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Passive thigh heating improves peak force production in younger adults and early isokinetic force production in younger and older adults. 被动大腿加热改善了年轻人的峰值力生产和年轻人和老年人的早期等速力生产。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2025-11-10 DOI: 10.1113/EP092690
Desmond Denny, Daniel C Low, Oliver R Gibson

Older adults often suffer from reduced physical capability relative to young adults, in part due to impaired muscle function. This study investigated the ergogenic effects of passive thigh heating on knee extensor torque production in healthy older versus younger adults. Twenty-two younger (YOUNGER; 23 ± 3 years) and 16 older (OLDER; 68 ± 8 years) adults completed an experimental visit whereby one thigh was heated via a garment circulating 50°C water for 90 min (HEAT) with the contralateral limb unheated (CONT). Four maximal contractions were performed at three isokinetic speeds (slow, 60°/s; moderate, 180°/s; and fast, 300°/s) and an isotonic set (25% maximal voluntary isometric contraction force); contractions were performed on both limbs at baseline and every 30 min thereafter for 120 min, with the final time point used to quantify the retention/decay in response. Vastus lateralis temperature was measured every 30 min, and surface electromyography was implemented throughout. HEAT increased muscle temperature from baseline (31.7 ± 1.7°C) at 30 min (36.5 ± 1.5°C), peaking at 90 min (37.5 ± 0.7°C), all P < 0.05. HEAT increased peak torque during moderate (+11 ± 12 N m) and fast (+7 ± 11 N m) contractions in only YOUNGER participants relative to their control leg which remained unchanged (P < 0.05). After 30 min, rate of force development (RFD) in HEAT increased during slow contractions from baseline in both age groups (+229 ± 210 N m s-1, P < 0.05) and early force production (EFP) increased in both age groups during slow contractions from 60 min in HEAT (+15 ± 15 N m, P < 0.05). Peak EMG amplitude was unchanged throughout. Despite a similar increase in the RFD and EFP in both young and older adults, passive thigh heating improves peak knee extensor torque in moderate and fast isokinetic contractions in young adults only.

与年轻人相比,老年人的体能经常下降,部分原因是肌肉功能受损。本研究调查了健康老年人和年轻人被动大腿加热对膝关节伸肌扭矩产生的影响。22名年轻(younger, 23±3岁)和16名年长(older, 68±8岁)的成年人完成了一项实验访问,其中一条大腿通过循环50°C水加热90分钟(HEAT),对侧肢体不加热(CONT)。在三种等速(慢速,60°/s,中速,180°/s,快速,300°/s)和等压组(25%最大自主等速收缩力)下进行四次最大收缩;在基线时对四肢进行收缩,此后每30分钟进行一次收缩,持续120分钟,最终时间点用于量化反应的保留/衰减。每30 min测一次股外侧肌温度,全程进行表面肌电图。在30分钟(36.5±1.5°C)时,HEAT使肌肉温度从基线(31.7±1.7°C)升高,在90分钟(37.5±0.7°C)时达到峰值,均为P - 1,p
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引用次数: 0
ZFP36 inhibits the pro-apoptotic effects of transforming growth factor β1 on mitral valve interstitial cells via the GTP-binding protein 6 pathway in mitral valve prolapse. ZFP36通过gtp结合蛋白6途径抑制转化生长因子β1对二尖瓣脱垂间质细胞的促凋亡作用。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2025-11-10 DOI: 10.1113/EP092930
Meng Zhao, Zhaoyi Zhu, Yawei Dai, Li Jiang, Qihan Wen, Yingjie Zhang, Qingyang Shi, Yihu Tang, Jingxin Zhou, Yanhu Wu

