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BioMed Research International Exercise Physiology, Cognitive Function, and Physiologic Alterations in Extreme Conditions Guest Editors: Ellen Glickman, Edward J. Ryan, and David Bellar Exercise Physiology, Cognitive Function, and Physiologic Alterations in Extreme Conditions BioMed Research International Exercise Physiology, Cognitive Function, and Physiologic Alterations in Extreme Conditions Guest Editors: Ellen L. Glickman, Edward J. Ryan, and David Bellar Copyright©2015HindawiPublishingCorporation.Allrightsreserved. Thisisaspecialissuepublishedin“BioMedResearchInternational.”AllarticlesareopenaccessarticlesdistributedundertheCreative CommonsAttributionLicense,whichpermitsunrestricteduse,distribution,andreproductioninanymedium,providedtheoriginal workisproperlycited. Contents ExercisePhysiology,CognitiveFunction,andPhysiologicAlterationsinExtremeConditions, EllenL.Glickman,EdwardJ.Ryan,andDavidBellar Volume2015,ArticleID359325,1page PreservationofCognitivePerformancewithAgeduringExertionalHeatStressunderLowandHighAir Velocity,HeatherE.WrightBeatty,JocelynM.Keillor,StephenG.Hardcastle,PierreBoulay, andGlenP.Kenny Volume2015,ArticleID619103,10pages HumanMonocyteHeatShockProtein72ResponsestoAcuteHypoxicExerciseafter3DaysofExercise HeatAcclimation,BenJ.Lee,RichardW.A.Mackenzie,ValerieCox,RobS.James,andCharlesD.Thake Volume2015,ArticleID849809,15pages CardiopulmonaryResponsetoExerciseinCOPDandOverweightPatients:Relationshipbetween UnloadedCyclingandMaximalOxygenUptakeProfiles,AbdoulayeBa,FabienneBrégeon, StéphaneDelliaux,FallouCissé,AbdoulayeSamb,andYvesJammes Volume2015,ArticleID378469,7pages TheEffectsofMetabolicWorkRateandAmbientEnvironmentonPhysiologicalToleranceTimesWhile WearingExplosiveandChemicalPersonalProtectiveEquipment,JosephT.Costello,KellyL.Stewart, andIanB.Stewart Volume2015,ArticleID857536,7pages TheEffectsofColdandLowerBodyNegativePressureonCardiovascularHomeostasis,DavidJ.Kean, CoreyA.Peacock,GabrielJ.Sanders,JohnMcDaniel,LisaA.C.Colvin,andEllenL.Glickman Volume2015,ArticleID728145,6pages ExhaustiveExerciseAttenuatestheNeurovascularCouplingbyBluntingthePressorResponsetoVisual Stimulation,YujiYamaguchi,TsukasaIkemura,andNaoyukiHayashi Volume2015,ArticleID671063,6pages PostexerciseImpactofIce-ColdWaterBathontheOxidant-AntioxidantBalanceinHealthyMen, PawełSutkowy,AlinaWoźniak,TomaszBoraczyński,CelestynaMila-Kierzenkowska, andMichałBoraczyński Volume2015,ArticleID706141,8pages SingleWhole-BodyCryostimulationProcedureversusSingleDrySaunaBath:Comparisonof OxidativeImpactonHealthyMaleVolunteers,PawełSutkowy,AlinaWoźniak,andPawełRajewski Volume2015,ArticleID406353,6pages PhysiologicalandSelectiveAttentionDemandsduringanInternationalRallyMotorSportEvent, AnthonyP.TurnerandHughRichards Volume2015,ArticleID638659,7pages ChangesinBiochemical,Strength,Flexibility,andAerobicCapacityParametersaftera1700km UltraenduranceCyclingRace,VicenteJavierClemente-Suarez Volume2014,ArticleID602620,8pages ProlongedSleepDeprivationandContinuousExercise:EffectsonMelatonin,TympanicTemperature, andCognitiveFunction,GreggoryR.Davis,CoreyE.Etheredge,LenaMarcus,andDavidBellar Volume2014,ArticleID781863,6pages AnthropometricCharacteristicsandSexInfluenceMagnitudeofSkinCoolingfollowingExposureto WholeBodyCryotherapy,L.E.Hammond,S.Cuttell,P.Nunley,andJ.Meyler Volume2014,ArticleID628724,7pages EffectsofaMealontheHemorheologicResponsestoExerciseinYoungMales,JanBilski,AnetaTeległów, JanuszPokorski,JacekNitecki,JoannaPokorska,EwaNitecka,AnnaMarchewka,ZbigniewDąbrowski, andJakubMarchewka Volume2014,ArticleID862968,7pages Hindawi Publishing Corporation BioMed