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At least 217 records · Page 12

The metabolic and hemodynamic effects of prolonged bed rest in normal subjects

Investigation in six normal subjects of the effects of chronic bed rest on the interrelationships between cardiovascular hemodynamics, catecholamine metabolism, vascular reactivity, renin and aldosterone activity, and electrolyte and fluid balance. Negative sodium and potassium balances and reductions in plasma volume were observed in all subjects, but plasma renin activity and aldosterone secretory rate showed no significant change. Other findings included the observation that major decreases in sodium balance and plasma volume occurred in the early bed rest period and did not correlate closely with the degree of orthostatic intolerance.

Chobanian, A. V.↗

Improved upper limit on the photon rest mass

It is shown that application of standard MHD arguments to hydromagnetic waves observed in the Crab Nebula dramatically improves the upper bound on photon rest mass. The standard argument that massive photons are governed by the Phoca field equations is outlined and applied to wisp features (identified as hydromagnetic waves) observed in the Crab. The results imply an upper limit for the photon rest mass of between 3 by 10 to the -54th power and 3 by 10 to the -53rd power gram, which is smaller than the best previous limits by a factor of 10,000 to 100,000. It is noted that although the present limit is probably valid in order of magnitude, some doubt remains since there are inconsistencies in the standard arguments.

Barnes, A.↗

Cardiorespiratory deconditioning with static and dynamic leg exercise during bed rest

Results are presented for an experimental study designed to compare the effects of heavy static and dynamic exercise training during 14 days of bed rest on the cardiorespiratory responses to submaximal and maximal exercise performed by seven healthy men aged 19-22 yr. The parameters measured were submaximal and maximal oxygen uptake, minute ventilation, heart rate, and plasma volume. The results indicate that exercise alone during bed rest reduces but does not eliminate the reduction in maximal oxygen uptake. An additional positive hydrostatic effect is therefore necessary to restore maximal oxygen uptake to ambulatory control levels. The greater protective effect of static exercise on maximal oxygen uptake is probably due to a greater hydrostatic component from the isometric muscular contraction. Neither the static nor the dynamic exercise training regimes are found to minimize the changes in all the variables studied, thereby suggesting a combination of static and dynamic exercises.

Stremel, R. W.↗

Fluid and electrolyte shifts in women during +Gz acceleration after 15 days' bed rest

Experiments were conducted on twelve women aged 23-34 yr - a bed rest (BR) group of eight subjects and an ambulatory (AMB) group of four subjects - to determine the effect of bed rest on shifts in plasma volume, electrolytes, and erythrocyte volume during +Gz acceleration on a centrifuge. The BR group underwent the +Gz acceleration during a two-week ambulatory control period, after 15 days of a 17-day BR period, and on the third day of ambulatory recovery. The AMB group underwent the same experimental procedures, but continued their normal daily routine during the BR period without additional prescribed physical exercise. Major conclusions are that (1) the higher the mean control tolerance, the greater the tolerance decline after BR; (2) relative confinement and reduced activity contribute as much to reduction in tolerance as does the horizontal body position during BR; (3) BR deconditioning has no effect on the erythrocyte volume during +3.0 Gz; and (4) about one-half the loss in tolerance after BR can be attributed to plasma volume and electrolyte shifts.

Greenleaf, J. E.↗

Study report on modification of the long term circulatory model for the simulation of bed rest

Modifications were made of the circulatory, fluid, and electrolyte control model which was based on the model of Guyton. The modifications included separate leg compartments and the addition of gravity dependency. It was found that these modifications allowed for more accurate bed rest simulation by simulating changes in the orthostatic gradient and simulating the response to the fluid shifts associated with bed rest.

Leonard, J. I.↗

Improvements and validation of the erythropoiesis control model for bed rest simulation

The most significant improvement in the model is the explicit formulation of separate elements representing erythropoietin production and red cell production. Other modifications include bone marrow time-delays, capability to shift oxyhemoglobin affinity and an algorithm for entering experimental data as time-varying driving functions. An area of model development is suggested by applying the model to simulating onset, diagnosis and treatment of a hematologic disorder. Recommendations for further improvements in the model and suggestions for experimental application are also discussed. A detailed analysis of the hematologic response to bed rest including simulation of the recent Baylor Medical College bed rest studies is also presented.

