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1Institute of Health and Sports Science, University of Tsukuba, Tsukuba City; and 2Faculty of Human Development, Kobe University, Kobe, Japan
Submitted 9 May 2005 ; accepted in final form 19 September 2005
| ABSTRACT |
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E) and core temperature during prolonged exercise in the heat. Thirteen subjects exercised for 60 min on a cycle ergometer at 50% of peak oxygen uptake while wearing a suit perfused with water at 10°C (T10), 35°C (T35), or 45°C (T45). During the exercise, esophageal temperature (Tes), skin temperature, heart rate (HR),
E, tidal volume, respiratory frequency (f), respiratory gases, blood pressure (BP), and blood lactate were all measured. We found that oxygen uptake, carbon dioxide output, BP, and blood lactate did not differ among the sessions. Tes, HR,
E, and f remained nearly constant from minute 10 onward in the T10 session, but all of these parameters progressively increased in the T35 and T45 sessions, and significantly higher levels were seen in the T45 than the T35 session. For all but two subjects in the T35 and T45 sessions, plotting
E as a function of Tes revealed no threshold for hyperventilation; instead, increases in
E were linearly related to Tes, and there were no significant differences in the slopes or intercepts between the T35 and T45 sessions. Thus, during prolonged submaximal exercise in the heat,
E increases with core temperature, and the influences of skin temperature and the rate of increase in Tes on the relationship between
E and Tes are apparently small. core temperature; skin temperature; ventilation; respiration
E) during subsequent exercise in the heat (17). However, it is unclear from that study whether it was the reduction of Tsk or core temperature that mediated the reduction in
E. Nybo and Nielsen (31) suggested that an increase in core temperature is the best predictor of increased
E during exercise in the heat, but
E is reportedly also sensitive to changes in Tsk (4, 5, 22, 27). Thus it is unclear whether an increase in Tsk also contributes to the increase in
E seen during prolonged submaximal exercise.
It also has been suggested that the rate of the increase in body temperature may influence ventilation during exercise and at rest (4, 24, 40, 46). When Bazett (4), Landis et al. (24), and Saxton (40) manipulated bath water temperature or air temperature and/or humidity to increase core body temperature at various rates, they found that
E was greater when core temperature was increased faster. Moreover, White and Cabanac (46) reported that, during incremental exercise, ventilation was greater at any given core temperature when the rate of increase was faster and that the core temperature threshold for hyperventilation was lowered under the same conditions. However, those investigators changed the rate of increase in core temperature by changing the rate of increase in workload. In addition, they expressed ventilatory responses in terms of the inspired ventilatory equivalents for O2 and CO2 (i.e.,
I/
O2 and
I/
CO2, respectively; where
I is inspired ventilation;
O2 is oxygen uptake, and
CO2 is carbon dioxide output) and the core temperature threshold for hyperventilation as the core temperature at which
I/
O2 and
I/
CO2 began to increase. But as these parameters are also known to be, respectively, the anaerobic threshold and the starting point of respiratory compensation (45), their approach does not exclude the effects of the increasing workload on ventilatory responses, so the effect of the rate of increase in body temperature during exercise at a constant workload remains to be determined.
Some researchers have suggested that there is a core temperature threshold for hyperventilation, irrespective of whether the subject is exercising or at rest (6, 34, 40, 46). For instance, Saxton (40) reported that resting
E is augmented when core temperature increases 1.5°C from basal body temperature, and Cabanac and White (6) reported that the core temperature threshold for hyperventilation is 38.5°C (Tes). Petersen and Vejby-Christensen (34) were the first to suggest that there might be a core temperature threshold for hyperventilation during exercise and that it is
38°C (rectal temperature). In addition, White and Cabanac (46) reported that, during incremental exercise, hyperventilation was induced when core temperature reached 37.537.9°C (Tes); again, however, it difficult to distinguish the temperature threshold from the anaerobic threshold using their data. It thus remains unclear whether a body temperature threshold for hyperventilation can be seen during submaximal exercise.
With all of that as background, our aim in this study was to examine whether Tsk or the rate of increase in core temperature affects the relationship between
E and core temperature during prolonged exercise and whether a core temperature threshold for hyperventilation can be seen during the exercise.
| METHODS |
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O2 (
O2 peak) = 48.1 ± 2.0 ml·kg1·min1] participated in the study, which was approved by the Human Subjects Committee of the University of Tsukuba. All participants provided written, informed consent. Before any data were collected, the subjects were allowed to practice the cycle exercise they would be asked to perform during the experiments until they were accustomed to its style.
