Skip to main content
Top
Published in: European Journal of Applied Physiology 7/2018

Open Access 01-07-2018 | Original Article

Physiological and psychological determinants of whole-body endurance exercise following short-term sustained operations with partial sleep deprivation

Authors: Michail E. Keramidas, Magnus Gadefors, Lars-Ove Nilsson, Ola Eiken

Published in: European Journal of Applied Physiology | Issue 7/2018

Login to get access

Abstract

Purpose

The study examined the effects of short-term field-based military training with partial sleep deprivation on whole-body endurance performance in well-trained individuals.

Methods

Before and after a 2-day sustained operations (SUSOPS), 14 cadets performed a 15-min constant-load cycling at 65% of peak power output (PPO; CLT65), followed by an exhaustive constant-load trial at 85% of PPO (CLT85). Physiological [oxygen uptake (\(\dot {V}\)O2), heart rate (HR), mean arterial pressure (MAP), cardiac output (CO), and regional oxygenation (TOI) in the frontal cerebral cortex and vastus lateralis muscle] and psychological [effort perception (RPE), affective valence (FS), and perceived activation (FAS)] variables were monitored during exercise.

Results

SUSOPS reduced time to exhaustion in CLT85 by 29.1% (p = 0.01). During the CLT65 trial, SUSOPS potentiated the exercise-induced elevations in \(\dot {V}\)O2 and HR (p < 0.05), and blunted MAP (p = 0.001). CO did not differ between trials. Yet, towards the end of both CLT85 trials, CO tended to decline (p ≤ 0.08); a response that occurred at an earlier stage in the SUSOPS trial. During CLT65, SUSOPS altered neither cerebral nor muscle TOI. The SUSOPS CLT85 trial, however, was terminated at similar leg-muscle deoxygenation (p > 0.05) and lower prefrontal cortex deoxygenation (p < 0.01). SUSOPS increased RPE at submaximal intensities (p = 0.05), and suppressed FAS and FS throughout (p < 0.01).

