Skip to main content
Top
Published in: European Journal of Applied Physiology 8/2017

01-08-2017 | Original Article

Effect of passive heat stress and exercise in the heat on arterial stiffness

Authors: Aaron R. Caldwell, Forrest B. Robinson, Matthew A. Tucker, Cash H. Arcement, Cory L. Butts, Brendon P. McDermott, Matthew S. Ganio

Published in: European Journal of Applied Physiology | Issue 8/2017

Login to get access

Abstract

Purpose

Prior evidence indicates that acute heat stress and aerobic exercise independently reduce arterial stiffness. The combined effects of exercise and heat stress on PWV are unknown. The purpose of this study was to determine the effects of heat stress with passive heating and exercise in the heat on arterial stiffness.

Methods

Nine participants (n = 3 females, 47 ± 11 years old; 24.1 ± 2.8 kg/m2) completed four trials. In a control trial, participants rested supine (CON). In a passive heating trial (PH), participants were heated with a water-perfusion suit. In two other trials, participants cycled at ~50% of \({\dot{\text{V}}\text{O}}_{{ 2 {\text{peak}}}}\) in a hot (~40 °C; HC trial) or cool (~15 °C; CC trial) environment. Arterial stiffness, measured by PWV, was obtained at baseline and after each intervention (immediately, 15, 30, 45, and 60 min post). Central PWV (C PWV) was assessed between the carotid/femoral artery sites. Upper and lower peripheral PWV was assessed using the radial/carotid (U PWV) and dorsalis pedis/femoral (L PWV) artery sites. The mean body temperature (T B) was calculated from the skin and rectal temperatures.

Results

No significant changes in T B were observed during the CON and CC trials. As expected, the PH and HC trials elevated T B 2.69 ± 0.23 °C and 1.67 ± 0.27 °C, respectively (p < 0.01). PWV did not change in CON, CC, or HC (p > 0.05). However, in the PH trial, U PWV was reduced immediately (−107 ± 81 cm/s) and 15 min (−93 ± 82 cm/s) post-heating (p < 0.05).