O2 peak test.
O2 peak was determined during an incremental cycling exercise to volitional fatigue. The exercise was performed on a cycle ergometer (model 818E, Monark) that had been customized for semirecumbent cycling. Exercise was started at 60 W, after which the load was increased at a rate of 15 W/min throughout the entire exercise period. Subjects pedaled at 60 rpm, and volitional fatigue was defined as an inability to pedal at more than 50 rpm. The expired gas was analyzed using an electric gas flowmeter (model RM300i, Minato Medical Science, Osaka, Japan) and a mass spectrometer (model Arco-1000, Arco System, Kashiwa, Japan); the former was calibrated with the aid of an appurtenant calibration instrument that can blow in a fixed volume (2 liters), and the latter was calibrated using gases of known concentration.
E,
O2, and
CO2 were calculated at 60-s intervals.
O2 peak was taken as the highest value of
O2 achieved by a given subject, as some subjects did not achieve a plateau. The
O2 peak test was carried out in an environmental chamber maintained at 25°C and 50% relative humidity. The room was force ventilated at a rate of 3,0004,000 l/min to prevent any increase in the CO2 concentration of the room air.
Experimental design. Subjects were asked to abstain from strenuous exercise, alcohol, and caffeine for 24 h before performing the exercise protocols. They were asked to drink 10 ml water/kg body weight the night before the experiment and then again on the morning of the experiment. Each subject came to laboratory after consuming only a light breakfast, and then he rested for 30 min sitting in a chair. During this time, a thermocouple was inserted via the nasal passage to measure Tes. This thermocouple was inserted to a distance equivalent to one-fourth of the subject's height. The subject then voided urine, was weighed, and moved to the environmental chamber, where he sat in a chair behind the ergometer to rest for 30 min. During this time, a heart rate (HR) monitor, thermocouples for measuring Tsk, and a cuff and electrodes for measuring arterial blood pressure (BP) were attached. Then the subject put on a water-perfused suit that covered the entire body with the exception of the face, hands, and feet. A plastic garment was then put on over the suit to suppress evaporation. In addition, each subject wore a cotton glove on the left hand. The right hand was left uncovered so that capillary blood could be collected for measurement of blood lactate concentration ([lactate]). Before starting the experiment, the suit was perfused with water at 3435°C.
The subjects performed the cycle exercise at 50% of
O2 peak. At the onset of exercise, the water temperature was changed to 10°C (T10), 35°C (T35), or 45°C (T45), and the exercise was continued for 60 min or volitional exhaustion. Each subject completed three experiments separated by at least 5 days in random order. They tried to consume similar diets for 24 h before the three experiments. No fluid was provided during any experiment.
Measurements.
During the experiments, Tes and Tsk data were collected via copper constantan thermocouples, which were sampled every 1 s via a data logger system (model WE7000, Yokogawa, Tokyo, Japan) and averaged over 1-min periods. Measurements of Tsk were made at six sites (chest, upper back, lower back, abdomen, thigh, and calf) and used to calculate mean Tsk (
sk) (43). HR was recorded every 5 s using a Vantage NV heart rate monitor (Polar) and averaged over 1-min periods. BP in the right brachial artery was measured in triplicate every 5 min using an automated sphygmomanometer (model STBP-780, Nippon Colin, Komaki, Japan). Mean arterial BP (MAP) was taken as the diastolic pressure plus one-third of the pulse pressure. The expired gas was measured using the same analyzers used in the
O2 peak test (see above). Capillary blood from the fingertip was collected for measuring [lactate] just before exercise, every 15 min during exercise, and just before the end of exercise. [Lactate] was measured with a lactate analyzer (model YSI 1500, Yellow Springs Instruments, Yellow Springs, OH) calibrated using a calibration kit provided by the manufacturer. Ratings of perceived exertion (RPE) were assessed every 5 min using Borg's scale.
Data analysis.
To evaluate the effects of Tsk and the rate of increase in core temperature on the relationship between ventilation and Tes,
E, tidal volume (VT), and respiratory frequency (f) were plotted as functions of Tes, after which the slopes and intercepts of the linear regression lines were compared. To exclude the fast component of
E kinetics, only data collected after the 5th min of exercise were analyzed.
