Renal, Endocrine, and Cardiovascular Responses to Bed Rest in Male Subjects on a Constant Diet.

Autor: Grenon, Marlene S., Sheynberg, Natalie, Hurwitz, Shelley, Xiao, Grace, Ramsdell, Craig D., Ehrman, Michael D., Mai, Lan C., Kristjansson, Siri Rostoft, Sundby, Grete H., Cohen, Richard J., Williams, Gordon H.
Zdroj: Journal of Investigative Medicine (Sage Publications Inc.); Mar2004, Vol. 52 Issue 2, p117-128, 12p
Abstrakt: Exposure to actual and simulated microgravity induces cardiovascular deconditioning through a variety of factors. Although the mechanisms involved remain uncertain, one involves alterations in volume-regulating systems—the hypothesis being tested in this study. To maximize our ability to detect subtle changes in the volume-regulating systems, subjects were studied on a high-average salt intake to maximally suppress these systems basally.Fourteen healthy male subjects underwent 14-day head-down tilt bed rest (HDTB) during which a constant 200 mEq sodium, 100 mEq potassium diet was maintained. Daily 24-hour urine collection was performed; plasma renin activity, serum aldosterone, plethysmography, and cardiovascular system identification were performed during a control period (pre-HDTB) and at the end of HDTB (end HDTB).Sodium excretion increased initially (pre-HDTB = 182.8 ± 10.4 mEq/total volume; early HDTB = 236.4 ± 13.0; p = .002) and then returned to baseline values. Potassium excretion increased 4 days after the initiation of HDTB and remained elevated thereafter (pre-HDTB = 82.2 ± 2.4/total volume; mid- to late HDTB = 89.4 ± 2.1; p = .02). Plasma renin activity increased significantly with HDTB (pre-HDTB = 1.28 ± 0.21 ng/mL/h; end HDTB = 1.69 ± 0.18; p = .01), but serum aldosterone did not change. A significant decrease in autonomic responsiveness and an increase in leg compliance were observed.We conclude that even in the presence of a high-average salt intake diet, simulated microgravity leads to renal, cardioendocrine, and cardiovascular system alterations that likely contribute to cardiovascular deconditioning. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index