Michikami Daisaku, Kamiya Atsunori, Fu Qi, Iwase Satoshi, Mano Tadaaki, Sunagawa Kenji
Deparment of Cardiovascular Dynamics, National Cardiovascular Center Research Institute, Osaka 565-8565, Japan.
J Appl Physiol (1985). 2004 Jan;96(1):107-14. doi: 10.1152/japplphysiol.00025.2003. Epub 2003 Aug 29.
We investigated the effect of head-down bed rest (HDBR) for 14 days on thermoregulatory sweating and cutaneous vasodilation in humans. Fluid intake was ad libitum during HDBR. We induced whole body heating by increasing skin temperature for 1 h with a water-perfused blanket through which hot water (42 degrees C) was circulated. The experimental room was air-conditioned (27 degrees C, 30-40% relative humidity). We measured skin blood flow (chest and forearm), skin temperatures (chest, upper arm, forearm, thigh, and calf), and tympanic temperature. We also measured sweat rate by the ventilated capsule method in which the skin area for measurement was drained by dry air conditioned at 27 degrees C under similar skin temperatures in both trials. We calculated cutaneous vascular conductance (CVC) from the ratio of skin blood flow to mean blood pressure. From tympanic temperature-sweat rate and -CVC relationships, we assessed the threshold temperature and sensitivity as the slope response of variables to a given change in tympanic temperature. HDBR increased the threshold temperature for sweating by 0.31 degrees C at the chest and 0.32 degrees C at the forearm, whereas it reduced sensitivity by 40% at the chest and 31% at the forearm. HDBR increased the threshold temperature for cutaneous vasodilation, whereas it decreased sensitivity. HDBR reduced plasma volume by 11%, whereas it did not change plasma osmolarity. The increase in the threshold temperature for sweating correlated with that for cutaneous vasodilation. In conclusion, HDBR attenuated thermoregulatory sweating and cutaneous vasodilation by increasing the threshold temperature and decreasing sensitivity. HDBR increased the threshold temperature for sweating and cutaneous vasodilation by similar magnitudes, whereas it decreased their sensitivity by different magnitudes.
我们研究了为期14天的头低位卧床休息(HDBR)对人体体温调节性出汗和皮肤血管舒张的影响。HDBR期间液体摄入不限量。我们通过用水灌注毯将皮肤温度升高1小时来诱导全身加热,热水(42摄氏度)在毯中循环。实验房间为空调环境(27摄氏度,相对湿度30 - 40%)。我们测量了皮肤血流量(胸部和前臂)、皮肤温度(胸部、上臂、前臂、大腿和小腿)以及鼓膜温度。我们还通过通风胶囊法测量出汗率,在两个试验中,测量皮肤区域在27摄氏度干燥空调环境下、相似皮肤温度条件下由干燥空气引流。我们根据皮肤血流量与平均血压的比值计算皮肤血管传导率(CVC)。根据鼓膜温度 - 出汗率和 - CVC关系,我们评估阈值温度和敏感性,将其作为变量对鼓膜温度给定变化的斜率响应。HDBR使胸部出汗的阈值温度升高0.31摄氏度,前臂升高0.32摄氏度,而胸部的敏感性降低40%,前臂降低31%。HDBR使皮肤血管舒张的阈值温度升高,而敏感性降低。HDBR使血浆量减少11%,而血浆渗透压未改变。出汗阈值温度的升高与皮肤血管舒张的阈值温度升高相关。总之,HDBR通过升高阈值温度和降低敏感性减弱了体温调节性出汗和皮肤血管舒张。HDBR使出汗和皮肤血管舒张的阈值温度升高幅度相似,而使其敏感性降低的幅度不同。