All values are reported as means ± SE. Two-way ANOVA was used to analyze the data. After the main effects had been identified, a post hoc least significant difference test was carried out. In the T45 session, most subjects could not complete 60 min of exercise; consequently, data for minutes 5060 were not analyzed in that session (n
5). Because Tes was nearly constant after minute 10 during the T10 experiment, paired t-tests were used to compare the T35 and T45 sessions with respect to the rates of increase in Tes and the slopes and intercepts of their linear regression lines calculated after
E, VT, and f were plotted as functions of Tes. Values of P < 0.05 were considered significant.
| RESULTS |
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sk and Tes did not differ among the T10, T35, and T45 sessions [
sk = 35.0 ± 0.2, 35.1 ± 0.2, and 35.1 ± 0.2°C, respectively; Tes = 36.7 ± 0.1, 36.7 ± 0.1, and 36.7 ± 0.1°C, respectively (not significant)].
sk declined during exercise in the T10 session, whereas it increased in the other two sessions: at the end of the exercise,
sk in the T10, T35, and T45 sessions were 32.3 ± 0.5, 37.7 ± 0.1, and 39.1 ± 0.2°C, respectively. At the times indicated in Fig. 1, A and B, moreover, both
sk and Tes were significantly higher in the T35 session than in the T10 session, and they were significantly higher in the T45 session than in both the T35 and T10 sessions.
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Figure 2 shows the time-dependent changes in
E, VT, f, and end-tidal partial pressure of CO2 (PETCO2) during exercise. In the T10 session,
E remained nearly constant at 4345 l/min throughout the exercise, but it increased steadily to significantly higher levels in the T35 and T45 sessions. In addition, the magnitude of the increase in the T45 session was significantly greater than in the T35 session at the times indicated in Fig. 2A. Although no statistically significant difference in VT was observed among the sessions (Fig. 2B), f increased significantly during exercise in the T35 and T45 sessions, and again the largest increases occurred in the T45 session (Fig. 2C). PETCO2 declined correspondingly during exercise in the T35 and T45 sessions, with significantly larger declines occurring in the T45 session than in either the T10 or T35 session (Fig. 2D). No statistically significant differences were observed in
O2 and
CO2 among the three sessions, and the respiratory exchange ratio was always <1.
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E, VT, and f as functions of Tes using the data obtained after the first 5 min of exercise in the T35 and T45 sessions (Fig. 4, Table 1). Core temperature threshold for hyperventilation was determined using two linear regression lines calculated by the method of least squares and representing the smallest sum of two residual sums of squares. The threshold was determined as the intersecting point of these two regression lines. Using this regression analysis, we found that two subjects showed a clear threshold for hyperventilation, but the other one showed ventilatory responses that increased linearly with Tes. For these 11 subjects, the two regression lines were almost parallel and intersected outside the range of measured Tes (e.g., some intersected at a temperature that was less than baseline Tes, whereas others intersected at a temperature that was higher than the Tes when subjects stopped exercising). We therefore presumed that ventilatory responses increased or decreased linearly with Tes. Furthermore, we found there to be no significant differences in the slopes or intercepts between the T35 and T45 sessions. As mentioned above, during exercise,
sk was significantly higher in the T45 session (
sk = 3639°C) than in the T35 session (
sk = 3538°C); accordingly, the rate of increase in Tes seen in the T45 session (3.61 ± 0.19°C/h) was about twice that seen in the T35 session (1.92 ± 0.12°C/h) (P < 0.05). That we observed no statistically significant difference in the ventilatory responses (
E, VT, and f) to changes in Tes between the T35 and T45 sessions indicates that their relationships were not affected by Tsk or the rate of increase in core temperature during prolonged exercise at a constant workload with
sk at 3539°C and the rate of increase in Tes at 1.93.6°C/h. When plotting
E as a function of
sk, the close correlation between
E and
sk was similar to that between
E and Tes (the slopes were 6.6 ± 2.6 l·min1·°C1 in the T35 and 5.3 ± 1.2 l·min1· °C1 in the T45 session, and the intercepts were 199.2 ± 97.2 l/min in the T35 and 152.1 ± 45.2 l/min in the T45 session), and there was no significant differences in the slope or intercept between the T35 and T45 sessions.
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| DISCUSSION |
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E are also steady; 2) that
E increases with body surface warming and that the change in
E is linearly related to the increase in body temperature; 3) that the increase in
E is secondary to an increase in f; 4) that the increase in Tsk and the rate of increase in core temperature during exercise do not influence the relationship between the increase in
E and the increase in Tes with
sk at 3539°C and the rate of increase in Tes at 1.93.6°C/h; and 5) that a core temperature threshold for hyperventilation is not seen during prolonged exercise at 50%
O2 peak.
