Skip to main content
Erschienen in: European Journal of Applied Physiology 1/2006

01.01.2006 | Original Article

Baroreflex impairment during rapid posture changes at rest and exercise after 120 days of bed rest

verfasst von: D. Linnarsson, J. Spaak, P. Sundblad

Erschienen in: European Journal of Applied Physiology | Ausgabe 1/2006

Einloggen, um Zugang zu erhalten

Abstract

Orthostatic intolerance is common after space flight and head-down tilt (HDT) bed rest. We hypothesized that HDT-induced impairments of arterial blood pressure (AP) control would be more marked during exercise and that recovery of baroreflex function after very long-term HDT would be delayed. Six subjects were studied before (BDC) during (day 60, D60; D113) and after (recovery day 0, R0; R3; R15) 120 days of HDT. Supine resting subjects were exposed to repeated 1 min passive tilts to upright at 3-min interval. During 50 W steady-state exercise corresponding tilt had a 2-min duration at 4-min interval. The amplitudes of the tilt-induced transient beat-by-beat deviations in AP and rate (HR) were determined during the gravity transients. At rest these deviations did not change over time, but during exercise the total peak-to-nadir range of deviations in systolic AP (SAP) at up-tilt and down-tilt increased to 168±16% (mean±SEM) of BDC at D113 with no clear recovery upto and including R15. Counter-regulatory HR responses were not increased proportionally and especially not tachycardic responses to up-tilt, resulting in a reduction of baroreflex sensitivity (ΔRR-interval/ΔSAP) by 55±9% of BDC at D113 with no recovery upto and including R15. We conclude that prolonged bed rest cause long-lasting impairments in AP control and baroreflex function in exercising humans.
Literatur
Zurück zum Zitat Beck L, Baisch F, Gaffney FA, Buckey JC, Arbeille P, Patat F, ten Harkel AD, Hillebrecht A, Schulz H, Karemaker JM, et al (1992) Cardiovascular response to lower body negative pressure before, during, and after ten days head-down tilt bedrest. Acta Physiol Scand Suppl 604:43–52PubMed Beck L, Baisch F, Gaffney FA, Buckey JC, Arbeille P, Patat F, ten Harkel AD, Hillebrecht A, Schulz H, Karemaker JM, et al (1992) Cardiovascular response to lower body negative pressure before, during, and after ten days head-down tilt bedrest. Acta Physiol Scand Suppl 604:43–52PubMed
Zurück zum Zitat Blomqvist CG, Stone HL (1983). Cardiovascular adjustments to gravitational stress. American Physiological Society, Bethesda Blomqvist CG, Stone HL (1983). Cardiovascular adjustments to gravitational stress. American Physiological Society, Bethesda
Zurück zum Zitat Buckey JC Jr, Lane LD, Levine BD, Watenpaugh DE, Wright SJ, Moore WE, Gaffney FA, Blomqvist CG (1996) Orthostatic intolerance after spaceflight. J Appl Physiol 81:7–18PubMed Buckey JC Jr, Lane LD, Levine BD, Watenpaugh DE, Wright SJ, Moore WE, Gaffney FA, Blomqvist CG (1996) Orthostatic intolerance after spaceflight. J Appl Physiol 81:7–18PubMed
Zurück zum Zitat Convertino VA, Doerr DF, Eckberg DL, Fritsch JM, Vernikos-Danellis J (1990) Head-down bed rest impairs vagal baroreflex responses and provokes orthostatic hypotension. J Appl Physiol 68:1458–1464PubMed Convertino VA, Doerr DF, Eckberg DL, Fritsch JM, Vernikos-Danellis J (1990) Head-down bed rest impairs vagal baroreflex responses and provokes orthostatic hypotension. J Appl Physiol 68:1458–1464PubMed
Zurück zum Zitat Convertino VA, Adams WC, Shea JD, Thompson CA, Hoffler GW (1991) Impairment of carotid-cardiac vagal baroreflex in wheelchair-dependent quadriplegics. Am J Physiol 260:R576–R580PubMed Convertino VA, Adams WC, Shea JD, Thompson CA, Hoffler GW (1991) Impairment of carotid-cardiac vagal baroreflex in wheelchair-dependent quadriplegics. Am J Physiol 260:R576–R580PubMed
