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      Heat acclimation enhances the cold-induced vasodilation response

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          Abstract

          Purpose

          It has been reported that the cold-induced vasodilation (CIVD) response can be trained using either regular local cold stimulation or exercise training. The present study investigated whether repeated exposure to environmental stressors, known to improve aerobic performance (heat and/or hypoxia), could also provide benefit to the CIVD response.

          Methods

          Forty male participants undertook three 10-day acclimation protocols including daily exercise training: heat acclimation (HeA; daily exercise training at an ambient temperature, T a = 35 °C), combined heat and hypoxic acclimation (HeA/HypA; daily exercise training at T a = 35 °C, while confined to a simulated altitude of ~ 4000 m) and exercise training in normoxic thermoneutral conditions (NorEx; no environmental stressors). To observe potential effects of the local acclimation on the CIVD response, participants additionally immersed their hand in warm water (35 °C) daily during the HeA/HypA and NorEx. Before and after the acclimation protocols, participants completed hand immersions in cold water (8 °C) for 30 min, followed by 15-min recovery phases. The temperature was measured in each finger.

          Results

          Following the HeA protocol, the average temperature of all five fingers was higher during immersion (from 13.9 ± 2.4 to 15.5 ± 2.5 °C; p = 0.04) and recovery (from 22.2 ± 4.0 to 25.9 ± 4.9 °C; p = 0.02). The HeA/HypA and NorEx protocols did not enhance the CIVD response.

          Conclusion

          Whole-body heat acclimation increased the finger vasodilatory response during cold-water immersion, and enhanced the rewarming rate of the hand, thus potentially contributing to improved local cold tolerance. Daily hand immersion in warm water for 10 days during HeA/Hyp and NorEx, did not contribute to any changes in the CIVD response.

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          Most cited references52

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          Integrated physiological mechanisms of exercise performance, adaptation, and maladaptation to heat stress.

          This article emphasizes significant recent advances regarding heat stress and its impact on exercise performance, adaptations, fluid electrolyte imbalances, and pathophysiology. During exercise-heat stress, the physiological burden of supporting high skin blood flow and high sweating rates can impose considerable cardiovascular strain and initiate a cascade of pathophysiological events leading to heat stroke. We examine the association between heat stress, particularly high skin temperature, on diminishing cardiovascular/aerobic reserves as well as increasing relative intensity and perceptual cues that degrade aerobic exercise performance. We discuss novel systemic (heat acclimation) and cellular (acquired thermal tolerance) adaptations that improve performance in hot and temperate environments and protect organs from heat stroke as well as other dissimilar stresses. We delineate how heat stroke evolves from gut underperfusion/ischemia causing endotoxin release or the release of mitochondrial DNA fragments in response to cell necrosis, to mediate a systemic inflammatory syndrome inducing coagulopathies, immune dysfunction, cytokine modulation, and multiorgan damage and failure. We discuss how an inflammatory response that induces simultaneous fever and/or prior exposure to a pathogen (e.g., viral infection) that deactivates molecular protective mechanisms interacts synergistically with the hyperthermia of exercise to perhaps explain heat stroke cases reported in low-risk populations performing routine activities. Importantly, we question the "traditional" notion that high core temperature is the critical mediator of exercise performance degradation and heat stroke. Published 2011. This article is a U.S. Government work and is in the public domain in the USA.
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            Human circulatory and thermoregulatory adaptations with heat acclimation and exercise in a hot, dry environment.

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              “Living high-training low”: effect of moderate-altitude acclimatization with low-altitude training on performance

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                Author and article information

                Contributors
                ursa.ciuha@ijs.si
                Journal
                Eur J Appl Physiol
                Eur J Appl Physiol
                European Journal of Applied Physiology
                Springer Berlin Heidelberg (Berlin/Heidelberg )
                1439-6319
                1439-6327
                10 July 2021
                10 July 2021
                2021
                : 121
                : 11
                : 3005-3015
                Affiliations
                [1 ]GRID grid.11375.31, ISNI 0000 0001 0706 0012, Department of Automation, Biocybernetics and Robotics, , Jozef Stefan Institute, ; 1000 Ljubljana, Slovenia
                [2 ]GRID grid.5216.0, ISNI 0000 0001 2155 0800, Section of Sport Medicine and Biology of Exercise, School of Physical Education and Sport Science, , National and Kapodistrian University of Athens, ; Athens, Greece
                [3 ]GRID grid.445211.7, Jozef Stefan International Postgraduate School, ; Ljubljana, Slovenia
                [4 ]GRID grid.5037.1, ISNI 0000000121581746, Department of Environmental Physiology, School of Health and Technology, , Royal Institute of Technology, ; Stockholm, Sweden
                Author notes

                Communicated by Narihiko Kondo .

                Author information
                http://orcid.org/0000-0001-8382-7449
                http://orcid.org/0000-0001-9228-9582
                http://orcid.org/0000-0001-5930-2159
                Article
                4761
                10.1007/s00421-021-04761-x
                8505386
                34245332
                b6a64f0b-dca0-4d1c-97c7-e697ca78201b
                © The Author(s) 2021

                Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

                History
                : 12 January 2021
                : 23 June 2021
                Funding
                Funded by: Slovene Research Agency
                Award ID: P2-0076
                Funded by: Young Investigator Postgraduate Fellowship from the Slovene Ministry of Education, Science and Sport
                Award ID: PR-07601
                Award Recipient :
                Categories
                Original Article
                Custom metadata
                © Springer-Verlag GmbH Germany, part of Springer Nature 2021

                Anatomy & Physiology
                cold-induced vasodilation,cross-adaptation,exercise training,heat acclimation,hypoxic acclimation

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