After the first 10 min of exercise, Tes,
sk, HR,
E, and f remained steady with body surface cooling in the T10 session, but these parameters progressively increased with exercise time when the body surface was warmed in the T35 and T45 sessions (Figs. 1 and 2). This suggests that the increases in HR and
E seen with body surface warming during exercise at 50%
O2 peak are associated with an increase in core body temperature, which is consistent with earlier studies (15, 31, 47). Moreover, because in the present study Tsk and the rate of increase in core body temperature differed significantly in the T35 and T45 sessions, comparison of the responses in those groups should further our understanding of the effects of those parameters on ventilation during exercise in the heat.
It was previously reported that, in subjects at rest, an acute increase (4) or decrease (5, 22, 27) in Tsk would augment
E without affecting core temperature. This suggests that these ventilatory responses are driven by reflexes initiated by thermoreceptors in the skin and mediated at the midbrain level (22). The discrepancy between those earlier findings and our present ones may be related to the degree of thermal stimulation of the skin. Those investigators changed Tsk by >10°C within 1 min (5, 22, 27), after which
E obtained with and without this aggressive cooling were compared. In the present study, however, we compared the ventilatory responses under conditions in which the difference in
sk during the exercise in the T35 and T45 sessions was only
2°C, and
sk changed comparatively slowly (
sk increased 0.2°C/min in the T35 session and 0.4 °C/min in the T45 session). In addition, Bazett (4) and Landis et al. (24) observed that
E is increased with the rate of increase in body temperature. Saxton (40) observed a similar tendency, but he did not detect a significant effect of rate because of the small number of subjects in that study (n = 4). To our knowledge, only White and Cabanac (46) have investigated the effect of the rate of increase in body temperature on ventilatory responses during exercise. They suggested that a higher rate of increase in body temperature augments ventilation during incremental exercise. The discrepancy between their results and ours in the present study may be related to the difference in the magnitudes of the rates of increase in body temperature: the rate of change in their study (between 3.80 ± 0.43 and 6.28 ± 0.43°C/h) was about twice that in ours (between 1.92 ± 0.12 and 3.61 ± 0.19°C/h). A second possible reason for the discrepancy relates to the fact that they changed the rate of increase in body temperature by changing the rate of increase in workload. Consequently, the augmented increase in
E could reflect the increase in workload and not the increase in core temperature.
It is thought that during exercise
E is modulated by a variety of factors, including output from central command, input from central or peripheral chemoreceptors, and input from muscle mechanoreceptors and metaboreceptors via group III and IV muscle afferents, among others (2, 9, 21, 35, 45). Notably, these factors also are reportedly influenced by changes in body temperature. For example, hyperthermia increases levels of anaerobic metabolites (11, 12, 15), which in turn stimulate signaling by central or peripheral chemoreceptors or muscle metaboreceptors to increase
E (9, 13, 21, 31, 45). However, we detected no significant difference in [lactate], except between the T10 and T35 sessions at minute 60; indeed, [lactate] was maintained at <2 mmol/l during exercise in all sessions (Fig. 3C). Moreover, there were no significant differences in
O2 and
CO2 among the sessions; they remained virtually constant throughout the exercise in all sessions. Thus the hyperventilation observed in the T35 and T45 sessions does not appear to have been caused by metabolic factors.
So what then did cause the observed increase in
E? One possibility is augmented signaling from central command (2, 9, 31, 45). Taking RPE as an index of central command signaling, our findings indicate that output from central command increases in proportion to the increase in Tes (Figs. 1B and 3A), which is consistent with findings made in earlier studies (15, 29, 31). For instance, increased signaling from central command is induced by central fatigue, which is relevant to hyperthermia (29, 32). A second possibility is that the increase in
E reflects augmented input from chemoreceptors. In that case, hyperthermia-induced reductions in blood pH (36, 37), increases in chemosensitivity (8, 28, 33), and/or increases in plasma norepinephrine derived from increased sympathetic nerve activity (7, 20, 41) lead to increases in peripheral chemoreceptor activity (9, 18). A third possibility is that the activity of group III and IV muscle afferents, induced by an increase in muscle temperature (19, 23), and increased activity of the ventral respiratory group, induced by an increase in brain temperature (44), lead to an increase in
E. However, although all of these processes can potentially contribute to hyperthermia-induced increases in
E, the extent to which they were involved in the increase seen in the present study remains to be determined.
