Sagawa S, Shiraki K, Yousef M K, Miki K
Department of Physiology, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.
J Gerontol. 1988 Jan;43(1):M1-8. doi: 10.1093/geronj/43.1.m1.
In this study, 6 older and 10 younger Japanese men were exposed, while sitting, to 40 degrees C and 40% relative humidity for up to 130 min. All participants were heat unacclimatized. Physiological measurements included sweat responses, esophageal and skin temperatures, nonevaporative heat exchange, heart rate, cardiac output, blood pressure, forearm blood flow, and metabolic heat production. There was no significant difference in sweat rate or in onset of sweating between the older and younger men; however, esophageal temperature at the onset of sweating was greater in the older men. Changes in skin temperature, nonevaporative heat exchange, metabolic heat production, heart rate, and cardiac output were the same during heat exposure in both age groups. However, forearm blood flow before and after exposure to heat was significantly lower in the elderly group. These data suggest that the greater health risk posed to resting, yet healthy, aged men by hot environments is not a consequence of inadequate sweating but could be associated with retardation of the vasodilation reflex, which can prevent effective transfer of the body heat to its shell, thus resulting in greater heat storage.
在本研究中,6名老年和10名年轻日本男性坐着暴露于40摄氏度、相对湿度40%的环境中长达130分钟。所有参与者均未适应热环境。生理测量包括出汗反应、食管温度和皮肤温度、非蒸发散热、心率、心输出量、血压、前臂血流量以及代谢产热。老年男性和年轻男性在出汗率或出汗起始时间上无显著差异;然而,老年男性出汗起始时的食管温度更高。两个年龄组在热暴露期间皮肤温度、非蒸发散热、代谢产热、心率和心输出量的变化相同。然而,老年组热暴露前后的前臂血流量显著更低。这些数据表明,炎热环境给静息状态但健康的老年男性带来的更大健康风险并非出汗不足所致,而可能与血管舒张反射延迟有关,这会阻止身体热量有效传递至体表,从而导致更多热量蓄积。