Research International Volume 2015, Article ID 359325, 1 page http://dx.doi.org/10.1155/2015/359325 Editorial Exercise Physiology, Cognitive Function, and Physiologic Alterations in Extreme Conditions EllenGlickman,1EdwardJ.Ryan,2andDavidBellar3 1SchoolofHealthScience,ExercisePhysiology,KentStateUniversity,Kent,OH44242,USA 2ExerciseScience,ChathamUniversity,Pittsburgh,PA15232,USA 3SchoolofKinesiology,UniversityofLouisiana-Lafayette,Lafayette,LA70506,USA CorrespondenceshouldbeaddressedtoEllenGlickman;[email protected] Received27January2015;Accepted27January2015 Copyright©2015EllenGlickmanetal.ThisisanopenaccessarticledistributedundertheCreativeCommonsAttributionLicense, whichpermitsunrestricteduse,distribution,andreproductioninanymedium,providedtheoriginalworkisproperlycited. Exercise physiology is a heterogeneous field of study that at rest and during exercise. While military personnel are includes a broad array of disciplines evaluating the impact oftendeployedtoareasoflowbarometricpressure,research of physical stressors on the physiology of man. While man has also been conducted to better understand the effects of is exposed to a variety of environmental conditions, it is hypoxiaoncognitivefunction. imperative that exercise physiologists elucidate how the We invited investigators to contribute original research addedstressofaterrestrialextremeimpactsman’sthermal, articlesaswellasreviewarticlesthatwillstimulatethecon- metabolic, and cognitive abilities. Research regarding envi- tinuingeffortstounderstandexercisephysiologyinambient ronmental extremes and exercise will enhance our under- and extreme environmental conditions. Further research in standing of how to safely compete athletically, navigate in theseareaswillallowforbetterprecautionaryandtreatment unfamiliarlocations,andaidmilitarypersonnelduringexpo- guidelinesinoccupationalandathleticsettings. suretoavarietyofnaturalsettings. EllenGlickman The physiologic, metabolic, and cognitive responses in EdwardJ.Ryan general are complex and differ between sexes, across the DavidBellar lifespan,andareimpactedbyheredity.Whenphysicalstress is coupled with varied ambient conditions (environmental stressors, i.e., heat, cold, altitude, hypoxia, and lower body negative pressure), there may be dramatic shifts in physio- logical and cognitive responses. Furthermore, this coupling of stressors may present a limitation in man’s abilities to maintainhomeostaticcontrolacrossmultipleorgansystems. Such limitations may compromise safety and performance; thusfurtherworkintheseareasiswarranted. Throughcontrolledexperimentation,takingintoaccount asmanyconfoundingfactorsaspossible(i.e.,gender,menses, age,trainingstatus,circadianrhythm,anddiet),weevaluate combined physiologic and cognitive responses to environ- mentalandexercisestresses.Recently,therehasbeengrowing concernforworkselucidatinghowheat/coldstressorsinflu- ence blood flow, cognitive function, and thermoregulation Hindawi Publishing Corporation BioMed Research International Volume 2015, Article ID 619103, 10 pages http://dx.doi.org/10.1155/2015/619103 Research Article Preservation of Cognitive Performance with Age during Exertional Heat Stress under Low and High Air Velocity HeatherE.WrightBeatty,1,2JocelynM.Keillor,2StephenG.Hardcastle,3 PierreBoulay,4andGlenP.Kenny1 1HumanandEnvironmentalPhysiologyResearchUnit,SchoolofHumanKinetics,FacultyofHealthSciences,UniversityofOttawa, 125UniversityPrivate,MontpetitHall,Room367,Ottawa,ON,CanadaK1N6N5 2FlightResearchLab,NationalResearchCouncilCanada,Ottawa,ON,CanadaK1A0R6 3CanmetMININGNaturalResourcesCanada,Sudbury,ON,CanadaP3E5P5 