The objective of this work was to investigate the role of ZFP36 in mitral valve prolapse (MVP). Mitral valve and plasma were collected to assess the expression of ZFP36, transforming growth factor β (TGF-β), collagen and elastin and apoptosis rates. Mitral valve interstitial cells (MICs) were transfected with ZFP36 plasmids to observe changes in the secretion of collagen, elastin and matrix metalloproteinases (MMPs) and apoptosis rates. MICs were exposed to TGF-β1 to evaluate the changes in expression of collagen, elastin, MMPs and ZFP36 and apoptosis. Subsequently, after transfection with ZFP36 plasmid, exogenous TGF-β1 was added to the MICs, and the secretion of collagen, elastin and MMPs and apoptosis rate were re-evaluated. Finally, transcriptome and RNA immunoprecipitation (RIP) sequencing was conducted to identify downstream genes of TGF-β1 that could bind to ZFP36. Patients with MVP showed elevated levels of TGF-β1 in plasma and increased rates of apoptosis, along with higher expression of ZFP36, TGF-β1, collagen and elastin in the prolapsed valve. Overexpression of ZFP36 in MICs did not significantly alter the secretion of collagen or elastin or apoptosis rates. TGF-β1 promoted apoptosis of MICs, increased the secretion of collagen, elastin, MMP-3,9, ZFP36 and reduced the expression of MMP-1,2,13. Moreover, overexpression of ZFP36 inhibited the effects of TGF-β1 on MICs. Co-analysis of transcriptome and RIP sequencing identified three genes: CFAP184, GTP binding protein 6 (GBP6) and HERC6. Knockdown of GBP6 reduced the pro-apoptotic effects of TGF-β1 on MICs. ZFP36 exerts a protective role in MVP by inhibiting the effects of TGF-β1 on MICs. Notably, ZFP36 can mitigate the pro-apoptotic effects of TGF-β1 on MICs through the GBP6 pathway.

这项工作的目的是研究ZFP36在二尖瓣脱垂(MVP)中的作用。采集二尖瓣和血浆,检测ZFP36、转化生长因子β (TGF-β)、胶原蛋白和弹性蛋白的表达及细胞凋亡率。用ZFP36质粒转染二尖瓣间质细胞(mic),观察胶原蛋白、弹性蛋白、基质金属蛋白酶(MMPs)分泌及凋亡率的变化。TGF-β1作用于mic,观察胶原、弹性蛋白、MMPs、ZFP36表达及细胞凋亡的变化。随后,用ZFP36质粒转染后,在mic中加入外源性TGF-β1,重新评估胶原、弹性蛋白、MMPs的分泌及凋亡率。最后,通过转录组和RNA免疫沉淀(RIP)测序,鉴定TGF-β1下游可与ZFP36结合的基因。MVP患者血浆中TGF-β1水平升高,细胞凋亡率升高,脱垂瓣膜中ZFP36、TGF-β1、胶原蛋白和弹性蛋白表达升高。在mic中过表达ZFP36并没有显著改变胶原蛋白或弹性蛋白的分泌或细胞凋亡率。TGF-β1促进mic细胞凋亡,增加胶原、弹性蛋白、MMP-3、9、ZFP36的分泌,降低MMP-1、2、13的表达。此外,过表达ZFP36可抑制TGF-β1对mic的影响。转录组分析和RIP测序鉴定出三个基因:CFAP184、GTP结合蛋白6 (GBP6)和HERC6。下调GBP6可降低TGF-β1对mic的促凋亡作用。ZFP36通过抑制TGF-β1对MICs的影响,在MVP中发挥保护作用。值得注意的是,ZFP36可以通过GBP6途径减轻TGF-β1对mic的促凋亡作用。
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引用次数: 0
Time course of acid-base regulation at high-altitude: A century of insight. 高原酸碱调节的时间历程:百年洞见。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2025-11-10 DOI: 10.1113/EP093365
Andrew R Steele, Jordan D Bird, Michael M Tymko
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引用次数: 0
Cardioprotection via vagus nerve stimulation preconditioning: Reducing ischaemia-reperfusion injury and arrhythmic risk. 迷走神经刺激预处理对心脏的保护:减少缺血再灌注损伤和心律失常风险。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2025-11-06 DOI: 10.1113/EP092950
Feng Hu, Yali Wang, Guangyu Li, Guangyu Wang, Qi Zhuang, Jinyao Jiang, Danfeng Hu, Lihui Zheng, Yan Yao, Minhua Zang, Jun Pu

