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Operation Everest III: role of plasma volume expansion on VO2max during prolonged high-altitude exposure

1  Ecole Nationale de Ski et d'alpinisme, 74401 Chamonix; 2  Association pour la Recherche en Physiologie de l'Environnement, 93017 Bobigny; 3  Laboratoire de Physiologie, hôpital Necker, 75015 Paris; 4  Laboratoire de Biochimie, hôpital Jean Verdier, 93140 Bondy; and 5  COMEX S.A., 13275 ...

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Published in:Journal of applied physiology (1985) 2000-07, Vol.89 (1), p.29-37
Main Authors: Robach, Paul, Dechaux, Michele, Jarrot, Sebastien, Vaysse, Jenny, Schneider, Jean-Christophe, Mason, Nicholas P, Herry, Jean-Pierre, Gardette, Bernard, Richalet, Jean-Paul
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container_title Journal of applied physiology (1985)
container_volume 89
creator Robach, Paul
Dechaux, Michele
Jarrot, Sebastien
Vaysse, Jenny
Schneider, Jean-Christophe
Mason, Nicholas P
Herry, Jean-Pierre
Gardette, Bernard
Richalet, Jean-Paul
description 1  Ecole Nationale de Ski et d'alpinisme, 74401 Chamonix; 2  Association pour la Recherche en Physiologie de l'Environnement, 93017 Bobigny; 3  Laboratoire de Physiologie, hôpital Necker, 75015 Paris; 4  Laboratoire de Biochimie, hôpital Jean Verdier, 93140 Bondy; and 5  COMEX S.A., 13275 Marseille, France We hypothesize that plasma volume decrease ( PV) induced by high-altitude (HA) exposure and intense exercise is involved in the limitation of maximal O 2 uptake ( O 2 max ) at HA. Eight male subjects were decompressed for 31 days in a hypobaric chamber to the barometric equivalent of Mt. Everest (8,848 m). Maximal exercise was performed with and without plasma volume expansion (PVX, 219-292 ml) during exercise, at sea level (SL), at HA (370   mmHg, equivalent to 6,000 m after 10-12 days) and after return to SL (RSL, 1-3 days). Plasma volume (PV) was determined at rest at SL, HA, and RSL by Evans blue dilution. PV was decreased by 26% ( P  
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Eight male subjects were decompressed for 31 days in a hypobaric chamber to the barometric equivalent of Mt. Everest (8,848 m). Maximal exercise was performed with and without plasma volume expansion (PVX, 219-292 ml) during exercise, at sea level (SL), at HA (370   mmHg, equivalent to 6,000 m after 10-12 days) and after return to SL (RSL, 1-3 days). Plasma volume (PV) was determined at rest at SL, HA, and RSL by Evans blue dilution. PV was decreased by 26% ( P  &lt; 0.01) at HA and was 10% higher at RSL than at SL. Exercise-induced PV was reduced both by PVX and HA ( P  &lt; 0.05). Compared with SL, O 2 max was decreased by 58 and 11% at HA and RSL, respectively. O 2 max was enhanced by PVX at HA (+9%, P  &lt; 0.05) but not at SL or RSL. The more PV was decreased at HA, the more O 2 max was improved by PVX ( P  &lt; 0.05). At exhaustion, plasma renin and aldosterone were not modified at HA compared with SL but were higher at RSL, whereas plasma atrial natriuretic factor was lower at HA. The present results suggest that PV contributes to the limitation of O 2 max during acclimatization to HA. RSL-induced PVX, which may be due to increased activity of the renin-aldosterone system, could also influence the recovery of O 2 max . hypoxia; blood volume; plasma lactate; gas exchange</description><identifier>ISSN: 8750-7587</identifier><identifier>EISSN: 1522-1601</identifier><identifier>PMID: 10904032</identifier><identifier>CODEN: JAPHEV</identifier><language>eng</language><publisher>Bethesda, MD: Am Physiological Soc</publisher><subject>Altitude ; Applied physiology ; Biological and medical sciences ; Blood ; Human physiology applied to population studies and life conditions. Human ecophysiology ; Medical sciences ; Oxygen ; Plasma ; Transports. Aerospace. Diving. 