Zurück zum Zitat Convertino VA, Doerr DF, Guell A, Marini JF (1992) Effects of acute exercise on attenuated vagal baroreflex function during bed rest. Aviat Space Environ Med 63:999–1003PubMed Convertino VA, Doerr DF, Guell A, Marini JF (1992) Effects of acute exercise on attenuated vagal baroreflex function during bed rest. Aviat Space Environ Med 63:999–1003PubMed
Zurück zum Zitat Convertino VA, Fritsch JM (1992) Attenuation of human carotid-cardiac vagal baroreflex responses after physical detraining. Aviat Space Environ Med 63:785–788PubMed Convertino VA, Fritsch JM (1992) Attenuation of human carotid-cardiac vagal baroreflex responses after physical detraining. Aviat Space Environ Med 63:785–788PubMed
Zurück zum Zitat Eckberg DL, Fritsch JM (1992) Influence of ten-day head-down bedrest on human carotid baroreceptor-cardiac reflex function. Acta Physiol Scand Suppl 604:69–76PubMed Eckberg DL, Fritsch JM (1992) Influence of ten-day head-down bedrest on human carotid baroreceptor-cardiac reflex function. Acta Physiol Scand Suppl 604:69–76PubMed
Zurück zum Zitat Eckberg DL, Sleight P (eds) (1992) Human baroreflexes in health and disease. Oxford University Press, New York, pp 199–200 Eckberg DL, Sleight P (eds) (1992) Human baroreflexes in health and disease. Oxford University Press, New York, pp 199–200
Zurück zum Zitat Eiken O, Convertino VA, Doerr DF, Dudley GA, Morariu G, Mekjavic IB (1992) Characteristics of the carotid baroreflex in man during normal and flow-restricted exercise. Acta Physiol Scand 144:325–331PubMed Eiken O, Convertino VA, Doerr DF, Dudley GA, Morariu G, Mekjavic IB (1992) Characteristics of the carotid baroreflex in man during normal and flow-restricted exercise. Acta Physiol Scand 144:325–331PubMed
Zurück zum Zitat Ferretti G, Antonutto G, Denis C, Hoppeler H, Minetti AE, Narici MV, Desplanches D (1997) The interplay of central and peripheral factors in limiting maximal O2 consumption in man after prolonged bed rest. J Physiol 501(Pt 3):677–686PubMedCrossRef Ferretti G, Antonutto G, Denis C, Hoppeler H, Minetti AE, Narici MV, Desplanches D (1997) The interplay of central and peripheral factors in limiting maximal O2 consumption in man after prolonged bed rest. J Physiol 501(Pt 3):677–686PubMedCrossRef
Zurück zum Zitat Fritsch-Yelle JM, Charles JB, Jones MM, Beightol LA, Eckberg DL (1994) Spaceflight alters autonomic regulation of arterial pressure in humans. J Appl Physiol 77:1776–1783PubMed Fritsch-Yelle JM, Charles JB, Jones MM, Beightol LA, Eckberg DL (1994) Spaceflight alters autonomic regulation of arterial pressure in humans. J Appl Physiol 77:1776–1783PubMed
Zurück zum Zitat Fritsch JM, Charles JB, Bennett BS, Jones MM, Eckberg DL (1992) Short-duration spaceflight impairs human carotid baroreceptor-cardiac reflex responses. J Appl Physiol 73:664–671PubMed Fritsch JM, Charles JB, Bennett BS, Jones MM, Eckberg DL (1992) Short-duration spaceflight impairs human carotid baroreceptor-cardiac reflex responses. J Appl Physiol 73:664–671PubMed
Zurück zum Zitat Haruna Y, Suzuki Y (1997) Blood pressure and heart rate responses to sudden change of posture during 20 days of simulated microgravity (−6 degrees head-down tilt). J Gravit Physiol 4:P37–38PubMed Haruna Y, Suzuki Y (1997) Blood pressure and heart rate responses to sudden change of posture during 20 days of simulated microgravity (−6 degrees head-down tilt). J Gravit Physiol 4:P37–38PubMed
Zurück zum Zitat Haruna Y, Suzuki Y, Kawakubo K, Gunji A (1997) Baroreflex during exercise in different postures before and after 20-days bed rest. J Gravit Physiol 4:S53–S57PubMed Haruna Y, Suzuki Y, Kawakubo K, Gunji A (1997) Baroreflex during exercise in different postures before and after 20-days bed rest. J Gravit Physiol 4:S53–S57PubMed
