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Sandler, H.

Publications and source records attributed to Sandler, H..

At least 19 records

Joint U.S./U.S.S.R. Study Of Effects Of Bed Rest

Horizontal and head-down positions investigated at two research centers. Report presents results of joint experimental study of effects of bed rest conducted at Ames Research Center in California and Institute for Biomedical Problems in Moscow. Study conducted under identical conditions at both locations. In addition to generating useful scientific data, provided basis for comparison of physiological reactions and standardization of procedures and methods.

Sandler, H.↗

Hemodynamic and ADH responses to central blood volume shifts in cardiac-denervated humans

Hemodynamic responses and antidiuretic hormone (ADH) were measured during body position changes designed to induce blood volume shifts in ten cardiac transplant recipients to assess the contribution of cardiac and vascular volume receptors in the control of ADH secretion. Each subject underwent 15 min of a control period in the seated posture, then assumed a lying posture for 30 min at 6 deg head down tilt (HDT) followed by 20 min of seated recovery. Venous blood samples and cardiac dimensions (echocardiography) were taken at 0 and 15 min before HDT, 5, 15, and 30 min of HDT, and 5, 15, and 30 min of seated recovery. Blood samples were analyzed for hematocrit, plasma osmolality, plasma renin activity (PRA), and ADH. Resting plasma volume (PV) was measured by Evans blue dye and percent changes in PV during posture changes were calculated from changes in hematocrit. Heart rate (HR) and blood pressure (BP) were recorded every 2 min. Results indicate that cardiac volume receptors are not the only mechanism for the control of ADH release during acute blood volume shifts in man.

Convertino, V. A.↗

Cardiovascular results from a rhesus monkey flown aboard the Cosmos 1514 spaceflight

The results of the Cosmos 1514 cardiovascular experiment, in which the blood flow to the head and the carotid pressure of a rhesus monkey were measured during the 5-d spaceflight, are reported. A single cylindrical probe containing both pressure and flow transducers was chronically implanted as a cuff around the left common carotid artery; measurements were obtained for 4 min every 2 h and compared to identical recordings obtained during a preflight control period and during 12 h on a launch pad. Immediately on its insertion into orbit, mean arterial pressure increased by 10 percent and has maintained a 16-27 percent increase over the first few hours of flight before returning to baseline level. Blood flow showed reciprocal changes to pressure on orbital insertion. Cardiovascular system changes persisted into the second day of flight, with the signs of adaptation appearing on days 3-5.

Sandler, H.↗

Echocardiographic evaluation of Space Shuttle crewmembers

Echocardiographic measurements of left ventricular volume were obtained from 17 members of four Space Shuttle crews before and after 5- to 8-day space flights. Measurements obtained 1 h after landing indicated increases in the heart rate (HR), mean arterial pressure, and systemic vascular resistance values. On the other hand, the end-diastolic volume index (EDVI) fell 17 ml/sq m, and the stroke volume index (SVI) fell 15 ml/sq m. Measurements taken 1-2 weeks later demonstrated that the HR values returned to normal, but the EDVI and SVI values remained significantly below preflight levels, despite the ability of the subjects to ambulate and exercise. The results indicate that a space flight induces significant changes in heart volume affecting the left-ventricle function. It is suggested that the prolonged recovery period is related to the high level of aerobic conditioning in these subjects.

Bungo, M. W.↗

Bedrest-induced peak VO2 reduction associated with age, gender, and aerobic capacity

A study measuring the peak oxygen uptake (V02), heart rate (HR), and exercise tolerance time of 15 men of 55 + or - 2 yr and 17 women of 55 + or - 1 yr after 10 days of continuous bed rest (BR) is presented. The experimental conditions and procedures are described. Following BR a decrease in peak VO2 of 8.4 percent in men and 6.8 percent in women, a reduction in exercise tolerance time by 8.1 percent in men and 7.3 percent in women, and an increse in HR of 4.4 percent and 1.3 percent for men and women, respectively, are observed. These data are compared with data from Convertino et al. (1977) for men 21 + or - 1 yr and women 28 + or - 2yr. It is concluded that BR-induced aerobic deconditioning is independent of age and sex, since the relative decrease in peak V02 in the older and younger subjects and men and women are similar.

