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At least 253 records · Page 14

Upright exercise or supine lower body negative pressure exercise maintains exercise responses after bed rest

Adaptation to bed rest or space flight is accompanied by an impaired ability to exercise in an upright position. We hypothesized that a daily, 30-min bout of intense, interval exercise in upright posture or supine against lower body negative pressure (LBNP) would maintain upright exercise heart rate and respiratory responses after bed rest. Twenty-four men (31 +/- 3 yr) underwent 5 d of 6 degree head-down tilt: eight performed no exercise (CON), eight performed upright treadmill exercise (UPex), and eight performed supine treadmill exercise against LBNP at -51.3 +/- 0.4 mm Hg (LBNPex). Submaximal treadmill exercise responses (56, 74, and 85% of VO2peak) were measured pre- and post-bed rest. In CON, submaximal heart rate, respiratory exchange ratio, and ventilation were significantly greater (P < or = 0.05) after bed rest. In UPex and LBNPex, submaximal exercise responses were similar pre- and post-bed rest. Our results indicate that a daily 30-min bout of intense, interval upright exercise training or supine exercise training against LBNP is sufficient to maintain upright exercise responses after 5 d of bed rest. These results may have important implications for the development of exercise countermeasures during space flight.

NASA Center ARC↗

Quantification of scaling exponents and crossover phenomena in nonstationary heartbeat time series

The healthy heartbeat is traditionally thought to be regulated according to the classical principle of homeostasis whereby physiologic systems operate to reduce variability and achieve an equilibrium-like state [Physiol. Rev. 9, 399-431 (1929)]. However, recent studies [Phys. Rev. Lett. 70, 1343-1346 (1993); Fractals in Biology and Medicine (Birkhauser-Verlag, Basel, 1994), pp. 55-65] reveal that under normal conditions, beat-to-beat fluctuations in heart rate display the kind of long-range correlations typically exhibited by dynamical systems far from equilibrium [Phys. Rev. Lett. 59, 381-384 (1987)]. In contrast, heart rate time series from patients with severe congestive heart failure show a breakdown of this long-range correlation behavior. We describe a new method--detrended fluctuation analysis (DFA)--for quantifying this correlation property in non-stationary physiological time series. Application of this technique shows evidence for a crossover phenomenon associated with a change in short and long-range scaling exponents. This method may be of use in distinguishing healthy from pathologic data sets based on differences in these scaling properties.

NASA Discipline Number 14-10↗

Microprocessor-based cardiotachometer

Instrument operates reliably even with stress-test electrocardiogram (ECG) signals subject to noise, baseline wandering, and amplitude change. It records heart rate from preamplified, single-lead ECG input signal and produces digital and analog heart-rate outputs which are fed elsewhere. Analog hardware processes ECG input signal, producing 10-ms pulse for each heartbeat. Microprocessor analyzes resulting pulse train, identifying irregular heartbeats and maintaining stable output during lead switching. Easily modified computer program provides analysis.

Crosier, W. G.↗

Gender differences in endocrine responses to posture and 7 days of 6 deg head down bed rest

Endocrine regulation of fluids and electrolytes during seven days of 6 deg head down bed rest (HDBR) was compared in male (n = 8) and, for the first time, female (n = 8) volunteers. The subjects' responses to quiet standing for 2 hr before and after HDBR were also tested. In both sexes, diuresis and natriuresis were evident during the first 2-3 days of HDBR, resulting in a marked increase in the urinary Na/K ratio and significant Na retention on reambulation. After the first day of HDBR, plasma renin activity (PRA) was increased relative to aldosterone, plasma volume was decreased, and the renal response to aldosterone appeared to be appropriate. Circulating levels of arginine vasopressin (AVP), cortisol, and ACTH were unchanged during HDBR. Plasma testosterone decreased slightly on day 2 of HDBR in males. The ratio of AM ACTH to cortisol was lower in females than in males because ACTH was lower in females. Urinary cortisol increased and remained elevated throughout the HDBR in males only. There were no gender differences in the responses to 7 day HDBR, except those in the pituitary-adrenal system; those differences appeared unrelated to the postural change. The provocative cardiovascular test of quiet standing before and after bed rest revealed both sex differences and effects of HDBR. There were significant sex differences in cardiovascular responses to standing, before and after HDBR. Females had greater PRA and aldosterone responses to standing before bedrest and larger aldosterone responses to standing after HDBR than males. Cardiovascular responses to standing before and after bedrest differed markedly: arterial pressure and heart rates increased with standing before HDBR, by contrast, arterial pressure decreased, with greater increases in heart rates after HDBR. In both sexes, all hormonal responses to standing were greater after HDBR. The results show clearly that similar responses to standing as well as to HDBR occur in both sexes, but that females exhibit greater PRA and aldosterone responses than males.