Zurück zum Zitat Hughson RL, Maillet A, Gharib C, Fortrat JO, Yamamoto Y, Pavy-Letraon A, Riviere D, Guell A (1994) Reduced spontaneous baroreflex response slope during lower body negative pressure after 28 days of head-down bed rest. J Appl Physiol 77:69–77PubMed Hughson RL, Maillet A, Gharib C, Fortrat JO, Yamamoto Y, Pavy-Letraon A, Riviere D, Guell A (1994) Reduced spontaneous baroreflex response slope during lower body negative pressure after 28 days of head-down bed rest. J Appl Physiol 77:69–77PubMed
Zurück zum Zitat Kamiya A, Iwase S, Kitazawa H, Mano T, Vinogradova OL, Kharchenko IB (2000) Baroreflex control of muscle sympathetic nerve activity after 120 days of 6 degrees head-down bed rest. Am J Physiol Regul Integr Comp Physiol 278:R445–R452PubMed Kamiya A, Iwase S, Kitazawa H, Mano T, Vinogradova OL, Kharchenko IB (2000) Baroreflex control of muscle sympathetic nerve activity after 120 days of 6 degrees head-down bed rest. Am J Physiol Regul Integr Comp Physiol 278:R445–R452PubMed
Zurück zum Zitat Levine BD, Lane LD, Watenpaugh DE, Gaffney FA, Buckey JC, Blomqvist CG (1996) Maximal exercise performance after adaptation to microgravity. J Appl Physiol 81:686–694PubMed Levine BD, Lane LD, Watenpaugh DE, Gaffney FA, Buckey JC, Blomqvist CG (1996) Maximal exercise performance after adaptation to microgravity. J Appl Physiol 81:686–694PubMed
Zurück zum Zitat Levine BD, Zuckerman JH, Pawelczyk JA (1997) Cardiac atrophy after bed-rest deconditioning: a nonneural mechanism for orthostatic intolerance. Circulation 96:517–525PubMed Levine BD, Zuckerman JH, Pawelczyk JA (1997) Cardiac atrophy after bed-rest deconditioning: a nonneural mechanism for orthostatic intolerance. Circulation 96:517–525PubMed
Zurück zum Zitat Levine BD, Pawelczyk JA, Ertl AC, Cox JF, Zuckerman JH, Diedrich A, Biaggioni I, Ray CA, Smith ML, Iwase S, Saito M, Sugiyama Y, Mano T, Zhang R, Iwasaki K, Lane LD, Buckey JC Jr, Cooke WH, Baisch FJ, Eckberg DL, Blomqvist CG (2002) Human muscle sympathetic neural and haemodynamic responses to tilt following spaceflight. J Physiol 538:331–340PubMedCrossRef Levine BD, Pawelczyk JA, Ertl AC, Cox JF, Zuckerman JH, Diedrich A, Biaggioni I, Ray CA, Smith ML, Iwase S, Saito M, Sugiyama Y, Mano T, Zhang R, Iwasaki K, Lane LD, Buckey JC Jr, Cooke WH, Baisch FJ, Eckberg DL, Blomqvist CG (2002) Human muscle sympathetic neural and haemodynamic responses to tilt following spaceflight. J Physiol 538:331–340PubMedCrossRef
Zurück zum Zitat Linnarsson D, Rosenhamer G (1968) Exercise and arterial pressure during simulated increase of gravity. Acta Physiol Scand 74:50–57PubMedCrossRef Linnarsson D, Rosenhamer G (1968) Exercise and arterial pressure during simulated increase of gravity. Acta Physiol Scand 74:50–57PubMedCrossRef
Zurück zum Zitat Linnarsson D, Sundberg CJ, Tedner B, Haruna Y, Karemaker JM, Antonutto G, Di Prampero PE (1996) Blood pressure and heart rate responses to sudden changes of gravity during exercise. Am J Physiol 270:H2132–H2142PubMed Linnarsson D, Sundberg CJ, Tedner B, Haruna Y, Karemaker JM, Antonutto G, Di Prampero PE (1996) Blood pressure and heart rate responses to sudden changes of gravity during exercise. Am J Physiol 270:H2132–H2142PubMed
Zurück zum Zitat Melcher A, Donald DE (1981) Maintained ability of carotid baroreflex to regulate arterial pressure during exercise. Am J Physiol 241:H838–H849PubMed Melcher A, Donald DE (1981) Maintained ability of carotid baroreflex to regulate arterial pressure during exercise. Am J Physiol 241:H838–H849PubMed
Zurück zum Zitat Montmerle S, Spaak J, Linnarsson D (2002) Lung function during and after prolonged head-down bed rest. J Appl Physiol 92:75–83PubMed Montmerle S, Spaak J, Linnarsson D (2002) Lung function during and after prolonged head-down bed rest. J Appl Physiol 92:75–83PubMed
