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Quantifying skin microvascular function responses to distinct forms of heat stress in humans using optical coherence tomography. 定量皮肤微血管功能反应不同形式的热应激在人类使用光学相干断层扫描。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2026-01-28 DOI: 10.1113/EP093602
Kristanti W Wigati, Robert A McLaughlin, Harrison T Caddy, Howard H Carter, Louise H Naylor, Daniel J Green

Optical coherence tomography (OCT) enables visualization and quantification of the cutaneous microvasculature, yet no study has compared responses to distinct forms of heating in humans. We hypothesized that local skin heating (LH) would evoke larger responses in microvascular diameter, velocity, flow and density than passive whole-body heating (PH) or heated exercise (HE), and that HE responses would exceed PH. Twelve healthy young adults completed four interventions: baseline (33°C; BL), LH, PH (seated) and HE (ergometer cycling) in a climatic chamber (50 min, 40°C, 50% relative humidity). OCT was used to quantify microvascular variables immediately after each intervention. Microvascular responses differed across conditions (P < 0.001). LH induced the largest responses in all OCT indices (all P < 0.001): diameter (67 µm), velocity (195 µm s-1), flow (687 picolitres s-1) and density (56.0%), compared with BL (42 µm, 106 µm s-1,154 picolitres s-1 and 26.6%, respectively), PH (45 µm, 99 µm s-1, 165 picolitres s-1 and 34.4%, respectively) and HE (49 µm, 105 µm s-1, 208 picolitres s-1 and 34.5%, respectively). Although the diameter response was higher after HE (P = 0.046), no differences were documented for PH and HE relative to 33°C BL for other OCT measures (all P > 0.05). Comparable responses were observed between PH and HE across all variables (all P > 0.05). Local heating elicited substantially greater increases in all OCT-derived microvascular metrics compared with PH and HE. Although both PH and HE activate the cutaneous microvasculature, neither stimulus approaches the magnitude of response achieved with local heating. These findings demonstrate that OCT provides quantifiable insights into the distinct ways in which the skin microvasculature responds to different heat exposures.

光学相干断层扫描(OCT)可以实现皮肤微血管的可视化和量化,但没有研究比较人类对不同形式加热的反应。我们假设局部皮肤加热(LH)会引起微血管直径、速度、流量和密度比被动全身加热(PH)或加热运动(HE)更大的反应,并且HE反应会超过PH。12名健康的年轻人在气候室(50分钟,40°C, 50%相对湿度)中完成四种干预:基线(33°C; BL), LH, PH(坐姿)和HE(骑测力计)。每次干预后立即使用OCT量化微血管变量。微血管反应在不同条件下(P -1)、流量(687皮升s-1)和密度(56.0%)存在差异,与BL(42µm、106µm s-1、154皮升s-1、26.6%)、PH(45µm、99µm s-1、165皮升s-1、34.4%)和HE(49µm、105µm s-1、208皮升s-1、34.5%)相比存在差异。尽管HE后直径响应更高(P = 0.046),但在其他OCT测量中,PH和HE相对于33°C BL没有差异(P均为0.05)。PH和HE在所有变量之间观察到可比性反应(均P < 0.05)。与PH和HE相比,局部加热引起所有oct衍生微血管指标的显著增加。虽然PH和HE都能激活皮肤微血管,但这两种刺激都无法达到局部加热所达到的反应强度。这些发现表明,OCT为皮肤微血管系统对不同热暴露的不同反应方式提供了可量化的见解。
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引用次数: 0
Lower cerebral blood flow but not cerebrovascular response in elastin haploinsufficient mice. 弹性蛋白单倍体不足小鼠脑血流量降低,但脑血管反应不明显。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2026-01-27 DOI: 10.1113/EP093234
Abigail E Cullen, Emily H Reeve, Nick R Winder, Grant D Henson, Nayantara Arora, Thomas Leonhardt, Ainsley Hogan, Sahana Krishna Kumaran, Naly Setthavonsack, Victoria Krajbich, Art Riddle, Benjamin Zimmerman, Nabil J Alkayed, Martin M Pike, Randall L Woltjer, Ashley E Walker