Vernikos, J.↗

Improving Balance Function Using Low Levels of Electrical Stimulation of the Balance Organs

Crewmembers returning from long-duration space flight face significant challenges due to the microgravity-induced inappropriate adaptations in balance/sensorimotor function. The Neuroscience Laboratory at JSC is developing a method based on stochastic resonance to enhance the brain's ability to detect signals from the balance organs of the inner ear and use them for rapid improvement in balance skill, especially when combined with balance training exercises. This method involves a stimulus delivery system that is wearable/portable and provides imperceptible electrical stimulation to the balance organs of the human body. Stochastic resonance (SR) is a phenomenon whereby the response of a nonlinear system to a weak periodic input signal is optimized by the presence of a particular non-zero level of noise. This phenomenon of SR is based on the concept of maximizing the flow of information through a system by a non-zero level of noise. Application of imperceptible SR noise coupled with sensory input in humans has been shown to improve motor, cardiovascular, visual, hearing, and balance functions. SR increases contrast sensitivity and luminance detection; lowers the absolute threshold for tone detection in normal hearing individuals; improves homeostatic function in the human blood pressure regulatory system; improves noise-enhanced muscle spindle function; and improves detection of weak tactile stimuli using mechanical or electrical stimulation. SR noise has been shown to improve postural control when applied as mechanical noise to the soles of the feet, or when applied as electrical noise at the knee and to the back muscles. SR using imperceptible stochastic electrical stimulation of the vestibular system (stochastic vestibular stimulation, SVS) applied to normal subjects has shown to improve the degree of association between the weak input periodic signals introduced via venous blood pressure receptors and the heart-rate responses. Also, application of SVS over 24 hours improves the long-term heart-rate dynamics and motor responsiveness as indicated by daytime trunk activity measurements in patients with multi-system atrophy, Parkinson s disease, or both, including patients who were unresponsive to standard therapy for Parkinson s disease. Recent studies conducted at the NASA JSC Neurosciences Laboratories showed that imperceptible SVS, when applied to normal young healthy subjects, leads to significantly improved balance performance during postural disturbances on unstable compliant surfaces. These studies have shown the benefit of SR noise characteristic optimization with imperceptible SVS in the frequency range of 0-30 Hz, and amplitudes of stimulation have ranged from 100 to 400 microamperes.

Bloomberg, Jacob↗

Metabolic rate control during extravehicular activity simulations and measurement techniques during actual EVAS

A description of the methods used to control and measure metabolic rate during ground simulations is given. Work levels attained at the Space Environment Simulation Laboratory are presented. The techniques and data acquired during ground simulations are described and compared with inflight procedures. Data from both the Skylab and Apollo Program were utilized and emphasis is given to the methodology, both in simulation and during flight. The basic techniques of work rate assessment are described. They include oxygen consumption, which was useful for averages over long time periods, heart rate correlations based on laboratory calibrations, and liquid cooling garment temperature changes. The relative accuracy of these methods as well as the methods of real-time monitoring at the Mission Control Center are discussed. The advantages and disadvantages of each of the metabolic measurement techniques are discussed. Particular emphasis is given to the problem of utilizing oxygen decrement for short time periods and heart rate at low work levels. A summary is given of the effectiveness of work rate control and measurements; and current plans for future EVA monitoring are discussed.

David J. Horrigan↗

Frequency and duration of interval training programs and changes in aerobic power

The present study was designed to ascertain whether a training frequency of 2 days/wk for a 7- and 13-wk interval training program would produce improvement in maximal aerobic power comparable to that obtained from 7- and 13-wk programs of the same intensity consisting of 4 training days/wk. After training, there was a significant increase in maximal aerobic power that was independent of both training frequency and duration. Maximal heart rate was significantly decreased following training. Submaximal aerobic power did not change with training, but submaximal heart rate decreased significantly with greater decreases the more frequent and the longer the training.