Convertino, V. A.↗

Zero-G fluid mechanics in animal and man

Significant cardiovascular change occurs with spaceflight. Loss of normal hydrostatic pressure gradients (head-to-foot), present while upright on earth, results in significant headward fluid shift of vascular and interstitial fluids. The resultant fluid change also shifts the hydrostatic indifference point for the circulation. The persistent distention of neck veins and change in upper body tissue compliance initiates steps to adapt to and compensate for the sensed excess fluid. These result in a loss of intravascular volume through neuro-humoral mechanisms and the presence of a smaller heart size, leading to a state where the subject has a reduced adaptive capacity to stress, particularly to fluid shifts to the lower body as occurs when once again returning to earth. This article reviews what is known about the weightlessness-induced headward fluid shift and its effects on cardiovascular function.

Sandler, H.↗

Endocrine and fluid metabolism in males and females of different ages after bedrest, acceleration and lower body negative pressure

Space shuttle flight simulations were conducted to determine the effects of weightlessness, lower body negative pressure (LBNP), and acceleration of fluid and electrolyte excretion and the hormones that control it. Measurements were made on male and female subjects of different ages before and after bedrest. After admission to a controlled environment, groups of 6 to 14 subjects in the age ranges 25 to 35, 35 to 45, 45 to 55 to 65 years were exposed to +3 G sub z for 15 minutes (G1) and to LBNP (LBNP1) on different days. On 3 days during this prebedrest period, no tests were conducted. Six days of bedrest followed, and the G sub z (G2) and LBNP (LBNP2) tests were run again. Hormones, electrolytes, and other parameters were measured in 24-hour urine pools throughout the experiment. During bedrest, cortisol and aldosterone excretion increased. Urine volume decreased, and specific gravity and osmolality increased. Urinary electrolytes were statistically unchanged from levels during the non-stress control period. During G2, cortisol increased significantly over its control and bedrest levels. Urine volume, sodium, and chloride were significantly lower; specific gravity and osmolality were higher during the control period or bedrest. The retention of fluids and electrolytes after +G sub z may at least partially explain decreased urine volume and increased osmolality observed during bedrest in this study. There were some who indicated that space flight would not affect the fluid and electrolyte metabolism of females or older males any more severely than it has affected that of male astronauts.

Leach, C. S.↗

Changes in cardiovascular function: Weightlessness and ground-based studies

Echocardiographic measurements were taken on members of four Space Shuttle missions before (F-10 to F-12) and twice after (L+0 and L+7 to 14 days) 7- to 9-day space flight missions. Such recordings allowed for determination of left ventricular chamber dimensions and subsequent calculations of left ventricular volume and stroke volume. Resting ventricular volume could be shown to significantly decrease 23% on L+) and to be associated with a significant 28% decrease in stroke volume. Studies 7 to 14 days layer showed amelioration of effects, but persistence of end diastolic volume change. Such findings occurred despite ability to fully ambulate and exercise during the postflight period. Comparison of findings with bed rested subjects (athletic and nonathletic) showed similar changes, but changes after bed rest were of smaller magnitude compared to the flight crews. It is concluded that space flight induces significant changes in heart volume even after short duration (7-9 days) missions. Heavy athletic conditioning preflight may contribute to the severity of the observed changes in the flight crews and to the apparent slow postflight process of recovery.

