Daradas Adithep, Kulthinee Supaporn, Promsrisuk Tichanon, Kesornwanichwattana Pemika, Thaingkrathok Phimchanok, Pongampai Sureeporn, Kongjaidee Pongnugoon, Seeja Nutthakan, Poomvanicha Montatip, Chotimol Phatiwat
Department of Optometry, Faculty of Allied Health Sciences, Naresuan University, Phitsanulok 65000, Thailand.
Interdisciplinary Health and Data Sciences Research Unit (IHaDS), Faculty of Allied Health Sciences, Naresuan University, Phitsanulok 65000, Thailand.
Diagnostics (Basel). 2024 Sep 11;14(18):2010. doi: 10.3390/diagnostics14182010.
The sympathetic nervous responses to cold stress are known; however, concurrent cardiovascular and ocular parameter alterations in the responses are poorly characterized. The aim of this study was to examine the influence of the cold pressor test (CPT) on cardiovascular and ocular parameters in young adult subjects. There was a total of 86 participants. The CPT was conducted by submerging each participant's left hand in cold water (3-5 °C) for 3 min. During the CPT, systolic blood pressure, diastolic blood pressure, mean arterial pressure (MAP), and heart rate were found to be significantly increased compared to the baseline and significantly decreased compared to recovery, including the mean of the standard deviations of all normal-to-normal intervals (SDNN). In the recovery phase, the SDNN continued to decrease statistically significantly compared to the baseline and the CPT. Furthermore, the findings of this study show that the CPT impacted intra-ocular pressure (IOP), ACD, and pupil size parameters. There was a positive correlation between the MAP and IOP in both eyes during the CPT. The cold stress stimulates a sympathetic response, leading to an increase in the MAP. The pupil size increased in response to the CPT in both eyes, indicating that ocular function was increased in response to the CPT in young adults compared to baseline. In conclusion, our results suggest that in young adults, cardiovascular and ocular parameters respond to the sympathetic nervous system during the CPT.
寒冷应激的交感神经反应是已知的;然而,这些反应中同时出现的心血管和眼部参数变化却鲜有特征描述。本研究的目的是检验冷加压试验(CPT)对年轻成年受试者心血管和眼部参数的影响。共有86名参与者。CPT的操作方法是将每位参与者的左手浸入冷水(3 - 5°C)中3分钟。在CPT期间,与基线相比,收缩压、舒张压、平均动脉压(MAP)和心率均显著升高,与恢复阶段相比则显著降低,包括所有正常到正常间期的标准差均值(SDNN)。在恢复阶段,与基线和CPT相比,SDNN继续有统计学意义的下降。此外,本研究结果表明CPT影响眼内压(IOP)、前房深度(ACD)和瞳孔大小参数。在CPT期间,双眼的MAP与IOP之间存在正相关。寒冷应激刺激交感反应,导致MAP升高。双眼的瞳孔大小在CPT时均增大,表明与基线相比,年轻成年人的眼部功能在CPT时增强。总之,我们的结果表明,在年轻成年人中,心血管和眼部参数在CPT期间对交感神经系统有反应。