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Sympathetic activity during passive heat stress in healthy aged humans

Gagnon D, Schlader ZJ, Crandall CG

The Journal of physiology · 50 citas

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Diseño
Ensayo clínico controlado (clasificado por nuestro filtro de IA)
Estudiado en
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Resultado principal
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Quién lo pagó

Financiación
Financiación independiente
Gobierno
National Heart, Lung, and Blood Institute
Gobierno
NHLBI NIH HHS
Subvenciones
National Heart, Lung, and Blood Institute (HL61388); National Heart, Lung, and Blood Institute (HL-84072)

Según 2 financiadores declarados.

Publicación

Publicado
2015-03-05 · J Physiol · vol. 593 · número 9 · págs. 2225–2235
Editorial
Wiley
Citado
58 citas · más que el 93% de estudios similares · 3.7× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
44 trabajos
Acceso
Acceso abierto (copia en repositorio)
Áreas de investigación
Thermoregulation and physiological responses · Climate Change and Health Impacts · Infrared Thermography in Medicine
Palabras clave
Cold pressor test, Blood pressure, Medicine, Heat stress, Internal medicine, Sympathetic activity, Sympathetic nervous system, Heart rate, Catecholamine, Endocrinology, Animal science
MeSH
muscle, skeletal, sympathetic nervous system, humans, catecholamines, reflex, aging, adult, aged, female, male, hemodynamics, hot temperature, stress, physiological

3 autores

  • Daniel Gagnon🇺🇸Texas Health Dallas; Institute for Exercise and Environmental Medicine
  • Zachary J. Schlader🇺🇸🇧🇪Texas Health Dallas; Nutrition Sciences (Belgium); Institute for Exercise and Environmental Medicine; University at Buffalo, State University of New York
  • Craig G. Crandall🇺🇸 · autor de correspondenciaTexas Health Dallas; Institute for Exercise and Environmental Medicine

Resumen

El texto original del estudio, en el idioma en que se publicó.

Key points

Cardiovascular adjustments to heat stress are attenuated in healthy aged individuals, which could contribute to their greater prevalence of heat-related illnesses and deaths during heat waves. The attenuated cardiovascular adjustments in the aged could be due to lower increases in sympathetic nerve activity during heat stress. We examined muscle sympathetic nerve activity (MSNA) and plasma catecholamine concentrations in healthy young and aged individuals during whole-body passive heat stress. The main finding of this study is that increases in MSNA and plasma catecholamine concentrations did not differ between young and aged healthy individuals during passive heating. Furthermore, the increase in these variables did not differ when a cold pressor test and lower body negative pressure were superimposed upon heating. These findings suggest that attenuated cardiovascular adjustments to heat stress in healthy aged individuals are unlikely to be related to attenuated increases in sympathetic activity.

Abstract

Cardiovascular adjustments during heat stress are generally attenuated in healthy aged humans, which could be due to lower increases in sympathetic activity compared to the young. We compared muscle sympathetic nerve activity (MSNA) between 11 young (Y: 28 ± 4 years) and 10 aged (A: 70 ± 5 years) subjects prior to and during passive heating. Furthermore, MSNA responses were compared when a cold pressor test (CPT) and lower body negative pressure (LBNP) were superimposed upon heating. Baseline MSNA burst frequency (Y: 15 ± 4 vs. A: 31 ± 3 bursts min(-1) , P ≤ 0.01) and burst incidence (Y: 26 ± 8 vs. A: 50 ± 7 bursts (100 cardiac cycles (CC))(-1) , P ≤ 0.01) were greater in the aged. Heat stress increased core temperature to a similar extent in both groups (Y: +1.2 ± 0.1 vs. A: +1.2 ± 0.0°C, P = 0.99). Absolute levels of MSNA remained greater in the aged during heat stress (burst frequency: Y: 47 ± 6 vs. A: 63 ± 11 bursts min(-1) , P ≤ 0.01; burst incidence: Y: 48 ± 8 vs. A: 67 ± 9 bursts (100 CC)(-1) , P ≤ 0.01); however, the increase in both variables was similar between groups (both P ≥ 0.1). The CPT and LBNP further increased MSNA burst frequency and burst incidence, although the magnitude of increase was similar between groups (both P ≥ 0.07). These results suggest that increases in sympathetic activity during heat stress are not attenuated in healthy aged humans.

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