RSS-Feed abonnieren
DOI: 10.1055/s-2004-819934
© Georg Thieme Verlag KG Stuttgart · New York
Attenuated ANF Response to Exercise in Athletes with Exercise-Induced Hypoxemia
Publikationsverlauf
Accepted after revision: June 30, 2003
Publikationsdatum:
26. Mai 2004 (online)

Abstract
Some highly trained endurance athletes develop an exercise-induced hypoxemia (EIH) at least partially due to a hemodynamic factor with a potential stress failure on pulmonary capillaries. Atrial natriuretic factor (ANF) is a pulmonary vasodilatator and its release during exercise could be reduced with endurance training. We hypothesized that athletes exhibiting EIH, who have a greater training volume than non-EIH athletes, have a reduced ANF release during exercise explaining the pathophysiology of EIH. Ten highly trained EIH-athletes (HT-EIH), ten without EIH (HT-nEIH), and nine untrained (UT) males performed incremental exercise to exhaustion. No between group differences occurred in resting ANF plasma levels. In contrast to HT-nEIH and UT (p < 0.05), HT-EIH showed a smaller increase in ANF concentration between rest and maximal exercise (HT-EIH: 8.12 ± 0.69 vs. 14.1 ± 1.86 pmol × l-1; HT-nEIH: 10.46 ± 1 vs. 18.7 ± 1.8 pmol × l-1; UT: 6.23 ± 0.95 vs. 20.38 ± 2.79 pmol × l-1). During the recovery, ANF levels decreased significantly in HT-nEIH and UT groups (p < 0.05). Electrolyte values increased in all groups during exercise but were higher in both trained groups. In conclusion, this study suggested that ANF response to exercise may be important for exercise-induced hypoxemia.
Key words
Exercise-induced hypoxemia - atrial natriuretic factor - gas exchange
References
- 1 Adnot S, Chabrier D, Andrivet P, Viossat I, Piquet J, Brun-Bouissou C. Atrial natriuretic peptide concentrations and pulmonary hemodynamics in patients with pulmonary artery hypertension. Am Rev Respir Dis. 1987; 136 951-956
-
2 Anthonisen N, Fleetham J. Ventilation: total, alveolar, and dead space.
In: Handbook of Physiology. Section 3, The respiratory system. Vol IV, Gas exchange. Am Physiol Soc 1987: 113-129 - 3 Anversa P, Ricci R, Olivetti G. Effects of exercise on the capillary vasculature of the heart. Circulation. 1987; 75 S1-12
- 4 Azizi C, Bouissou P, Galen F X, Lattion A L, Lartigue M, Carayon A. Alterations in atrial natriuretic peptide gene expression during endurance training in rats. Eur J Endocrinol. 1995; 133 361-365
- 5 Bates E, Schenker Y, Grekin R. The relationship between plasma levels of immunoreactive atrial natriuretic hormone and hemodynamic function in man. Circulation. 1986; 73 1155-1161
- 6 Bolli P, Mueller F, Linder L. The vasodilatator potency of atrial natriuretic peptide in man. Circulation. 1987; 75 221-228
- 7 Brenner B, Ballermann B, Gunning M, Zeidel M. Diverse biological actions of atrial natriuretic peptide. Physiol Rev. 1990; 70 665-698
- 8 Caillaud C, Serre-Cousiné O, Anselme F. Computerized tomography and pulmonary diffusing capacity in highly trained athletes after performing a triathlon. J Appl Physiol. 1995; 79 1226-1232
- 9 Caillaud C, Anselme F, Préfaut C. Effects of two successive maximal exercise tests on pulmonary gas exchange in athletes. Eur J Appl Physiol. 1996; 74 141-147
- 10 Chwalbinska-Moneta J, Hanninem O. Effect of active warming-up on the termoregulatory, circulatory, and metabolic response to incremental exercise in endurance-trained athletes. Int J Sports Med. 1989; 10 25-29
- 11 Convertino V. Blood volume: its adaptation to endurance training. Med Sci Sports Exerc. 1991; 23 1338-1348
- 12 Convertino V, Keil L, Bernauer E, Greenleaf J. Plasma volume, osmolality, vasopressin and renin activity during graded exercise in man. J Appl Physiol. 1981; 50 123-128
- 13 Cosby R, Sophocles A, Durr J, Perrinjaquet C, Yee B, Schrier R. Elevated plasma atrial natriuretic factor and vasopressin in high-altitude pulmonary edema. Ann Int Med. 1988; 109 796-799
- 14 Dempsey J A, Hanson P, Hendersen K. Exercise induced arterial hypoxemia in healthy human subjects at sea level. J Appl Physiol. 1984; 355 161-175
- 15 Durand F, Mucci P, Safont L, Préfaut C. Effects of nitric oxide inhalation on pulmonary gas exchange during exercise in highly trained athletes. Acta Physiol Scand. 1999; 165 169-176
- 16 Durand F, Mucci P, Préfaut C. Evidence for an inadequate hyperventilation inducing arterial hypoxemia at submaximal exercise in all highly trained endurance athletes. Med Sci Sports Exerc. 2000; 32 926-932
- 17 Fareh J, Gabrion J, Herbute S, Gauquelin G, Gutkowska J, Gharib C. Heart and plasma atrial natriuretic peptide (ANP) in response to long-term endurance training in rats. Peptides. 1992; 13 355-363
