| Young
Investigator Special Issue 1 |
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| Research
article |
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EXERCISE-INDUCED
HYPERVOLEMIA MAY NOT BE CONSEQUENTIAL TO DEHYDRATION DURING EXERCISE
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Waikato Institute of Technology, Centre for Sport and Exercise Science,
Hamilton, New Zealand.
| Received |
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06 May 2004 |
| Accepted |
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04
October 2004 |
| Published |
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01
November 2004 |
©
Journal of Sports Science and Medicine (2004) 3 (YISI 1), 50 - 55
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| ABSTRACT |
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The
purpose of this investigation was to determine whether the increase
in plasma volume (PV) frequently observed 24 hours after exercise
is proportional to the magnitude of dehydration occurring during
exercise. Seven males (age 21.6 ± 4.4 y, body mass 71.5 ± 8.5 kg;
VO2peak 43 ± 7 mL.kg.minute-1, peak 60-second cycling
power output 282 ± 16 W) completed three cycling sessions at 50%
of peak power output in an ambient environment of 35oC, 50% relative
humidity; with the exercise lasting either 30, 60 or 90 minutes
(in random order) to elicit varying levels of dehydration (assessed
by body mass changes). The percent change in PV was calculated 24
hours after each exercise session. All exercise sessions were separated
by 7-days. Participants' body mass (means ± SD) decreased by 1.03
± 0.22% in the 30-minute exercise protocol; 1.43 ± 0.26% in the
60-minute protocol; and 1.59 ± 0.37% in the 90-minute protocol.
Significant PV expansions were not evident 24 hours after any protocol
(0.76 ± 4.58% in the 30-minute protocol; 1.40 ± 4.58% in the 60-minute
protocol, and 2.92 ± 3.2% in the 90-minute protocol). Regression
analysis revealed a poor correlation between percent dehydration
and percent change in plasma volume (r = 0.24). Our study revealed
that the magnitude of dehydration elicited during this study was
insufficient to stimulate a significant expansion in PV.
KEY
WORDS: Exercise, dehydration, fluid volume, blood volume.
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| INTRODUCTION |
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A conspicuous
physiological response that occurs immediately after completion
of exercise, is auto-restoration of exercise-induced PV loss (Gillen
et al., 1991; Mack et al., 1998; Nagashima et al., 1999).
Even in the absence of oral fluid ingestion, PV is restored to baseline
within minutes of exercise completion (Mack et al., 1998). The fluid flux into the
vascular space occurs presumably to stabilize cardiovascular function,
and is caused by alterations in Starling forces, elevations in plasma
albumin mass, and increased renal tubule sodium absorption (Gillen
et al., 1991; Hayes et al., 2000; Mack et al., 1998;
Nagashima et al., 1999;
Nagashima et al., 2001).
The PV post-restoration usually exceeds the original PV, resulting
in the phenomenon of exercise-induced hypervolemia (Convertino,
1991; Gillen et al., 1991;
Mack et al. , 1998;
Maw et al. , 1996;
Nagashima et al., 1999). If exercise is repeated over a number of days
the resting PV may increase by up to 20% (Convertino, 1991; Convertino et al., 1980;
Green et al., 1984).
Furthermore, it appears that long-term training results in a chronic
expansion of the extracellular volume (Maw et al., 1996). The exercise- induced
hypervolemia appears to be an adaptation that results in lower relative
loss of PV during succeeding bouts of exercise (Green et al., 1984),
and will increase end-diastolic volume and ultimately maximal cardiac
output (Krip et al., 1997; Warburton et al., 1999). Subsequently, VO2peak
is increased consequential to an elevated PV, provided that the
effects of the hypervolemia do not result in excessive hemodilution
and compromise oxygen arterial pressure (Coyle et al., 1990;
Warburton et al., 1999).
