocrit, and hemoglobin. Plasma volume was monitored from samples drawn at specified intervals during immersion. The plasma volume increased significantly 30 min after immersion, but no PVP was observed. The dehydration induced elevated serum osmotic concentrations. It is concluded that the hydration condition before immersion and the volume of fluid intake during immersion affects the hemodilution during immersion.

Greenleaf, J. E.↗

Handgrip and general muscular strength and endurance during prolonged bedrest with isometric and isotonic leg exercise training

Measurements of maximal grip strength and endurance at 40 percent max strength were obtained for 7 men 19-21 years of age, 1-2 days before and on the first recovery day during three 2-week bedrest (BR) periods, each separated by a 3-week ambulatory recovery period. The subjects performed isometric exercise (IME) for 1 hr/day, isotonic exercise (ITE) for 1 hr/day, and no exercise (NOE) in the three BR periods. It was found that the mean maximal grip strength was unchanged after all three BR periods. Mean grip endurance was found to be unchanged after IME and ITE training, but was significantly reduced after NOE. These results indicate that IME and ITE training during BR do not increase or decrease maximal grip strength, alghough they prevent loss of grip endurance, while the maximal strength of all other major muscle groups decreases in proportion to the length of BR to 70 days. The maximal strength reduction of the large muscle groups was found to be about twice that of the small muscle groups during BR. In addition, it is shown that changes in maximal strength after spaceflight, BR, or water immersion deconditioning cannot be predicted from changes in submaximal or maximal oxygen uptake values.

Greenleaf, J. E.↗

Bed-rest studies: Fluid and electrolyte responses

Confinement in the horizontal position for 2 to 3 weeks results in a chronic decrease in plasma volume, increased interstitial fluid volume, and unchanged or slightly increased extracellular fluid volume. Concentrations of blood electrolytes, glucose, and nitrogenous constituents remain within normal limits of variability when maintenance levels of isometric or isotonic exercise are performed for 1 hr/day. Hematocrit and plasma osmolality can be elevated significantly throughout bed rest (BR). Significant diuresis occurs on the first day, and increases in urine Na and Ca continue throughout BR, although voluntary fluid intake is unchanged. Urine Na and K are evaluated during the second week of BR in spite of stabilization of PV and extracellular volume. The initial diuresis probably arises from the extracellular fluid while subsequent urine loss above control levels must come from the intracellular fluid. Preservation of the extracellular volume takes precedance over maintenance of the intracellular fluid volume. The functioning of a natriuretic factor (hormone) to account for the continued increased loss of Na in the urine is suggested.

Greenleaf, J. E.↗

Drinking and water balance during exercise and heat acclimation

The interactions between fluid intake and balance, and plasma ion, osmotic, and endocrine responses during dehydration produced by exercise in cool and warm environments during acclimation are explored. Two groups of five male subjects performed 8 days of ergometer exercise in hot and thermoneutral conditions, respectively. The exercise trials lasted 2 hr each. Monitoring was carried out on the PV, osmotic, sodium, and endocrine concentrations, voluntary fluid intake, fluid balances, and fluid deficits. A negative correlation was observed between the plasma sodium and osmolality during acclimation. The presence of hypervolemia during acclimation is suggested as a cause of drinking, while the vasopressin concentration was not found to be a significant factor stimulating drinking. Finally, the predominant mechanism in fluid intake during exercise and heat exposure is concluded to be the renin-angiotensin II system in the presence of reductions in total body water and extracellular plasma volumes.

Greenleaf, J. E.↗

Plasma volume, renin, and vasopressin responses to graded exercise after training

Four male subjects underwent a series of ergometer trials to test the hypothesis that training-induced hypervolemia produces a reduction in the relative change of plasma volume, vasopressin, and renin activity levels. Sitting ergometer exercise was performed for 2 hr per day for 8 consecutive days and the VO2 was monitored. A second phase involved a graded exercise and recording of the VO2 and HR, as well as the taking of blood samples to measure the plasma osmolality, the vasopressin content, and the renin activity. The training was found to reduce the plasma volume levels for a given work load. Hypervolemia was induced by a training-produced plasma volume expansion. The osmolality, vasopressin content, and renin activity increased with training. A threshold work intensity of 50 percent was identified for changes in the osmolality and the stimulation of renin activity and vasopressin increase. The maintenance of a certain level of intensity during training is concluded necessary to stimulate the hypervolemic response.

Convertino, V. A.↗

Bed-rest studies - Fluid and electrolyte responses

Confinement in the horizontal position for 2 to 3 weeks results in a chronic decrease in plasma volume, increased interstitial fluid volume, and unchanged or slightly increased extracellular fluid volume. Concentrations of blood electrolytes, glucose, and nitrogenous constituents remain within normal limits of variability when maintenance levels of isometric or isotonic exercise are performed for 1 hr/day. Hematocrit and plasma osmolality can be elevated significantly throughout bed rest (BR). Significant diuresis occurs on the first day, and increases in urine Na and Ca continue throughout BR, although voluntary fluid intake is unchanged. Urine Na and K are evaluated during the second week of BR in spite of stabilization of PV and extracellular volume. The initial diuresis probably arises from extracellular fluid while subsequent urine loss above control levels must come from the intracellular fluid. Preservation of the extracellular volume takes precedance over maintenance of the intracellular fluid volume. The functioning of a natriuretic factor (hormone) to account for the continued increased loss of Na in the urine is suggested. Previously announced in STAR as N83-24160

Greenleaf, J. E.↗

Effect of exercise on the pseudodiabetes of bed rest

The effect of intensive isotonic exercise and isometric exercise (with its low metabolic rate) during bed rest on plasma insulin and glucose tolerance test was investigated. The subjects were seven healthy men, 19 to 22 years in age, 166 to 188 cm in height, and 62.40 to 103.80 kg in weight; maximal oxygen uptakes ranged from 3.36 to 4.38 liters/min. It appears that bed-rest-induced glucose intolerance is diminished with increasing energy expenditure during both bed rest and recovery.

Greenleaf, J. E.↗