Evidence map›Paper›PMID 22872657›Full record

Trial reportExperimental physiology2013

Sweat loss during heat stress contributes to subsequent reductions in lower-body negative pressure tolerance.

Rebekah A I Lucas, Matthew S Ganio, James Pearson, Craig G Crandall

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Experimental physiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Hypercapnia-induced increases in cerebral blood flow do not improve lower body negative pressure tolerance during hyperthermia.American journal of physiology. Regulatory, integrative and comparative physiology · 2013
    Trial
  7. Article
  8. Article
  9. Article
  10. Acute fasting reduces tolerance to progressive central hypovolemia in humans.Journal of applied physiology (Bethesda, Md. : 1985) · 2024
    Article
  11. Article
  12. Review
  13. Impact of environmental stressors on tolerance to hemorrhage in humans.American journal of physiology. Regulatory, integrative and comparative physiology · 2019
    Article
  14. Hemostatic responses to exercise, dehydration, and simulated bleeding in heat-stressed humans.American journal of physiology. Regulatory, integrative and comparative physiology · 2019
    Article
  15. Review
  16. Article
  17. Article
  18. Plasma hyperosmolality improves tolerance to combined heat stress and central hypovolemia in humans.American journal of physiology. Regulatory, integrative and comparative physiology · 2017
    Article
  19. Article
  20. Mechanisms of orthostatic intolerance during heat stress.Autonomic neuroscience : basic & clinical · 2016
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Rebekah A I LucasInstitute for Exercise and Environmental Medicine, Texas Health Presbyterian Hospital, Dallas, TX 75231, USA.
Matthew S Ganio
James Pearson
Craig G Crandall
Southwestern Medical Center · USPresbyterian Hospital · USThe University of Texas Southwestern Medical Center · US

Funding

Exercise in Burn Survivors - Administrative Supplement for EquipmentR01GM068865 · NIGMS · UT SOUTHWESTERN MEDICAL CENTER · PI CRANDALL, CRAIG G · 2003 to 2023
$7.0M
HYPERTHERMIA EFFECTS ON HUMAN BAROFLEX FUNCTIONR01HL061388 · NHLBI · UT SOUTHWESTERN MEDICAL CENTER · PI CRANDALL, CRAIG G · 1999 to 2011
$2.4M
NHLBI NIH HHS R01 HL061388NIGMS NIH HHS R01 GM068865
6 · The paper itself

Abstract

The contribution of sweating to heat stress-induced reductions in haemorrhagic tolerance is not known. This study tested the hypothesis that fluid loss due to sweating contributes to reductions in simulated haemorrhagic tolerance in conditions of heat stress. Eight subjects (35 ± 8 years old; 77 ± 5 kg) underwent a normothermic time control and two heat stress trials (randomized). The two heat stress trials were as follows: (i) with slow intravenous infusion of lactated Ringer solution sufficient to offset sweat loss (IV trial); or (ii) without intravenous infusion (dehydration; DEH trial). Haemorrhage was simulated via progressive lower-body negative pressure (LBNP) to presyncope after core body (intestinal) temperature was raised by ~1.5 °C using a water-perfused suit or a normothermic time control period. The LBNP tolerance was quantified via a cumulative stress index. Middle cerebral artery blood velocity (transcranial Doppler) and mean blood pressure (Finometer®) were measured continuously. Relative changes in plasma volume were calculated from haematocrit and haemoglobin. Increases in core body temperature and sweat loss (~1.6% body mass deficit) were similar (P > 0.05) between heat stress trials. Slow intravenous infusion (1.2 ± 0.3 litres) prevented heat-induced reductions in plasma volume (IV trial, -0.6 ± 6.1%; and DEH trial, -6.6 ± 5.1%; P = 0.01). Intravenous infusion improved LBNP tolerance (632 ± 64 mmHg min) by ~20% when compared with the DEH trial (407 ± 117 mmHg min; P = 0.01), yet tolerance remained 44% lower in the IV trial relative to the time control normothermic trial (1138 ± 183 mmHg min; P < 0.01). These data indicate that although sweat-induced dehydration impairs simulated haemorrhagic tolerance, this impairment is secondary to the negative impact of heat stress itself.

Indexed as

Blood PressureHeat-Shock ResponseSweatingAdultAnalysis of VarianceBiomarkersBlood Flow VelocityCerebrovascular CirculationDehydrationFemaleFluid TherapyHeat Stress DisordersHematocritHemoglobinsHemorrhageHomeostasisBiomarkersHemoglobinsIsotonic SolutionsRinger's Lactate

Identifiers

PMID22872657
PMCPMC4959267
OpenAlexW1899598082

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.