Conclusions

Heat stress via exercise in the heat does not acutely change arterial stiffness. However, passive heating reduces U PWV, indicating that heat stress has an independent effect on PWV.
Literature
go back to reference Armstrong LE, Pumerantz AC, Fiala KA, Roti MW, Kavouras SA, Casa DJ, Maresh CM (2010) Human hydration indices: acute and longitudinal reference values. Int J Sport Nutr Exerc Metab 20(2):145–153CrossRefPubMed Armstrong LE, Pumerantz AC, Fiala KA, Roti MW, Kavouras SA, Casa DJ, Maresh CM (2010) Human hydration indices: acute and longitudinal reference values. Int J Sport Nutr Exerc Metab 20(2):145–153CrossRefPubMed
go back to reference Blair SN, Kohl HW, Barlow CE, Paffenbarger RS, Gibbons LW, Macera CA (1995) Changes in physical fitness and all-cause mortality. A prospective study of healthy and unhealthy men. JAMA 273(14):1093–1098CrossRefPubMed Blair SN, Kohl HW, Barlow CE, Paffenbarger RS, Gibbons LW, Macera CA (1995) Changes in physical fitness and all-cause mortality. A prospective study of healthy and unhealthy men. JAMA 273(14):1093–1098CrossRefPubMed
go back to reference Cameron JD, Dart AM (1994) Exercise training increases total systemic arterial compliance in humans. Am J Physiol 266(2 Pt 2):H693–H701PubMed Cameron JD, Dart AM (1994) Exercise training increases total systemic arterial compliance in humans. Am J Physiol 266(2 Pt 2):H693–H701PubMed
go back to reference Collaboration RVfAS (2010) Determinants of pulse wave velocity in healthy people and in the presence of cardiovascular risk factors: ‘establishing normal and reference values’. Eur Heart J 31(19):2338–2350CrossRef Collaboration RVfAS (2010) Determinants of pulse wave velocity in healthy people and in the presence of cardiovascular risk factors: ‘establishing normal and reference values’. Eur Heart J 31(19):2338–2350CrossRef
go back to reference Gregson WA, Drust B, Batterham A, Cable NT (2002) The effects of pre-warming on the metabolic and thermoregulatory responses to prolonged submaximal exercise in moderate ambient temperatures. Eur J Appl Physiol 86(6):526–533. doi:10.1007/s00421-002-0580-x CrossRefPubMed Gregson WA, Drust B, Batterham A, Cable NT (2002) The effects of pre-warming on the metabolic and thermoregulatory responses to prolonged submaximal exercise in moderate ambient temperatures. Eur J Appl Physiol 86(6):526–533. doi:10.​1007/​s00421-002-0580-x CrossRefPubMed
go back to reference Heffernan KS, Collier SR, Kelly EE, Jae SY, Fernhall B (2007) Arterial stiffness and baroreflex sensitivity following bouts of aerobic and resistance exercise. Int J Sports Med 28(3):197–203. doi:10.1055/s-2006-924290 CrossRefPubMed Heffernan KS, Collier SR, Kelly EE, Jae SY, Fernhall B (2007) Arterial stiffness and baroreflex sensitivity following bouts of aerobic and resistance exercise. Int J Sports Med 28(3):197–203. doi:10.​1055/​s-2006-924290 CrossRefPubMed
go back to reference Kingwell BA, Berry KL, Cameron JD, Jennings GL, Dart AM (1997) Arterial compliance increases after moderate-intensity cycling. Am J Physiol 273(5):H2186–H2191PubMed Kingwell BA, Berry KL, Cameron JD, Jennings GL, Dart AM (1997) Arterial compliance increases after moderate-intensity cycling. Am J Physiol 273(5):H2186–H2191PubMed
go back to reference Laurent S, Cockcroft J, Van Bortel L, Boutouyrie P, Giannattasio C, Hayoz D, Pannier B, Vlachopoulos C, Wilkinson I, Struijker-Boudier H, European Network for Non-invasive Investigation of Large A (2006) Expert consensus document on arterial stiffness: methodological issues and clinical applications. Eur Heart J 27(21):2588–2605. doi:10.1093/eurheartj/ehl254 CrossRefPubMed Laurent S, Cockcroft J, Van Bortel L, Boutouyrie P, Giannattasio C, Hayoz D, Pannier B, Vlachopoulos C, Wilkinson I, Struijker-Boudier H, European Network for Non-invasive Investigation of Large A (2006) Expert consensus document on arterial stiffness: methodological issues and clinical applications. Eur Heart J 27(21):2588–2605. doi:10.​1093/​eurheartj/​ehl254 CrossRefPubMed
