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在严重的下半身加热过程中,健康老年男性通过全身热疗进行的热传递和热损失会受到损害。

Heat transfer and loss by whole-body hyperthermia during severe lower-body heating are impaired in healthy older men.

作者信息

Brazaitis Marius, Paulauskas Henrikas, Eimantas Nerijus, Obelieniene Diana, Baranauskiene Neringa, Skurvydas Albertas

机构信息

Institute of Sport Science and Innovations, Lithuanian Sports University, Kaunas, Lithuania.

Department of Neurology, Lithuanian University of Health Sciences, Kaunas, Lithuania.

出版信息

Exp Gerontol. 2017 Oct 1;96:12-18. doi: 10.1016/j.exger.2017.05.018. Epub 2017 May 26.

Abstract

Most studies demonstrate that aging is associated with a weakened thermoregulation. However, it remains unclear whether heat transfer (for heat loss) from the lower (uncompensable) to the upper (compensable) body during passively-induced severe lower-body heating is delayed or attenuated with aging. Therefore, the main purpose of this study was to investigate heat transfer from uncompensable to compensable body areas in young men and healthy older men during passively-induced whole-body hyperthermia with a demonstrated post-heating change in core body (rectal; T) temperature. Nine healthy older men and eleven healthy young men (69±6 vs. 21±1 years old, mean±SD, P<0.05) participated in passively-induced severe lower-body heating in water at approximately 43°C. Despite a similar increment in T (approximately 2.5°C) in both groups, the heating rate was significantly lower in older men than in young men (1.69±0.12 vs. 2.47±0.29°C/h, respectively; P<0.05). The temperature increase in calf muscle and calf skin (uncompensable areas) was significantly higher in older men than in young men (5.10±0.18 vs. 3.99±0.14°C; P<0.05 and 9.92±0.22 vs. 7.65±0.33°C; P<0.05, respectively). However, the temperature increase in back skin and forearm skin (compensable areas) was significantly lower in older men than in young men (0.76±0.63 vs. 2.83±0.68°C; P<0.05 and 0.39±0.76 vs. 2.73±0.5°C; P<0.05, respectively). Furthermore, a post-warming increase in T of approximately 0.2°C was observed only in older men (P<0.05). In conclusion, older men whose lower extremities were immersed showed greater accumulation and storage of heat in the skin and deep muscles than young men, and this was associated with a greater heat-transfer delay and subsequent inertia in the increased core body (T) temperature.

摘要

大多数研究表明,衰老与体温调节功能减弱有关。然而,被动诱导下半身严重受热期间,热量从下半身(不可补偿区域)传递到上半身(可补偿区域)(用于散热)是否会随着衰老而延迟或减弱,目前尚不清楚。因此,本研究的主要目的是在被动诱导全身热疗期间,研究年轻男性和健康老年男性从不可补偿身体区域到可补偿身体区域的热量传递情况,并观察热疗后核心体温(直肠温度;T)的变化。九名健康老年男性和十一名健康年轻男性(平均年龄分别为69±6岁和21±1岁,均值±标准差,P<0.05)参与了在约43°C水中进行的被动诱导下半身严重受热实验。尽管两组的T升高幅度相似(约2.5°C),但老年男性的受热速率显著低于年轻男性(分别为1.69±0.12和2.47±0.29°C/小时;P<0.05)。老年男性小腿肌肉和小腿皮肤(不可补偿区域)的温度升高显著高于年轻男性(分别为5.10±0.18和3.99±0.14°C;P<0.05以及9.92±0.22和7.65±0.33°C;P<0.05)。然而,老年男性背部皮肤和前臂皮肤(可补偿区域)的温度升高显著低于年轻男性(分别为0.76±0.63和2.83±0.68°C;P<0.05以及0.39±0.76和2.73±0.5°C;P<0.05)。此外,仅在老年男性中观察到热疗后T升高约0.2°C(P<0.05)。总之,下肢浸入水中的老年男性比年轻男性在皮肤和深层肌肉中积累和储存的热量更多,这与热量传递延迟更大以及随后核心体温(T)升高的惯性有关。

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