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Eight male subjects were decompressed for 31 days in a hypobaric chamber to the barometric equivalent of Mt. Everest (8,848 m). Maximal exercise was performed with and without plasma volume expansion (PVX, 219-292 ml) during exercise, at sea level (SL), at HA (370   mmHg, equivalent to 6,000 m after 10-12 days) and after return to SL (RSL, 1-3 days). Plasma volume (PV) was determined at rest at SL, HA, and RSL by Evans blue dilution. PV was decreased by 26% ( P  &lt; 0.01) at HA and was 10% higher at RSL than at SL. Exercise-induced PV was reduced both by PVX and HA ( P  &lt; 0.05). Compared with SL, O 2 max was decreased by 58 and 11% at HA and RSL, respectively. O 2 max was enhanced by PVX at HA (+9%, P  &lt; 0.05) but not at SL or RSL. The more PV was decreased at HA, the more O 2 max was improved by PVX ( P  &lt; 0.05). At exhaustion, plasma renin and aldosterone were not modified at HA compared with SL but were higher at RSL, whereas plasma atrial natriuretic factor was lower at HA. The present results suggest that PV contributes to the limitation of O 2 max during acclimatization to HA. RSL-induced PVX, which may be due to increased activity of the renin-aldosterone system, could also influence the recovery of O 2 max . hypoxia; blood volume; plasma lactate; gas exchange</description><subject>Altitude</subject><subject>Applied physiology</subject><subject>Biological and medical sciences</subject><subject>Blood</subject><subject>Human physiology applied to population studies and life conditions. Human ecophysiology</subject><subject>Medical sciences</subject><subject>Oxygen</subject><subject>Plasma</subject><subject>Transports. Aerospace. Diving. 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Eight male subjects were decompressed for 31 days in a hypobaric chamber to the barometric equivalent of Mt. Everest (8,848 m). Maximal exercise was performed with and without plasma volume expansion (PVX, 219-292 ml) during exercise, at sea level (SL), at HA (370   mmHg, equivalent to 6,000 m after 10-12 days) and after return to SL (RSL, 1-3 days). Plasma volume (PV) was determined at rest at SL, HA, and RSL by Evans blue dilution. PV was decreased by 26% ( P  &lt; 0.01) at HA and was 10% higher at RSL than at SL. Exercise-induced PV was reduced both by PVX and HA ( P  &lt; 0.05). Compared with SL, O 2 max was decreased by 58 and 11% at HA and RSL, respectively. O 2 max was enhanced by PVX at HA (+9%, P  &lt; 0.05) but not at SL or RSL. The more PV was decreased at HA, the more O 2 max was improved by PVX ( P  &lt; 0.05). At exhaustion, plasma renin and aldosterone were not modified at HA compared with SL but were higher at RSL, whereas plasma atrial natriuretic factor was lower at HA. The present results suggest that PV contributes to the limitation of O 2 max during acclimatization to HA. RSL-induced PVX, which may be due to increased activity of the renin-aldosterone system, could also influence the recovery of O 2 max . hypoxia; blood volume; plasma lactate; gas exchange</abstract><cop>Bethesda, MD</cop><pub>Am Physiological Soc</pub><pmid>10904032</pmid><tpages>9</tpages></addata></record>
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source American Physiological Society Journals; American Physiological Society:Jisc Collections:American Physiological Society Journals ‘Read Publish & Join’ Agreement:2023-2024 (Reading list)
subjects Altitude
Applied physiology
Biological and medical sciences
Blood
Human physiology applied to population studies and life conditions. Human ecophysiology
Medical sciences
Oxygen
Plasma
Transports. Aerospace. Diving. Altitude
title Operation Everest III: role of plasma volume expansion on VO2max during prolonged high-altitude exposure
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