Knowledge of the stimulus initiating an increase in plasma volume
would be relevant and beneficial for exercise physiologists assisting
an athlete's preparation for competitions that require an elevated
VO2peak
for success. Whilst exercise-induced hypervolemia appears to be
a supra-compensatory response to the magnitude of dehydration occurring
during prolonged running, cycling or rowing tasks (Green et al.,
1984), this
hypothesis is yet to be experimentally tested. Therefore, the purpose
of this is investigation is to examine the hypothesis that the magnitude
of exercise-induced hypervolemia is dependent upon, and proportional
to, the magnitude of dehydration occurring during a continuous sub-maximal
cycling bout in recreationally active males.
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| METHODS |
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Subjects
Seven recreationally active males (age 21.6 ± 4.4 years, body mass
71.5 ± 8.5 kg, peak 60 second cycling power output 282 ± 16 W) volunteered
for this study after being informed of risks and giving their written
informed consent. The study was approved by the Waikato Institute
of Technology Human Research Ethics Committee. All exercise training
and procedures were performed in the Human Performance Laboratory
at the Waikato Institute of Technology.
Experimental
protocol overview
Prior to the experimental sessions (7-14 days), the participants
completed a standard incremental cycle ergometer protocol to determine
their VO2peak and peak 60 second cycling power output
(PCPO). The experimental protocol consisted of three standard exercise
sessions (50% PCPO continuous upright cycling in an ambient environment
of 35oC, 50% relative humidity) with the duration of
exercise varied (30, 60, or 90 minutes), in order to elicit a different
level of relative dehydration on each occasion. Exercise sessions
were separated by one week and completed in random order. The percent
change in PV 24 hours after each exercise session was calculated
from changes in haemoglobin concentration and haematocrit values
using the method of Dill and Costill (1974).
Pre-experimental
protocol
One week prior to the experimental period VO2peak and
PCPO were determined using a maximal incremental test on a Monark
cycle ergometer (818E, Sweden). Expired air was analysed using open
circuit spirometry (Sensormedics 2900 Metabolic Measurement System,
USA) in mixing chamber mode. Work-rate was incremented after 5 minutes
of cycling at 100 W in 25 W steps each minute until volitional exhaustion,
defined as an inability to maintain pedal cadence above 60 rpm.
VO2peak was determined as the highest VO2
(L.min-1) value recorded during the test. PCPO was defined
as the average power output during the last fully completed minute
of the incremental test.
Pre-control and blood sampling
The participants were asked to refrain from alcohol, caffeine or
recreational drugs 48-hours prior to, and during the 24-hours of
testing. Furthermore, we requested them to refrain from exercise
24 hours prior to, and 24 hours following the initial PV measurement.
Dietary and hydration control occurred 24 hours prior to, and 24
hours following the initial PV measurement. During this time participants
consumed a diet supplied by the investigators. Energy intake was
8350 ± 203.6 kJ.day-1 (mean ± SD), 3412 ± 127.3 mg Na+.day-1. 1.5
L water was orally ingested in five equal aliquots (at 09:00; 13:00;
17:00; 21:00; 05:00) in each 24-hour period of hydration control.
Participants reported to the laboratory at 06:00, following the
initial 24 hour period of dietary and hydration control. Nude body
mass was recorded (Wedderburn Scales, Japan, data recorded to ±
5 g). The participants then underwent postural stasis (seated upright
with hands palm down on knees, feet flat to the floor) for 20 minutes
to allow for PV stabilisation (Nagashima et al., 2001),
after which 5 mL of venous blood was sampled from the antecubital
fossa. Blood samples were analysed for haemoglobin concentration
and haematocrit using standard techniques (Lundvall and Lindgren,
1998). The
participants then entered the environmental chamber, and cycled
on the Monark ergometer at 50% PCPO, maintaining a cadence of 60
rpm. Food and fluid intake was disallowed during the exercise bout.