Elastin insufficiency is associated with structural differences in the large elastic arteries and cerebral artery dysfunction. However, previous studies have not assessed potential sex differences in cerebrovascular function. We measured cerebral blood flow (CBF) using arterial spin labeling MRI at rest and in response to hypercapnia challenge (cerebrovascular responsiveness, CR) in middle-aged and old elastin haploinsufficient (Eln+/-) and wild-type (Eln+/+) mice. We also assessed neuroinflammation by microglia and astrocyte cell counts. We found that Eln+/- mice had a significantly lower resting CBF in the cerebral cortex compared with Eln+/+ mice, with similar non-significant trends in the hippocampus and thalamus. In contrast, the Eln+/- mice had an intact hypercapnic response, resulting in better CR compared with Eln+/+ in hippocampus, with a similar trend in the cerebral cortex. Sex did not impact CBF or CR. We found that Eln+/- mice had lower hippocampal volume compared with Eln+/+ mice. Glia cell counts were highly dependent on brain region, with Eln+/- mice having more microglia in the cerebral cortex, but fewer astrocytes in the hippocampus compared with Eln+/+ mice. While sex also impacted glial cell counts, we found no interactions between sex and Eln genotype. Our results demonstrate that elastin haploinsufficiency results in lower resting CBF, but greater CR.