Acute myocardial infarction is a leading cause of morbidity and mortality, with ischaemia-reperfusion (I/R) injury exacerbating myocardial damage. Vagus nerve stimulation (VNS) has been reported to exert cardioprotective effects, but its efficacy in preconditioning against I/R injury requires further investigation. We evaluated the cardioprotective effects of VNS preconditioning in a rat model of acute myocardial infarction with induced I/R injury. Sixty rats were randomized into Pre-VNS, Control and Sham groups. The Pre-VNS group received 1 week of low-level cervical VNS before induction of I/R injury; stimulation was deactivated 30 min before ischaemia. Survival, echocardiographic function, reperfusion arrhythmias, arrhythmia inducibility, infarct size, apoptosis and inflammatory cytokines were assessed. Survival did not differ significantly between Pre-VNS and Control groups (75.0% vs. 65.0%, p = 0.497). However, Pre-VNS animals exhibited preserved cardiac function, with higher ejection fraction and fractional shortening (p < 0.001). VNS preconditioning reduced the incidence of reperfusion arrhythmia during left anterior descending coronary artery ligature release (p = 0.006) and decreased the arrhythmia index on programmed stimulation (p = 0.003). Infarct size and cardiomyocyte apoptosis were significantly attenuated (p < 0.001), accompanied by markedly lower serum interleukin-1β, interleukin-6 and tumour necrosis factor-alpha levels (p < 0.001). VNS preconditioning effectively mitigates I/R injury by improving cardiac function, reducing infarct size and arrhythmias, and attenuating inflammatory and apoptotic responses.

急性心肌梗死是发病率和死亡率的主要原因,缺血再灌注(I/R)损伤加重了心肌损伤。迷走神经刺激(VNS)已被报道具有心脏保护作用,但其对I/R损伤的预适应效果有待进一步研究。研究了VNS预处理对大鼠急性心肌梗死I/R损伤模型的心脏保护作用。60只大鼠随机分为vns前组、对照组和假手术组。前VNS组在诱导I/R损伤前给予1周的低水平颈椎VNS;缺血前30分钟停止刺激。评估存活、超声心动图功能、再灌注心律失常、心律失常诱发性、梗死面积、细胞凋亡和炎症因子。术前vns组和对照组的生存率无显著差异(75.0% vs. 65.0%, p = 0.497)。然而,vns前动物表现出保留的心脏功能,具有较高的射血分数和分数缩短(p
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引用次数: 0
Impact of long-term maternal high-fat, high-sugar feeding on gastric vagal afferent responses and feeding behaviour in mouse offspring. 母体长期高脂高糖喂养对小鼠后代胃迷走神经传入反应和摄食行为的影响。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2025-11-06 DOI: 10.1113/EP093108
Georgia S Clarke, Hui Li, Elaheh Heshmati, Kelly M Gembus, Stephanie E O'Hara, Lisa M Nicholas, Kathryn L Gatford, Amanda J Page