Exercise continued until 30, 60, or 90 minutes of total exercise
time had elapsed. Upon completion of exercise, nude body mass (after
sweat removal) was recorded. 24 hours following exercise, all participants
reported to the laboratory for the 20 minutes of postural stasis
described earlier and had 5 ml of blood sampled to obtain the haemoglobin
concentration and haematocrit values used to calculate the percent
change in PV.
Statistical
procedure
Percent changes in PV and body mass are reported as mean ± SD. Differences
in the percent change in PV and body mass between treatments were
analysed using simple analysis of variance (ANOVA). Tukey's honestly
significant difference test was used for post hoc test comparison.
Significance was defined as p<0.05.
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| RESULTS |
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There
was a significant (p < 0.01) increase in the body mass lost after
90 minutes compared to after 30 minutes of exercise, however no
other pair-wise comparison revealed a significant difference in
body mass between treatments. The percentage loss of body mass was
1.03%, 1.43% and 1.59% after 30, 60 and 90 minutes of exercise respectively.
The percent change in body mass is illustrated in Figure
1. The percent change in PV was however, not significantly affected
by exercise of any duration (p = 0.69). The percent change in PV
is illustrated in Figure 2.
Finally, Figure 3 illustrates
the correlation (r = 0.24) of percent dehydration experienced by
all participants in all treatments, with the resulting PV changes
24 hours later.
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| DISCUSSION |
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The
intention of the present study was to investigate whether the magnitude
of exercise-induced hypervolemia is proportional to the level of
dehydration incurred during exercise. We hypothesized that increased
plasma volume 24 hours post-exercise would be well related and proportional
to the percent dehydration experienced during exercise. Our results
indicate that the relationship between dehydration (percent change
in body mass) and percent change in PV 24 hours later was poor within
the range of dehydration we investigated. Therefore, it is apparent
the stimulus necessary for the induction of significant hypervolemia
was not invoked in the present study. Subsequently, there is little
support for our hypothesis that hypervolemia is a supra-compensatory
response to dehydration, at least within the range of dehydration
investigated in our study. However, the absence of any significant
increases in PV despite significantly different levels of dehydration
is a relevant finding of our investigation.
The
mechanisms of exercise-induced hypervolemia observed 24-hours after
exercise are complex and could be consequential to first, an increase
in plasma protein mass, secondly, a decrease in central venous pressure,
or thirdly, an increase in renal fluid retention (Mack et al., 1998; Nagashima et al., 2001; Wu and Mack, 2001).
An increase in plasma protein mass following exercise creates an
osmotic gradient for water movement into the vascular space, and
a decrease in central venous pressure would facilitate greater flux
of fluid from the lymphatic system or interstitial space (Wu and
Mack, 2001). Fluid conservatory hormones
such as aldosterone are elevated greatly following exercise, and
act to reduce urine output and consequently enhance fluid retention
(Convertino, 1991). The present experiments resulted in a decrease
in body mass ranging from 1-1.6%, which are similar to the values
observed by Gillen et al., (1991),
and would therefore be expected to have transiently lowered central
venous pressure, increased aldosterone and stimulated an increase
in plasma protein mass. It is therefore appropriate to discuss possible
reasons why a significant hypervolemia was not observed in the present
study, despite creating a disturbance in homeostasis that was anticipated
to facilitate an increase in PV.
One
possibility for the attenuated increase in PV, was that the magnitude
of dehydration induced in the present study was not sufficient to
result in exercise-induced hypervolemia 24 hours after exercise.
Unfortunately, we were unable to induce greater levels of dehydration
using the current exercise mode, as the participants were unable
to continue beyond the 90 minutes of cycle ergometer exercise due
to fatigue and discomfort. Future research may control for fatigue
by eliciting greater levels of dehydration by non-exercise or "passive
means", such as exposure to a sauna. Moreover, the failure
of our study to detect an expansion in PV may be consequential to
the participants engaging in only one and not several exercise sessions.
