29-30) *** Environmental Influences *** Flashcards

1
Q

Body temperature Regulation:
Physiological body temperature is regulated to keep it nearly constant even when environmental temperature changes
* Only 25% of the of the energy the body produces (ATP) is used for physiological functions such as muscle contraction; the rest is ?
* All active tissues produce ? that must be precisely offset by heat loss to the environment to maintain the internal temperature of the body
* Must balance ? (metabolic heat, heat from environment) with ? (radiation, conduction, evaporation, convection)

A

Physiological body temperature is regulated to keep it nearly constant even when environmental temperature changes
* Only 25% of the of the energy the body produces (ATP) is used for physiological functions such as muscle contraction; the rest is lost as heat
* All active tissues produce metabolic heat (M) that must be precisely offset by heat loss to the environment to maintain the internal temperature of the body
* Must balance heat gain (metabolic heat, heat from environment) with heat loss (radiation, conduction, evaporation, convection)

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2
Q

Thermoregulatory Control

What brain region is responsible for maintaining body temperature?

A

Pre-optic-anterior hypothalamus (POAH)
Thermoreceptors detect changes in temperature and relay information to the POAH
* Hypothalamus activates mechanisms to heat/cool body

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3
Q

Four Effectors activated by POAH

Preoptic anterior hypothalamus

A

(1) Skin Arterioles
- Sense change in skin/core temp → POAH activates SNS → Smooth mm in arterioles to skin dilates/constricts to alter BF

(2) Exocrine sweat glands
- Increase in skin/core temp → POAH activates SNA → Eccrine Sweat Glands activated → Sweat released onto surface of skin → evaporates and cools

(3) Skeletal MM
- When need to generate more body heat
- Thermoreceptors in skin/core sense cold → POAH activates brain centers controlling mm tone → Shivering activated

(4) Endocrine Glands
- Hormones that increase metabolic rate: Thyroxine, NE/E (enhance SNS respones)

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4
Q

What two Cardiovascular changes occur in response to exercise in Heat and Dual demand (Skin and sk mm both need high bf)

A

2 changes to meet increased demand:
(1) CO increases above the increase that would be seen with a similar exercise intensity in cool conditions by increasing heart rate and contractility
Elevated core temperature →
(a) POAH sends signals to arterioles (SNS) to cause blood vessels to vasodilate to deliver heat to body surface;
(b) POAH sends signals to heart (SNS) to increase HR and contractility;

BUT ability to increase SV limited as blood is pooling in periphery (skin) and less is returning to heart: Cardiovascular drift

(2) Blood flow shunted away from nonessential areas to the skin
- SNS signals to kidneys, liver, intestines -> vasoconstriction -> allows available CO to reach skin without compromising Skeletal mm bloodflow

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5
Q

Physiological responses to exercise in Heat:
What is Heat Stress?

A

Heat stress → any environmental condition that increases body temperature and jeopardizes homeostasis

CV System:
Dual demand: In hot environment cardiovascular system must transport blood to working muscles and to skin

2 changes to meet increased demand:
(1) CO increases above the increase that would be seen with a similar exercise intensity in cool conditions by increasing heart rate and contractility
Elevated core temperature →
(a) POAH sends signals to arterioles (SNS) to cause blood vessels to vasodilate to deliver heat to body surface;
(b) POAH sends signals to heart (SNS) to increase HR and contractility;

BUT ability to increase SV limited as blood is pooling in periphery (skin) and less is returning to heart: Cardiovascular drift

(2) Blood flow shunted away from nonessential areas to the skin
- SNS signals to kidneys, liver, intestines -> vasoconstriction -> allows available CO to reach skin without compromising Skeletal mm bloodflow

  • In response to prolonged submaximal activity (aerobic/aerobic exercise in hot environment)
  • Describes the time-dependent downward shift in several cardiovascular responses
  • SV ↓ – rise in core temperature redistributes blood to the periphery for cooling; progressive decrease in plasma volume decreases central venous cardiac filling pressure, reducing SV
  • Concomitant heart rate ↑

Other factors:
* CO remains constant – maintain O2
* Arterial blood pressure ↓

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6
Q

What is Cardiovascular Drift in response to prolonged submax activity in HOT env’t

A

Cardiovascular Drift
* Describes the time-dependent downward shift in several cardiovascular responses
* SV ↓ – rise in core temperature redistributes blood to the periphery for cooling; progressive decrease in plasma volume decreases central venous cardiac filling pressure, reducing SV
* Concomitant heart rate ↑ (Exercise tachycardia)

Other factors:
* CO remains constant – maintain O2
* Arterial blood pressure ↓

  • ↓SV: (more blood going to skin decreases preload which decreases SV)
  • HR↑ to compensate for ↓SV

Decreased filling pressure → ↓VR → ↓EDV → ↓SV

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7
Q

What limits exercise in heat?

