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INTRODUCTION
Space flight induces a cardiovascular deconditioning syndrome [1]. One of the most important symptoms of such state is a
decrease in orthostatic tolerance, along with significantly reduced exercise capacity and an increase of heart rate [2].
Hypovolemia, hormonal changes and vascular dysfunctions are associated with cardiovascular deconditioning [3]. Dry
immersion is one of the ground-based models of space environment inducing cardiovascular deconditioning.
HYPOTHESIS
Exposure to 7 days of dry immersion provides changes in cardiovascular system similar to those after head-down bed rest
and induces microcirculatory dysfunction at the skin level.
METHODS
Subjects: 8 healthy male volunteers. Their age, body height and usual weight were 22.9±0.5 years old, 175.4±2.8 cm and
75.5±4.2 kg, respectively. The experiments were performed at the IBMP, Moscow.
- Microcirculation at the calf skin level was studied by laser Doppler flowmetry (Periflux PF4001, Perimed, Sweden)
in supine position and during 10 minutes stand test before (day –1) and after (recovery day +2) dry immersion.
- Plasma volume variations were evaluated by Dill and Costil method on day -2 (basal level), during immersion
(days 3 and 5) and after immersion (recovery day +4).
- The level of urinary catecholamines was assessed daily from the day -1 up to the recovery day +2 .
RESULTS
urinary normetanephrine
skin blood flow changes in plasma volume (%)
*
1,5
Dill and Costil method
µmol/24h
50 supine
1,0
40 standing 20 0,5
delta plasma
LDF (AU)
volume (%)
30 10 0,0
0 D-1 D1 D2 D3 D4 D5 D6 D7 R1 R2
20
10
* -10
-20 urinany norepinephrine
0 -30
50
delta D3-D-2 delta D5-D-2 delta R4-D-2 40
D-1 R2
µg/24h
means±SEM
*
* p<0.05 vs D-1
30
means±SEM
20
10
DISCUSSION
The results obtained confirm that dry immersion induces microcirculatory dysfunction at the skin level.
The enhanced sympathetic activity might participate in the increased vasoconstriction at the skin level after dry immersion.
ACKNOWLEDGMENTS, GRANTS
Authors thank the volunteers for their enthusiastic participation and the team of Pr. Inessa Benedictovna Kozlovskaya and
Pr. Irina Mikhailovna Larina for organisation of this experiment in IBMP.
This research was supported by CNES, CNRS and IBMP.
REFERENCES 1. Bungo, M.W., Charles, J.B. & Johnson, P.C. Cardiovascular deconditioning during space flght and the use of saline as a countermeasure to orthostatic intolerance. Aviat Space Environ Med 56: 985-990, 1995.
2. Buckey, J.C., Jr, Lane L.D., Levine B.D., Watenpaugh D.E., Wright S.J., Moore W.E., Gaffney F.A., and Blomqvist C.G. Orthostatic intolerance after spaceflight. J Appl Physiol 81: 7-18, 1996
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4. Shulzhenko, Eu.B., Vil-Vilyams, I.F., Simulation of the human body deconditioning with the method of “dry” immersion. Xth K.E. Tziolkovski readings, pp 39-47, 1975.
5. Millet C., Custaud M.-A., Maillet A., Allevard A.M., Duvareille M., Gauquelin-Koch G., Gharib C., Fortrat J.-O. Endocrine responses to 7 days of head-down bed rest and orthostatic tests in men and women. Clin Physiol 21(2):172-83, 2001.
6. Pavy-Le Traon A., Maillet A., Vasseur Clausen P., Custaud M.-A., Alferova I., Gharib C., Fortrat J.-O. Clinical effects of thigh cuffs during a 7-day 6 degrees head-down bed rest. Acta Astronaut.,49(3-10):145-51, 2001.