Lecture 14 - Temperature and fluid balance during exercise Flashcards

1
Q

__% of oxygen consumption ends up as heat

A

80%

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2
Q

What are means by which we lose heat?

A

radiation, conduction, convection and evaporation of sweat (the primary mechanism)

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3
Q

convection is the ..

A

movement of air across the skin

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4
Q

the water vapour pressure in the atmosphere will influence…

A

the evaporation of sweat,

would much rather exercise in dry heat not humid

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5
Q

What determines the core temperature and what is the major determinant?

A

The balance of heat production and heat loss

major determinant is exercise intensity

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6
Q

we do regulate our body core temperature, but because our heat loss mechanisms lag, there is a ‘‘temperature deficit’’ which is determined by the …

A

how intense the exercise is

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7
Q

rectal temperature has been shown to be a bit higher experimentally, why?

A

heat from the legs skews the results

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8
Q

What can happen if the muscle temperature gets really high?

A

can start to break down membranes/proteins - damage the muscle

people can die from this

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9
Q

at 20 degrees what proportion of heat loss is from sweat?

A

about half

and increasingly more as the temperature is raised above 20 degrees

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10
Q

If you were exercising in water, relative to air, what would be the differences in the proportion of heat lost by conduction and convection?

A

it would be a greater proportion

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11
Q

Sweating is regulated by not just core temperature, also ___ temperature

A

skin temperature

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12
Q

What makes up sweat?

A

Na, Cl, K+, Mg2+

of decreasing proportions

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13
Q

Is sweat hypertonic or hypotonic?

A

hypotonic (the major substance you lose with sweat is water)

sweat is an ultrafiltrate of plasma,

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14
Q

If your sweating at a higher rate, you’re Na concentration will be…

A

a bit higher as there isn’t enough time to reabsorb it along the sweat duct

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15
Q

Trained indivuduals will be better able to maintain their plasma Na, why?

A

aldosterone not only acts on the kidney but also the sweat duct

after training, aldosterone is stimulated to absorb Na to a greater extent - this helps maintain a higher plasma volume

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16
Q

At higher temperature more CO and oxygen uptake is going to…

A

the skin

raises the question of whether you should warm up on a hot day - could warm up the muscle temp, but will also redistribute the CO

17
Q

If you pre-expose to heat, and send alot of blood to the skin, the skin circulation means you will lose a bit of blood volume, meaning..

A

CO goes down, VO2 max goes down

18
Q

heat stress impairs exercise capability due to…

A

cardiovascular limitations, not glycogen or other fuel substrates

19
Q

True or False

Hyperthermia limits exercise performance?

A

true

20
Q

What are the observations which show Exercise-heat stress and its relationship to ‘‘central fatigue’’

A

Increased rating of perceived exertion

Reduced voluntary activation of muscle

Reduced Cerebral blood flow, but increased VO2 (probably not a major factor)

Hyperprolactinaemia - hormone released from pituitary (prolactin), if you get an increase in this its thought to reflect changes in the brain that are associated with fatigue
- there are high levels of this in the blood during exercise

21
Q

True or False

There is reduced neuromuscular performance with hyperthermia

A

true

22
Q

If the brain is getting hot, why is there reduced meuromuscular performance?

A

With hyperthermia, the brain needs to shut down the muscle as it is the producer of the most heat

a good protective reflex

23
Q

What are some strategies to enhance exercise performance in the heat?

A

Heat acclimatisation - get used to it

Pre-cooling

Fluid ingestion (to a lesser extent)

24
Q

What are the Physiological and metabolic adaptations to heat acclimatisation?

A

Increased BV

reduced HR

lower core and skin temps

Increased sweat rate and earlier onset

more dilute sweat

reduced muscle glycogen use

plasma adrenaline is lower

25
Q

Fluid ingestion does what?

A

blunts the rise in core temperature

26
Q

prior dehydration does what to exercise performance?

A

decreases performance

27
Q

what are the physiological effects of fluid replacement?

A

you blunt the CV drift because you prevent the loss of SV (CO)

28
Q

What are the benefits of fluid ingestion?

A

Increased BV

Decreased HR

Increased SV and CO

lower core temp

lower plasma Na+ and osmolality

reduced muscle glycogen use

enhanced exercise performance

29
Q

what is responsible for promoting fluid and salt retention?

A

Increases in plasma renin and aldosterone

30
Q

Is there good evidence that IV fluid replacement is better than oral?

A

no - over the longer term

if it’s an immediate emergency