Conclusions

The present findings indicate, therefore, that a brief period of military sustained operations with partial sleep deprivation augment cardiorespiratory and psychological strain, limiting high-intensity endurance capacity.
Literature
go back to reference Amann M (2011) Central and peripheral fatigue: interaction during cycling exercise in humans. Med Sci Sports Exerc 43(11):2039–2045CrossRefPubMed Amann M (2011) Central and peripheral fatigue: interaction during cycling exercise in humans. Med Sci Sports Exerc 43(11):2039–2045CrossRefPubMed
go back to reference Bahr R, Opstad PK, Medbo JI, Sejersted OM (1991) Strenuous prolonged exercise elevates resting metabolic rate and causes reduced mechanical efficiency. Acta Physiol Scand 141(4):555–563CrossRefPubMed Bahr R, Opstad PK, Medbo JI, Sejersted OM (1991) Strenuous prolonged exercise elevates resting metabolic rate and causes reduced mechanical efficiency. Acta Physiol Scand 141(4):555–563CrossRefPubMed
go back to reference Boushel R, Langberg H, Olesen J, Gonzales-Alonzo J, Bulow J, Kjaer M (2001) Monitoring tissue oxygen availability with near infrared spectroscopy (NIRS) in health and disease. Scand J Med Sci Sports 11(4):213–222CrossRefPubMed Boushel R, Langberg H, Olesen J, Gonzales-Alonzo J, Bulow J, Kjaer M (2001) Monitoring tissue oxygen availability with near infrared spectroscopy (NIRS) in health and disease. Scand J Med Sci Sports 11(4):213–222CrossRefPubMed
go back to reference Carter H, Pringle JS, Boobis L, Jones AM, Doust JH (2004) Muscle glycogen depletion alters oxygen uptake kinetics during heavy exercise. Med Sci Sports Exerc 36(6):965–972CrossRefPubMed Carter H, Pringle JS, Boobis L, Jones AM, Doust JH (2004) Muscle glycogen depletion alters oxygen uptake kinetics during heavy exercise. Med Sci Sports Exerc 36(6):965–972CrossRefPubMed
go back to reference Castellani JW, Delany JP, O’Brien C, Hoyt RW, Santee WR, Young AJ (2006) Energy expenditure in men and women during 54 h of exercise and caloric deprivation. Med Sci Sports Exerc 38(5):894–900CrossRefPubMed Castellani JW, Delany JP, O’Brien C, Hoyt RW, Santee WR, Young AJ (2006) Energy expenditure in men and women during 54 h of exercise and caloric deprivation. Med Sci Sports Exerc 38(5):894–900CrossRefPubMed
go back to reference de Morree HM, Klein C, Marcora SM (2012) Perception of effort reflects central motor command during movement execution. Psychophysiology 49(9):1242–1253CrossRefPubMed de Morree HM, Klein C, Marcora SM (2012) Perception of effort reflects central motor command during movement execution. Psychophysiology 49(9):1242–1253CrossRefPubMed
go back to reference Dohm GL, Beeker RT, Israel RG, Tapscott EB (1986) Metabolic responses to exercise after fasting. J Appl Physiol (1985) 61(4):1363–1368CrossRef Dohm GL, Beeker RT, Israel RG, Tapscott EB (1986) Metabolic responses to exercise after fasting. J Appl Physiol (1985) 61(4):1363–1368CrossRef
go back to reference Douglas PS, O’Toole ML, Hiller WD, Hackney K, Reichek N (1987) Cardiac fatigue after prolonged exercise. Circulation 76(6):1206–1213CrossRefPubMed Douglas PS, O’Toole ML, Hiller WD, Hackney K, Reichek N (1987) Cardiac fatigue after prolonged exercise. Circulation 76(6):1206–1213CrossRefPubMed
go back to reference Ekkekakis P, Parfitt G, Petruzzello SJ (2011) The pleasure and displeasure people feel when they exercise at different intensities: decennial update and progress towards a tripartite rationale for exercise intensity prescription. Sports Med 41(8):641–671CrossRefPubMed Ekkekakis P, Parfitt G, Petruzzello SJ (2011) The pleasure and displeasure people feel when they exercise at different intensities: decennial update and progress towards a tripartite rationale for exercise intensity prescription. Sports Med 41(8):641–671CrossRefPubMed
go back to reference Fernstrom M, Bakkman L, Tonkonogi M, Shabalina IG, Rozhdestvenskaya Z, Mattsson CM, Enqvist JK, Ekblom B, Sahlin K (2007) Reduced efficiency, but increased fat oxidation, in mitochondria from human skeletal muscle after 24-h ultraendurance exercise. J Appl Physiol (1985) 102(5):1844–1849CrossRefPubMed Fernstrom M, Bakkman L, Tonkonogi M, Shabalina IG, Rozhdestvenskaya Z, Mattsson CM, Enqvist JK, Ekblom B, Sahlin K (2007) Reduced efficiency, but increased fat oxidation, in mitochondria from human skeletal muscle after 24-h ultraendurance exercise. J Appl Physiol (1985) 102(5):1844–1849CrossRefPubMed