The magnitude of hypervolemia appears to be consequential to the
cumulative effect of several daily bouts of dehydration induced
by exercise, as the greatest increases in hypervolemia are observed
after several days of training (Green et al. , 1984).
Despite this concern, a single episode of exercise was anticipated
to increase PV (Gillen et al., 1991). The dehydration experienced by the current participants
was similar to that reported elsewhere (Gillen et al., 1991),
and those subjects experienced an increase in PV of ~7%. Alternatively
therefore, dehydration may not be the stimulus inducing hypervolemia,
and some other covariate may be a more powerful mediator.
Indeed, Convertino et al. (1980)
reported that 12% of exercise-induced hypervolemia could be attributed
to exercise factors and 5% to thermal factors. One such "exercise
factor" that may play a crucial role in the induction of hypervolemia
is exercise intensity. Subjects in the study by Gillen et al. (1991)
exercised intermittently at 85% of VO2peak, which is
higher than the ~50% we used. An observable increase in PV may be
consequential to a specific exercise intensities effect on the body's
fluid volume or distribution regulatory mechanisms. Nitric oxide
production is proportional to exercise intensity (Chirpraz-Oddou
et al., 1997),
and in elevated concentrations may lower central venous pressure
(Blackman et al., 2000),
creating a favorable gradient for increased lymphatic drainage into
the vascular space, or interstitial fluid to move directly into
the vascular space. Intense exercise training also displays many
of the biochemical features of the acute phase response (Tauler
et al., 2002).
An acute phase response elicited by exercise with high resistance
loadings is associated with a disruption in muscle cell integrity,
potentially allowing intracellular fluid to appear in the extracellular
space (Kirwan and del Aguila, 2003).
In particular, unaccustomed eccentric exercise elicits significant
disturbance to muscle cell integrity (Kirwan and del Aguila, 2003),
and is accompanied by a parallel increase in PV (Gleeson and Almey,
1994). We believe
investigation into graded exercise intensities would elucidate whether
the magnitude of the expansion is proportional to exercise intensity.
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| CONCLUSION |
Finally,
the role of post-exercise hypotension on PV should be investigated.
Nagashima et al., (1999) has demonstrated that hypotension is crucial
in the induction of hypervolemia as it creates a favorable gradient
for fluid movement into the vascular space. It may be advantageous
to prolong or accentuate the hypotension following exercise by postural
manipulation or delaying hydration to evoke a significant and observable
increase in PV. In conclusion, exercise physiologists aiming to facilitate
performance by inducing hypervolemia after exercise training should
not use the protocols investigated in the present study. A greater
understanding of the stimulus of exercise-induced hypervolemia is
required by exercise physiologists if they are to prescribe appropriate
strategies to evoke hypervolemia.
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| KEY
POINTS |
- It
may be advantageous to prolong or accentuate the hypotension following
exercise by postural manipulation or delaying hydration to evoke
a significant and observable increase in PV.
- A
greater understanding of the stimulus of exercise-induced hypervolemia
is required by exercise physiologists if they are to prescribe
appropriate strategies to evoke hypervolemia.
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| AUTHORS
BIOGRAPHY |
Bartholomew KAY
Employment: Assistant Professor of Exercise Physiology at
the Sport Sciences Department, University of Trás-os-Montes
e Alto Douro at Vila Real.
Degree: MS, PhD student.
Research interests: Blood volume regulation after exercise
Fitness testing protocols of the Australian Defence Force.
Email: b.kay@ballarat.edu.au
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Brendan O'BRIEN
Employment: Centre for Sport and Exercise, Waikato Institute
of Technology.
Degree: PhD
Research interests: Blood volume regulation after exercise.
Email: Brendan.obrine@wintec.ac.nz |
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Nicholas GILL
Employment: Centre for Sport and Exercise, Waikato Institute
of Technology.
Degree: PhD
Research interests: Hormonal changes during team sport
activity. Heat acclimation strategies. |
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