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J Appl Physiol 82: 1229-1236, 1997;
8750-7587/97 $5.00
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Journal of Applied Physiology
Vol. 82, No. 4, pp. 1229-1236, April 1997
CONTROL OF BREATHING, CIRCULATION, AND TEMPERATURE

Dehydration markedly impairs cardiovascular function in hyperthermic endurance athletes during exercise

Josée González-Alonso, Ricardo Mora-Rodríguez, Paul R. Below, and Edward F. Coyle

Human Performance Laboratory, Department of Kinesiology and Health Education, The University of Texas at Austin, Austin, Texas 78712

Received 16 July 1996; accepted in final form 26 November 1996.

González-Alonso, José, Ricardo Mora-Rodríguez, Paul R. Below, and Edward F. Coyle. Dehydration markedly impairs cardiovascular function in hyperthermic endurance athletes during exercise. J. Appl. Physiol. 82(4): 1229-1236, 1997.---We identified the cardiovascular stress encountered by superimposing dehydration on hyperthermia during exercise in the heat and the mechanisms contributing to the dehydration-mediated stroke volume (SV) reduction. Fifteen endurance-trained cyclists [maximal O2 consumption (VO2 max) = 4.5 l/min] exercised in the heat for 100-120 min and either became dehydrated by 4% body weight or remained euhydrated by drinking fluids. Measurements were made after they continued exercise at 71% VO2 max for 30 min while 1) euhydrated with an esophageal temperature (Tes) of 38.1-38.3°C (control); 2) euhydrated and hyperthermic (39.3°C); 3) dehydrated and hyperthermic with skin temperature (Tsk) of 34°C; 4) dehydrated with Tes of 38.1°C and Tsk of 21°C; and 5) condition 4 followed by restored blood volume. Compared with control, hyperthermia (1°C Tes increase) and dehydration (4% body weight loss) each separately lowered SV 7-8% (11 ± 3 ml/beat; P < 0.05) and increased heart rate sufficiently to prevent significant declines in cardiac output. However, when dehydration was superimposed on hyperthermia, the reductions in SV were significantly (P < 0.05) greater (26 ± 3 ml/beat), and cardiac output declined 13% (2.8 ± 0.3 l/min). Furthermore, mean arterial pressure declined 5 ± 2%, and systemic vascular resistance increased 10 ± 3% (both P < 0.05). When hyperthermia was prevented, all of the decline in SV with dehydration was due to reduced blood volume (~200 ml). These results demonstrate that the superimposition of dehydration on hyperthermia during exercise in the heat causes an inability to maintain cardiac output and blood pressure that makes the dehydrated athlete less able to cope with hyperthermia.

cardiovascular strain; stroke volume; cardiac output; blood pressure


0161-7567/97 $5.00 Copyright © 1997 the American Physiological Society




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