Fox, E. L.↗

Inflight evaluation of pilot workload measures for rotorcraft research

The effectiveness of heart-rate monitoring and the NASA TLX workload rating scale (Hart et al., 1985) in measuring helicopter-pilot workloads is investigated experimentally. Four NASA test pilots flew two 2-h missions each in an SH-3G helicopter, following scenarios with takeoff, hover, cross-country, and landing tasks; pilot performance on the tasks undertaken near the landing area was measured by laser tracking. The results are presented in graphs and discussed in detail, and it is found that the TLX ratings clearly distinguish the flight segments and are well correlated with the performance data. The mean heart rate (measured as interbeat interval) is correlated (r = -0.69) with the TLX workload, but only the standard deviation of the interbeat interval is able to distinguish between flight segments; the correlation between standard deviation and TLX ratings is negative but not significant.

Shively, Robert J.↗

Physiological basis for human autonomic rhythms

Oscillations of arterial pressures, heart periods, and muscle sympathetic nerve activity have been studied intensively in recent years to explore otherwise obscure human neurophysiological mechanisms. The best-studied rhythms are those occurring at breathing frequencies. Published evidence indicates that respiratory fluctuations of muscle sympathetic nerve activity and electrocardiographic R-R intervals result primarily from the action of a central 'gate' that opens during expiration and closes during inspiration. Parallel respiratory fluctuations of arterial pressures and R-R intervals are thought to be secondary to arterial baroreflex physiology: changes in systolic pressure provoke changes in the R-R interval. However, growing evidence suggests that these parallel oscillations result from the influence of respiration on sympathetic and vagal-cardiac motoneurones rather than from baroreflex physiology. There is a rapidly growing literature on the use of mathematical models of low- and high-frequency (respiratory) R-R interval fluctuations in characterizing instantaneous 'sympathovagal balance'. The case for this approach is based primarily on measurements made with patients in upright tilt. However, the strong linear relation between such measures as the ratio of low- to high-frequency R-R interval oscillations and the angle of the tilt reflects exclusively the reductions of the vagal (high-frequency) component. As the sympathetic component does not change in tilt, the low- to high-frequency R-R interval ratio provides no proof that sympathetic activity increases. Moreover, the validity of extrapolating from measurements performed during upright tilt to measurements during supine rest has not been established. Nonetheless, it is clear that measures of heart rate variability provide important prognostic information in patients with cardiovascular diseases. It is not known whether reduced heart rate variability is merely a marker for the severity of disease or a measurement that identifies functional reflex abnormalities contributing to terminal dysrhythmias.

Review, Tutorial↗

Selective norepinephrine reuptake inhibition as a human model of orthostatic intolerance

BACKGROUND: Observations in patients with functional mutations of the norepinephrine transporter (NET) gene suggest that impaired norepinephrine uptake may contribute to idiopathic orthostatic intolerance. METHODS AND RESULTS: We studied the effect of the selective NET blocker reboxetine and placebo in a randomized, double-blind, crossover fashion on cardiovascular responses to cold pressor testing, handgrip testing, and a graded head-up tilt test (HUT) in 18 healthy subjects. In a subset, we determined isoproterenol and phenylephrine sensitivities. Subjects ingested 8 mg reboxetine or placebo 12 hours and 1 hour before testing. In the supine position, heart rate was 65+/-2 bpm with placebo and 71+/-3 bpm with reboxetine. At 75 degrees HUT, heart rate was 84+/-3 and 119+/-4 bpm with placebo and with reboxetine (P<0.0001). Mean arterial pressure was 85+/-2 with placebo and 91+/-2 mm Hg with reboxetine while supine (P<0.01) and 88+/-2 mm Hg and 90+/-3 mm Hg at 75 degrees HUT. Blood pressure responses to cold pressor and handgrip testing were attenuated with reboxetine. Reboxetine increased the sensitivity to the chronotropic effect of isoproterenol and the pressor effect of phenylephrine. Vasovagal reactions occurred in 9 subjects on placebo and in 1 subject on reboxetine. CONCLUSIONS: Selective NET blockade creates a phenotype that resembles idiopathic orthostatic intolerance. This observation supports the hypothesis that disordered norepinephrine uptake mechanisms can contribute to human cardiovascular disease. Our study also suggests that NET inhibition might be useful in preventing vasovagal reactions.