go back to reference Friedl KE (1995) When Does Energy Deficit Affect Soldier Physical Performance? In: Marriott BM (ed) Not eating enough: overcoming underconsumption of military operational rations, vol 14. National Academy Press, Washington, DC, pp 253–283 Friedl KE (1995) When Does Energy Deficit Affect Soldier Physical Performance? In: Marriott BM (ed) Not eating enough: overcoming underconsumption of military operational rations, vol 14. National Academy Press, Washington, DC, pp 253–283
go back to reference Fullagar HH, Skorski S, Duffield R, Hammes D, Coutts AJ, Meyer T (2015) Sleep and athletic performance: the effects of sleep loss on exercise performance, and physiological and cognitive responses to exercise. Sports Med 45(2):161–186CrossRefPubMed Fullagar HH, Skorski S, Duffield R, Hammes D, Coutts AJ, Meyer T (2015) Sleep and athletic performance: the effects of sleep loss on exercise performance, and physiological and cognitive responses to exercise. Sports Med 45(2):161–186CrossRefPubMed
go back to reference Gonzalez-Alonso J, Calbet JA (2003) Reductions in systemic and skeletal muscle blood flow and oxygen delivery limit maximal aerobic capacity in humans. Circulation 107(6):824–830CrossRefPubMed Gonzalez-Alonso J, Calbet JA (2003) Reductions in systemic and skeletal muscle blood flow and oxygen delivery limit maximal aerobic capacity in humans. Circulation 107(6):824–830CrossRefPubMed
go back to reference Gonzalez-Alonso J, Dalsgaard MK, Osada T, Volianitis S, Dawson EA, Yoshiga CC, Secher NH (2004) Brain and central haemodynamics and oxygenation during maximal exercise in humans. J Physiol 557(Pt 1):331–342CrossRefPubMedPubMedCentral Gonzalez-Alonso J, Dalsgaard MK, Osada T, Volianitis S, Dawson EA, Yoshiga CC, Secher NH (2004) Brain and central haemodynamics and oxygenation during maximal exercise in humans. J Physiol 557(Pt 1):331–342CrossRefPubMedPubMedCentral
go back to reference Guezennec CY, Satabin P, Legrand H, Bigard AX (1994) Physical performance and metabolic changes induced by combined prolonged exercise and different energy intakes in humans. Eur J Appl Physiol Occup Physiol 68(6):525–530CrossRefPubMed Guezennec CY, Satabin P, Legrand H, Bigard AX (1994) Physical performance and metabolic changes induced by combined prolonged exercise and different energy intakes in humans. Eur J Appl Physiol Occup Physiol 68(6):525–530CrossRefPubMed
go back to reference Hampson NB, Piantadosi CA (1988) Near infrared monitoring of human skeletal muscle oxygenation during forearm ischemia. J Appl Physiol (1985) 64(6):2449–2457CrossRef Hampson NB, Piantadosi CA (1988) Near infrared monitoring of human skeletal muscle oxygenation during forearm ischemia. J Appl Physiol (1985) 64(6):2449–2457CrossRef
go back to reference Hampson DB, St Clair Gibson A, Lambert MI, Noakes TD (2001) The influence of sensory cues on the perception of exertion during exercise and central regulation of exercise performance. Sports Med 31(13):935–952CrossRefPubMed Hampson DB, St Clair Gibson A, Lambert MI, Noakes TD (2001) The influence of sensory cues on the perception of exertion during exercise and central regulation of exercise performance. Sports Med 31(13):935–952CrossRefPubMed
go back to reference Hardy CJ, Rejeski WJ (1989) Not what, but how one feels: The measurement of affect during exercise. J Sport Exerc Psychol 11(3):304–317CrossRef Hardy CJ, Rejeski WJ (1989) Not what, but how one feels: The measurement of affect during exercise. J Sport Exerc Psychol 11(3):304–317CrossRef
go back to reference Heigenhauser GJ, Sutton JR, Jones NL (1983) Effect of glycogen depletion on the ventilatory response to exercise. J Appl Physiol Respir Environ Exerc Physiol 54(2):470–474PubMed Heigenhauser GJ, Sutton JR, Jones NL (1983) Effect of glycogen depletion on the ventilatory response to exercise. J Appl Physiol Respir Environ Exerc Physiol 54(2):470–474PubMed
go back to reference Henning PC, Park BS, Kim JS (2011) Physiological decrements during sustained military operational stress. Mil Med 176(9):991–997CrossRefPubMed Henning PC, Park BS, Kim JS (2011) Physiological decrements during sustained military operational stress. Mil Med 176(9):991–997CrossRefPubMed