弹性蛋白不足与大弹性动脉的结构差异和脑动脉功能障碍有关。然而,以前的研究并没有评估脑血管功能的潜在性别差异。我们使用动脉自旋标记MRI测量了中老年弹性蛋白单倍体不足(Eln+/-)和野生型(Eln+/+)小鼠静息时和对高碳酸血症挑战(脑血管反应性,CR)的脑血流量(CBF)。我们还通过小胶质细胞和星形胶质细胞计数来评估神经炎症。我们发现,与Eln+/+小鼠相比,Eln+/-小鼠大脑皮层的静息CBF显著降低,海马和丘脑也有类似的不显著趋势。相比之下,Eln+/-小鼠有完整的高碳酸血症反应,与Eln+/+相比,海马区的CR更好,大脑皮层的CR也有类似的趋势。性别对CBF和CR没有影响。我们发现,与Eln+/+小鼠相比,Eln+/+小鼠的海马体积更小。神经胶质细胞计数高度依赖于脑区域,与Eln+/+小鼠相比,Eln+/-小鼠的大脑皮层中有更多的小胶质细胞,而海马中的星形胶质细胞较少。虽然性别也影响神经胶质细胞计数,但我们发现性别和Eln基因型之间没有相互作用。我们的研究结果表明,弹性蛋白单倍不足导致静息CBF降低,但CR增加。
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引用次数: 0
Sex and performance-level differences in aerobic and haematological parameters among elite ski mountaineering athletes. 优秀滑雪登山运动员在有氧和血液学参数上的性别和成绩水平差异。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2026-01-23 DOI: 10.1113/EP093131
Forrest Schorderet, Bastien Krumm, Basile Moreillon, Justin Mottet, Antoine Raberin, Nicolas Bourdillon, Raphael Faiss, Grégoire P Millet
<p><p>Ski mountaineering (SkiMo) is a new Olympic sport with extreme endurance demands and altitude exposure. Previous studies have focused on traditional cardiorespiratory variables, such as maximal oxygen consumption ( <math> <semantics> <msub><mover><mi>V</mi> <mo>̇</mo></mover> <mrow><msub><mi>O</mi> <mn>2</mn></msub> <mi>max</mi></mrow> </msub> <annotation>${dot V_{{{mathrm{O}}_{mathrm{2}}}{mathrm{max}}}}$</annotation></semantics> </math> ) or ventilatory thresholds, but, to our knowledge, did not report haemoglobin mass (Hbmass). The aim of this study was to investigate the relationship between Hbmass and <math> <semantics> <msub><mover><mi>V</mi> <mo>̇</mo></mover> <mrow><msub><mi>O</mi> <mn>2</mn></msub> <mi>max</mi></mrow> </msub> <annotation>${dot V_{{{mathrm{O}}_{mathrm{2}}}{mathrm{max}}}}$</annotation></semantics> </math> in elite SkiMo athletes and compare physiological differences across performance levels. Twenty-nine Swiss national team SkiMo athletes (10 females and 19 males) were classified into Tier 3-5. Participants performed a treadmill graded exercise test (25% slope) to determine <math> <semantics> <msub><mover><mi>V</mi> <mo>̇</mo></mover> <mrow><msub><mi>O</mi> <mn>2</mn></msub> <mi>max</mi></mrow> </msub> <annotation>${dot V_{{{mathrm{O}}_{mathrm{2}}}{mathrm{max}}}}$</annotation></semantics> </math> and ventilatory thresholds. The Hbmass and blood volumes were assessed using a CO-rebreathing technique. Sex and tier-based comparisons were made, and correlations between haematological parameters and aerobic performance metrics were analysed. The Hbmass normalized to body mass (HbmassBM) was significantly correlated with <math> <semantics> <msub><mover><mi>V</mi> <mo>̇</mo></mover> <mrow><msub><mi>O</mi> <mn>2</mn></msub> <mi>max</mi></mrow> </msub> <annotation>${dot V_{{{mathrm{O}}_{mathrm{2}}}{mathrm{max}}}}$</annotation></semantics> </math> in the pooled group (r = 0.80, P < 0.001), females (r = 0.82, P = 0.007) and males (r = 0.53, P = 0.024). The Hbmass and related haematological parameters were significantly higher in males (P < 0.05). Males in Tier 5 had higher oxygen consumption at the second ventilatory threshold (63.0 ± 4.3 vs. 58.9 ± 2.8 mL min<sup>-1</sup> kg<sup>-1</sup>; P = 0.022) and <math> <semantics> <msub><mover><mi>V</mi> <mo>̇</mo></mover> <mrow><msub><mi>O</mi> <mn>2</mn></msub> <mi>max</mi></mrow> </msub> <annotation>${dot V_{{{mathrm{O}}_{mathrm{2}}}{mathrm{max}}}}$</annotation></semantics> </math> (72.0 ± 4.4 vs. 67.4 ± 3.1 mL min<sup>-1</sup> kg<sup>-1</sup>; P = 0.015) than those in Tier 3-4. The significant correlation between HbmassBM and <math> <semantics> <msub><mover><mi>V</mi> <mo>̇</mo></mover> <mrow><msub><mi>O</mi> <mn>2</mn></msub> <mi>max</mi></mrow> </msub> <annotation>${dot V_{{{mathrm{O}}_{mathrm{2}}}{mathrm{max}}}}$</annotation></semantics> </math> confirms the key role of Hbmass in oxygen transport and aerobic capacity. However, Tier 5 athletes achieved superior aerobic performance
滑雪登山(SkiMo)是一项新的奥林匹克运动,具有极高的耐力要求和高度暴露。以前的研究集中在传统的心肺变量上,如最大耗氧量(V²max ${dot V_{{ mathm {O}} { mathm {2}}}{ mathm {max}}}}$)或通气阈值,但据我们所知,没有报告血红蛋白质量(Hbmass)。本研究旨在探讨优秀SkiMo运动员Hbmass与v_o_2 max ${dot V_{{mathrm{O}} {mathrm{2}}}{mathrm{max}}}}$之间的关系,并比较各表现水平之间的生理差异。瑞士SkiMo国家队29名运动员(女10名,男19名)被划分为3-5级。参与者进行了跑步机分级运动测试(25%坡度),以确定V²O max ${dot V_{{ mathm {O}} {{ mathm {2}}}{ mathm {max}}}}$和通气阈值。采用co -再呼吸技术评估Hbmass和血容量。进行了性别和分层比较,并分析了血液学参数和有氧性能指标之间的相关性。合并组的HbmassBM与v_2 max ${dot V_{{ mathm {O}}}{ mathm {2}}}{ mathm {max}}}}$ (r = 0.80, P = 0.022)和v_2 max ${dot V_{{ mathm {O}}}{ mathm {2}}}{ mathm {max}}}}$(72.0±4.4比67.4±3.1 mL min-1 kg-1, P = 0.015)显著相关。HbmassBM与vo2 max ${dot V_{{ mathm {O}}_{ mathm {2}}}{ mathm {max}}}}$的显著相关性证实了Hbmass在氧转运和有氧能力中的关键作用。然而,5级运动员在没有更高HbmassBM的情况下取得了更好的有氧运动成绩,这表明有额外的生理因素支撑着精英水平的表现。
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引用次数: 0
The effects of a (poly)phenol-rich food intervention on markers of exercise-induced inflammation and oxidative stress: A randomised controlled trial. 富含多酚的食物干预对运动诱导炎症和氧化应激标志物的影响:一项随机对照试验。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2026-01-23 DOI: 10.1113/EP093383
Abrar Al Hebshi, Josh Thorley, Ana Rodriguez-Mateos, Zicheng Zhang, Lewis J James, Tom Clifford

