Nadel E R, Fortney S M, Wenger C B
J Appl Physiol Respir Environ Exerc Physiol. 1980 Oct;49(4):715-21. doi: 10.1152/jappl.1980.49.4.715.
To determine the influence of hydration state upon circulatory controls, we studied four relatively fit subjects during duplicate 30-min cycle ergometer exercise bouts (55% VO2max) in euhydrated, hypohydrated, and hyperhydrated conditions. Ambient temperature was 35 degrees C. Hypohydration was achieved by 4 days of diuretic administration and resulted in a whole-body weight loss of 2.2 kg and a plasma volume decrease of approximately 700 ml. Hyperhydration was achieved by ADH administration plus ingestion of 2 liters water but caused only a minor increase volume. Hypohydration resulted in a significantly reduced cardiac output during exercise; this the result of a reduction in stroke volume of 17 ml.beat-1 without adequate elevation in heart rate. the internal temperature (Tes) threshold for cutaneous vasodilation was elevated by 0.42 degree C in hypohydrated conditions; but once vasodilation occurred, the slope of the arm blood flow:Tes relation was unchanged from control. Maximal arm blood flow was reduced by nearly 50% in hypohydration. These restrictions in cutaneous blood flow served to maintain an already compromised venous return, but due to the limitation of core-to-skin heat transfer, forced Tes to nearly 39 degrees C, significantly higher than in euhydrated conditions.
为了确定水合状态对循环控制的影响,我们研究了四名身体状况相对良好的受试者,让他们在正常水合、低水合和高水合状态下,重复进行两次30分钟的蹬车测力计运动(55%最大摄氧量)。环境温度为35摄氏度。通过连续4天服用利尿剂实现低水合状态,导致全身体重减轻2.2千克,血浆量减少约700毫升。通过注射抗利尿激素并摄入2升水实现高水合状态,但仅导致血量略有增加。低水合状态导致运动期间心输出量显著降低;这是由于每搏输出量减少17毫升·次-1,而心率没有相应充分升高所致。在低水合状态下,皮肤血管舒张的核心温度阈值升高了0.42摄氏度;但一旦血管舒张发生,手臂血流量与核心温度关系的斜率与对照状态相比没有变化。在低水合状态下,最大手臂血流量减少了近50%。皮肤血流量的这些限制有助于维持本已受损的静脉回流,但由于核心到皮肤的热传递受限,迫使核心温度接近39摄氏度,显著高于正常水合状态。