go back to reference Hoddes E, Zarcone V, Smythe H, Phillips R, Dement WC (1973) Quantification of sleepiness: a new approach. Psychophysiology 10(4):431–436CrossRefPubMed Hoddes E, Zarcone V, Smythe H, Phillips R, Dement WC (1973) Quantification of sleepiness: a new approach. Psychophysiology 10(4):431–436CrossRefPubMed
go back to reference Jackson AS, Pollock ML (1978) Generalized equations for predicting body density of men. Br J Nutr 40(3):497–504CrossRefPubMed Jackson AS, Pollock ML (1978) Generalized equations for predicting body density of men. Br J Nutr 40(3):497–504CrossRefPubMed
go back to reference Johnson MJ, Friedl KE, Frykman PN, Moore RJ (1994) Loss of muscle mass is poorly reflected in grip strength performance in healthy young men. Med Sci Sports Exerc 26(2):235–240CrossRefPubMed Johnson MJ, Friedl KE, Frykman PN, Moore RJ (1994) Loss of muscle mass is poorly reflected in grip strength performance in healthy young men. Med Sci Sports Exerc 26(2):235–240CrossRefPubMed
go back to reference JrLeDuc PA, Caldwell JA Jr, Ruyak PS (2000) The effects of exercise as a countermeasure for fatigue in sleep-deprived aviators. Mil Psychol 12(4):249–266CrossRefPubMed JrLeDuc PA, Caldwell JA Jr, Ruyak PS (2000) The effects of exercise as a countermeasure for fatigue in sleep-deprived aviators. Mil Psychol 12(4):249–266CrossRefPubMed
go back to reference Jung R, Moser M, Baucsek S, Dern S, Schneider S (2015) Activation patterns of different brain areas during incremental exercise measured by near-infrared spectroscopy. Exp Brain Res 233(4):1175–1180CrossRefPubMed Jung R, Moser M, Baucsek S, Dern S, Schneider S (2015) Activation patterns of different brain areas during incremental exercise measured by near-infrared spectroscopy. Exp Brain Res 233(4):1175–1180CrossRefPubMed
go back to reference Knapik JJ, Jones BH, Meredith C, Evans WJ (1987) Influence of a 3.5 day fast on physical performance. Eur J Appl Physiol Occup Physiol 56(4):428–432CrossRefPubMed Knapik JJ, Jones BH, Meredith C, Evans WJ (1987) Influence of a 3.5 day fast on physical performance. Eur J Appl Physiol Occup Physiol 56(4):428–432CrossRefPubMed
go back to reference Lieberman HR, Bathalon GP, Falco CM, Kramer FM, Morgan CA III, Niro P (2005) Severe decrements in cognition function and mood induced by sleep loss, heat, dehydration, and undernutrition during simulated combat. Biol Psychiatry 57(4):422–429CrossRefPubMed Lieberman HR, Bathalon GP, Falco CM, Kramer FM, Morgan CA III, Niro P (2005) Severe decrements in cognition function and mood induced by sleep loss, heat, dehydration, and undernutrition during simulated combat. Biol Psychiatry 57(4):422–429CrossRefPubMed
go back to reference Lieberman HR, Niro P, Tharion WJ, Nindl BC, Castellani JW, Montain SJ (2006) Cognition during sustained operations: comparison of a laboratory simulation to field studies. Aviat Space Environ Med 77(9):929–935PubMed Lieberman HR, Niro P, Tharion WJ, Nindl BC, Castellani JW, Montain SJ (2006) Cognition during sustained operations: comparison of a laboratory simulation to field studies. Aviat Space Environ Med 77(9):929–935PubMed
go back to reference Lima-Silva AE, Pires FO, Bertuzzi RC, Lira FS, Casarini D, Kiss MA (2011) Low carbohydrate diet affects the oxygen uptake on-kinetics and rating of perceived exertion in high intensity exercise. Psychophysiology 48(2):277–284CrossRefPubMed Lima-Silva AE, Pires FO, Bertuzzi RC, Lira FS, Casarini D, Kiss MA (2011) Low carbohydrate diet affects the oxygen uptake on-kinetics and rating of perceived exertion in high intensity exercise. Psychophysiology 48(2):277–284CrossRefPubMed
go back to reference Lucas SJ, Anson JG, Palmer CD, Hellemans IJ, Cotter JD (2009) The impact of 100 hours of exercise and sleep deprivation on cognitive function and physical capacities. J Sports Sci 27(7):719–728CrossRefPubMed Lucas SJ, Anson JG, Palmer CD, Hellemans IJ, Cotter JD (2009) The impact of 100 hours of exercise and sleep deprivation on cognitive function and physical capacities. J Sports Sci 27(7):719–728CrossRefPubMed
go back to reference Marcora SM, Bosio A, de Morree HM (2008) Locomotor muscle fatigue increases cardiorespiratory responses and reduces performance during intense cycling exercise independently from metabolic stress. Am J Physiol Regul Integr Comp Physiol 294(3):R874-883CrossRef Marcora SM, Bosio A, de Morree HM (2008) Locomotor muscle fatigue increases cardiorespiratory responses and reduces performance during intense cycling exercise independently from metabolic stress. Am J Physiol Regul Integr Comp Physiol 294(3):R874-883CrossRef