This study examined whether consuming a (poly)phenol-rich food before strenuous muscle-damaging exercise can modify post-exercise markers of inflammation and oxidative stress. Using a double-blinded, randomised, placebo-controlled, between-subjects design, 26 recreationally active males (n = 15) and females (n = 11) consumed higher-(poly)phenol (H-POL) foods (dates, dark chocolate, pomegranate; 285.1 mg/day) or lower-(poly)phenol foods (L-POL) (cereal bar, milk chocolate, sports drink; 88.3 mg/day) for 3 days before, and then 30 min before, strenuous exercise (100 drop jumps, 50 squat jumps). A range of blood markers associated with inflammation (total and differential leukocytes, interleukin (IL)-6, IL-10, IL-1β, IL-2, IL-4, IL-12, tumour necrosis factor-alpha (TNF-α), interferon-gamma (IFN-γ), monocyte chemoattractant protein-1 (MCP-1), granulocyte colony-stimulating factor), and oxidative stress (glutathione peroxidase (GPX), 4-hydroxynonenal (4-HNE), and urinary 8-hydroxy-2'-deoxyguanosine (8-OHdG)) were quantified pre, immediately post, 1 and 2 h post-exercise. One hundred and nineteen plasma (poly)phenol metabolites were measured pre, immediately post and 1 h post-exercise. Total plasma (poly)phenol concentrations were greater in the H-POL vs. L-POL intervention, peaking 1 h post-exercise (H-POL: 239.5 ± 87.8 µM vs. L-POL 58.9 ± 33.8 µM; P < 0.001). There were interaction effects for IL-10 and TNF-α but no differences with post hoc tests. Urinary 8-OHdG excretion was higher in H-POL vs L-POL (condition effect; P < 0.001), whereas erythrocytes GPX activity was higher in the L-POL vs. H-POL (condition effect; P < 0.001). A (poly)phenol food intervention before exercise increased total plasma (poly)phenol concentrations but had limited and inconsistent effects on markers of inflammation and oxidative stress in the 2 h after strenuous exercise.