A

Exercise in heat becomes limited when HR approaches maximum
With increasing temperature:
* SV decreases
* HR increases (will reach max)
* CO increases and then plateaus
* At lower temperatures CO increases

Any factor that overloads the cardiovascular system or interferes with heat dissipation can impair performance, increase risk of overheating or both

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8
Q

Critical Temperature Theory:

A

Critical temperature theory → the brain will send signals to stop exercise when some critical brain temperature is reached (40 – 41 °C); especially in well-trained, acclimated athletes

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9
Q

Sweating involves which glands? Stimulated by?

A

Eccrine sweat glands (Thermoregulatory):
* Elevated body temperature → POAH stimulates SNS of eccrine sweat glands found on body’s surface

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10
Q

How is sweat changed by training?

A

Affected by training: (Fluid balance)
* With training and repeated heat exposure more sodium is reabsorbed and sweat is more dilute due to increased sensitivity to aldosterone
* No mechanism to conserve other electrolytes

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11
Q

Health risks during exercise in heat:

A

(1) Heat Cramps
- severe cramping in lrg mm
- due to sodium loss and dehydration (high sweating)
- Prevent/minimize with proper hydration and increasing salt intake

(2) Heat Exhaustion
- Effects beyond mm
- CV system unable to meet body demands as it is severely dehydrated
- Can’t get enough blood to both sk mm and skin
- Due to excess fluid loss from sweating that decreases BV
- Heat cannot be dissipated quickly enough (insufficient BV)

(3) Heatstroke
- Life threatening due to failure of body’s thermoregulatory mechanisms
- Increase in internal body temperature exceeding 40 °C
* Confusion, disorientation or unconsciousness
* Coma and death if core temperature continues to rise
- Sweating may cease

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12
Q

Acclimation to Heat exercise

A

Heat acclimation → changes in plasma volume, cardiovascular function, sweating and skin blood flow that allow for subsequent exercise bouts in the heat to be performed with a lower core temperature and heart rate response
* Changes occur over short periods of time (days/weeks)

Studies have shown that repeated exercise in the heat causes a series of relatively rapid adaptations that enable us to perform better and more safely in hot conditions

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13
Q

Effects of Heat Acclimation

A

With acclimation:
* Heat loss ability of the body is enhanced at a given rate of work

In response to a submaximal exercise bout:
* Core temperature increases less than before
acclimation
* HR increases less
* More work can be done before a maximal tolerable temperature or HR is reached

  • Athletes must exercise in heat to attain acclimation (sauna/steam room do not achieve same effects)
  • Trained athlete acclimates faster than untrained subject (training even in cooler environment already increases heat tolerance)
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14
Q

COLD Stress: (4) MECHANISMS to avoid heat loss

A

(1) Peripheral Vasoconstriction
- SNS → contraction of smooth muscle of arterioles to skin → reduce blood flow to minimize heat loss
- Tonic Skin Vasoconstriction even at thermoneutral temp (Tone continuosly modified)

(2) Non-shivering Thermogenesis:
* A cold-induced increase in heat production not associated with the muscle activity of shivering; increase in metabolic rate primarily in brown adipose tissue
* Controlled SNS

(3) Shivering

(4) Behavioural responses

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15
Q

3 Patterns of adaptation to repeated cold exposure:

A

(1) COLD HABITUATION
- People repeatedly exposed to cold environment where significant body heat loss does not occur
* Cutaneous cooling (hands/feet), but no decline in core temperature, provoked either by brief or mild whole-body or localized cold exposures
* Skin vasoconstrictor and shivering responses are blunted

(2) METABOLIC ACCLIMATION
Occurs when increases in metabolic heat production can minimize heat loss
* Non-shivering and shivering thermogenesis will generate heat

(3) INSULATIVE ACCLIMATION
* Occurs when increased metabolism cannot maintain core temperature
* Enhanced skin vasoconstriction occurs to increase peripheral insulation and
minimize heat loss

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16
Q

Insulative Acclimation to cold exposure

A

(3) INSULATIVE ACCLIMATION
* Occurs when increased metabolism cannot maintain core temperature
* Enhanced skin vasoconstriction occurs to increase peripheral insulation and
minimize heat loss

(1) COLD HABITUATION
- People repeatedly exposed to cold environment where significant body heat loss does not occur
* Cutaneous cooling (hands/feet), but no decline in core temperature, provoked either by brief or mild whole-body or localized cold exposures
* Skin vasoconstrictor and shivering responses are blunted