Martin et al. (25) examined the effect of core temperature on ventilation in an effort to understand the mechanism underlying
E drift during prolonged exercise. They compared
E under two conditions [increased core temperature (rectal) elicited either by exercise or immersion in 39°C water] and reported that increases in core temperature elicited by exercise augmented
E, whereas increases elicited by passive heating did not. They concluded, therefore, that increased core temperature did not itself mediate
E drift. Nevertheless, several other studies, including this one, found that exercise-induced increases in
E are prevented if there is no rise in core temperature (10, 31), which makes it difficult to conclude that body core temperature does not play a role in
E drift.
The present study showed that
E increased at 56 l·min1·1°C1 increase in Tes (Fig. 4, Table 1), that the increase in
E was induced by an increase in f, and that f increased at
7 breaths·min1·1°C1 increase in Tes during exercise at a constant workload (50%
O2 peak). These findings are consistent with earlier ones; however, those studies did not show the degree to which f increases as body temperature increased (25, 26, 34). Ours is thus the first study to show that f increases linearly with increases in body core temperature. On the other hand, Barltrop (3), Gaudio and Abramson (13), and Senay and Christensen (42) increased the body temperature of resting subjects 12°C from normothermia and reported that
E increased 12 l·min1·1°C1 increase in oral or rectal temperature, whereas Cabanac and White (6) reported that ventilation abruptly increased when Tes increased to >38.5°C. Moreover, all of those studies showed that in resting subjects increases in
E are induced by increases in VT (4, 6, 13, 40). This suggests that when body temperature increases at rest
E is augmented by an increase in VT but that during exercise it is augmented by an increase in f. The mechanisms underlying the different pathways leading to the increases in
E at rest and during exercise have not yet been investigated.
Limitations.
When plotting
E as a function of
sk in the T35 and T45 sessions, it should be borne in mind that
sk also has a linear relationship with
E. Our regression analysis showed that
E increased at 56 l·min1·1°C1 with increases in
sk, but because in each session Tes and
sk increased simultaneously, we could not isolate the respective effects. Furthermore, the rate of increase in
E with increasing Tsk (56 l·min1·°C1) was too large; the difference in
sk between the T45 and T10 sessions 40 min into the exercise was
7°C, but the difference in
E was <12 l/min. We therefore suggest that this increase in
E was induced mainly by the increase in Tes and that the influence of Tsk was small. In addition,
sk in the T45 sessions (39.1 ± 0.2°C) was significantly higher than that in the T35 sessions (37.7 ± 0.1°C), but the difference was small. To investigate more clearly the independent effect of Tsk on
E, it would be better to change Tsk substantially without changing core temperature, for example by using fan cooling to induce a plateau in Tes in the cold and in the heat (10 and 35°C) (1, 31) or cooling abruptly to decrease Tsk without changing core temperature during exercise. These experiments are clearly needed in the future.
When we plotted
E as a function of Tes, a core temperature threshold for hyperventilation was detected in only 2 of our 13 subjects. We suggest that there are two possible reasons why we generally did not observe a core temperature threshold. We only analyzed data obtained after 5 or more min of exercise; consequently, it would be impossible to identify a core temperature threshold if it appeared before minute 5 (i.e., if the threshold were lower than 36.836.9°C in Tes). In addition, even if there were a threshold between the Tes values at minutes 5 (Tes = 36.836.9°C) and 10 (Tes = 37.237.3°C), it would have been undetectable because of the small amount of the data collected at that point. As just mentioned, however, we did detect apparent core temperature thresholds for hyperventilation in two subjects; moreover, we observed a great deal of individual variability in the slopes and intercepts of the calculated linear regression lines when
E, VT, and f were plotted against Tes. The functional significance of this variability among individuals remains to be determined.
In summary, we examined ventilatory responses to increases in body temperature to determine the extent to which Tsk and/or the rate of increase in core temperature contributes to the increase in
E seen during dynamic submaximal exercise and to determine whether there is a core temperature threshold for hyperventilation during exercise, as there is at rest. We found that both HR and
E are significantly affected by core temperature and that the increase in
E during dynamic exercise reflects an increase in f. Our findings further indicate that
E increases linearly with increases in core temperature, that a core temperature threshold for hyperventilation was not seen during prolonged exercise at 50%
O2 peak, and that Tsk or the rate of increase in core temperature does not affect the relationship between
E and Tes with
sk at 3539°C and the rate of increase in Tes at 1.93.6°C/h.
| GRANTS |
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| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
| REFERENCES |
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