这项研究调查了在剧烈的肌肉损伤运动之前食用富含(多)酚的食物是否可以改变运动后炎症和氧化应激的标志物。采用双盲、随机、安慰剂对照、受试者间设计,26名娱乐活跃的男性(n = 15)和女性(n = 11)在3天前食用高(聚)酚(H-POL)食物(枣、黑巧克力、石榴;285.1毫克/天)或低(聚)酚食物(L-POL)(谷物棒、牛奶巧克力、运动饮料;88.3毫克/天),然后在30分钟前进行剧烈运动(100次跳伞、50次蹲跳)。在运动前、运动后立即、运动后1和2小时,定量测定与炎症相关的一系列血液标志物(总白细胞和分化白细胞、白细胞介素(IL)-6、IL-10、IL-1β、IL-2、IL-4、IL-12、肿瘤坏死因子-α (TNF-α)、干扰素-γ (IFN-γ)、单核细胞趋化蛋白-1 (MCP-1)、粒细胞集落刺激因子)和氧化应激(谷胱甘肽过氧化物酶(GPX)、4-羟基壬烯醛(4-HNE)和尿8-羟基-2′-脱氧鸟苷(8-OHdG))。在运动前、运动后和运动后1小时分别测定了191种血浆(多)酚代谢物。h - pol干预组血浆(多)酚总浓度高于L-POL干预组,运动后1 h达到峰值(h - pol: 239.5±87.8µM vs L-POL: 58.9±33.8µM)
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引用次数: 0
Cortical dynamics of cold exposure and thermal recovery: Evidence from EEG-based spatiotemporal analysis. 冷暴露和热恢复的皮质动力学:来自脑电图时空分析的证据。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2026-01-22 DOI: 10.1113/EP093356
Qing Zhang, Hetian Feng, Tian Liu, Jiaqi Zhou, Jingya Zheng, Junzhao Zhang, Li Ding, Jiachen Nie

Human thermal perception involves complex and dynamic interactions between peripheral input and central neural regulation. However, the spatial and temporal characteristics of brain responses to different cold exposure scenarios remain poorly understood. In this study, we combined traditional analysis with AI-based anomaly detection to examine electroencephalographic (EEG) responses across five stages of cold exposure in 20 healthy participants, including baseline, cold exposure, wind stimulation, adaptation and recovery. Alpha-band power analysis revealed 14 EEG channels with significant stage-dependent differences, primarily located in the right hemisphere across frontal, central and parietal regions. Shapley additive explanations (SHAP)-based feature importance scores further validated stage-specific channels, identifying F8, T8 and CP6 for cold exposure, T7 for wind stimulation, T8 for adaptation, and F8 and CP6 for recovery. Time-frequency analysis revealed early spectral responses within 1 s for cold exposure and recovery, and within 2 s for wind stimulation, while AI anomaly detection estimated later latencies of 2.201∼2.735 s, highlighting the distinct sensitivities of each method. These results reveal right-lateralized, stage-specific brain activations, and demonstrate the complementary value of traditional and AI methods in decoding thermal responses.

人体热知觉涉及外周输入和中枢神经调节之间复杂的动态相互作用。然而,大脑对不同冷暴露情景反应的时空特征仍然知之甚少。在这项研究中,我们将传统分析与基于人工智能的异常检测相结合,研究了20名健康参与者在冷暴露的五个阶段(包括基线、冷暴露、风刺激、适应和恢复)的脑电图反应。α波段功率分析显示14个脑电通道具有显著的阶段依赖性,主要分布在右半球额叶、中央和顶叶区域。基于Shapley加性解释(SHAP)的特征重要性评分进一步验证了阶段特异性通道,确定了F8、T8和CP6与冷暴露有关,T7与风刺激有关,T8与适应有关,F8和CP6与恢复有关。时频分析显示,冷暴露和恢复的早期光谱响应在1秒内,风刺激的早期光谱响应在2秒内,而人工智能异常检测估计的后期潜伏期为2.201 ~ 2.735秒,突出了每种方法的不同灵敏度。这些结果揭示了右偏侧的、特定阶段的大脑激活,并证明了传统方法和人工智能方法在解码热反应方面的互补价值。
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引用次数: 0
Prolonged stable hypothermia during a 10-hour cold open-water marathon swim. 在长达10小时的寒冷开放水域马拉松式游泳中持续稳定的体温过低。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2026-01-21 DOI: 10.1113/EP093270
Brendon H Roxburgh, David T Edgar, James D Cotter

Marathon open-water swimming presents extreme thermophysiological challenges, particularly in cold environments. This case report describes continuous core temperature data from a solo crossing of New Zealand's Foveaux Strait, an infamously cold (13°C -14°C), turbulent open-water swim. A 52-year-old male swimmer (body mass index, 27.9 kg m-2; body fat, 18%) completed the 37 km swim in 9 h 52 min under standard marathon swimming rules (no wetsuit). Core temperature (measured via an ingestible thermometer pill) decreased rapidly after immersion, falling from 37.9°C to <35.0°C within 50 min. The swimmer reached a nadir of 33.88°C at 2 h 42 min and remained hypothermic for more than half of the swim (total, 369 min). Despite this, he displayed no overt cognitive or motor impairment, completed the swim unaided and did not experience an after-drop post-immersion. This case highlights the remarkable thermoregulatory tolerance of a cold-adapted endurance swimmer.