go back to reference Marcora SM, Staiano W, Manning V (2009) Mental fatigue impairs physical performance in humans. J Appl Physiol (1985) 106(3):857–864CrossRef Marcora SM, Staiano W, Manning V (2009) Mental fatigue impairs physical performance in humans. J Appl Physiol (1985) 106(3):857–864CrossRef
go back to reference Nindl BC, Leone CD, Tharion WJ, Johnson RF, Castellani JW, Patton JF, Montain SJ (2002) Physical performance responses during 72 h of military operational stress. Med Sci Sports Exerc 34(11):1814–1822CrossRefPubMed Nindl BC, Leone CD, Tharion WJ, Johnson RF, Castellani JW, Patton JF, Montain SJ (2002) Physical performance responses during 72 h of military operational stress. Med Sci Sports Exerc 34(11):1814–1822CrossRefPubMed
go back to reference Opstad PK (1990) Adrenergic desensitization and alterations in free and conjugated catecholamines during prolonged physical strain and energy deficiency. Biog Amines 7(6):625–639 Opstad PK (1990) Adrenergic desensitization and alterations in free and conjugated catecholamines during prolonged physical strain and energy deficiency. Biog Amines 7(6):625–639
go back to reference Opstad PK, Haugen AH, Sejersted OM, Bahr R, Skrede KK (1994) Atrial natriuretic peptide in plasma after prolonged physical strain, energy deficiency and sleep deprivation. Eur J Appl Physiol Occup Physiol 68(2):122–126CrossRefPubMed Opstad PK, Haugen AH, Sejersted OM, Bahr R, Skrede KK (1994) Atrial natriuretic peptide in plasma after prolonged physical strain, energy deficiency and sleep deprivation. Eur J Appl Physiol Occup Physiol 68(2):122–126CrossRefPubMed
go back to reference Richard R, Lonsdorfer-Wolf E, Charloux A, Doutreleau S, Buchheit M, Oswald-Mammosser M, Lampert E, Mettauer B, Geny B, Lonsdorfer J (2001) Non-invasive cardiac output evaluation during a maximal progressive exercise test, using a new impedance cardiograph device. Eur J Appl Physiol 85(3–4):202–207CrossRefPubMed Richard R, Lonsdorfer-Wolf E, Charloux A, Doutreleau S, Buchheit M, Oswald-Mammosser M, Lampert E, Mettauer B, Geny B, Lonsdorfer J (2001) Non-invasive cardiac output evaluation during a maximal progressive exercise test, using a new impedance cardiograph device. Eur J Appl Physiol 85(3–4):202–207CrossRefPubMed
go back to reference Rognum TO, Vaage O, Hostmark A, Opstad PK (1981) Metabolic responses to bicycle exercise after several days of physical work and energy deficiency. Scand J Clin Lab Invest 41(6):565–571CrossRefPubMed Rognum TO, Vaage O, Hostmark A, Opstad PK (1981) Metabolic responses to bicycle exercise after several days of physical work and energy deficiency. Scand J Clin Lab Invest 41(6):565–571CrossRefPubMed
go back to reference Rognum TO, Vartdal F, Rodahl K, Opstad PK, Knudsen-Baas O, Kindt E, Withey WR (1986) Physical and mental performance of soldiers on high- and low-energy diets during prolonged heavy exercise combined with sleep deprivation. Ergonomics 29(7):859–867CrossRefPubMed Rognum TO, Vartdal F, Rodahl K, Opstad PK, Knudsen-Baas O, Kindt E, Withey WR (1986) Physical and mental performance of soldiers on high- and low-energy diets during prolonged heavy exercise combined with sleep deprivation. Ergonomics 29(7):859–867CrossRefPubMed
go back to reference Siebenmann C, Rasmussen P, Sorensen H, Zaar M, Hvidtfeldt M, Pichon A, Secher NH, Lundby C (2015) Cardiac output during exercise: a comparison of four methods. Scand J Med Sci Sports 25(1):e20-27CrossRef Siebenmann C, Rasmussen P, Sorensen H, Zaar M, Hvidtfeldt M, Pichon A, Secher NH, Lundby C (2015) Cardiac output during exercise: a comparison of four methods. Scand J Med Sci Sports 25(1):e20-27CrossRef
go back to reference Smets EM, Garssen B, Bonke B, De Haes JC (1995) The multidimensional fatigue inventory (MFI) psychometric qualities of an instrument to assess fatigue. J Psychosom Res 39(3):315–325CrossRefPubMed Smets EM, Garssen B, Bonke B, De Haes JC (1995) The multidimensional fatigue inventory (MFI) psychometric qualities of an instrument to assess fatigue. J Psychosom Res 39(3):315–325CrossRefPubMed
