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Published in: European Journal of Applied Physiology 1/2018

Open Access 01-01-2018 | Original Article

Heart rate variability and plasma nephrines in the evaluation of heat acclimatisation status

Authors: Major Michael John Stacey, S. K. Delves, D. R. Woods, S. E. Britland, L. Macconnachie, A. J. Allsopp, S. J. Brett, J. L. Fallowfield, C. J. Boos

Published in: European Journal of Applied Physiology | Issue 1/2018

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Abstract

Purpose

Heat adaptation (HA) is critical to performance and health in a hot environment. Transition from short-term heat acclimatisation (STHA) to long-term heat acclimatisation (LTHA) is characterised by decreased autonomic disturbance and increased protection from thermal injury. A standard heat tolerance test (HTT) is recommended for validating exercise performance status, but any role in distinguishing STHA from LTHA is unreported. The aims of this study were to (1) define performance status by serial HTT during structured natural HA, (2) evaluate surrogate markers of autonomic activation, including heart rate variability (HRV), in relation to HA status.

Methods

Participants (n = 13) were assessed by HTT (60-min block-stepping, 50% VO2peak) during STHA (Day 2, 6 and 9) and LTHA (Day 23). Core temperature (Tc) and heart rate (HR) were measured every 5 min. Sampling for HRV indices (RMSSD, LF:HF) and sympathoadrenal blood measures (cortisol, nephrines) was undertaken before and after (POST) each HTT.

Results

Significant (P < 0.05) interactions existed for Tc, logLF:HF, cortisol and nephrines (two-way ANOVA; HTT by Day). Relative to LTHA, POST results differed significantly for Tc (Day 2, 6 and 9), HR (Day 2), logRMSSD (Day 2 and Day 6), logLF:HF (Day 2 and Day 6), cortisol (Day 2) and nephrines (Day 2 and Day 9). POST differences in HRV (Day 6 vs. 23) were + 9.9% (logRMSSD) and − 18.6% (logLF:HF).