马拉松开放水域游泳提出了极端的热生理挑战,特别是在寒冷的环境中。本案例报告描述了新西兰Foveaux海峡的连续核心温度数据,这是一个臭名昭著的寒冷(13°C -14°C),湍流的开放水域游泳。一名52岁男性游泳运动员(身体质量指数27.9 kg m-2,体脂18%)在标准马拉松游泳规则下(不穿潜水服)以9小时52分钟完成了37公里的游泳。核心温度(通过可摄入的温度计测量)浸泡后迅速下降,从37.9°C降至
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引用次数: 0
Interpreting whole-body carbohydrate oxidation and 'oxidation efficiency' in carbohydrate supplement studies. 解释碳水化合物补充研究中的全身碳水化合物氧化和“氧化效率”。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2026-01-20 DOI: 10.1113/EP093566
Stefan Pettersson
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引用次数: 0
Applying thermal therapy: Comparison of different commercially available heating devices to increase muscle temperature. 应用热疗:比较不同的市售加热装置,以增加肌肉温度。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2026-01-18 DOI: 10.1113/EP092921
Nada Nasir, Nathan Townsend, Marco Cardinale, Mariem Labidi, Sebastien Racinais

Although various medical devices are available for the purpose of heat therapy, their effect on muscle temperature remains unclear. This study compared the effects of a water-perfused suit (WPS), short-wave diathermy (SWD) and hot-water immersion (HWI) on muscle, core and skin temperatures, along with perceived thermal discomfort. Ten healthy volunteers (four males and six females) were exposed to WPS, SWD or HWI for 1 h on three occasions, separated by 3-7 days, in a counterbalanced order. Muscle temperature increased with all devices (P < 0.0001, partial η2 = 0.55) but was lower after WPS in comparison to both SWD (P = 0.00656) and HWI (P = 0.00949). Core temperature was higher with HWI than with WPS (P ≤ 0.0104) and SWD (P ≤ 0.0213) from 20 min onwards. Although the average skin temperature over the thigh was lower with SWD than with HWI (P = 0.007, -1.2 [-2.0; -0.4]°C), the maximal local skin temperature was higher with SWD than with HWI (P = 0.0153, -0.7 [-1.4; -0.2]°C). Thermal discomfort was higher during HWI than during WPS (P ≤ 0.0159) and SWD (P ≤ 0.0130). In conclusion, only SWD and HWI increased muscle temperatures. SWD was able to increase local muscle temperatures comfortably, but the effects were localized. HWI can increase both peripheral and central temperatures easily, but the associated increases in core temperature might lead to hyperthermia-induced discomfort.