go back to reference Smith TJ, Wilson MA, Karl JP, Austin K, Bukhari A, Pasiakos SM, O’Connor KL, Lieberman HR (2016) Interstitial glucose concentrations and hypoglycemia during 2 days of caloric deficit and sustained exercise: a double-blind, placebo-controlled trial. J Appl Physiol (1985) 121(5):1208–1216CrossRefPubMed Smith TJ, Wilson MA, Karl JP, Austin K, Bukhari A, Pasiakos SM, O’Connor KL, Lieberman HR (2016) Interstitial glucose concentrations and hypoglycemia during 2 days of caloric deficit and sustained exercise: a double-blind, placebo-controlled trial. J Appl Physiol (1985) 121(5):1208–1216CrossRefPubMed
go back to reference St Clair Gibson A, Noakes TD (2004) Evidence for complex system integration and dynamic neural regulation of skeletal muscle recruitment during exercise in humans. Br J Sports Med 38(6):797–806CrossRefPubMed St Clair Gibson A, Noakes TD (2004) Evidence for complex system integration and dynamic neural regulation of skeletal muscle recruitment during exercise in humans. Br J Sports Med 38(6):797–806CrossRefPubMed
go back to reference St Clair Gibson A, Swart J, Tucker R (2017) The interaction of psychological and physiological homeostatic drives and role of general control principles in the regulation of physiological systems, exercise and the fatigue process—the integrative governor theory. Eur J Sport Sci:1–12 St Clair Gibson A, Swart J, Tucker R (2017) The interaction of psychological and physiological homeostatic drives and role of general control principles in the regulation of physiological systems, exercise and the fatigue process—the integrative governor theory. Eur J Sport Sci:1–12
go back to reference Svebak S, Murgatroyd S (1985) Metamotivational dominance: A multi-method validation of reversal theory constructs. J Pers Soc Psychol 48:107–116CrossRef Svebak S, Murgatroyd S (1985) Metamotivational dominance: A multi-method validation of reversal theory constructs. J Pers Soc Psychol 48:107–116CrossRef
go back to reference Tassone EC, Baker BA (2017) Body weight and body composition changes during military training and deployment involving the use of combat rations: a systematic literature review. Br J Nutr 117(6):897–910CrossRefPubMed Tassone EC, Baker BA (2017) Body weight and body composition changes during military training and deployment involving the use of combat rations: a systematic literature review. Br J Nutr 117(6):897–910CrossRefPubMed
go back to reference Temesi J, Arnal PJ, Davranche K, Bonnefoy R, Levy P, Verges S, Millet GY (2013) Does central fatigue explain reduced cycling after complete sleep deprivation? Med Sci Sports Exerc 45(12):2243–2253CrossRefPubMed Temesi J, Arnal PJ, Davranche K, Bonnefoy R, Levy P, Verges S, Millet GY (2013) Does central fatigue explain reduced cycling after complete sleep deprivation? Med Sci Sports Exerc 45(12):2243–2253CrossRefPubMed
go back to reference Tharion WJ, Lieberman HR, Montain SJ, Young AJ, Baker-Fulco CJ, Delany JP, Hoyt RW (2005) Energy requirements of military personnel. Appetite 44(1):47–65CrossRefPubMed Tharion WJ, Lieberman HR, Montain SJ, Young AJ, Baker-Fulco CJ, Delany JP, Hoyt RW (2005) Energy requirements of military personnel. Appetite 44(1):47–65CrossRefPubMed
go back to reference Vrijkotte S, Roelands B, Meeusen R, Pattyn N (2016) Sustained military operations and cognitive performance. Aerosp Med Hum Perform 87(8):718–727CrossRefPubMed Vrijkotte S, Roelands B, Meeusen R, Pattyn N (2016) Sustained military operations and cognitive performance. Aerosp Med Hum Perform 87(8):718–727CrossRefPubMed
go back to reference Wittels P, Gunga HC, Kirsch K, Kanduth B, Gunther T, Vormann J, Rocker L (1996) Fluid regulation during prolonged physical strain with water and food deprivation in healthy, trained men. Wien Klin Wochenschr 108(24):788–794PubMed Wittels P, Gunga HC, Kirsch K, Kanduth B, Gunther T, Vormann J, Rocker L (1996) Fluid regulation during prolonged physical strain with water and food deprivation in healthy, trained men. Wien Klin Wochenschr 108(24):788–794PubMed
Metadata
Title
Physiological and psychological determinants of whole-body endurance exercise following short-term sustained operations with partial sleep deprivation
Authors
Michail E. Keramidas
Magnus Gadefors
Lars-Ove Nilsson
Ola Eiken
Publication date
01-07-2018
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Applied Physiology / Issue 7/2018
Print ISSN: 1439-6319
Electronic ISSN: 1439-6327
DOI
https://doi.org/10.1007/s00421-018-3869-0

Other articles of this Issue 7/2018

European Journal of Applied Physiology 7/2018 Go to the issue