Non-NASA Center↗

Raised cerebrovascular resistance in idiopathic orthostatic intolerance: evidence for sympathetic vasoconstriction

Patients with idiopathic orthostatic intolerance (IOI) exhibit symptoms suggestive of cerebral hypoperfusion and an excessive decrease in cerebral blood flow associated with standing despite sustained systemic blood pressure. In 9 patients (8 women and 1 man aged 22 to 48 years) with IOI, we tested the hypothesis that volume loading (2000 cc normal saline) and alpha-adrenoreceptor agonism improve systemic hemodynamics and cerebral perfusion and that the decrease in cerebral blood flow with head-up tilt (HUT) could be attenuated by alpha-adrenoreceptor blockade with phentolamine. At 5 minutes of HUT, volume loading (-20+/-3.2 bpm) and phenylephrine (-18+/-3.4 bpm) significantly reduced upright heart rate compared with placebo; the effect was diminished at the end of HUT. Phentolamine substantially increased upright heart rate at 5 minutes (20+/-3.7 bpm) and at the end of HUT (14+/-5 bpm). With placebo, mean cerebral blood flow velocity decreased by 33+/-6% at the end of HUT. This decrease in cerebral blood flow with HUT was attenuated by all 3 interventions. We conclude that in patients with IOI, HUT causes a substantial decrease in cerebrovascular blood flow velocity. The decrease in blood flow velocity with HUT can be attenuated with interventions that improve systemic hemodynamics and therefore decrease reflex sympathetic activation. Moreover, alpha-adrenoreceptor blockade also blunts the decrease in cerebral blood flow with HUT but at the price of deteriorated systemic hemodynamics. These observations may suggest that in patients with IOI, excessive sympathetic activity contributes to the paradoxical decrease in cerebral blood flow with upright posture.

Non-NASA Center↗

Combining Disparate Measures of Metabolic Rate During Simulated Spacewalks

Scientists from NASA's Extravehicular Activities (EVA) Physiology Systems and Performance Project help design space suits for future missions, during which astronauts are expected to perform EVA activities on the Lunar or Martian surface. During an EVA, an astronaut's integrated metabolic rate is used to predict how much longer the activity can continue and still provide a safe margin of remaining consumables. For EVAs in the Apollo era, NASA physicians monitored live data feeds of heart rate, O 2 consumption, and liquid cooled garment (LCG) temperatures, which were subjectively combined or compared to produce an estimate of metabolic rate. But these multiple data feeds sometimes provided conflicting estimates of metabolic rate, making real-time calculations of remaining time difficult for physician/monitors. Currently, designs planned for the Constellation Program EVAs utilize an automated, but largely heuristic methodology for incorporating the above three measurements, plus an additional one - CO 2 production, ignoring data that appears in conflict; however a more rigorous model-based approach is desirable. In this study, we show how principal axis factor analysis, in combination with OLS regression and LOWESS smoothing can be used to estimate metabolic rate as a data-driven weighted average of heart rate, O 2 consumption, LCG temperature data, and CO 2 production. Preliminary results suggest less sensitivity to occasional spikes in observed data feeds, and reasonable within-subject reproducibility when applied to subsequent tasks. These methods do not require physician monitoring and as such can be automated in the electronic components of future space suits. With additional validation, our models show promise for increasing astronaut safety, while reducing the need for and potential errors associated with human monitoring of multiple systems.

Alan H Feiveson↗

Methods of Achieving and Maintaining Physical Fitness for Prolonged Space Flight

This final summary report covers the five experiments that were conducted over a 24-month period beginning May 1, 1967 and ending April 30, 1969. Experiment I revealed that running and riding a bicycle ergometer produced similar gains in physical fitness variables. In Experiment I the subjects exercising at a 180 heart rate made a greater improvement in physical fitness than did those exercising a t a 140 or 160 heart rate. In Experiment II the subjects who exercised sixty minutes per day made greater gains on specified components of physical fitness than did those who exercised twenty or forty minutes per day, twelve times per week made greater gains on specified components of physical fitness than did those who exercised three or six times per week. In Experiment V, it was found that subjects could maintain a moderate level of fitness by exercising at a pulse rate of 160 beats per minute for twenty-minute periods three times per week, that subjects who "overtrained" by exercising twice daily to near exhaustion increased in fitness and that those subjects who discontinued training decreased in fitness.

Olree, Harry D.↗

Response and adaptation of Beagle dogs to hypergravity

Eight male Beagle dogs, five months old, were centrifuged continuously for three months at progressively increasing loads. Heart rate and deep body temperature were monitored continuously by implant biotelemetry. Initially, centrifuged dogs showed transient decreases in heart rate and body temperature along with changes in their diurnal rhythm patterns. Compared with normal gravity controls, exposed dogs showed a slower growth rate and a reduced amount of body fat. Blood protein, total lipids, cholesterol, calcium, packed cell volume, red blood cell count, and hemoglobin were also decreased significantly. Absolute weights of the leg bones of centrifuged dogs were significantly greater than controls. Photon absorptiometry revealed significant density increases in selective regions of the femur and humerus of centrifuged dogs. In spite of the various changes noted, results from this and other studies affirm the view that dogs can tolerate and adapt to sustained loads as high as 2.5 g without serious impairment of their body structure and function.