虽然有各种各样的医疗设备可用于热疗,但它们对肌肉温度的影响尚不清楚。这项研究比较了水灌注服(WPS)、短波透热(SWD)和热水浸泡(HWI)对肌肉、核心和皮肤温度的影响,以及感知到的热不适。10名健康志愿者(4男6女)分三次暴露于WPS、SWD或HWI,每次1小时,间隔3-7天,以平衡顺序进行。所有装置均使肌肉温度升高(P 2 = 0.55),但与SWD (P = 0.00656)和HWI (P = 0.00949)相比,WPS后肌肉温度降低。从20 min开始,HWI组的核心温度高于WPS组(P≤0.0104)和SWD组(P≤0.0213)。虽然SWD组大腿上方平均皮肤温度低于HWI组(P = 0.007, -1.2[-2.0; -0.4]℃),但SWD组局部最高皮肤温度高于HWI组(P = 0.0153, -0.7[-1.4; -0.2]℃)。HWI期间热不适程度高于WPS (P≤0.0159)和SWD (P≤0.0130)。总之,只有SWD和HWI增加了肌肉温度。SWD能够舒适地提高局部肌肉温度,但效果是局部的。HWI容易使外周和中心温度升高,但相关的核心温度升高可能导致高温引起的不适。
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引用次数: 0
Physiological cerebrospinal fluid interactions between brain and eye structures are altered after long-duration spaceflight. 长时间太空飞行后,脑和眼结构之间的生理脑脊液相互作用发生改变。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2026-01-16 DOI: 10.1113/EP093112
Ge Tang, Steven Jillings, Ben Jeurissen, Elena Tomilovskaya, Inna Nosikova, Alexandra Ryabova, Ekaterina Pechenkova, Viktor Petrovichev, Ilya Rukavishnikov, Stefan Sunaert, Paul M Parizel, Lyudmila Makovskaya, Valentin Sinitsyn, Jan Sijbers, Jitka Annen, Steven Laureys, Angelique Van Ombergen, Seyed-Ahmad Ahmadi, Floris L Wuyts, Peter Zu Eulenburg

Long-duration spaceflight represents an extreme challenge, triggering adaptive responses including spaceflight-associated neuro-ocular syndrome, characterized by diminished visual acuity and ocular changes, which is a significant health risk for Mars missions. Concurrently, spacefarers experience brain adaptations, including ventricular expansion and CSF redistribution; however, the integrative physiological mechanisms linking these brain-eye responses remain unestablished. We applied automated morphometric analysis to investigate brain-eye relationships using high-resolution MRI data from terrestrial control subjects and spacefarers, conducting correlation analysis between third ventricle volume and ocular parameters. Analysis revealed significant baseline correlations between third ventricle volume and multiple ocular parameters in healthy control subjects, including globe dimensions, optic nerve sheath volume, optic nerve length and retro-orbital width. Following spaceflight, adaptations occurred: optic nerve sheath volume increased by 11.93 ± 6.07 mm3 (right) and 27.22 ± 8.74 mm3 (left), and optic nerves lengthened by 0.38 mm (right) and 0.47 mm (left). The baseline analysis showed that multiple orbital structures were correlated with third ventricle volume, whereas longitudinal change analysis revealed selective associations: only globe changes were correlated with third ventricle expansion. This study demonstrates structure-specific brain-eye relationships consistent with CSF-mediated coupling as a mechanism underlying spaceflight-associated neuro-ocular syndrome during the cranial microgravity response. Following spaceflight, third ventricle expansion is correlated selectively with globe changes, while dissociating from optic nerve sheath and retro-orbital adaptations, providing quantitative evidence that microgravity creates differential biomechanical effects across orbital compartments. This supports CSF compartmentalization and the limited intracranial volume expansion (cranial ceiling effect) as underlying mechanisms. The findings illuminate the limits of brain elastic tissue expansion during intracranial fluid accumulation in astronauts.