Sandler, H.↗

Role of cardiac volume receptors in the control of ADH release during acute simulated weightlessness in man

Hemodynamic responses and antidiuretic hormone (ADH) were measured during body position changes, designed to induce central blood volume shifts in ten cardiac and one heart-lung transplant recipients, to assess the contribution of cardiac volume receptors in the control of ADH release during the initial acute phase of exposure to weightlessness. Each subject underwent 15 min of a sitting-control period (C) followed by 30 min of 6 deg headdown tilt (T) and 30 min of resumed sitting (S). Venous blood samples and cardiac dimensions were taken at 0 and 15 min of C; 5, 15, and 30 min of T; and 5, 15, and 30 min of S. Blood samples were analyzed for hematocrit, plasma osmolality, plasma renin activity (PRA), and ADH. Heart rate and blood pressure were recorded every two min. Plasma osmolality was not altered by posture changes. Mean left ventricular end-diastolic volume increased (P less than 0.05) from 90 ml in C to 106 ml in T and returned to 87 ml in S. Plasma ADH was reduced by 20 percent (P less than 0.05) with T, and returned to control levels with S. These responses were similar in six normal cardiac-innervated control subjects. These data may suggest that cardiac volume receptors are not the primary mechanism for the control of ADH release during acute central volume shifts in man.

Convertino, V. A.↗

VO2 kinetics of constant-load exercise following bed-rest-induced deconditioning

Previous studies have shown that the oxygen uptake kinetics during exercise and recovery may be changed by alterations in work intensity, prior exercise, muscle group involvement, ambient conditions, posture, disease state, and level of physical conditioning. However, the effects of detraining on oxygen uptake kinetics have not been determined. The present investigation has the objective to determine the effects of deconditioning following seven days of continuous head-down bed rest on changes in steady-state oxygen uptake, O2 deficit, and recovery oxygen uptake during the performance of constant-load exercise. The obtained results may provide support for previous proposals that submaximal oxygen uptake was significantly reduced following bed rest. The major finding was that bed-rest deconditioning resulted in a reduction of total O2 transport/utilization capacity during the transient phase of upright but not supine exercise.

Convertino, V. A.↗

Oxygen uptake kinetics of constant-load work - Upright vs. supine exercise

Supine and upright positions were used in a comparitive study of the effects of constant load exercise on oxygen uptake (VO2), O2 deficit, steady-state VO2 and VO2 following recovery from constant load work. Ten male subjects (36-40 yr.) performed one submaximal exercise test in the supine and one test in the upright position consisting of 5 min rest and 5 min cycle ergometer exercise at 700 kg/min followed by ten minutes of recovery. It is found that the significant difference in VO2 kinetics during exercise in the upright compared to supine position resulted from changes in oxygen transport and utilization mechanisms rather than changes in mechanical efficiency. To the extent that data measured in the supine position can be used to estimate physiological responses to zero gravity, it is suggested that limitation of systemic O2 consumption may be the result of slow rates of oxygen uptake during transient periods of muscular work. Significant reductions in the rate of steady-state VO2 attainment at submaximal work intensities may produce an onset of muscle fatigue and exhaustion.

Convertino, V. A.↗

Are there limits to man's long-term presence in space?

While manned space flights lasting up to six months have resulted in no physiological changes that have proved detrimental to the health of astronauts, the longer missions envisioned aboard space stations in the future require the further consideration of physiological and psychological well-being for both men and women, and for individuals of more advanced age than astronauts of the past. It is speculated that when permanent manning of spacecraft becomes a reality, the microgravity environment and extensive use of electronics may lead to substantial and permanent physiological, and ultimately evolutionary, changes. Headward shifts of body fluids may, for instance, stimulate greater growth and development of the upper half of the body.

Sandler, H.↗

Evaluation of a Reverse Gradient Garment for prevention of bed-rest deconditioning

A Reverse Gradient Garment (RGG) was used to intermittently induce venous pooling in the extremities of a magnitude similar to that seen in going from a lying to standing position during the course of a 15-d period of horizontal bed rest. Venous pooling failed to improve bed-rest-induced losses in +2.5 Gz and +3.0 Gz centrifugation tolerance or to prevent increased heart-rate responses to lower-body negative pressure (LBNP). Four subjects served as controls, four were treated. Tests during the 7-d recovery period showed fluid/electrolyte and body composition values to have returned to pre-bed-rest levels with continued depression of acceleration tolerance times (56% decreased at +2.5 Gz and 74% decreased at +3.0 Gz compared to pre-bed-rest levels) and exaggerated blood insulin response on glucose tolerance testing (blood insulin for treated group increased 95% at 1 h before bed rest and 465% during recovery). This study demonstrates that the physiologic changes after bed rest persist for significant periods of time. Acceleration tolerance time proved to be a sensitive test for the deconditioning process.