go back to reference McDonnell BJ, Maki-Petaja KM, Munnery M, Yasmin Wilkinson IB, Cockcroft JR, McEniery CM (2013) Habitual exercise and blood pressure: age dependency and underlying mechanisms. Am J Hypertens 26(3):334–341. doi:10.1093/ajh/hps055 CrossRefPubMed McDonnell BJ, Maki-Petaja KM, Munnery M, Yasmin Wilkinson IB, Cockcroft JR, McEniery CM (2013) Habitual exercise and blood pressure: age dependency and underlying mechanisms. Am J Hypertens 26(3):334–341. doi:10.​1093/​ajh/​hps055 CrossRefPubMed
go back to reference Mitchel JF, Fram DB, Aretz TA, Gillam LD, Woronick C, Waters DD, McKay RG (1994) Effect of low-grade conductive heating on vascular compliance during in vitro balloon angioplasty. Am Heart J 128(1):21–27CrossRefPubMed Mitchel JF, Fram DB, Aretz TA, Gillam LD, Woronick C, Waters DD, McKay RG (1994) Effect of low-grade conductive heating on vascular compliance during in vitro balloon angioplasty. Am Heart J 128(1):21–27CrossRefPubMed
go back to reference Moyen NE, Ganio MS, Burchfield JM, Tucker MA, Gonzalez MA, Dougherty EK, Robinson FB, Ridings CB, Veilleux JC (2016) Effect of passive heat stress on arterial stiffness in smokers versus non-smokers. Int J Biometeorol 60(4):499–506. doi:10.1007/s00484-015-1046-2 CrossRefPubMed Moyen NE, Ganio MS, Burchfield JM, Tucker MA, Gonzalez MA, Dougherty EK, Robinson FB, Ridings CB, Veilleux JC (2016) Effect of passive heat stress on arterial stiffness in smokers versus non-smokers. Int J Biometeorol 60(4):499–506. doi:10.​1007/​s00484-015-1046-2 CrossRefPubMed
go back to reference Mozaffarian D, Benjamin EJ, Go AS, Arnett DK, Blaha MJ, Cushman M, Das SR, de Ferranti S, Despres JP, Fullerton HJ, Howard VJ, Huffman MD, Isasi CR, Jimenez MC, Judd SE, Kissela BM, Lichtman JH, Lisabeth LD, Liu S, Mackey RH, Magid DJ, McGuire DK, Mohler ER 3rd, Moy CS, Muntner P, Mussolino ME, Nasir K, Neumar RW, Nichol G, Palaniappan L, Pandey DK, Reeves MJ, Rodriguez CJ, Rosamond W, Sorlie PD, Stein J, Towfighi A, Turan TN, Virani SS, Woo D, Yeh RW, Turner MB (2016) Executive summary: heart disease and stroke statistics–2016 update: a report from the American Heart Association. Circulation 133(4):447–454. doi:10.1161/CIR.0000000000000366 CrossRefPubMed Mozaffarian D, Benjamin EJ, Go AS, Arnett DK, Blaha MJ, Cushman M, Das SR, de Ferranti S, Despres JP, Fullerton HJ, Howard VJ, Huffman MD, Isasi CR, Jimenez MC, Judd SE, Kissela BM, Lichtman JH, Lisabeth LD, Liu S, Mackey RH, Magid DJ, McGuire DK, Mohler ER 3rd, Moy CS, Muntner P, Mussolino ME, Nasir K, Neumar RW, Nichol G, Palaniappan L, Pandey DK, Reeves MJ, Rodriguez CJ, Rosamond W, Sorlie PD, Stein J, Towfighi A, Turan TN, Virani SS, Woo D, Yeh RW, Turner MB (2016) Executive summary: heart disease and stroke statistics–2016 update: a report from the American Heart Association. Circulation 133(4):447–454. doi:10.​1161/​CIR.​0000000000000366​ CrossRefPubMed
go back to reference Mundel T, Perry BG, Ainslie PN, Thomas KN, Sikken EL, Cotter JD, Lucas SJ (2015) Postexercise orthostatic intolerance: influence of exercise intensity. Exp Physiol 100(8):915–925. doi:10.1113/EP085143 CrossRefPubMed Mundel T, Perry BG, Ainslie PN, Thomas KN, Sikken EL, Cotter JD, Lucas SJ (2015) Postexercise orthostatic intolerance: influence of exercise intensity. Exp Physiol 100(8):915–925. doi:10.​1113/​EP085143 CrossRefPubMed
go back to reference Nadel ER, Bullard RW, Stolwijk JA (1971) Importance of skin temperature in the regulation of sweating. J Appl Physiol 31(1):80–87PubMed Nadel ER, Bullard RW, Stolwijk JA (1971) Importance of skin temperature in the regulation of sweating. J Appl Physiol 31(1):80–87PubMed
go back to reference Neff D, Kuhlenhoelter AM, Lin C, Wong BJ, Motaganahalli RL, Roseguini BT (2016) Thermotherapy reduces blood pressure and circulating endothelin-1 concentration and enhances leg blood flow in patients with symptomatic peripheral artery disease. Am J Physiol Regul Integr Comp Physiol 311(2):R392–R400. doi:10.1152/ajpregu.00147.2016 CrossRefPubMed Neff D, Kuhlenhoelter AM, Lin C, Wong BJ, Motaganahalli RL, Roseguini BT (2016) Thermotherapy reduces blood pressure and circulating endothelin-1 concentration and enhances leg blood flow in patients with symptomatic peripheral artery disease. Am J Physiol Regul Integr Comp Physiol 311(2):R392–R400. doi:10.​1152/​ajpregu.​00147.​2016 CrossRefPubMed