- 18 Fellman N. Hormonal and plasma volume alterations following endurance exercise. Sports Med. 1992; 13 37-49
- 19 Freund B, Claybaugh J, Dice M, Hashiro G. Hormonal and vascular fluid responses to maximal exercise in trained and untrained males. J Appl Physiol. 1987; 63 669-675
- 20 Hanel B, Teunissen I, Rabol A, Warberg J, Secher N H. Restricted postexercise pulmonary diffusion in capacity and central blood volume depletion. J Appl Physiol. 1997; 83 11-17
- 21 Harms C, Mc C laran, Nickele G, Pegelow D, Nelson W, Dempsey J. Effect of exercise-induced arterial O2 desaturation on VO2max in women. Med Sci Sports Exerc. 2001; 32 1101-1108
- 22 Holmgreen A, McIlroy M B. Effect of body temperature on arterial blood gas tensions and pH during exercise. Respir Physiol. 1991; 83 143-154
- 23 Hughes A, Nielsen H, Thom S, Martin G, Sever P. The effect of atrial natriuretic peptide on human blood vessels. J Hypertension. 1987; 5 551-553
- 24 Kokonnen U M, Hackzell M, Rasanen L A. Plasma atrial natriuretic peptide in standardbred and finnhorses trotters during and after exercise. Acta Physiol Scand. 1995; 154 51-58
- 25 Lehmann M, Dickhuth H, Schmid P, Porzig H, Keul J. Plasma catecholamines, beta-adrenergic receptors, and isoproterenol sensitivity in endurance trained and non-endurance trained volunteers. Eur J Appl Physiol Occup Physiol. 1984; 52 362-369
- 26 Lordick F, Hauck R, Senekowitsch R, Emslander H. Atrial natriuretic peptide in acute hypoxia-exposed healthy subjects and in hypoxaemic patients. Eur Respir J. 1995; 8 216-221
- 27 Mucci P, Anselme-Poujol F, Caillaud C, Couret I, Rossi M, Prefaut C. Basophil releasability in young highly trained and older athletes. Med Sci Sports Exerc. 1999; 31 507-513
- 28 Mucci P, Durand F, Lebel B, Bousquet J, Prefaut C. Interleukins 1-beta, -8 and histamine increases in highly trained, exercising athletes. Med Sci Sports Exerc. 2000; 32 1094-1100
- 29 Mucci P, Durand F, Lebel B, Bousquet J, Prefaut C. Basophils and exercise-induced hypoxemia in extreme athletes. J Appl Physiol. 2001; 90 989-996
- 30 Petzl D, Hartter E, Glogar D, Rimpfl T, Woloszczuk W, Haber P. Characteristics of human atrial natriuretic peptide release during exercise in normal persons, cardiac patients, and endurance-trained athletes. In: Brenner BM, Laragh JH (eds) American Society of Hypertension Series. Vol 2: Biologically active atrial peptides. New York: Raven Press 1989: 471-474
- 31 Pluim B M, Zwinderman A, van der Laarse A, van der Wall E. The athlete’s heart. A meta-analysis of cardiac structure and function. Circulation. 2000; 101 336-344
- 32 Prefaut C, Bourgouin Karaouni D, Ramonatxo M, Michel F B, Macabies J. A one-year double-blind follow-up of blood gas tensions and haemodynamics in almitrine bismesylate therapy. Eur Resp J. 1988; 1 41-50
- 33 Préfaut C, Anselme-Poujol F, Caillaud C. Inhibition of histamine release by nedocromil sodium reduces exercise-induced hypoxemia in master athletes. Med Sci Sports Exerc. 1997; 29 10-16
- 34 Rogers P, Tyce G, Bailey K, Bove A. Exercise-induced increases in atrial natriuretic factor are attenuated by endurance training. J Am Coll Cardiol. 1991; 18 1236-1241
- 35 Ruskoaho H. Atrial natriuretic peptide: synthesis, release, and metabolism. Pharmacol Rev. 1992; 44 479-602
- 36 Saito Y, Kazuma N, Sugawara A, Nishimura K. Atrial natriuretic polypeptide during exercise in healthy man. Acta Endocrinol. 1987; 116 59-65
- 37 Schaffartzik W, Arcos J, Tsukimoto K, Mathieu-Costello O, Wagner P D. Pulmonary interstitial edema in the pig after heavy exercise. J Appl Physiol. 1993; 75 2535-2540
- 38 Shenker Y, Sider R, Ostafin E, Grekin R. Plasma levels of immunoreactive ANF in healthy subjects and patients with edema. J Clin Invest. 1985; 76 1684-1687
- 39 Schmidt W, Brabant G, Kröger C, Strauch S, Hilgendorf A. Atrial natriuretic peptide during and after maximal and submaximal exercise under normoxic and hypoxic conditions. Eur J Appl Physiol. 1990; 61 398-407
- 40 Toft E, Ernst E, Espersen G, Kalund S. Plasma atrial natriuretic peptide in elite runners. Int J Sports Med. 1990; 11 215-217
- 41 Young M, Sciurba F, Rinaldo J. Delirium and pulmonary edema after completing a marathon. Am Rev Respir Dis. 1987; 136 737-739
- 42 West J B, Mathieu-Costello O. Stress failure of pulmonary capillaries as a limiting factor for maximal exercise. Eur J Appl Physiol. 1995; 70 99-108
- 43 Whipp B, Wasserman K. Effect of body temperature on the ventilatory response to exercise. Respir Physiol. 1970; 8 354-360
F. Durand
Laboratoire Sport Santé Altitude · Département STAPS
66120 Font-Romeu · France
Telefon: +33 468 308 074
Fax: +33 468 308 076
eMail: fdurand@univ-perp.fr