Sandler, H.↗

Cardiovascular responses to hypogravic environments

The cardiovascular deconditioning observed during and after space flight is characterized in a review of human space and simulation studies and animal simulations. The various simulation techniques (horizontal bed rest, head-down tilt, and water immersion in man, and immobilization of animals) are examined, and sample results are presented in graphs. Countermeasures such as exercise regimens, fluid replacement, drugs, venous pooling, G-suits, oscillating beds, electrostimulation of muscles, lower-body negative pressure, body-surface cooling, and hypoxia are reviewed and found to be generally ineffective or unreliable. The need for future space experimentation in both humans and animals is indicated.

Sandler, H.↗

VO2 kinetics during submaximal exercise following simulated weightlessness

A study is presented of the effects of deconditioning following 7 days of continuous head-down (-6 degrees) bedrest on changes in steady-state VO2, O2, and recovery VO2 during the performance of constant-load exercises. The deconditioning effects of bedrest on the physical working capacity were manifested in the subjects by significant changes in VO2 kinetics following the 7 days of head-down bedrest. While the subjects demonstrated the ability to attain similar steady-state VO2, simulated weightlessness using head-down bedrest resulted in a reduction of total VO2 capacity and an increase in the O2 deficit and VO2 halftime during submaximal constant-load exercise. It is concluded that this change in VO2 kinetics was induced by reexposure of the cardiovascular system to the +1 Gz (upright) environment.

Convertino, V. A.↗

Increased hematuria following hypergravic exposure in middle-aged women

The effects of simulated weightlessness on orthostatic tolerance were studied in 9 women (55 to 65 years old) who underwent acceleration and lower body negative pressure before and after 10 days of horizontal bed rest. The results of this study show the first known association of microscopic hematuria with hypergravic and orthostatic stress which suggests similarities to the 'stress hematuria syndrome' previously seen with heavy exercise (Boileau et al., 1980). In addition, the sporadic occurrence of this phenomenon indicates a multifactorial etiology in predisposed individuals. Bedrest or weightlessness simulation per se does not seem to significantly alter renal function, but may decrease microscopic hematuria with an orthostatic component.

Goldwater, D. J.↗

Cardiovascular responses to weightlessness and ground-based simulations

Mission experience, from NASA and Soviet programs, on human cardiovascular responses to weightlessness, and the ability of bed rest studies to simulate these are discussed. In-flight effects include fluid shift to the upper body, decreased heart size, bone demineralization, orthostatic intolerance, and loss of exercise tolerance. All the cardiovascular changes that occur with weightlessness also occur with prolonged bed rest. They are most manifest when subjects stand suddenly, or undergo tilting or lower body negative pressure. The mechanisms which control these responses, e.g., the role of the central nervous system, are unclear.

Sandler, H.↗

Effect of orthostatic stress on exercise performance after bedrest

The cardiorespiratory responses to supine against upright exercise were compared to determine the orthostatic effects of gravity on exercise performance following bedrest. Five healthy male subjects underwent seven days of continuous bedrest. A deconditioning effect was manifested by significant increases in ventilation volume, carbon dioxide production, respiratory exchange ratio, heart rate, heart rate-pressure product, and diastolic blood pressure during submaximal exercise following bedrest. The major finding from this study was that bedrest resulted in a general decrease in exercise tolerance, which was more stressful in the upright posture compared to the supine position, judging from specific submaximal cardiorespiratory responses to cycle ergometry. The data support the hypothesis that there is an orthostatic factor to the reduction in work tolerance following bedrest deconditioning, in addition to the effects caused by increased physical activity.

Convertino, V. A.↗