go back to reference O’Rourke M (1990) Arterial stiffness, systolic blood pressure, and logical treatment of arterial hypertension. Hypertension 15(4):339–347CrossRefPubMed O’Rourke M (1990) Arterial stiffness, systolic blood pressure, and logical treatment of arterial hypertension. Hypertension 15(4):339–347CrossRefPubMed
go back to reference Ramanathan NL (1964) A New Weighting System for Mean Surface Temperature of the Human Body. J Appl Physiol 19:531–533PubMed Ramanathan NL (1964) A New Weighting System for Mean Surface Temperature of the Human Body. J Appl Physiol 19:531–533PubMed
go back to reference Saltin B, Hermansen L (1966) Esophageal, rectal, and muscle temperature during exercise. J Appl Physiol 21(6):1757–1762PubMed Saltin B, Hermansen L (1966) Esophageal, rectal, and muscle temperature during exercise. J Appl Physiol 21(6):1757–1762PubMed
go back to reference Swierblewska E, Hering D, Kara T, Kunicka K, Kruszewski P, Bieniaszewski L, Boutouyrie P, Somers VK, Narkiewicz K (2010) An independent relationship between muscle sympathetic nerve activity and pulse wave velocity in normal humans. J Hypertens 28(5):979–984CrossRefPubMed Swierblewska E, Hering D, Kara T, Kunicka K, Kruszewski P, Bieniaszewski L, Boutouyrie P, Somers VK, Narkiewicz K (2010) An independent relationship between muscle sympathetic nerve activity and pulse wave velocity in normal humans. J Hypertens 28(5):979–984CrossRefPubMed
go back to reference Thomas KN, van Rij AM, Lucas SJ, Cotter JD (2016) Lower-limb hot-water immersion acutely induces beneficial hemodynamic and cardiovascular responses in peripheral arterial disease and healthy, elderly controls. Am J Physiol Regul Integr Comp Physiol 00404:02016. doi:10.1152/ajpregu.00404.2016 Thomas KN, van Rij AM, Lucas SJ, Cotter JD (2016) Lower-limb hot-water immersion acutely induces beneficial hemodynamic and cardiovascular responses in peripheral arterial disease and healthy, elderly controls. Am J Physiol Regul Integr Comp Physiol 00404:02016. doi:10.​1152/​ajpregu.​00404.​2016
go back to reference Townsend RR, Wilkinson IB, Schiffrin EL, Avolio AP, Chirinos JA, Cockcroft JR, Heffernan KS, Lakatta EG, McEniery CM, Mitchell GF, Najjar SS, Nichols WW, Urbina EM, Weber T, American Heart Association Council on H (2015) Recommendations for improving and standardizing vascular research on arterial stiffness: a scientific statement from the American Heart Association. Hypertension 66(3):698–722. doi:10.1161/HYP.0000000000000033 CrossRefPubMedPubMedCentral Townsend RR, Wilkinson IB, Schiffrin EL, Avolio AP, Chirinos JA, Cockcroft JR, Heffernan KS, Lakatta EG, McEniery CM, Mitchell GF, Najjar SS, Nichols WW, Urbina EM, Weber T, American Heart Association Council on H (2015) Recommendations for improving and standardizing vascular research on arterial stiffness: a scientific statement from the American Heart Association. Hypertension 66(3):698–722. doi:10.​1161/​HYP.​0000000000000033​ CrossRefPubMedPubMedCentral
go back to reference Vaitkevicius PV, Fleg JL, Engel JH, O’Connor FC, Wright JG, Lakatta LE, Yin FC, Lakatta EG (1993) Effects of age and aerobic capacity on arterial stiffness in healthy adults. Circulation 88(4 Pt 1):1456–1462CrossRefPubMed Vaitkevicius PV, Fleg JL, Engel JH, O’Connor FC, Wright JG, Lakatta LE, Yin FC, Lakatta EG (1993) Effects of age and aerobic capacity on arterial stiffness in healthy adults. Circulation 88(4 Pt 1):1456–1462CrossRefPubMed
go back to reference Winer BJ, Brown DR, Michels KM (1991) Statistical principles in experimental design. McGraw-Hill series in psychology, 3rd edn. McGraw-Hill, New York Winer BJ, Brown DR, Michels KM (1991) Statistical principles in experimental design. McGraw-Hill series in psychology, 3rd edn. McGraw-Hill, New York
Metadata
Title
Effect of passive heat stress and exercise in the heat on arterial stiffness
Authors
Aaron R. Caldwell
Forrest B. Robinson
Matthew A. Tucker
Cash H. Arcement
Cory L. Butts
Brendon P. McDermott
Matthew S. Ganio
Publication date
01-08-2017
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Applied Physiology / Issue 8/2017
Print ISSN: 1439-6319
Electronic ISSN: 1439-6327
DOI
https://doi.org/10.1007/s00421-017-3658-1

Other articles of this Issue 8/2017

European Journal of Applied Physiology 8/2017 Go to the issue