4FacultyofPhysicalEducationandSports,UniversityofSherbrooke,Sherbrooke,QC,CanadaJ1K2R1 CorrespondenceshouldbeaddressedtoGlenP.Kenny;[email protected] Received15August2014;Accepted5November2014 AcademicEditor:EdwardJ.Ryan Copyright©2015HeatherE.WrightBeattyetal. This is an open access article distributed under the Creative Commons AttributionLicense,whichpermitsunrestricteduse,distribution,andreproductioninanymedium,providedtheoriginalworkis properlycited. Olderadultsmaybeatgreaterriskforoccupationalinjuriesgiventheirreducedcapacitytodissipateheat,leadingtogreaterthermal strainandpotentiallycognitivedecrements.Purpose.Toexaminetheeffectsofageandincreasedairvelocity,duringexercisein humidheat,oninformationprocessingandattention.Methods.Nineyoung(24±1years)and9older(59±1years)malescycled4× ∘ 15min(separatedby15minrest)atafixedrateofheatproduction(400W)inhumidheat(35C,60%relativehumidity)under0.5 (low)and3.0(high)m⋅s−1airvelocitywearingcoveralls.Atrest,immediatelyfollowingexercise(endexercise),andafterthefinal recovery,participantsperformedanabbreviatedpacedauditoryserialadditiontask(PASAT,2secpace).Results.PASATnumbers ofcorrectresponsesatendexerciseweresimilarforyoung(low=49±3;high=51±3)andolder(low=46±5;high=47±4)males andacrossairvelocityconditions,andwhenscoredrelativetoagenorms.Psychologicalsweating,oranincreasedsweatratewith theadministrationofthePASAT,wasobservedinbothagegroupsinthehighcondition.Conclusion.Nosignificantdecrements inattentionandspeededinformationprocessingwereobserved,withageoralteredairvelocity,followingintermittentexercisein humidheat. 1.Introduction reports in the literature have proposed that they are due to variances in the participant groups (e.g., hydration status, Performingphysicallydemandingworkinhotenvironments levelofheatacclimatization,anddegreeofsleepdeprivation) and/or while wearing protective clothing increases ther- and/orinthemethodology(e.g.,environmentalconditions, mal strain, which has been associated with decrements in mode of exercise, and type of difficulty of cognitive test) cognitive function, such as reduced short-term memory, between studies. Although cognitive performance has been recall,anddiscrimination[1];reactiontime,reasoning,and examined during and following exercise in the heat, the vigilance [2]; and arithmetic ability [3]. In some cases, analysisistypicallydoneusingeitherchangeinhydrationor however,improvedcognitiveperformancehasbeenobserved exerciserate(e.g.,exerciseata%ofVO2peak,absolutework duringshortdurationcontinuousaerobicexercise(i.e.,60% rate, or completion of predetermined work tasks) [1, 2, 7] VO2peak,10minduration;choice-discrimination)[4],during astheindependentvariables.Inaddition,theabovestudies intense exercise (i.e., at/above anaerobic threshold; short- were conducted in young, healthy, active individuals (some termmemory)[5],andafterboutsofcontinuousexerciseof middle-agedparticipantsinHecklerandCroce[6]).Thus,no 20and40mininduration(i.e.,70%VO2peak;mathematical study has examined cognitive performance during exercise computations) [6]. Attempts to reconcile these conflicting in the heat as a function of age or following intermittent 2 BioMedResearchInternational exerciseataconstantrateofthermaldrive,whichmatchesthe atestrequiringattentionandspeededinformationprocess- workloadrequiredinmanyoccupationalsettings[8],where ing, were compared for young and older males following ∘ attentionandvigilancearecrucialforworkersafety. intermittent exercise in humid heat (35 C, 60% relative Age-relateddecrementsinheatlossresponsesofsweating humidity[RH])underlowandhighairvelocityconditions. and skin blood flow are known to compromise the