Conclusions

Early reductions in HR and cortisol characterised STHA, whereas LTHA showed diminished excitability by Tc, HRV and nephrine measures. Measurement of HRV may have potential to aid real-time assessment of readiness for activity in the heat.
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Literature
go back to reference Adolph EF (1947) Physiology of man in the desert. Interscience Publishers Inc., New York Adolph EF (1947) Physiology of man in the desert. Interscience Publishers Inc., New York
go back to reference Al Haddad H, Laursen PB, Chollet D, Ahmaidi S, Buchheit M (2011) Reliability of resting and postexercise heart rate measures. Int J Sports Med 32(8):598–605PubMed Al Haddad H, Laursen PB, Chollet D, Ahmaidi S, Buchheit M (2011) Reliability of resting and postexercise heart rate measures. Int J Sports Med 32(8):598–605PubMed
go back to reference Armstrong RG, Ahmad S, Seely AJ, Kenny GP (2012) Heart rate variability and baroreceptor sensitivity following exercise-induced hyperthermia in endurance trained men. Eur J Appl Physiol 112:501–511PubMed Armstrong RG, Ahmad S, Seely AJ, Kenny GP (2012) Heart rate variability and baroreceptor sensitivity following exercise-induced hyperthermia in endurance trained men. Eur J Appl Physiol 112:501–511PubMed
go back to reference Assayag M, Gerstenblith G, Stern MD, Horowitz M (2010) Long- but not short-term heat acclimation produces an apoptosis-resistant cardiac phenotype: a lesson from heat stress and ischemic/reperfusion insults. Cell Stress Chaperones 15:651–664PubMedPubMedCentral Assayag M, Gerstenblith G, Stern MD, Horowitz M (2010) Long- but not short-term heat acclimation produces an apoptosis-resistant cardiac phenotype: a lesson from heat stress and ischemic/reperfusion insults. Cell Stress Chaperones 15:651–664PubMedPubMedCentral
go back to reference Assayag M, Saada A, Gerstenblith G, Canaana H, Shlomai R, Horowitz M (2012) Mitochondrial performance in heat acclimation—a lesson from ischemia/reperfusion and calcium overload insults in the heart. Am J Physiol Regul Integr Comp Physiol 303:R870–R881PubMed Assayag M, Saada A, Gerstenblith G, Canaana H, Shlomai R, Horowitz M (2012) Mitochondrial performance in heat acclimation—a lesson from ischemia/reperfusion and calcium overload insults in the heart. Am J Physiol Regul Integr Comp Physiol 303:R870–R881PubMed
go back to reference Bergeron MF, Bahr R, Bartsch P, Bourdon L, Calbet JA, Carlsen KH et al (2012) International Olympic Committee consensus statement on thermoregulatory and altitude challenges for high-level athletes. Br J Sports Med 46:770–779PubMed Bergeron MF, Bahr R, Bartsch P, Bourdon L, Calbet JA, Carlsen KH et al (2012) International Olympic Committee consensus statement on thermoregulatory and altitude challenges for high-level athletes. Br J Sports Med 46:770–779PubMed
go back to reference Boos CJ, Bakker-Dyos J, Watchorn J, Woods DR, O’Hara JP, Macconnachie L et al (2017) A comparison of two methods of heart rate variability assessment at high altitude. Clin Physiol Funct Imaging 37(6):582–587CrossRefPubMed Boos CJ, Bakker-Dyos J, Watchorn J, Woods DR, O’Hara JP, Macconnachie L et al (2017) A comparison of two methods of heart rate variability assessment at high altitude. Clin Physiol Funct Imaging 37(6):582–587CrossRefPubMed
go back to reference Borg G (1970) Perceived exertion as an indicator of somatic stress. Scand J Rehabil Med 2:92–98PubMed Borg G (1970) Perceived exertion as an indicator of somatic stress. Scand J Rehabil Med 2:92–98PubMed
go back to reference Bouchama A, Knochel JP (2002) Heat stroke. N Engl J Med 346:1978–1988PubMed Bouchama A, Knochel JP (2002) Heat stroke. N Engl J Med 346:1978–1988PubMed
go back to reference Bracken RM, Brooks S (2010) Plasma catecholamine and nephrine responses following 7 weeks of sprint cycle training. Amino Acids 38:1351–1359PubMed Bracken RM, Brooks S (2010) Plasma catecholamine and nephrine responses following 7 weeks of sprint cycle training. Amino Acids 38:1351–1359PubMed