Zurück zum Zitat Papelier Y, Escourrou P, Gauthier JP, Rowell LB (1994) Carotid baroreflex control of blood pressure and heart rate in men during dynamic exercise. J Appl Physiol 77:502–506PubMed Papelier Y, Escourrou P, Gauthier JP, Rowell LB (1994) Carotid baroreflex control of blood pressure and heart rate in men during dynamic exercise. J Appl Physiol 77:502–506PubMed
Zurück zum Zitat Papelier Y, Escourrou P, Helloco F, Rowell LB (1997) Muscle chemoreflex alters carotid sinus baroreflex response in humans. J Appl Physiol 82:577–583PubMed Papelier Y, Escourrou P, Helloco F, Rowell LB (1997) Muscle chemoreflex alters carotid sinus baroreflex response in humans. J Appl Physiol 82:577–583PubMed
Zurück zum Zitat Parker P, Celler BG, Potter EK, McCloskey DI (1984) Vagal stimulation and cardiac slowing. J Auton Nerv Syst 11:226–231PubMedCrossRef Parker P, Celler BG, Potter EK, McCloskey DI (1984) Vagal stimulation and cardiac slowing. J Auton Nerv Syst 11:226–231PubMedCrossRef
Zurück zum Zitat Potts JT, Shi XR, Raven PB (1993) Carotid baroreflex responsiveness during dynamic exercise in humans. Am J Physiol 265:H1928–1938PubMed Potts JT, Shi XR, Raven PB (1993) Carotid baroreflex responsiveness during dynamic exercise in humans. Am J Physiol 265:H1928–1938PubMed
Zurück zum Zitat Rowell LB, O’Leary DS (1990) Reflex control of the circulation during exercise: chemoreflexes and mechanoreflexes. J Appl Physiol 69:407–418PubMed Rowell LB, O’Leary DS (1990) Reflex control of the circulation during exercise: chemoreflexes and mechanoreflexes. J Appl Physiol 69:407–418PubMed
Zurück zum Zitat Rowell LB, O’Leary DS, Kellogg JDL (1996) Integration of cardiovascular control systems in dynamic exercise. American Physiological Society, Bethesda Rowell LB, O’Leary DS, Kellogg JDL (1996) Integration of cardiovascular control systems in dynamic exercise. American Physiological Society, Bethesda
Zurück zum Zitat Sander-Jensen K, Secher NH, Astrup A, Christensen NJ, Giese J, Schwartz TW, Warberg J, Bie P (1986) Hypotension induced by passive head-up tilt: endocrine and circulatory mechanisms. Am J Physiol 251:R742–R748PubMed Sander-Jensen K, Secher NH, Astrup A, Christensen NJ, Giese J, Schwartz TW, Warberg J, Bie P (1986) Hypotension induced by passive head-up tilt: endocrine and circulatory mechanisms. Am J Physiol 251:R742–R748PubMed
Zurück zum Zitat Sanders JS, Ferguson DW, Mark AL (1988) Arterial baroreflex control of sympathetic nerve activity during elevation of blood pressure in normal man: dominance of aortic baroreflexes. Circulation 77:279–288PubMed Sanders JS, Ferguson DW, Mark AL (1988) Arterial baroreflex control of sympathetic nerve activity during elevation of blood pressure in normal man: dominance of aortic baroreflexes. Circulation 77:279–288PubMed
Zurück zum Zitat Spaak J, Sundblad P, Linnarsson D (1998) Human carotid baroreflex during isometric lower arm contraction and ischemia. Am J Physiol 275:H940–H945PubMed Spaak J, Sundblad P, Linnarsson D (1998) Human carotid baroreflex during isometric lower arm contraction and ischemia. Am J Physiol 275:H940–H945PubMed
Zurück zum Zitat Spaak J, Sundblad P, Linnarsson D (2001) Impaired pressor response after spaceflight and bed rest: evidence for cardiovascular dysfunction. Eur J Appl Physiol 85:49–55PubMedCrossRef Spaak J, Sundblad P, Linnarsson D (2001) Impaired pressor response after spaceflight and bed rest: evidence for cardiovascular dysfunction. Eur J Appl Physiol 85:49–55PubMedCrossRef
