Study2011Industry funded

Funded in part by Omron Healthcare

Local heating, but not indirect whole body heating, increases human skeletal muscle blood flow

Heinonen I, Brothers RM, Kemppainen J, Knuuti J, Kalliokoski KK, Crandall CG

Journal of applied physiology (Bethesda, Md. : 1985) · 142 citations

Review labels

Industry funded

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Controlled clinical trial (classified by our AI screen)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Industry funded
Company
Omron Healthcare
Government
Academy of Finland
University or hospital
Turun Yliopisto
Government
National Heart, Lung, and Blood Institute
Government
NHLBI NIH HHS
Grants
National Heart, Lung, and Blood Institute (HL61388); National Heart, Lung, and Blood Institute (HL-84072)

Based on 5 listed funder(s).

Publication

Published
2011-06-17 · J Appl Physiol (1985) · vol. 111 · issue 3 · pp. 818–824
Publisher
American Physiological Society
Cited
184 citations · more than 96% of similar papers · 5.2× the field average
Impact
Top 10% most cited in its field
References
34 works
Access
Open access (repository copy)
Research areas
Thermoregulation and physiological responses · Infrared Thermography in Medicine · Climate Change and Health Impacts
Keywords
Blood flow, Skeletal muscle, Heat stress, Calf muscle, Chemistry, Anatomy, Medicine, Internal medicine, Animal science, Biology
MeSH
lower extremity, muscle, skeletal, bone and bones, skin, humans, heat stress disorders, positron-emission tomography, magnetic resonance imaging, hyperthermia, induced, analysis of variance, adaptation, physiological, up-regulation, body temperature regulation, skin temperature, regional blood flow, time factors, adult, male, hemodynamics, young adult

6 authors

From FI, US

  • Ilkka HeinonenUniversity of Turku; Turku University Hospital; Turku PET Centre
  • R. Matthew BrothersTexas Health Dallas; Institute for Exercise and Environmental Medicine; The University of Texas Southwestern Medical Center
  • Jukka KemppainenTurku PET Centre
  • Juhani M. KnuutiTurku PET Centre
  • Kari K. KalliokoskiTurku PET Centre
  • Craig G. Crandall · correspondingTexas Health Dallas; Institute for Exercise and Environmental Medicine; The University of Texas Southwestern Medical Center

Abstract

For decades it was believed that direct and indirect heating (the latter of which elevates blood and core temperatures without directly heating the area being evaluated) increases skin but not skeletal muscle blood flow. Recent results, however, suggest that passive heating of the leg may increase muscle blood flow. Using the technique of positron-emission tomography, the present study tested the hypothesis that both direct and indirect heating increases muscle blood flow. Calf muscle and skin blood flows were evaluated from eight subjects during normothermic baseline, during local heating of the right calf [only the right calf was exposed to the heating source (water-perfused suit)], and during indirect whole body heat stress in which the left calf was not exposed to the heating source. Local heating increased intramuscular temperature of the right calf from 33.4 ± 1.0°C to 37.4 ± 0.8°C, without changing intestinal temperature. This stimulus increased muscle blood flow from 1.4 ± 0.5 to 2.3 ± 1.2 ml·100 g⁻¹·min⁻¹ (P < 0.05), whereas skin blood flow under the heating source increased from 0.7 ± 0.3 to 5.5 ± 1.5 ml·100 g⁻¹·min⁻¹ (P < 0.01). While whole body heat stress increased intestinal temperature by ∼1°C, muscle blood flow in the calf that was not directly exposed to the water-perfused suit (i.e., indirect heating) did not increase during the whole body heat stress (normothermia: 1.6 ± 0.5 ml·100 g⁻¹·min⁻¹; heat stress: 1.7 ± 0.3 ml·100 g⁻¹·min⁻¹; P = 0.87). Whole body heating, however, reflexively increased calf skin blood flow (to 4.0 ± 1.5 ml·100 g⁻¹·min⁻¹) in the area not exposed to the water-perfused suit. These data show that local, but not indirect, heating increases calf skeletal muscle blood flow in humans. These results have important implications toward the reconsideration of previously accepted blood flow distribution during whole body heat stress.

Abstract via Europe PMC. Copyright remains with the authors or publisher.

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