go back to reference Bracken RM, Linnane DM, Brooks S (2009) Plasma catecholamine and nephrine responses to brief intermittent maximal intensity exercise. Amino Acids 36:209–217PubMed Bracken RM, Linnane DM, Brooks S (2009) Plasma catecholamine and nephrine responses to brief intermittent maximal intensity exercise. Amino Acids 36:209–217PubMed
go back to reference Brenner IK, Thomas S, Shephard RJ (1997) Spectral analysis of heart rate variability during heat exposure and repeated exercise. Eur J Appl Physiol Occup Physiol 76:145–156PubMed Brenner IK, Thomas S, Shephard RJ (1997) Spectral analysis of heart rate variability during heat exposure and repeated exercise. Eur J Appl Physiol Occup Physiol 76:145–156PubMed
go back to reference Buchheit M, Chivot A, Parouty J, Mercier D, Al Haddad H, Laursen PB et al (2010) Monitoring endurance running performance using cardiac parasympathetic function. Eur J Appl Physiol 108:1153–1167PubMed Buchheit M, Chivot A, Parouty J, Mercier D, Al Haddad H, Laursen PB et al (2010) Monitoring endurance running performance using cardiac parasympathetic function. Eur J Appl Physiol 108:1153–1167PubMed
go back to reference Buchheit M, Voss SC, Nybo L, Mohr M, Racinais S (2011) Physiological and performance adaptations to an in-season soccer camp in the heat: associations with heart rate and heart rate variability. Scand J Med Sci Sports 21:e477–e485PubMed Buchheit M, Voss SC, Nybo L, Mohr M, Racinais S (2011) Physiological and performance adaptations to an in-season soccer camp in the heat: associations with heart rate and heart rate variability. Scand J Med Sci Sports 21:e477–e485PubMed
go back to reference Carrillo AE, Cheung SS, Flouris AD (2013) Autonomic nervous system modulation during accidental syncope induced by heat and orthostatic stress. Aviat Sp Environ Med 84:722–725 Carrillo AE, Cheung SS, Flouris AD (2013) Autonomic nervous system modulation during accidental syncope induced by heat and orthostatic stress. Aviat Sp Environ Med 84:722–725
go back to reference Chow E, Bernjak A, Williams S, Fawdry RA, Hibbert S, Freeman J et al (2014) Risk of cardiac arrhythmias during hypoglycemia in patients with type 2 diabetes and cardiovascular risk. Diabetes 63:1738–1747PubMed Chow E, Bernjak A, Williams S, Fawdry RA, Hibbert S, Freeman J et al (2014) Risk of cardiac arrhythmias during hypoglycemia in patients with type 2 diabetes and cardiovascular risk. Diabetes 63:1738–1747PubMed
go back to reference Deutschbein T, Unger N, Jaeger A, Broecker-Preuss M, Mann K, Petersenn S (2010) Influence of various confounding variables and storage conditions on metanephrine and normetanephrine levels in plasma. Clin Endocrinol (Oxf) 73:153–160 Deutschbein T, Unger N, Jaeger A, Broecker-Preuss M, Mann K, Petersenn S (2010) Influence of various confounding variables and storage conditions on metanephrine and normetanephrine levels in plasma. Clin Endocrinol (Oxf) 73:153–160
go back to reference Epstein Y, Yanovich R, Heled Y (2016) Heat tolerance test or race simulation test for return to activity after heat stroke. Med Sci Sports Exerc 48:1428PubMed Epstein Y, Yanovich R, Heled Y (2016) Heat tolerance test or race simulation test for return to activity after heat stroke. Med Sci Sports Exerc 48:1428PubMed
go back to reference Esco MR, Flatt AA (2014) Ultra-short-term heart rate variability indexes at rest and post-exercise in athletes: evaluating the agreement with accepted recommendations. J Sports Sci Med 13:535–541PubMedPubMedCentral Esco MR, Flatt AA (2014) Ultra-short-term heart rate variability indexes at rest and post-exercise in athletes: evaluating the agreement with accepted recommendations. J Sports Sci Med 13:535–541PubMedPubMedCentral