Zurück zum Zitat Spaak J, Montmerle S, Sundblad P, Linnarsson D (2005) Long-term bed rest-induced reductions in stroke volume during rest and exercise: cardiac dysfunction vs. volume depletion. J Appl Physiol 98:648–654PubMedCrossRef Spaak J, Montmerle S, Sundblad P, Linnarsson D (2005) Long-term bed rest-induced reductions in stroke volume during rest and exercise: cardiac dysfunction vs. volume depletion. J Appl Physiol 98:648–654PubMedCrossRef
Zurück zum Zitat Sundberg CJ, Kaijser L (1992) Effects of graded restriction of perfusion on circulation and metabolism in the working leg; quantification of a human ischaemia-model. Acta Physiol Scand 146:1–9PubMed Sundberg CJ, Kaijser L (1992) Effects of graded restriction of perfusion on circulation and metabolism in the working leg; quantification of a human ischaemia-model. Acta Physiol Scand 146:1–9PubMed
Zurück zum Zitat Sundblad P, Haruna Y, Tedner B, Linnarsson D (2000a) Short-term cardiovascular responses to rapid whole-body tilting during exercise. Eur J Appl Physiol 81:259–270PubMedCrossRef Sundblad P, Haruna Y, Tedner B, Linnarsson D (2000a) Short-term cardiovascular responses to rapid whole-body tilting during exercise. Eur J Appl Physiol 81:259–270PubMedCrossRef
Zurück zum Zitat Sundblad P, Spaak J, Linnarsson D (2000b) Cardiovascular responses to upright and supine exercise in humans after 6 weeks of head-down tilt (−6 degrees). Eur J Appl Physiol 83:303–309PubMedCrossRef Sundblad P, Spaak J, Linnarsson D (2000b) Cardiovascular responses to upright and supine exercise in humans after 6 weeks of head-down tilt (−6 degrees). Eur J Appl Physiol 83:303–309PubMedCrossRef
Zurück zum Zitat Sundblad P, Spaak J, Linnarsson D (2000c) Haemodynamic and baroreflex responses to whole-body tilting in exercising men before and after 6 weeks of bedrest. Eur J Appl Physiol 82:397–406PubMedCrossRef Sundblad P, Spaak J, Linnarsson D (2000c) Haemodynamic and baroreflex responses to whole-body tilting in exercising men before and after 6 weeks of bedrest. Eur J Appl Physiol 82:397–406PubMedCrossRef
Zurück zum Zitat Toska K, Eriksen M (1993) Respiration-synchronous fluctuations in stroke volume, heart rate and arterial pressure in humans. J Physiol 472:501–512PubMed Toska K, Eriksen M (1993) Respiration-synchronous fluctuations in stroke volume, heart rate and arterial pressure in humans. J Physiol 472:501–512PubMed
Zurück zum Zitat Traon AP, Sigaudo D, Vasseur P, Maillet A, Fortrat JO, Hughson RL, Gauquelin-Koch G, Gharib C (1998) Cardiovascular responses to orthostatic tests after a 42-day head-down bed-rest. Eur J Appl Physiol Occup Physiol 77:50–59PubMedCrossRef Traon AP, Sigaudo D, Vasseur P, Maillet A, Fortrat JO, Hughson RL, Gauquelin-Koch G, Gharib C (1998) Cardiovascular responses to orthostatic tests after a 42-day head-down bed-rest. Eur J Appl Physiol Occup Physiol 77:50–59PubMedCrossRef
Zurück zum Zitat Warner HR, Cox A (1962) A mathematical model of heart rate control by sympathetic and vagus efferent information. J Appl Physiol 17:349–355PubMed Warner HR, Cox A (1962) A mathematical model of heart rate control by sympathetic and vagus efferent information. J Appl Physiol 17:349–355PubMed
Zurück zum Zitat Yang T, Senturia JB, Levy MN (1994) Antecedent sympathetic stimulation alters time course of chronotropic response to vagal stimulation in dogs. Am J Physiol 266:H1339–H1347PubMed Yang T, Senturia JB, Levy MN (1994) Antecedent sympathetic stimulation alters time course of chronotropic response to vagal stimulation in dogs. Am J Physiol 266:H1339–H1347PubMed
Metadaten
Titel
Baroreflex impairment during rapid posture changes at rest and exercise after 120 days of bed rest
verfasst von
D. Linnarsson
J. Spaak
P. Sundblad
Publikationsdatum
01.01.2006
Verlag
Springer-Verlag
Erschienen in
European Journal of Applied Physiology / Ausgabe 1/2006
Print ISSN: 1439-6319
Elektronische ISSN: 1439-6327
DOI
https://doi.org/10.1007/s00421-005-0062-z

