The effects of glycerol ingestion (GEH) on hydration and subsequent cycle ergometer submaximal load exercise were examined in well conditioned subjects. We hypothesized that GEH would reduce physiologic strain and increase endurance. The purpose of Study I (n = 11) was to determine if pre-exercise GEH (1.2 gm/kg glycerol in 26 ml/kg solution) compared to pre-exercise placebo hydration (PH) (26 ml/kg of aspartame flavored water) lowered heart rate (HR), lowered rectal temperature (Tc), and prolonged endurance time (ET) during submaximal load cycle ergometry. The purpose of Study II (n = 7) was to determine if the same pre-exercise regimen followed by carbohydrate oral replacement solution (ORS) during exercise also lowered HR, Tc, and prolonged ET. Both studies were double-blind, randomized, crossover trials, performed at an ambient temperature of 23.5-24.5 degrees C, and humidity of 25-27%. Mean HR was lower by 2.8 +/- 0.4 beats/min (p = 0.05) after GEH in Study I and by 4.4 +/- 1.1 beats/min (p = 0.01) in Study II. Endurance time was prolonged after GEH in Study I (93.8 +/- 14 min vs. 77.4 +/- 9 min, p = 0.049) and in Study II (123.4 +/- 17 min vs. 99.0 +/- 11 min, p = 0.03). Rectal temperature did not differ between hydration regimens in both Study I and Study II. Thus, pre-exercise glycerol-enhanced hyperhydration lowers HR and prolongs ET even when combined with ORS during exercise. The regimens tested in this study could potentially be adapted for endurance activities.

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To examine the ability of the skeletal muscle of congestive heart failure (CHF) patients to adapt to chronic exercise, five patients performed localized nondominant wrist flexor training for 28 d. Inorganic phosphate (Pi) and phosphocreatine (PCr) were monitored by magnetic resonance spectroscopy in both forearms at rest and during submaximal wrist flexion exercise at 6, 12, 24, and 36 J * min' before and after exercise training.Simultaneous measurements of limb blood flow were made by plethysmography at 12, 24, and 36 J * min'. Forearm muscle mass and endurance were measured by magnetic resonance imaging and wrist flexion exercise before and after training.The P1/PCr ratio and pH were calculated from the measured Pi and PCr. Exercise cardiac output, heart rate, plasma norepinephrine, and lactate measured during training were not elevated above resting values, confirming that training was localized to the forearm flexor muscles. After training, muscle bioenergetics, as assessed by the slope of the regression line relating P1/PCr to submaximal workloads, were improved in the trained forearm of each patient, although muscle mass, limb blood flow, and pH were unchanged. Forearm endurance increased by > 260% after training. In the dominant untrained forearm, none of the measured indices were affected. We conclude that localized forearm exercise training in CHF patients improves muscle energetics at submaximal workloads in the trained muscle, an effect which is independent of muscle mass, limb blood flow, or a central cardiovascular response during training. These findings indicate that peripheral muscle metabolic and functional abnormalities in CHF can be improved without altering cardiac performance. (J. Clin. Invest. 1990.

The high frequency of recurrent respiratory infections following "overtraining" in competitive athletes prompted this study to examine the effects of severe exercise on the mucosal immune response. A previous study from this laboratory demonstrated decreased salivary IgA levels after a 50-km national Nordic ski competition. To further elucidate the specific role of exercise rather than environmental conditions (e.g., cold), we studied competitive bicyclists under controlled laboratory conditions. Eight male bicyclists exercised at 70-75 percent of VO 2 max for two hours, and parotid saliva was collected immediately before and after, and 1,24 and 48 hours after exercise. Both salivary IgA and IgM levels decreased immediately after exercise (63 and 44 percent decreases, respectively), remained low for one hour, and returned to pre-exercise levels by 24 hours after exercise. Salivary IgG, serum IgA, IgG, and IgM levels, and serum antibodies to specific antigens were not changed after exercise, indicating a specific effect on secretory immunoglobulins. These results suggest that severe exercise may be a form of stress associated with changes in mucosal immunity.

Estimation of pulmonary exposure and dose in air pollution epidemiology has been impaired by the lack of methods for directly measuring ventilation in ambulatory subjects. Heart-rate monitoring offers an approach to estimate ventilation by using ventilation-on-heart-rate (VE-HR) regressions established during exercise testing to estimate ventilation in the field. Conventional methods and protocols for testing were used to evaluate the relationship between VE and HR during three tasks: (1) exercising on a cycle ergometer, (2) lifting, and (3) vacuuming. The relationship between VE and HR was curvilinear and was best fit with linear regression models, using a natural log transformation of VE. Considerable interindividual variability in slopes and intercepts was observed across all types of exercise tests. The variability about the fitted regression lines for individual subjects was minimal; for example, individual R2 values for the maximum exercise test on 15 men ranged from 0.90 to 0.99 (mean = 0.97). The regression slopes established during upper-body exercise were greater by approximately 30%, relative to those derived in lower-body exercise (paired t test, p < .001). However, VE-HR regression slopes derived from tests in which progressively increasing workloads were used were comparable to those obtained during variable and nonprogressive protocols. These findings indicate that predictive accuracy is maximized by deriving VE-HR regressions for individual subjects and for both lower- and upper-body activities.