Leonard, J. I.↗

Limb blood flow - Rest and heavy exercise in sitting and supine positions in man

The objectives of the study were twofold: (1) to determine the effect of body position (hydrostatic pressure) on total blood flow in active and passive limbs at rest and after severe exercise; and (2) to further evaluate the impedance technique for measurement of blood flow. To this end, the effect of body position on the redistribution of total blood flow in active (leg) and passive (forearm) limbs during exercise was determined by measuring total limb impedance (blood flow) in five male and one female subjects in sitting and supine positions with a modified Beckman BR-100 rheograph. The results show that, at rest and after exercise, the supine position induces significantly greater flows in the leg but not in the forearm. With severe exercise, blood flows are increased in both passive and active limbs, so that there is probably no net transfer of blood volume from passive to active muscles. The advantages of the impedance technique over other methods are stressed.

Greenleaf, J. E.↗

Physiological responses to prolonged bed rest and fluid immersion in man: A compendium of research (1974 - 1980)

Water immersion and prolonged bed rest reproduce nearly all the physiological responses observed in astronauts in the weightless state. Related to actual weightlessness, given responses tend to occur sooner in immersion and later in bed rest. Much research was conducted on humans using these two techniques, especially by Russian scientists. Abstracts and annotations of reports that appeared in the literature from January 1974 through December 1980 are compiled and discussed.

Greenleaf, J. E.↗

Masking of the circadian rhythms of heart rate and core temperature by the rest-activity cycle in man

Experiments were conducted to estimate the magnitude of the masking effect produced in humans by alternate periods of physical activity and rest or sleep on the circadian rhythms of heart rate and core temperature. The heart rate, rectal temperature, and nondominant wrist activity were monitored in 12 male subjects during 6 days of normal routine at home and during 6 days of controlled bed-rest regimen. The comparisons of averaged waveforms for the activity, heart rate, and temperature indicated that about 45 percent of the range of the circadian heart rate rhythm during normal routine and about 14 percent of the range of the circadian temperature rhythm were attributable to the effects of activity. The smaller effect of activity on the temperature rhythm may be partially attributable to the fact that core temperature is being more rigorously conserved than heart rate, at least during moderate exercise.

Gander, Philippa H.↗

Physiology of prolonged bed rest

Bed rest has been a normal procedure used by physicians for centuries in the treatment of injury and disease. Exposure of patients to prolonged bed rest in the horizontal position induces adaptive deconditioning responses. While deconditioning responses are appropriate for patients or test subjects in the horizontal position, they usually result in adverse physiological responses (fainting, muscular weakness) when the patient assume the upright posture. These deconditioning responses result from reduction in hydrostatic pressure within the cardiovascular system, virtual elimination of longitudinal pressure on the long bones, some decrease in total body metabolism, changes in diet, and perhaps psychological impact from the different environment. Almost every system in the body is affected. An early stimulus is the cephalic shift of fluid from the legs which increases atrial pressure and induces compensatory responses for fluid and electrolyte redistribution. Without countermeasures, deterioration in strength and muscle function occurs within 1 wk while increased calcium loss may continue for months. Research should also focus on drug and carbohydrate metabolism.

Greenleaf, J. E.↗

Changes in plasma volume during bed rest - Effects of menstrual cycle and estrogen administration

The effect of increased blood estrogen concentration, caused either during normal menstrual cycles or by exogenous administration of premarin, on the bed-rest (BR) induced decrease in plasma volume (PV) was investigated. In women who underwent duplicate 11-day BR without estrogen supplementation, the PV was found to decrease significantly, during the first 5 days of BR, to a lower level at which it remained for the rest of the BR period. In women who began BR in the periovulatory stage of the menstrual cycle, the loss of PV was delayed, while women who began BR during other stages of the cycle exhibited the usual trend of the PV decrease during the BR. In women who underwent a single 12-day BR period while taking premarin (1.25 mg/day), PV was found to decrease during the first 4-5 days of BR, but then returned toward the pre-BR level during the remainder of the BR, indicating that estrogens have a role in stabilizing body fluid volume.

Fortney, S. M.↗

The hemodynamic effects of repeated bed rest exposure

The effects of three 2-week periods of bed rest (with and without isometric/aerobic exercise, and separated by 3-week ambulatory recovery periods) on hemodynamic responses to stepwise application of LBNP (-20 to -40 mm Hg) are investigated experimentally in seven physically active male subjects aged 19-21 years. The data are presented in extensive tables and graphs and characterized in detail. It is found that bed rest produces significant changes in the responses of heart rate and end-diastolic volume index which (1) are greater than can be accounted for by lowered plasma volume, (2) persist during the recovery periods, and (3) do not respond to the exercises employed to prevent deconditioning.