Weitere Artikel der Ausgabe 1/2006

European Journal of Applied Physiology 1/2006 Zur Ausgabe

Neu im Fachgebiet Arbeitsmedizin

Das Geschlechterparadoxon in der gesundheitlich beeinträchtigten Lebenszeit – Ende eines Mythos?

Beginnend mit den 1920er-Jahren hat sich eine Vorstellung über die Geschlechterdifferenzen in Gesundheit und Mortalität etabliert, die von Lorber und Moore in dem einprägsamen Satz: „Women get sicker, but men die quicker“, zusammengefasst wurde [ 1 …, S. 13]. Tatsächlich erscheinen vor dem Hintergrund der höheren Lebenserwartung der Frauen die Studienergebnisse zu den Geschlechterdifferenzen in der Morbidität überraschend, wonach Frauen im Durchschnitt einen schlechteren Gesundheitszustand aufweisen als Männer [

Gesunde Lebenserwartung: Ein kritischer Blick auf Nutzen und Potenziale des demographischen Gesundheitsindikators

Open Access Leitthema

Die demographische Alterung hat vielfältige gesellschaftliche Konsequenzen, deren Ausmaß wesentlich vom Gesundheitszustand der Bevölkerung abhängt. Um diesen analysieren und bewerten zu können, wurden spezielle Kennziffern entwickelt, die in …

Wie hat sich die Lebenserwartung ohne funktionelle Einschränkungen in Deutschland entwickelt? Eine Analyse mit Daten des Deutschen Alterssurveys (DEAS)

Deutschland erfährt, wie andere Hocheinkommensstaaten, aufgrund kontinuierlich rückläufiger Mortalität und niedriger Geburtenraten tiefgreifende demografische Veränderungen. Der demografische Wandel führt in Deutschland zu einem zunehmend höheren …

Hitzeschutz im Fokus der hessischen Betreuungs- und Pflegeaufsicht

Open Access Klimawandel Übersichtsartikel

Im Sommer 2023 kündigte das Bundesministerium für Gesundheit (BMG) einen nationalen Hitzeschutzplan an und forderte die Länder auf, zu prüfen, „ob die Warnstufen des [Deutschen Wetterdienstes] DWD mit der Durchführung von Akutmaßnahmen …