go back to reference Fagius J, Karhuvaara S (1989) Sympathetic activity and blood pressure increases with bladder distension in humans. Hypertension 14:511–517PubMed Fagius J, Karhuvaara S (1989) Sympathetic activity and blood pressure increases with bladder distension in humans. Hypertension 14:511–517PubMed
go back to reference Flatt AA, Esco MR (2016) Heart rate variability stabilization in athletes: towards more convenient data acquisition. Clin Physiol Funct Imaging 36:331–336PubMed Flatt AA, Esco MR (2016) Heart rate variability stabilization in athletes: towards more convenient data acquisition. Clin Physiol Funct Imaging 36:331–336PubMed
go back to reference Flouris AD, Poirier MP, Bravi A, Wright-Beatty HE, Herry C, Seely AJ et al (2014) Changes in heart rate variability during the induction and decay of heat acclimation. Eur J Appl Physiol 114:2119–2128PubMed Flouris AD, Poirier MP, Bravi A, Wright-Beatty HE, Herry C, Seely AJ et al (2014) Changes in heart rate variability during the induction and decay of heat acclimation. Eur J Appl Physiol 114:2119–2128PubMed
go back to reference Harris EK, Yasaka T (1983) On the calculation of a “reference change” for comparing two consecutive measurements. Clin Chem 29:25–30PubMed Harris EK, Yasaka T (1983) On the calculation of a “reference change” for comparing two consecutive measurements. Clin Chem 29:25–30PubMed
go back to reference Hodge D, Jones D, Martinez R, Buono MJ (2013) Time course of the attenuation of sympathetic nervous activity during active heat acclimation. Auton Neurosci Basic Clin 177:101–103 Hodge D, Jones D, Martinez R, Buono MJ (2013) Time course of the attenuation of sympathetic nervous activity during active heat acclimation. Auton Neurosci Basic Clin 177:101–103
go back to reference Horowitz M (2014) Heat acclimation, epigenetics, and cytoprotection memory. Compr Physiol 4:199–230PubMed Horowitz M (2014) Heat acclimation, epigenetics, and cytoprotection memory. Compr Physiol 4:199–230PubMed
go back to reference Horowitz M (2016) Epigenetics and cytoprotection with heat acclimation. J Appl Physiol (1985) 120:702–710 Horowitz M (2016) Epigenetics and cytoprotection with heat acclimation. J Appl Physiol (1985) 120:702–710
go back to reference Horowitz M, Kodesh E (2010) Molecular signals that shape the integrative responses of the heat-acclimated phenotype. Med Sci Sports Exerc 42:2164–2172PubMed Horowitz M, Kodesh E (2010) Molecular signals that shape the integrative responses of the heat-acclimated phenotype. Med Sci Sports Exerc 42:2164–2172PubMed
go back to reference Horowitz M, Meiri U (1993) Central and peripheral contributions to control of heart rate during heat acclimation. Pflugers Arch 422:386–392PubMed Horowitz M, Meiri U (1993) Central and peripheral contributions to control of heart rate during heat acclimation. Pflugers Arch 422:386–392PubMed
go back to reference Iellamo F (2001) Neural mechanisms of cardiovascular regulation during exercise. Auton Neurosci Basic Clin 90:66–75 Iellamo F (2001) Neural mechanisms of cardiovascular regulation during exercise. Auton Neurosci Basic Clin 90:66–75
go back to reference Karlsen A, Nybo L, Norgaard SJ, Jensen MV, Bonne T, Racinais S (2015) Time course of natural heat acclimatization in well-trained cyclists during a 2-week training camp in the heat. Scand J Med Sci Sports 25:240–249PubMed Karlsen A, Nybo L, Norgaard SJ, Jensen MV, Bonne T, Racinais S (2015) Time course of natural heat acclimatization in well-trained cyclists during a 2-week training camp in the heat. Scand J Med Sci Sports 25:240–249PubMed
go back to reference Lu CL, Zou X, Orr WC, Chen JD (1999) Postprandial changes of sympathovagal balance measured by heart rate variability. Dig Dis Sci. 44:857–861PubMed Lu CL, Zou X, Orr WC, Chen JD (1999) Postprandial changes of sympathovagal balance measured by heart rate variability. Dig Dis Sci. 44:857–861PubMed