Oyama, J.↗

Lower body negative pressure - The second manned Skylab mission

Results of orthostatic evaluations of the crew of Skylab 3 with lower body negative pressure (LBNP) stress tests during their 59-d mission are reported. Except for an inflight increase (rather than a decrease) in resting heart rates, results were essentially parallel to those observed in crewmen of the shorter Skylab 2 mission. Exaggerated elevations in heart rate and decreases in pulse pressure during LBNP stress inflight and immediately postflight corresponded to lowered orthostatic tolerance. Large decrements is resting calf size inflight and in total leg volume postflight indicated significant headward fluid shifts as had already been seen in the Skylab 2 crewmen. In addition, decreases in calf circumference gave no certain indication of a plateau over the 59 d inflight. Percentage volume increase in calf size during LBNP stress inflight was greater than those in either preflight or postflight tests.

Johnson, R. L.↗

Crew factors in flight operations 2: Psychophysiological responses to short-haul air transport operations

Seventy-four pilots were monitored before, during, and after 3- or 4-day commercial short-haul trip patterns. The trips studied averaged 10.6 hr of duty per day with 4.5 hr of flight time and 5.5 flight segments. The mean rest period lasted 12.5 hr and occurred progressively earlier across successive days. On trip nights, subjects took longer to fall asleep, slept less, woke earlier, and reported lighter, poorer sleep with more awakenings than on pretrip nights. During layovers, subjective fatigue and negative affect were higher, and positive affect and activation lower, than during pretrip, in-flight, or posttrip. Pilots consumed more caffeine, alcohol, and snacks on trip days than either pretrip or posttrip. Increases in heart rate over mid-cruise were observed during descent and landing, and were greater for the pilot flying. Heart-rate increases were greater during takeoff and descent under instrument meteorological conditions (IMC) than under visual meteorological conditions (VMC). The following would be expected to reduce fatigue in short-haul operations: regulating duty hours, as well as flight hours; scheduling rest periods to begin at the same time of day, or progressively later, across the days of a trip; and educating pilots about alternatives to alcohol as a means of relaxing before sleep.

Gander, Philippa H.↗

The Human Sympathetic Nervous System Response to Spaceflight

The sympathetic nervous system is an important part of the autonomic (or automatic) nervous system. When an individual stands up, the sympathetic nervous system speeds the heart and constricts blood vessels to prevent a drop in blood pressure. A significant number of astronauts experience a drop in blood pressure when standing for prolonged periods after they return from spaceflight. Difficulty maintaining blood pressure with standing is also a daily problem for many patients. Indirect evidence available before the Neurolab mission suggested the problem in astronauts while in space might be due partially to reduced sympathetic nervous system activity. The purpose of this experiment was to identify whether sympathetic activity was reduced during spaceflight. Sympathetic nervous system activity can be determined in part by measuring heart rate, nerve activity going to blood vessels, and the release of the hormone norepinephrine into the blood. Norepinephrine is a neurotransmitter discharged from active sympathetic nerve terminals, so its rate of release can serve as a marker of sympathetic nervous system action. In addition to standard cardiovascular measurements (heart rate, blood pressure), we determined sympathetic nerve activity as well as norepinephrine release and clearance on four crewmembers on the Neurolab mission. Contrary to our expectation, the results demonstrated that the astronauts had mildly elevated resting sympathetic nervous system activity in space. Sympathetic nervous system responses to stresses that simulated the cardiovascular effects of standing (lower body negative pressure) were brisk both during and after spaceflight. We concluded that, in the astronauts tested, the activity and response of the sympathetic nervous system to cardiovascular stresses appeared intact and mildly elevated both during and after spaceflight. These changes returned to normal within a few days.

Ertl, Andrew C.↗

Gravitational biology and the mammalian circadian timing system

Using published reports, this paper compares and contrasts results on the effects of altered gravitational fields on the regulation in mammals of several physiological and behavioral variables with the circadian regulation of the same variables. The variables considered include the temperature regulation, heart rate, activity, food intake, and calcium balance. It is shown that, in rats, the homeostatic regulation of the body temperature, heart rate, and activity becomes depressed following exposure to a 2 G hyperdynamic field, and recovers within 6 days of 1 G condition. In addition, the circadian rhythms of these variables exhibit a depression of the rhythm amplitude; a recovery of this condition requires a minimum of 7 days.

Fuller, Charles A.↗