(2) METABOLIC ACCLIMATION
Occurs when increases in metabolic heat production can minimize heat loss
* Non-shivering and shivering thermogenesis will generate heat

17
Q

Cold Habituation to repeated cold exposure:

A

(1) COLD HABITUATION
- People repeatedly exposed to cold environment where significant body heat loss does not occur
* Cutaneous cooling (hands/feet), but no decline in core temperature, provoked either by brief or mild whole-body or localized cold exposures
* Skin vasoconstrictor and shivering responses are blunted

(2) METABOLIC ACCLIMATION
Occurs when increases in metabolic heat production can minimize heat loss
* Non-shivering and shivering thermogenesis will generate heat

(3) INSULATIVE ACCLIMATION
* Occurs when increased metabolism cannot maintain core temperature
* Enhanced skin vasoconstriction occurs to increase peripheral insulation and
minimize heat loss

18
Q

Metabolic Acclimation to cold exposure?

A

(2) METABOLIC ACCLIMATION
Occurs when increases in metabolic heat production can minimize heat loss
* Non-shivering and shivering thermogenesis will generate heat

(1) COLD HABITUATION
- People repeatedly exposed to cold environment where significant body heat loss does not occur
* Cutaneous cooling (hands/feet), but no decline in core temperature, provoked either by brief or mild whole-body or localized cold exposures
* Skin vasoconstrictor and shivering responses are blunted

(3) INSULATIVE ACCLIMATION
* Occurs when increased metabolism cannot maintain core temperature
* Enhanced skin vasoconstriction occurs to increase peripheral insulation and
minimize heat loss

19
Q

Cold Habituation?
3 Patterns of adaptation to repeated cold exposure:

A

(1) COLD HABITUATION
- People repeatedly exposed to cold environment where significant body heat loss does not occur
* Cutaneous cooling (hands/feet), but no decline in core temperature, provoked either by brief or mild whole-body or localized cold exposures
* Skin vasoconstrictor and shivering responses are blunted

(2) METABOLIC ACCLIMATION
Occurs when increases in metabolic heat production can minimize heat loss
* Non-shivering and shivering thermogenesis will generate heat

(3) INSULATIVE ACCLIMATION
* Occurs when increased metabolism cannot maintain core temperature
* Enhanced skin vasoconstriction occurs to increase peripheral insulation and
minimize heat loss

20
Q

Four factors that influence the rate of heat loss:

(1) Body size
(2) Sex/Age
(3) Windchill
(4) Heat loss in cold water

A

(1) Body size
* Insulating body against heat exchange through reducing loss of dry heat by convection, conduction and radiation
* Inactive peripheral muscles and subcutaneous fat: insulators
* Subcutaneous fat has low thermal conductivity
* People with more fat mass conserve heat more efficiently in the cold than smaller, leaner individuals
* Rate of heat loss affected by ratio of body surface area to body mass

(2) Sex/Age:
* Women have more subcutaneous fat than men but smaller muscle mass for shivering and insulating
* True differences in cold between genders is minimal

(3) Windchill
* Air temperature/air movement
* Higher windchill increases risk of freezing tissues

(4) Heat loss in cold water
* Heat loss in cold water 4x faster vs cold air
* Core body temperature able to remain constant until water temperature < 32 °C
* Core temperature decreases 2.1 °C per hour in 15 °C
* Hypothermia from cold water occurs well above freezing point of water

21
Q

Muscle Function in cold environment:

A

Muscle function decreases
Muscle shortening velocity/power decrease when muscle cooled:
* Superficial muscle fibers numbed (Large deep muscles unaffected)
* Nervous system alters normal muscle fiber recruitment patterns for force development when muscle is cool → ↓ contractile force (cannot recruit numb fibers)
* At beginning of exercise (skiing and running in cold, long-distance swimming) athlete can perform at high intensity to generate sufficient metabolic heat to maintain core temperature
* Energy reserve depletion with endurance exercise → ↓ metabolic heat production → increases potential for hypothermia

22
Q

Metabolic Responses to Cold Environment

A

During prolonged exercise FFA are used as fuel source stimulated by **NE/E **release
* Exposure to cold increases NE/E but FFA increase substantially less than with prolonged exercise in warm conditions
- Cold exposure causes vasoconstriction to the skin and subcutaneous fat
* Reduced blood flow to an area that would supply FFA; less FFA mobilized

Blood Glucose: Role in exercise endurance and cold tolerance
* Hypoglycemia suppresses shivering
* Blood glucose maintained relatively well during cold exposure (imp for maintaining shivering response)

  • Muscle glycogen used at higher rate in cold conditions

  • Studies on metabolism in cold are limited
23
Q

Hypothermia: Health risks during exercise in cold:

A

(1) Hypothermia:
Hypothalamus begins to lose ability to regulate body
temperature at core temperatures below 34.5 °C (completely lost at ~ 29.5 °C)
* Loss of function associated with slowing of metabolic functions
* For each 10 °C drop in cellular temperature cell metabolism decreases by half
* Drop of core temperature results in lethargy, drowsiness, coma

(2) Cardiorespiratory Effects
Low core temperature → slow heart rate (SA node
affected) → cardiac arrest
* Cold air does not typically damage ventilatory tissues
* Breathing passageways warm air

(3) Frostbite
* Peripheral tissue freezing
* Excess vasoconstriction → lack of oxygen → tissue death

(4) Exercise-induced Asthma:
* Excessive airway drying (cont cold exposure)
* Ventilation increases with physical activity → air is warmed and humidifies as heat and water is transferred from respiratory tract
- “Air conditioning” cools and dries respiratory mucosa → stimulates proinflammatory chemical mediators that cause bronchoconstriction
- Physical activity in a humid environment decreases EIA response
* Treated with steroid inhalers

24
Q

Cardiorespiratory Effects: Health risks during exercise in cold:

A

(2) Cardiorespiratory Effects
Low core temperature → slow heart rate (SA node
affected) → cardiac arrest
* Cold air does not typically damage ventilatory tissues
* Breathing passageways warm air

(1) Hypothermia:
Hypothalamus begins to lose ability to regulate body
temperature at core temperatures below 34.5 °C (completely lost at ~ 29.5 °C)
* Loss of function associated with slowing of metabolic functions
* For each 10 °C drop in cellular temperature cell metabolism decreases by half
* Drop of core temperature results in lethargy, drowsiness, coma

(3) Frostbite
* Peripheral tissue freezing
* Excess vasoconstriction → lack of oxygen → tissue death

(4) Exercise-induced Asthma:
* Excessive airway drying (cont cold exposure)
* Ventilation increases with physical activity → air is warmed and humidifies as heat and water is transferred from respiratory tract
- “Air conditioning” cools and dries respiratory mucosa → stimulates proinflammatory chemical mediators that cause bronchoconstriction
- Physical activity in a humid environment decreases EIA response
* Treated with steroid inhalers

25
Q

FROSTBITE: Health risks during exercise in cold:

A

(3) Frostbite
* Peripheral tissue freezing
* Excess vasoconstriction → lack of oxygen → tissue death

(1) Hypothermia:
Hypothalamus begins to lose ability to regulate body
temperature at core temperatures below 34.5 °C (completely lost at ~ 29.5 °C)
* Loss of function associated with slowing of metabolic functions
* For each 10 °C drop in cellular temperature cell metabolism decreases by half
* Drop of core temperature results in lethargy, drowsiness, coma

(2) Cardiorespiratory Effects
Low core temperature → slow heart rate (SA node
affected) → cardiac arrest
* Cold air does not typically damage ventilatory tissues
* Breathing passageways warm air

(4) Exercise-induced Asthma:
* Excessive airway drying (cont cold exposure)
* Ventilation increases with physical activity → air is warmed and humidifies as heat and water is transferred from respiratory tract
- “Air conditioning” cools and dries respiratory mucosa → stimulates proinflammatory chemical mediators that cause bronchoconstriction
- Physical activity in a humid environment decreases EIA response
* Treated with steroid inhalers

26
Q

Cardiorespiratory Effects: Health risks during exercise in cold:

A

(4) Exercise-induced Asthma:
* Excessive airway drying (cont cold exposure)
* Ventilation increases with physical activity → air is warmed and humidifies as heat and water is transferred from respiratory tract
- “Air conditioning” cools and dries respiratory mucosa → stimulates proinflammatory chemical mediators that cause bronchoconstriction
- Physical activity in a humid environment decreases EIA response
* Treated with steroid inhalers

(1) Hypothermia:
Hypothalamus begins to lose ability to regulate body
temperature at core temperatures below 34.5 °C (completely lost at ~ 29.5 °C)
* Loss of function associated with slowing of metabolic functions
* For each 10 °C drop in cellular temperature cell metabolism decreases by half
* Drop of core temperature results in lethargy, drowsiness, coma

(2) Cardiorespiratory Effects
Low core temperature → slow heart rate (SA node
affected) → cardiac arrest
* Cold air does not typically damage ventilatory tissues
* Breathing passageways warm air

(3) Frostbite
* Peripheral tissue freezing
* Excess vasoconstriction → lack of oxygen → tissue death

27
Q

Key to exercise in cold

A
  • Wear layers and remove as you warm up (avoid sweating)
  • Stay Dry
  • Avoid prolonged cold exposure after exercise (especially if sweating)