Sandler, Harold↗

Work capacity during 30 days of bed rest with isotonic and isokinetic exercise training

Results are presented from a study to determine whether or not short-term variable intensity isotonic and intermittent high-intensity isokinetic short-duration leg exercise is effective for the maintenance of peak O2 (VO2) uptake and muscular strength and endurance, respectively, during 30 days of -6 deg head-down bed rest deconditioning. The results show no significant changes in leg peak torque, leg mean total work, arm total peak torque, or arm mean total work for members of the isotonic, isokinetic, and controls groups. Changes are observed, however, in peak VO2 levels. The results suggest that near-peak variabile intensity, isotonic leg excercise maintains peak VO2 during 30 days of bed rest, while peak intermittent, isokinetic leg excercise protocol does not.

Greenleaf, J. E.↗

Head-down bed rest impairs vagal baroreflex responses and provokes orthostatic hypotension

The hypothesis that baroreflex malfunction contributes to orthostatic hypotension in microgravity was tested by studying vagally mediated carotid baroreceptor-cardiac reflexes in healthy human subjects before, during, and after 30 days of 6-deg head-down bed rest. The baroreflex response relationships were provoked with ramped neck pressure-suction sequences comprising pressure elevations to 40 mm Hg followed by serial R-wave-triggered 15-mm Hg reductions to -65 mm0 Hg; each R-R interval was plotted as a function of systolic pressure minus the neck chamber pressure applied during the interval. It is shown that head-down bed rest led to an impairment of vagal baroreflex function and that it was associated with an impairment of hemodynamic adjustments to standing, indicating that baroreflex impairment may contribute to orthostatic hypotension observed in spacecrews after a flight.

Convertino, Victor A.↗

Hormonal regulation of fluid and electrolytes during prolonged bed rest - Implications for microgravity

The results of studies on the physiological changes of body fluids and electrolytes during bed rest with and without exercise training are overviewed to determine the effect of exercise and to assess the role of hormonal regulation in fluid-electrolyte responses to hypogravity. Special attention is given to fluid shifts observed in spacecraft personnel during space missions. It is concluded that, despite an apparent uncoupling of prominent hormonal interactions during bed-rest deconditioning (and, possibly, during microgravity), the exercise-training-induced hypervolemia helps to counter the hypohydrostatic-induced dehydration. Thus, it was found that, after nearly a year of spaceflight during which one cosmonaut exercised for about 4 hr per day, the water balance and physiological functioning were not disturbed significantly.

Greenleaf, John E.↗

Physiology Of Prolonged Bed Rest

Report describes physiological effects of prolonged bed rest. Rest for periods of 24 hours or longer deconditions body to some extent; healing proceeds simultaneously with deconditioning. Report provides details on shifts in fluid electrolytes and loss of lean body mass, which comprises everything in body besides fat - that is, water, muscle, and bone. Based on published research.

Greenleaf, John E.↗

Postural responses of head and foot cutaneous microvascular flow and their sensitivity to bed rest

To explore the mechanism for facial puffiness, headache, and nasal congestion associated with microgravity and cephalad fluid shifts, the postural responses of the cutaneous microcirculation (CMC) in the forehead and dorsum of the foot of eight healthy men were studied by changing body position on a tilt table and measuring blood flows with a laser Doppler flowmeter. Increasing arterial pressure in the feet by moving from a -6-deg head-down tilt to a 60-deg head-up posture decreased foot CMC by 46.5 + or - 12.0 percent. Raising arterial pressure in the head increased forehead CMC by 25.5 + or - 0.7 percent (p less than 0.05). To investigate the possibility that these opposite responses could be modified by simulated microgravity, tilt test were repeated after 7 d of -6-deg head-down-tilt bed rest. The responses were not significantly different from those recorded before bed rest. Therefore, CMC in the feet is well regulated to prevent edema when shifting to an upright position, whereas there is less regulation in the head CMC.

Aratow, Michael↗

Vascular uptake of rehydration fluids in hypohydrated men at rest and exercise

The purpose of this study was to formulate and to evaluate rehydration drinks, which would restore total body water and plasma volume (PV), for astronauts to consume before and during extravehicular activity, a few hours before reentry, and immediately after landing. In the first experiment (rest, sitting), five healthy men (23-41 yr), previously dehydrated for 24 hr., drank six (1a, 2, 4, 5, 6, 7) fluid formulations (one each at weekly intervals) and then sat for 70 min. Pre-test PV were measured with Evans blue dye and changes in PV were calculated with the hematocrit-hemoglobin transformation equation. This rest experiment simulated hypohydrated astronauts preparing for reentry. The second experiment (exercise, supine) followed the same protocol except four healthy men (30-46 yr) worked for 70 min. in the supine position on a cycle ergometer at a mean load of 71+/-1 percent of their peak aerobic work capacity. This exercise experiment simulated conditions for astronauts with reduced total body water engaging in extravehicular activity.

Greenleaf, J. E.↗