ther- Thelowvelocitymaybeconsideredsimilartothattypically moregulatory efficacy of older adults [9–11]. Consequently, employed in industrial settings, such as mining for general concerns have been raised regarding the safety of older occupational hygiene related exposure control, whereas the workersinoccupationswhichrequirephysicallydemanding higher air velocity (i.e., 3.0m⋅s−1) would be supplied to tasks to be performed in the heat and/or while wearing mitigate heat stress in workers. To be consistent with the protectiveclothingandtheneedforattention/concentration required absolute work rate in many occupational settings inoperatingequipment(e.g.,deepundergroundandsurface [8], including deep underground mining, and a moderate- mining,hydroelectricutilities,steelandchemicalplants,and to-heavy work rate as defined by the American Conference others).Age-relateddecrementsinheatlossresponsesarenot ofGovernmentalIndustrialHygienists(ACGIH)[14],afixed alwaysreflectedinmeasurementsoflocalheatlossresponses rateofheatproductionof400Wwasutilizedduringexercise (e.g., sweat rate) and core temperature [11–13]. Given that tomaintainanequalheatloadandthereforeasimilarlevel health and safety heat stress guidelines are based on core of thermal strain between groups. It was hypothesized that temperature [14], it must be recognized that increases in increasedairvelocitywouldbelesseffectiveinreducingboth thermal strain and thus potentially age-related differences thermal and cardiovascular strain, as well as any cognitive in cognitive performance [15] may still be present in older decrements, in the older males as compared with young adults.However,theextenttowhichage-relateddifferences males. It was also hypothesized that psychological sweating in thermoregulation impact cognitive performance (e.g., inbothyoungandoldermaleswouldbepresentasaresult informationprocessingandattention)iscurrentlyunknown, of increased attention and working memory demands but particularly under conditions that restrict evaporative heat mightnotbeasevidentduringthelowairvelocitycondition loss (i.e., humid heat and insulative protective clothing) compared to high air velocity condition due to increased whichcanresultinincreasesinthermalstrain.Furthermore, skin wettedness as a result of a reduced capacity for the inattemptstomitigatethermalstraininworkers,ventilation evaporationofsweat. systems delivering large, and in some instances thermally conditioned, air volumes have been utilized in deep under- 2.MaterialsandMethods ground mining [16]. Such ventilation systems are required to limit the increase in environmental temperature due to 2.1. Participants. Upon receiving approval from the Uni- thevariousenergytransformationsandheatsourceswithina versity of Ottawa Health Sciences and Science Research minewhilealsoprovidingaflowtopromoteworkercooling. Ethics Board, 9 young and 9 older healthy, active, nonheat Thesupplyofsuitableventilationhasbeenshowneffectivein acclimated, nonsmoking males, matched for height, mass, reducingthermalstrain(i.e.,coretemperature)inlabstudies andbodysurfacearea,wererecruitedforthestudy.Noneof during exercise in heat in active young adults (i.e., 25–30 theparticipantshadahistoryofrespiratory,metabolic,car- years)whilewearingminimalclothing[17–19].Moreover,ina diovascular,and/orhypertensiondisease,orskinconditions, recentreport,increasedairvelocitywasshowntobeeffective andnonewereonanymedicationrelatedtotheseconditions. during intermittent exercise in humid heat in young (i.e., All participants were moderately educated (at minimum) ∼25 years) and older (i.e., ∼60 years) males while wearing