go back to reference Maher JT, Bass DE, Heistad DD, Angelakos ET, Hartley LH (1972) Effect of posture on heat acclimation in man. J Appl Physiol (1985) 33:8–13 Maher JT, Bass DE, Heistad DD, Angelakos ET, Hartley LH (1972) Effect of posture on heat acclimation in man. J Appl Physiol (1985) 33:8–13
go back to reference Michael S, Jay O, Halaki M, Graham K, Davis GM (2016) Submaximal exercise intensity modulates acute post-exercise heart rate variability. Eur J Appl Physiol 116:697–706PubMed Michael S, Jay O, Halaki M, Graham K, Davis GM (2016) Submaximal exercise intensity modulates acute post-exercise heart rate variability. Eur J Appl Physiol 116:697–706PubMed
go back to reference Nakamura FY, Flatt AA, Pereira LA, Ramirez-Campillo R, Loturco I, Esco MR (2015) Ultra-short-term heart rate variability is sensitive to training effects in team sports players. J Sports Sci Med 14:602–605PubMedPubMedCentral Nakamura FY, Flatt AA, Pereira LA, Ramirez-Campillo R, Loturco I, Esco MR (2015) Ultra-short-term heart rate variability is sensitive to training effects in team sports players. J Sports Sci Med 14:602–605PubMedPubMedCentral
go back to reference Noe RS, Choudhary E, Cheng-Dobson J, Wolkin AF, Newman SB (2013) Exertional heat-related illnesses at the Grand Canyon National Park, 2004–2009. Wilderness Environ Med 24:422–428PubMedPubMedCentral Noe RS, Choudhary E, Cheng-Dobson J, Wolkin AF, Newman SB (2013) Exertional heat-related illnesses at the Grand Canyon National Park, 2004–2009. Wilderness Environ Med 24:422–428PubMedPubMedCentral
go back to reference Parekh A, Lee CM (2005) Heart rate variability after isocaloric exercise bouts of different intensities. Med Sci Sports Exerc 37:599–605PubMed Parekh A, Lee CM (2005) Heart rate variability after isocaloric exercise bouts of different intensities. Med Sci Sports Exerc 37:599–605PubMed
go back to reference Peaston RT, Weinkove C (2004) Measurement of catecholamines and their metabolites. Ann Clin Biochem 41(Pt 1):17–38PubMed Peaston RT, Weinkove C (2004) Measurement of catecholamines and their metabolites. Ann Clin Biochem 41(Pt 1):17–38PubMed
go back to reference Periard JD, Racinais S, Sawka MN (2015) Adaptations and mechanisms of human heat acclimation: Applications for competitive athletes and sports. Scand J Med Sci Sports 25:20–38PubMed Periard JD, Racinais S, Sawka MN (2015) Adaptations and mechanisms of human heat acclimation: Applications for competitive athletes and sports. Scand J Med Sci Sports 25:20–38PubMed
go back to reference Plews DJ, Laursen PB, Kilding AE, Buchheit M (2012) Heart rate variability in elite triathletes, is variation in variability the key to effective training? A case comparison. Eur J Appl Physiol 112:3729–3741PubMed Plews DJ, Laursen PB, Kilding AE, Buchheit M (2012) Heart rate variability in elite triathletes, is variation in variability the key to effective training? A case comparison. Eur J Appl Physiol 112:3729–3741PubMed
go back to reference Poirier MP, Gagnon D, Friesen BJ, Hardcastle SG, Kenny GP (2015) Whole-body heat exchange during heat acclimation and its decay. Med Sci Sports Exerc 47:390–400PubMed Poirier MP, Gagnon D, Friesen BJ, Hardcastle SG, Kenny GP (2015) Whole-body heat exchange during heat acclimation and its decay. Med Sci Sports Exerc 47:390–400PubMed
go back to reference Raber W, Raffesberg W, Bischof M, Scheuba C, Niederle B, Gasic S et al (2000) Diagnostic efficacy of unconjugated plasma metanephrines for the detection of pheochromocytoma. Arch Intern Med 160:2957–2963PubMed Raber W, Raffesberg W, Bischof M, Scheuba C, Niederle B, Gasic S et al (2000) Diagnostic efficacy of unconjugated plasma metanephrines for the detection of pheochromocytoma. Arch Intern Med 160:2957–2963PubMed
go back to reference Racinais S, Alonso JM, Coutts AJ, Flouris AD, Girard O, Gonzalez-Alonso J et al (2015) Consensus recommendations on training and competing in the heat. Sports Med 45:925–938PubMedPubMedCentral Racinais S, Alonso JM, Coutts AJ, Flouris AD, Girard O, Gonzalez-Alonso J et al (2015) Consensus recommendations on training and competing in the heat. Sports Med 45:925–938PubMedPubMedCentral