Poor maternal nutrition and excessive gestational weight gain predict future development of obesity in offspring. Preclinically, maternal obesity induced by a high-fat, high-sugar diet (HFHSD) induces hyperphagia and obesity in offspring. We hypothesized that this might, in part, reflect reduced peripheral gastric vagal afferent (GVA) satiety signalling. Female Glu Venus mice were fed a standard laboratory diet (SLD) or HFHSD for 11 weeks before mating and throughout pregnancy and lactation. Offspring were weaned onto a SLD, then housed in metabolic cages at 6-7 weeks old to assess feeding behaviour. In vitro single-fibre GVA recordings were conducted on tissue collected from 8-week-old mice. Before mating, HFHSD dams were 13% heavier, with 66% higher relative fat mass compared with SLD dams. Maternal diet had no impact on total food intake or offspring weight. Meal size during the light phase was 14% larger in HFHSD than control offspring. Meal duration was longer in HFHSD than control offspring of both sexes across 24 h and the dark phase, and in females during the light phase. HFHSD offspring ate fewer meals than control offspring across all time periods. Tension-sensitive GVAs responded less to stretch in male, but not female, HFHSD than SLD offspring. Mucosal GVA responses to mucosal stroking were unaffected by maternal diet or offspring sex. In conclusion, exposure in utero and during lactation to elevated maternal adiposity and maternal HFHSD consumption induces male-specific programming of reduced GVA responses to stretch. Meal size was increased in both sexes only during the light phase, suggesting programming of other appetite-regulatory pathways by this exposure.

母亲营养不良和妊娠期体重增加过多预示着后代未来肥胖的发展。临床前,由高脂肪、高糖饮食(HFHSD)引起的母亲肥胖会导致后代贪食和肥胖。我们假设这可能部分反映了外周胃迷走神经传入信号(GVA)的减少。雌性Glu Venus小鼠在交配前和整个妊娠和哺乳期分别饲喂标准实验室饮食(SLD)或HFHSD 11周。在6-7周龄时,将幼崽断奶到SLD,然后放入代谢笼中评估摄食行为。对8周龄小鼠的组织进行体外单纤维GVA记录。交配前,HFHSD坝比SLD坝重13%,相对脂肪量高66%。母亲的饮食对总食物摄入量或后代体重没有影响。HFHSD在光照期的摄食量比对照后代大14%。在24 h和黑暗期,HFHSD雌雄后代的进食时间都比对照后代长,而在光明期,雌性后代的进食时间更长。HFHSD的后代在所有时期都比对照组的后代吃得少。与SLD后代相比,HFHSD的雄性、雌性对张力敏感的gva对拉伸的反应较小。粘膜GVA对粘膜抚摸的反应不受母亲饮食或后代性别的影响。综上所述,在子宫内和哺乳期暴露于母体肥胖和HFHSD消耗增加的环境中,会导致男性特异性编程降低GVA对拉伸的反应。只有在光期,男女的食量才会增加,这表明这种暴露会影响其他食欲调节途径。
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引用次数: 0
The hypoxic ventilatory response and arousal burden predict the magnitude of ventilatory long-term facilitation in humans with obstructive sleep apnoea. 低氧通气反应和唤醒负担预测阻塞性睡眠呼吸暂停患者通气长期促进的程度。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2025-11-06 DOI: 10.1113/EP093163
Jason H Mateika, Danny Hammo, Dylan M Kissane, Ali Azarbarzin

The magnitude of progressive augmentation (PA) and ventilatory long-term facilitation (vLTF) are two forms of respiratory plasticity that are enhanced in some humans with obstructive sleep apnoea (OSA). This response might be linked to repeated nocturnal exposure to intermittent hypoxia or other traits connected to OSA. A meta-analysis was completed using data from 91 OSA participants who completed one of two mild intermittent hypoxia protocols during wakefulness. Two iterations of a subset regression analysis were completed to identify the best model that predicted the magnitude of PA or vLTF. Novel (e.g., arousal and hypoxic burden) or standard indicators of sleep apnoea (e.g., apnoea/hypopnoea index), anthropometric variables, protocol elements and physiological variables measured during wake and sleep were included as independent variables. After model selection, a multiple linear regression analysis was used to identify the most impactful variables in the model. The hypoxic ventilatory response (HVR) alone (R = 0.589, P < 0.001) or in combination with the arousal index (R = 0.625, P < 0.015 for both variables) predicted the magnitude of PA, whilst the HVR in combination with the arousal burden (R = 0.602, P < 0.001) or arousal index (R = 0.593, P < 0.002 for all variables) predicted the magnitude of vLTF. The HVR and markers of arousal are strong predictors of the magnitude of PA and vLTF. In contrast, markers of apnoea severity, including the hypoxic burden, did not add to the ability to predict the magnitude of PA or vLTF.