individualsfromthegeneralpopulationanduniversitycom- work coveralls [13]. It remains unknown, however, whether munities with a wide range of occupations (e.g., students, ventilation-mediated reductions in thermal strain impact construction, government, and general labour employees). cognitiveperformanceinyoungandolderadults. Some participants from each group had moderate levels of The primary purpose of this study was to examine the scientificbackgroundduetopriorresearchparticipation.All influence of aging and increased air velocity on attention participantswereinformedoftheexperimentalprocedures, andspeededinformationprocessing,followingintermittent associatedrisks,anddiscomfortspriortoprovidingwritten exercise in humid heat under low (0.5m⋅s−1) and high consent.ParticipantcharacteristicsareshowninTable1. (3.0m⋅s−1) air velocity work conditions in young (24.1 ± 0.5 years) and older (59.4 ± 1.2 years) males. Given that 2.2. Experimental Design. All participants completed one cognitivestressand/orincreasedmentalworkloadhavebeen preliminaryscreeningsessionandtwoexperimentalsessions. shown to increase sweating (termed psychological sweat- During the preliminary session, participants underwent a ing),identifyingtheeffectsoftaskswhichrequiresustained progressive incremental test on a semirecumbent bike (one attention and working memory on thermoregulatory and minutestageswith20Wincrementalincreases)todetermine cardiovascularresponseswouldbeapplicabletooccupations maximaloxygenuptake(VO2peak)(AMETEKmodelsS-3A/1 whichrequireconcentrationandattentionunderpotentially andCD3A,resp.,AppliedElectrochemistry,AEITechnolo- stressful conditions [20–22]. Thus, the secondary purpose gies,Pittsburg,PA,USA).Participantscycleduntiltheycould of the study was to examine the influence of increased no longer maintain the predetermined cadence or stopped attentional requirements and increased working memory due to volitional fatigue. During the VO2peak exercise test, loadsonthermalandcardiovascularresponses.Accordingly, continuouselectrocardiogrammonitoringwasperformedin thermal and cardiovascular responses, and performance on theolderparticipants(age>50years)(PulseBiomedicalInc., BioMedResearchInternational 3 Table1:Participantcharacteristics. Age Height Mass BSA Bodyfat VO 2peak (yr) (cm) (kg) (m2) (%) (mLO ⋅kg−1⋅min−1) 2 Young 24.1(0.5)a 174.6(3.2) 79.4(2.6) 1.95(0.05) 15.5(2.7)a 49.2(2.6)a Older 59.4(1.2) 174.2(1.2) 81.5(4.1) 1.96(0.05) 25.6(2.6) 40.4(2.6) Note:valuesaremean(SE).Bodysurfacearea(BSA);maximalaerobicpower(VO ). 2peak aSignificantlydifferentthanoldermales. Norristown,PA,USA).Bloodpressurewasmeasuredatevery from 30-second average values for oxygen uptake (VO2), 2nd stage or every 2min. Percent body fat was calculated accordingtothefollowingequation. using the Siri equation [23], following the measurement of 𝑀(Watts) bodydensitybyhydrostaticweighing. The two experimental sessions followed a minimum of V̇O2∗[(RER−0.7/0.3∗𝑒𝑐)+(1−RER/0.3∗𝑒𝑓)] 2weeksafterthepreliminarysessionandwereseparatedby = , 60 a minimum of 72 hours but performed at the same time (1) of day. Prior to arriving at the laboratory, participants were instructedtoeatanormalbreakfastanddrinkwateradlibi- whereRERistherespiratoryexchangeratio(CO2produced/ tum,whilerefrainingfromcaffeineandexposuretothermal O2 uptake), 𝑒𝑐 is the caloric equivalent of a liter of oxygen stimulifor12and24hourspriortoeachsession,respectively. when carbohydrates are oxidized (21.116kJ), and 𝑒𝑓 is the Participants were also asked to refrain from alcohol and caloric equivalent of a liter of oxygen when fat is oxidized exercise for 24 hours prior to each session. Upon arrival at (19.606kJ)[24].Stablemetabolicheatproductionvalueswere thelaboratory,participantsprovidedaurinesample,inserted typically attained within the first 5min of the first exercise bout, following which minimal adjustments were made to therectaltemperatureprobe,satfora20-minutethermoneu- maintain400W. tralrestingbaseline,andwereinstrumentedwithaheartrate Absolute oxygen uptake was not different between the monitorandskintemperaturesensors.Participantsdonned u∼n0d.1e9rwcleoa)r,(a𝐼ctl-=sh∼ir0t.0(5𝐼ccll=oi∼ns0u.1la0ticolon)),,lwonorgkuncodveerrwaellasr((𝐼𝐼ccll== oyolduenrg(1(3163538.0.254±±171.657.39anadnd1341345.27.111±±171.453.5m8mL⋅Lm⋅mini−n1−)1m) aanleds ∼0.61clo), socks (𝐼cl = ∼0.04clo), running shoes (𝐼cl = norbetweenairvelocityconditions. ∼0.04clo), work gloves, and a hard hat. Participants sub- 2.3.2.CoreTemperature. Rectaltemperature(𝑇 )wasmeas- sequently entered the thermal chamber (Can-Trol Environ- re ured continuously using a pediatric thermocouple probe mentalSystemsLimited,Markham,ON,Canada)regulated ∘ (Mon-a-thermNasopharyngealTemperatureProbe,Mallinc- at 35 C and 60% RH with an air velocity of 0.5 (low, first krodtMedical,St.Louis,MO,USA),inserted12cmpastthe experimental session) or 3.0 (high, second experimental analsphincter.TemperaturedatawerecollectedusingaHP session) m⋅s−1 where they rested for 30min while baseline Agilentdataacquisitionmodule(Model3497A)atasampling measurements were obtained. They then performed four rateof15secandsimultaneouslydisplayedandrecordedon 15-minute bouts of cycling at a fixed rate of metabolic a personal computer with LabVIEW software (Version 7.0, heat production of 400W, a moderate-to-heavy intensity NationalInstrumentsCorporation). as defined by the ACGIH [14], separated by 15-minute rest periods with a final resting recovery of 30min in duration. 2.3.3.LocalSweatRate. Localsweatrate(LSR)wasmeasured 2 This rate of heat production is comparable to the absolute usinga3.8cm ventilatedcapsuleaffixedtotheskinonthe workraterequiredinoccupationalsettings(e.g.,mining)that forearm (LSRFA) and upper back (LSRUB) with an adhesive areoftenperformedinhotenvironments[8,14]. ringandtopicalskinglue(CollodionHV,MavidonMedical, LakeWork,FL,USA).Anhydrouscompressedairwaspassed throughthecapsulesatarateof1L⋅min−1.Watercontentof 2.3.PhysiologicalandCognitiveMeasurements theeffluentairwasmeasuredusinghighprecisiondewpoint mirrors(Model473,RHsystems,Albuquerque,NM,USA). 2.3.1.MetabolicHeatProduction. Toestablishafixedrateof Localsweatratewasdeterminedbycalculatingthedifference metabolicheatproductionof400W,theergometerresistance inwatercontentbetweentheeffluentandinfluentairforeach was adjusted based on the concurrent measurements of capsule,multipliedbytheflowrate,andnormalizedforthe expired oxygen and carbon dioxide concentrations (AME- skinsurfaceareaunderthecapsule. TEKmodelsS-3A/1andCD3A,resp.,AppliedElectrochem- istry,AEITechnologies,Pittsburg,PA,USA).Metabolicheat 2.3.4. Heart Rate. Heart rate was measured continuously production was taken as the difference between metabolic using a Polar coded transmitter and recorded with a Polar energy expenditure and the resistance, in Watts, on the Advantage interface and Polar Precision Performance soft- ergometer.Metabolicenergyexpenditure(𝑀)wascalculated ware(PolarElectroOy,Finland).

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these areas will allow for better precautionary and treatment in attention and speeded information processing were observed, with age or altered air velocity, following . [8], including deep underground mining, and a moderate-.
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