go back to reference Roden M, Raffesberg W, Raber W, Bernroider E, Niederle B, Waldhausl W et al (2001) Quantification of unconjugated metanephrines in human plasma without interference by acetaminophen. Clin Chem 47:1061–1067PubMed Roden M, Raffesberg W, Raber W, Bernroider E, Niederle B, Waldhausl W et al (2001) Quantification of unconjugated metanephrines in human plasma without interference by acetaminophen. Clin Chem 47:1061–1067PubMed
go back to reference Rowell LB (1990) Hyperthermia: a hyperadrenergic state. Hypertension 15:505–507PubMed Rowell LB (1990) Hyperthermia: a hyperadrenergic state. Hypertension 15:505–507PubMed
go back to reference Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology (1996) Heart rate variability: standards of measurement, physiological interpretation and clinical use. Circulation 93:1043–1065 Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology (1996) Heart rate variability: standards of measurement, physiological interpretation and clinical use. Circulation 93:1043–1065
go back to reference Tyler CJ, Reeve T, Hodges GJ, Cheung SS (2016) The effects of heat adaptation on physiology, perception and exercise performance in the heat: a meta-analysis. Sports Med 46:1699–1724PubMed Tyler CJ, Reeve T, Hodges GJ, Cheung SS (2016) The effects of heat adaptation on physiology, perception and exercise performance in the heat: a meta-analysis. Sports Med 46:1699–1724PubMed
go back to reference van Ravenswaaij-Arts CM, Kollee LA, Hopman JC, Stoelinga GB, van Geijn HP (1993) Heart rate variability. Ann Intern Med 118:436–447PubMed van Ravenswaaij-Arts CM, Kollee LA, Hopman JC, Stoelinga GB, van Geijn HP (1993) Heart rate variability. Ann Intern Med 118:436–447PubMed
go back to reference Wilkinson DM, Carter JM, Richmond VL, Blacker SD, Rayson MP (2008) The effect of cool water ingestion on gastrointestinal pill temperature. Med Sci Sports Exerc 2008 40(3):523–528 Wilkinson DM, Carter JM, Richmond VL, Blacker SD, Rayson MP (2008) The effect of cool water ingestion on gastrointestinal pill temperature. Med Sci Sports Exerc 2008 40(3):523–528
go back to reference Woods DR, O’Hara JP, Boos CJ, Hodkinson PD, Tsakirides, Hill NE, Jose D, Hawkins A, Phillipson K, Hazlerigg A, Arjomandkhah N, Gallagher L, Holdsworth D, Cooke M, Green ND, Mellor A (2017) Markers of physiological stress during exercise under conditions of normoxia, normobaric hypoxia, hypobaric hypoxia, and genuine high altitude. Eur J Appl Physiol 117:893–900PubMedPubMedCentral Woods DR, O’Hara JP, Boos CJ, Hodkinson PD, Tsakirides, Hill NE, Jose D, Hawkins A, Phillipson K, Hazlerigg A, Arjomandkhah N, Gallagher L, Holdsworth D, Cooke M, Green ND, Mellor A (2017) Markers of physiological stress during exercise under conditions of normoxia, normobaric hypoxia, hypobaric hypoxia, and genuine high altitude. Eur J Appl Physiol 117:893–900PubMedPubMedCentral
go back to reference Wright HE, Selkirk GA, McLellan TM (2010) HPA and SAS responses to increasing core temperature during uncompensable exertional heat stress in trained and untrained males. Eur J Appl Physiol 108(5):987–997PubMed Wright HE, Selkirk GA, McLellan TM (2010) HPA and SAS responses to increasing core temperature during uncompensable exertional heat stress in trained and untrained males. Eur J Appl Physiol 108(5):987–997PubMed
Metadata
Title
Heart rate variability and plasma nephrines in the evaluation of heat acclimatisation status
Authors
Major Michael John Stacey
S. K. Delves
D. R. Woods
S. E. Britland
L. Macconnachie
A. J. Allsopp
S. J. Brett
J. L. Fallowfield
C. J. Boos
Publication date
01-01-2018
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Applied Physiology / Issue 1/2018
Print ISSN: 1439-6319
Electronic ISSN: 1439-6327
DOI
https://doi.org/10.1007/s00421-017-3758-y

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