Study2021

Impact of passive heat acclimation on markers of kidney function during heat stress

Ravanelli N, Barry H, Schlader ZJ, Gagnon D

Experimental physiology · 27 citations

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
Independent funding
Government
Government of Canada
Government
Canada Foundation for Innovation
Government
Natural Sciences and Engineering Research Council of Canada
Grants
Government of Canada (RGPIN-2017-04243); Canada Foundation for Innovation (35775)

Based on 3 listed funder(s).

Publication

Published
2020-06-04 · Exp Physiol · vol. 106 · issue 1 · pp. 269–281
Publisher
Wiley
Cited
32 citations · more than 90% of similar papers · 2.4× the field average
References
77 works
Access
Paywalled
Research areas
Thermoregulation and physiological responses · Climate Change and Health Impacts · Thermal Regulation in Medicine
Keywords
Acclimatization, Renal function, Heat stress, Urine, Creatinine, Chemistry, Albuminuria, Internal medicine, Medicine, Endocrinology, Animal science, Biology, Ecology
MeSH
kidney, kidney glomerulus, humans, heat stress disorders, sodium, exercise, hyperthermia, induced, acclimatization, heat-shock response, adult, female, male, young adult

4 authors

From CA, US

  • Nicholas RavanelliMontreal Heart Institute; Université de Montréal
  • Hadiatou BarryMontreal Heart Institute; Université de Montréal
  • Zachary J. SchladerIndiana University Bloomington
  • Daniel Gagnon · correspondingMontreal Heart Institute; Université de Montréal

Abstract

New findings

What is the central question of this study? Does passive heat acclimation alter glomerular filtration rate and urine-concentrating ability in response to passive heat stress? What is the main finding and its importance? Glomerular filtration rate remained unchanged after passive heat stress, and heat acclimation did not alter this response. However, heat acclimation mitigated the reduction in urine-concentrating ability and reduced the incidence of albuminuria in young healthy adults after passive heat stress. Collectively, these results suggest that passive heat acclimation might improve structural integrity and reduce glomerular permeability during passive heat stress.

Abstract

Little is known about the effect of heat acclimation on kidney function during heat stress. The purpose of this study was to determine the impact of passive heat stress and subsequent passive heat acclimation on markers of kidney function. Twelve healthy adults (seven men and five women; 26 ± 5 years of age; 72.7 ± 8.6 kg; 172.4 ± 7.5 cm) underwent passive heat stress before and after a 7 day controlled hyperthermia heat acclimation protocol. The impact of passive heat exposure on urine and serum markers of kidney function was evaluated before and after heat acclimation. Glomerular filtration rate, determined from creatinine clearance, was unchanged with passive heat stress before (pre, 133 ± 41 ml min-1 ; post, 127 ± 51 ml min-1 ; P = 0.99) and after (pre, 129 ± 46 ml min-1 ; post, 130 ± 36 ml min-1 ; P = 0.99) heat acclimation. The urine-to-serum osmolality ratio was reduced after passive heating (P -1 ; post, 0.40 ± 1.01 ml min-1 ; P -1 ; post, 0.76 ± 1.2 ml min-1 ; P = 0.11) heat acclimation. Furthermore, passive heating increased the fractional excretion rate of potassium (P < 0.03) but not sodium (P = 0.13) or chloride (P = 0.20). Lastly, heat acclimation reduced the fractional incidence of albuminuria after passive heating (before, 58 ± 51%; after, 8 ± 29%; P = 0.03). Collectively, these results demonstrate that passive heat stress does not alter the glomerular filtration rate. However, heat acclimation might improve urine-concentrating ability and filtration within the glomerulus.

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

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