4.5 Article

Lower-body negative pressure restores leg bone microvascular flow to supine levels during head-down tilt

期刊

JOURNAL OF APPLIED PHYSIOLOGY
卷 119, 期 2, 页码 101-109

出版社

AMER PHYSIOLOGICAL SOC
DOI: 10.1152/japplphysiol.00028.2015

关键词

bone microvascular flow; head-down tilt; spaceflight; photoplethysmography; oxygenation; limb girth

资金

  1. Wood Whelan Travel Fellowship
  2. National Space Biomedical Research Institute [NCC 9-58]
  3. NASA Grant [NNX13AJ12G]
  4. NASA [472426, NNX13AJ12G] Funding Source: Federal RePORTER

向作者/读者索取更多资源

Skeletal unloading and cephalic fluid shifts in microgravity may alter the bone microvascular flow and may be associated with the 1-2% bone loss per month during spaceflight. The purpose of this study was to determine if lower-body negative pressure (LBNP) can prevent microgravity-induced alterations of tibial microvascular flow. Head-down tilt (HDT) simulates the cephalad fluid shift and microvascular flow responses that may occur in microgravity. We hypothesized that LBNP prevents HDT-induced increases in tibial microvascular flow. Tibial bone microvascular flow, oxygenation, and calf circumference were measured during 5 min sitting, 5 min supine, 5 min 15 degrees HDT, and 10 min 15 degrees HDT with 25 mmHg LBNP using photoplethysmography (PPG), near-infrared spectroscopy (NIRS), and strain-gauge plethysmography (SGP). Measurements were made simultaneously. Tibial microvascular flow increased by 36% with 5 min 15 degrees HDT [2.2 +/- 1.1 V; repeated-measures ANOVA (RMANOVA) P < 0.0001] from supine (1.4 +/- 0.8 V). After 10 min of LBNP in the 15 degrees HDT position, tibial microvascular flow returned to supine levels (1.1 +/- 0.5 V; RMANOVA P < 0.001). Tibial oxygenation did not change significantly during sitting, supine, HDT, or HDT with LBNP. However, calf circumference decreased with 5 min 15 degrees HDT (-0.7 +/- 0.4 V; RMANOVA P < 0.0001) from supine (-0.5 +/- 0.4 V). However, with LBNP calf circumference returned to supine levels (-0.4 +/- 0.1 V; RMANOVA P = 0.002). These data establish that simulated microgravity increases tibial microvascular flow and LBNP prevents these increases. The results suggest that LBNP may provide a suitable countermeasure to normalize the bone microvascular flow during spaceflight.

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