Scientific Publications Database

Article Title: Greater fluid loss does not fully explain the divergent hemodynamic balance mediating postexercise hypotension in endurance-trained men
Authors: Meade, Robert D.; Crandall, Craig G.; Gagnon, Daniel; Kenny, Glen P.
Journal: JOURNAL OF APPLIED PHYSIOLOGY Volume 124 Issue 5
Date of Publication:2018
Abstract:
Following exercise, mean arterial pressure (MAP) is reduced similar to 5-10 mmHg from preexercise baseline. In nonendurance-trained males, postexercise hypotension results from peripheral vasodilation not offset by increased cardiac output (CO). By contrast, postexercise hypotension occurs through a reduction in CO from preexercise baseline in endurance-trained males. The reason(s) explaining these divergent responses remain unknown. Exercise at fixed percentage of peak oxygen consumption ((V) over doto(2peak)) is associated with a greater rate of metabolic heat production in trained individuals and therefore elevated sweat rates, both when compared with untrained individuals. We hypothesized that greater fluid loss would explain the postexercise reduction in CO of endurance-trained males. Twelve endurance-trained males (Trained: (V) over doto(2peak), 64 +/- 5 ml O-2.kg(-1).min(-1)) cycled for 60 min at 60% Vo(2)(peak) (Trained(60%)). On separate days. 12 nonendurance trained males (Untrained: (V) over doto(2)(peak) , 49 +/- 3 ml O-2.kg(-1).min(-1)) cycled at 1) 60% (V) over doto(2)(peak) (Untrained(60)(%)), and 2) a rate of heat production equivalent to that achieved by the Trained group (Untrained(matched)). Fluid loss was similar between Trained(60)(%) (-1.32 +/- 0.20 kg) and Untrained(m)(atched) (-1.32 +/- 0.23 kg; P = 0.99) but was greater in these conditions relative to Untrained(60%) (-0.95 +/- 0.11 kg; both P < 0.01). During the final 30 min of postexercise supine recovery, MAP was similarly reduced by 5 +/- 2 mmHg in all three conditions (P = 0.91). The reduction in MAP was mediated by a 0.5 +/- 0.3 l/min reduction in CO from baseline in Trained(60%) (P = 0.01). In contrast, CO returned to baseline following exercise during Untrained(matched) and Untrained(60%) (both P >= 0.30). These data demonstrate that greater fluid loss does not fully explain the divergent postexercise hemodynamic responses observed in trained relative to untrained males.NEW & NOTEWORTHY Even when matched for exercise-induced fluid loss, cardiac output was decreased in trained males but returned to baseline following exercise in their untrained counterparts. However, as per our hypothesis. reductions in stroke volume were similar between groups. This suggests that exercise-induced fluid loss is an important determinant of the stroke volume response during recovery but factors affecting heart rate such as exercise intensity and/or heat stress are also important determinants of postexercise hemodynamics.