进行性增强(PA)和通气长期促进(vLTF)是两种形式的呼吸可塑性,在一些阻塞性睡眠呼吸暂停(OSA)患者中得到增强。这种反应可能与夜间反复暴露于间歇性缺氧或与OSA相关的其他特征有关。一项荟萃分析使用了91名OSA参与者的数据,这些参与者在清醒期间完成了两种轻度间歇性缺氧方案中的一种。完成了两次迭代的子集回归分析,以确定预测PA或vLTF大小的最佳模型。独立变量包括睡眠呼吸暂停的新指标(如觉醒和缺氧负担)或标准指标(如呼吸暂停/低呼吸暂停指数)、人体测量变量、方案要素和清醒和睡眠期间测量的生理变量。模型选择后,采用多元线性回归分析来确定模型中最具影响的变量。单独低氧通气反应(HVR) (R = 0.589, P
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引用次数: 0
Potential pitfalls of using a correction to normative values for the assessment of acid-base compensation during early ascent to high altitude. 在早期上升到高海拔时,使用对规范值的校正来评估酸碱补偿的潜在缺陷。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2025-11-05 DOI: 10.1113/EP093321
Nicole V Bushfield, Trevor A Day
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引用次数: 0
The impact of healthy motion seating on lower-limb blood flow and blood pressure response to simulated long-haul air travel. 模拟长途航空旅行时,健康运动座椅对下肢血流量和血压的影响。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2025-11-04 DOI: 10.1113/EP092920
Jane Lewis, Barry J Mcdonnell, Mark Butlin, Edward Johnston, Amira Tairi, Thomas Griffiths, Gisele Bentley, Peter Sykes, Keeron Stone

Prolonged sitting inherent to long-haul air travel can acutely decrease lower-limb blood flow and increase brachial blood pressure. Healthy motion seating (HMS), which passively alters sitting interface pressure and posture, is a promising technology which may attenuate the deleterious effects of long-haul air travel. The aim of this study was to determine the impact of an innovative airplane passenger seat motion feature, aerospace HMS, on lower-limb blood flow and blood pressure in response to 6.5 h of simulated long-haul air travel. In a randomised cross-over design, 19 healthy adults completed a 6.5 h long-haul flight simulation in aerospace seating equipped with (HMS) and without (CON) healthy motion technology. Superficial femoral artery blood flow, brachial blood pressure, and perceptions of mood disturbance, pain and discomfort were measured before and after flight simulation. In linear mixed models there was a significant interaction (condition × time) effect for superficial femoral artery blood flow, with a decrease in lower-limb blood flow in CON (-22.4 mL/min; 95% CI: -2.41, -42.39; P = 0.032) but not HMS (3.7 mL/min; 95% CI: -16.3, 23.67; P = 0.720) across the 6.5 h flight simulation. There were no interaction, group nor time effects for blood pressure. Mood, pain and discomfort all worsened across the 6.5 h flight simulation (time, all P < 0.05), but there were no interaction nor group effects. The passive alterations in sitting interface pressure, posture and movement created by aerospace HMS can prevent prolonged sitting-induced reductions in local lower-limb blood flow typical of long-haul air travel.

