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J Physiol Volume 568, Number 2, 689-698, October 15, 2005 DOI: 10.1113/jphysiol.2005.090530
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Transient cutaneous vasodilatation and hypotension after drinking in dehydrated and exercising men

Yoshi-Ichiro Kamijo1, Tadashi Okumoto1, Yoshiaki Takeno1, Kazunobu Okazaki1, Mitsuharu Inaki1, Shizue Masuki1 and Hiroshi Nose1

1 Department of Sports Medical Sciences, Institute of Aging and Adaptation, Shinshu University Graduate School of Medicine, Matsumoto 390-8621, Japan

We examined whether oropharyngeal stimulation by drinking released the dehydration-induced suppression of cutaneous vasodilatation and decreased mean arterial pressure (MAP) in exercising subjects, and assessed the effects of hypovolaemia or hyperosmolality alone on these responses. Seven young males underwent four hydration conditions. These were two normal plasma volume (PV) trials: normal plasma osmolality (Posmol, control trial) and hyperosmolality ({Delta}Posmol = +11 mosmol (kg H2O)–1); and two low PV trials: isosmolality ({Delta}PV = –310 ml) and hyperosmolality ({Delta}PV = –345 ml; {Delta}Posmol = +9 mosmol (kg H2O)–1), attained by combined treatment with furosemide (frusemide), hypertonic saline and/or 24 h water restriction. In each trial, the subjects exercised at 60% peak aerobic power for ~50 min at 30°C atmospheric temperature and 50% relative humidity. When oesophageal temperature (Toes) reached a plateau after ~30 min of exercise, the subjects drank 200 ml water at 37.5°C within a minute. Before drinking, forearm vascular conductance (FVC), calculated as forearm blood flow divided by MAP, was lowered by 20–40% in hypovolaemia, hyperosmolality, or both, compared with that in the control trial, despite increased Toes. After drinking, FVC increased by ~20% compared with that before drinking (P < 0.05) in both hyperosmotic trials, but it was greater in normovolaemia than in hypovolaemia (P < 0.05). However, no increases occurred in either isosmotic trial. MAP fell by 4–8 mmHg in both hyperosmotic trials (P < 0.05) after drinking, but more rapidly in normovolaemia than in hypovolaemia. PV and Posmol did not change during this period. Thus, oropharyngeal stimulation by drinking released the dehydration-induced suppression of cutaneous vasodilatation and reduced MAP during exercise, and this was accelerated when PV was restored.

(Received 14 May 2005; accepted after revision 18 August 2005; first published online 25 August 2005)
Corresponding author H. Nose: Department of Sports Medical Sciences, Institute of Aging and Adaptation, Shinshu University Graduate School of Medicine, Asahi 3-1-1, Matsumoto 390-8621, Japan. Email: nosehir{at}sch.md.shinshu-u.ac.jp




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