长时间航天飞行是一项极端挑战,会引发适应性反应,包括与航天飞行相关的神经眼综合征,其特征是视力下降和眼部变化,这对火星任务来说是一个重大的健康风险。同时,宇航员经历大脑适应,包括心室扩张和脑脊液重新分布;然而,连接这些脑-眼反应的综合生理机制仍未确定。我们利用地面对照者和宇航员的高分辨率MRI数据,应用自动形态计量学分析研究脑眼关系,分析第三脑室容积与眼参数之间的相关性。分析显示,健康对照者的第三脑室体积与眼球尺寸、视神经鞘体积、视神经长度和眶后宽度等多个眼部参数具有显著的基线相关性。在太空飞行后,视神经鞘体积分别增加了11.93±6.07 mm3(右)和27.22±8.74 mm3(左),视神经长度分别延长了0.38 mm(右)和0.47 mm(左)。基线分析显示多个眼眶结构与第三脑室容积相关,而纵向变化分析显示选择性关联:只有全局变化与第三脑室扩张相关。该研究表明,在颅脑微重力反应期间,脑-眼结构特异性关系与脑脊液介导的耦合一致,是航天相关神经-眼综合征的一种机制。在太空飞行之后,第三脑室的扩张选择性地与全球变化相关,同时与视神经鞘和眶后适应分离,这为微重力在眼眶间室产生不同的生物力学效应提供了定量证据。这支持脑脊液区隔化和有限的颅内容量扩张(颅顶效应)是潜在的机制。这些发现阐明了宇航员在颅内积液过程中脑弹性组织扩张的局限性。
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引用次数: 0
Effect of live-high, train-low strategy induced by chronic low-dose carbon monoxide exposure on haematological parameters and performance in trained individuals. 慢性低剂量一氧化碳暴露诱导的高生活、低训练策略对训练个体血液学参数和运动表现的影响。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2026-01-12 DOI: 10.1113/EP093005
Simone Villanova, Simone Porcelli, Lena Ekström, Daniele A Cardinale

Altitude training enhances haematological adaptations and endurance at sea level, typically requiring exposure to ∼2500 m altitude for 3-4 weeks. Emerging evidence suggests that low-dose carbon monoxide (CO) inhalation might mimic hypoxia and might be used by elite athletes. In this study, we examine whether periodic low-dose CO exposure can replicate the live-high, train-low model in well-trained individuals, focusing primarily on haematological and performance effects of CO exposure, with haematological markers commonly used to interpret haemoglobin mass changes discussed as exploratory. Eight well-trained individuals (four males and four females) participated in a randomized crossover study. They completed two training blocks of 4 weeks at sea level: one with CO inhalation (INCO) to simulate live-high, train-low and one with ambient air as a control (AIR), separated by a 6 month washout. Haematological variables, in vivo muscle oxidative capacity and performance metrics were assessed before and after each intervention. After INCO, haemoglobin mass (p = 0.018; +53.6 ± 10.8 g. vs. +0.8 ± 11.8 g), red blood cell volume (p = 0.032; +156.6 ± 66.7 mL vs. -65.1 ± 50.7 mL) and blood volume (p = 0.036; +240.4 ± 120.5 mL vs. -208.3 ± 167.5 mL) increased significantly compared with AIR. INCO significantly reduced immature reticulocytes (p = 0.04), but muscle oxidative capacity and performance metrics remained unchanged. These findings suggest that daily low-dose CO exposure at sea level over 4 weeks enhanced haematological adaptations more than standard training but did not affect muscle oxidative capacity or performance.

高原训练可以提高血液学适应能力和在海平面的耐力,通常需要暴露在海拔2500米的地方3-4周。新出现的证据表明,低剂量的一氧化碳(CO)吸入可能模拟缺氧,可能被优秀运动员使用。在本研究中,我们研究了周期性低剂量CO暴露是否可以在训练有素的个体中复制高活低训练模型,主要关注CO暴露对血液学和运动性能的影响,并讨论了通常用于解释血红蛋白质量变化的血液学标志物。8名训练有素的个体(4男4女)参加了一项随机交叉研究。他们在海平面上完成了两个为期4周的训练:一个是CO吸入(INCO),模拟生活高,训练低,另一个是环境空气作为对照(air),间隔6个月的洗脱期。在每次干预前后评估血液学变量、体内肌肉氧化能力和性能指标。INCO术后血红蛋白质量(p = 0.018; +53.6±10.8 g对+0.8±11.8 g)、红细胞体积(p = 0.032; +156.6±66.7 mL对-65.1±50.7 mL)、血容量(p = 0.036; +240.4±120.5 mL对-208.3±167.5 mL)较AIR组显著增加。INCO显著降低了未成熟网织红细胞(p = 0.04),但肌肉氧化能力和性能指标保持不变。这些研究结果表明,与标准训练相比,每天在海平面上暴露低剂量CO超过4周,可以增强血液学适应,但不影响肌肉氧化能力或表现。
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引用次数: 0
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Experimental Physiology
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