长途航空旅行所固有的长时间坐着会严重减少下肢血流量,增加肱血压。健康运动座椅(HMS)是一种很有前途的技术,它可以被动地改变坐姿界面的压力和姿势,从而减轻长途航空旅行的有害影响。本研究的目的是确定一种创新的飞机乘客座椅运动特征,航空航天HMS,对6.5小时模拟长途航空旅行的下肢血流量和血压的影响。在一项随机交叉设计中,19名健康成年人在配备(HMS)和不配备(CON)健康运动技术的航空座椅上完成了6.5小时的长途飞行模拟。在飞行模拟前后测量股浅动脉血流、肱血压、情绪障碍、疼痛和不适的感觉。在线性混合模型中,对股浅动脉血流有显著的相互作用(条件×时间)效应,在6.5小时的飞行模拟中,CON的下肢血流量减少(-22.4 mL/min; 95% CI: -2.41, -42.39; P = 0.032),但HMS的下肢血流量减少(3.7 mL/min; 95% CI: -16.3, 23.67; P = 0.720)。对血压没有相互作用、组效应和时间效应。在6.5小时的飞行模拟中,情绪、疼痛和不适都恶化了
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引用次数: 0
Distinct profiles of mitochondrial bioenergetics and redox balance in left atrial and ventricular myocardium in the healthy rat heart. 健康大鼠心脏左心房和心室心肌线粒体生物能量学和氧化还原平衡的不同特征。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2025-11-04 DOI: 10.1113/EP093102
Tingting Fang, Alex Chan, Janice Chew-Harris, Toan Pham

The left ventricle (LV) is the primary pumping chamber of the heart, generating high systolic pressure to sustain systemic circulation. LV contractile dysfunction is a hallmark of various cardiovascular diseases and is associated with mitochondrial dysfunction, characterised by decreased oxidative phosphorylation (OXPHOS) capacity and increased oxidative stress. While our understanding of cardiac mitochondrial physiology has been gained from studies on LV tissues in animal models or atrial tissues in human studies, findings are often generalised across cardiac regions. Given that fundamental differences in anatomical structure, physiological function and metabolic demands exist between the LV and left atrium (LA), this study aimed to compare mitochondrial bioenergetics between LV and LA tissues from healthy rat hearts. Using high-resolution respirometry coupled with fluorimetry, we assessed mitochondrial respiration, ATP production and hydrolysis, and reactive oxygen species (ROS) production rates. Protein expression of mitochondrial respiratory complexes and antioxidant enzymes was quantified using western blotting. Our results showed that per tissue mass, LV tissues exhibited greater mitochondrial OXPHOS respiration, ATP production and hydrolysis rates, ROS production rate, and higher protein levels of mitochondrial complexes and antioxidant enzymes, consistent with higher citrate synthase activity as a marker of mitochondrial content. However, when normalised to mitochondrial content, LV tissues exhibited lower OXPHOS respiration and ATP production, expression of mitochondrial complexes and antioxidant proteins compared to LA. This study provides new insights into chamber-specific differences in mitochondrial function under physiological conditions, suggesting the importance of considering regional mitochondrial profiles in studies of cardiac mitochondrial function in health and disease.

左心室(LV)是心脏的主要泵血腔,产生高收缩压以维持体循环。左室收缩功能障碍是多种心血管疾病的标志,并与线粒体功能障碍相关,其特征是氧化磷酸化(OXPHOS)能力下降和氧化应激增加。虽然我们对心脏线粒体生理学的理解是从动物模型中的左室组织或人类研究中的心房组织的研究中获得的,但研究结果通常是在整个心脏区域推广的。鉴于左心房和左心室在解剖结构、生理功能和代谢需求方面存在根本差异,本研究旨在比较健康大鼠左心房和左心房组织的线粒体生物能量学。利用高分辨率呼吸法和荧光法,我们评估了线粒体呼吸、ATP生成和水解以及活性氧(ROS)生成速率。western blotting检测线粒体呼吸复合物蛋白和抗氧化酶的表达。我们的研究结果表明,按组织质量计算,LV组织表现出更高的线粒体OXPHOS呼吸、ATP产生和水解率、ROS产生率以及线粒体复合物和抗氧化酶的更高蛋白质水平,这与作为线粒体含量标志的较高柠檬酸合成酶活性一致。然而,当正常化到线粒体含量时,与LA相比,LV组织表现出较低的OXPHOS呼吸和ATP产生,线粒体复合物和抗氧化蛋白的表达。这项研究为生理条件下线粒体功能的腔室特异性差异提供了新的见解,表明在健康和疾病的心脏线粒体功能研究中考虑区域线粒体谱的重要性。
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引用次数: 0
Effect of foot immersion and neck cooling on renal, intestinal, immune and inflammatory markers in older adults exposed to extreme heat. 足部浸泡和颈部降温对暴露于极端高温的老年人肾脏、肠道、免疫和炎症标志物的影响。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2025-11-03 DOI: 10.1113/EP093094
Thomas McCarthy, Ben J Lee, James J McCormick, Kelli E King, Emma R McCourt, Luana C Main, Robert D Meade, Glen P Kenny

