ALBERT

Description: In order to evaluate the benefits of periodic exposure to the +G(z) vector as a countermeasure to the physiological responses to minus 6 degree head down bedrest (HDT), we considered a two-tiered approach: (a) to use 4 days HDT as a quick and inexpensive means of screening countermeasures, (b) to use a 60 day HDT to validate the most promising candidates. The approach and results of a 4 day study are described here. Methods: Nine males were admitted to our Human Research Facility for one ambulatory control day followed by 4 days HDT and were released on the next day after completion of a peak oxygen consumption test (VO(sub 2 peak)). A battery of tests was selected and standardized to evaluate the known early effects of HDT on plasma volume, early bone markers, orthostatic tolerance, physical performance, and fluid and electrolytes and their hormone regulation. Fluid sodium (Na) and potassium (K) intake and output in the urine were monitored throughout. Plasma volume was determined with a modified Evans Blue method and orthostatic tolerance with a 60 degree head-up tilt test for 30 minutes - both of which were determined on the ambulatory control day and on day 4 of HDT. Immediately after completion of the tilt test subjects were returned to the minus 6 degree position until the next morning when a VO(sub 2 peak) (horizontal ergometer) was done. This was compared to a similar control test determined on 2 separate occasions before subject admission. Results: Four hours after going HDT produced significant decreases (p less than 0.05) in the circulating concentration of fluid and electrolyte regulating hormones. Plasma volume, orthostatic tolerance and VO(sub 2 peak) changed significantly after 4 days HDT. There was also the expected natriuresis on day 1 of HDT but no significant diuresis. The consistency of the pre-bedrest VO(sub 2 peak) tilt tests and plasma volumes was remarkable. Conclusions: The 4 day HDT model seems highly promising for screening a variety of countermeasures alone and in combination before validating their benefits in extended bedrest or flight experiments.

Description: The cardiovascular aspect of bedrest deconditioning is manifested by decreases in peak O2 uptake (VO(sub 2 peak)) during minimal exercise. The effect of intermittent standing (+G(z)) or walking (+G(z)W) during 4 days of 7 degree Head Down Tilt bedrest (HDT) on VO(sub 2 peak) was evaluated. Methods: Five protocols were performed by eight male subjects; control (C) consisting of complete bedrest, and 15 minute periods to total 2 or 4 hours daily of standing (+G(z)(exp 2) and +G(z)(exp 4) respectively) or walking at 3.0 MPH (+G(z)W2 and +G(z)W4 respectively). Subjects performed VO(sub 2 peak) tests prior to and on the final day of HDT. VO(sub 2 peak) was determined using open circuit indirect calorimetry during supine leg cycling ergometry. After a 5 minute warmup, three 2 minute incremental loads of 33 W previously determined to elicit VO(sub 2 peak) were given and the subject cycled to volitional fatigue. Results: The C protocol VO(sub 2 peak) decreased by 16 percent (2.71 plus or minus 0.16 to 2.27 plus or minus 0.14 L/min) and 11 percent in +G(z)(exp 4) (2.72 plus or minus 0.15 to 2.43 plus or minus 0.14 L/min). With +G(z)W2 VO(sub 2 peak) decreased by 9 percent (2.71 plus or minus 0.17 to 2.46 plus or minus 0.14 L/min) and with +G(z)W4, VO(sub 2 peak) decreased by 10 percent (2.71 plus or minus 0.14 to 2.43 plus or minus 0.14 L/min). VO(sub 2 peak) in all protocols decreased with HDT (P less than 0.05). The decrease in C VO(sub 2 peak) was significantly greater (P less than 0.05) than the decreases in either +G(z) or +G(z)W protocols. Conclusion: The deconditioning that occurs after only 4 days of HDT was demonstrated by decreases in VO(sub 2 peak). Intermittent +G(z) or +G(z)W attenuated, but did not prevent, the decrease in VO(sub 2 peak) with HDT.

Description: Results are presented from a study to determine whether or not short-term variable intensity isotonic and intermittent high-intensity isokinetic short-duration leg exercise is effective for the maintenance of peak O2 (VO2) uptake and muscular strength and endurance, respectively, during 30 days of -6 deg head-down bed rest deconditioning. The results show no significant changes in leg peak torque, leg mean total work, arm total peak torque, or arm mean total work for members of the isotonic, isokinetic, and controls groups. Changes are observed, however, in peak VO2 levels. The results suggest that near-peak variabile intensity, isotonic leg excercise maintains peak VO2 during 30 days of bed rest, while peak intermittent, isokinetic leg excercise protocol does not.