Older adults with reduced thermoregulatory capabilities are increasingly at risk of heat-related pathophysiological outcomes (e.g., acute kidney injury, heatstroke) due to increasingly frequent, prolonged and intense heatwaves. Foot immersion and neck cooling have been proposed as practical, non-electrical cooling strategies for protecting older adults during heatwaves, though evidence supporting their efficacy is limited. This study evaluated the effect of foot immersion with or without neck cooling on systemic proteins associated with acute kidney injury (NGAL, KIM-1), intestinal enterocyte damage (IFABP), immune activation (sCD14) and systemic inflammation (IL-6, TNF-α, CRP) in older adults. Seventeen participants (nine females; median [IQR] age 72 [69-74] years) completed three randomized 6-h passive heat exposures (38°C, 35% relative humidity) with no-cooling, foot immersion in 20°C water, or foot immersion with neck cooling via wet towels. Thermal and cardiovascular strain were measured throughout exposures, with venous blood samples collected pre- and post-exposure. Body core temperature increased by ∼1.1°C (P < 0.001) with no changes in any measured systemic proteins (all P > 0.05) across conditions. Foot immersion with or without neck cooling modestly reduced heart rate, mean skin temperature, whole-body sweat rate and fluid consumption (P < 0.05), but had no effect on body core temperature or systemic protein concentrations (all P > 0.05) relative to no-cooling. These findings do not support the efficacy of these interventions for mitigating hyperthermia in older adults during heatwaves. Further research is warranted to evaluate their efficacy for protecting against heat-related acute kidney injury, intestinal enterocyte damage, immune activation, or systemic inflammation under more severe exposure conditions.

由于越来越频繁、持续和强烈的热浪,体温调节能力下降的老年人越来越容易出现与热相关的病理生理结果(如急性肾损伤、中暑)。尽管支持其有效性的证据有限,但已提出将足部浸泡和颈部冷却作为在热浪中保护老年人的实用、非电冷却策略。本研究评估了足部浸泡伴或不伴颈部降温对老年人急性肾损伤(NGAL, KIM-1)、肠上皮细胞损伤(IFABP)、免疫激活(sCD14)和全身炎症(IL-6、TNF-α、CRP)相关的全身蛋白的影响。17名参与者(9名女性,中位[IQR]年龄72岁[69-74]岁)完成了三次随机的6小时被动热暴露(38°C, 35%相对湿度),无冷却,足部浸泡在20°C的水中,或足部浸泡并用湿毛巾冷却颈部。在整个暴露过程中测量热应变和心血管应变,并收集暴露前后的静脉血样本。在不同条件下,身体核心温度升高了~ 1.1°C (P 0.05)。与不降温相比,足部浸泡有或没有颈部降温可适度降低心率、平均皮肤温度、全身出汗率和液体消耗(p0.05)。这些发现不支持这些干预措施在热浪期间减轻老年人高热的功效。在更严重的暴露条件下,需要进一步的研究来评估它们对热相关急性肾损伤、肠上皮细胞损伤、免疫激活或全身性炎症的保护功效。
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引用次数: 0
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