CC BY-NC-ND 4.0 · Int J Sports Med 2023; 44(03): 177-183
DOI: 10.1055/a-1960-3407
Physiology & Biochemistry

Both Hypoxia and Hypobaria Impair Baroreflex Sensitivity but through Different Mechanisms

1   ISSUL, institute of sports sciences, Université de Lausanne, Lausanne, Switzerland
,
Mathias Rolland Aebi
1   ISSUL, institute of sports sciences, Université de Lausanne, Lausanne, Switzerland
2   Wissenschaft & Technologie, armasuisse, Thun, Switzerland
,
Bengt Kayser
1   ISSUL, institute of sports sciences, Université de Lausanne, Lausanne, Switzerland
,
Denis Bron
1   ISSUL, institute of sports sciences, Université de Lausanne, Lausanne, Switzerland
,
Gregoire P Millet
3   ISSUL, University of Lausanne, Lausanne, Switzerland
› Institutsangaben

Abstract

Baroreflex sensitivity (BRS) is a measure of cardiovagal baroreflex and is lower in normobaric and hypobaric hypoxia compared to normobaric normoxia. The aim of this study was to assess the effects of hypobaria on BRS in normoxia and hypoxia. Continuous blood pressure and ventilation were recorded in eighteen seated participants in normobaric normoxia (NNx), hypobaric normoxia (HNx), normobaric hypoxia (NHx) and hypobaric hypoxia (HHx). Barometric pressure was matched between NNx vs. NHx (723±4 mmHg) and HNx vs. HHx (406±4 vs. 403±5 mmHg). Inspired oxygen pressure (PiO2) was matched between NNx vs. HNx (141.2±0.8 vs. 141.5±1.5 mmHg) and NHx vs. HHx (75.7±0.4 vs. 74.3±1.0 mmHg). BRS was assessed using the sequence method. BRS significantly decreased in HNx, NHx and HHx compared to NNx. Heart rate, mean systolic and diastolic blood pressures did not differ between conditions. There was the specific effect of hypobaria on BRS in normoxia (BRS was lower in HNx than in NNx). The hypoxic and hypobaric effects do not add to each other resulting in comparable BRS decreases in HNx, NHx and HHx. BRS decrease under low barometric pressure requires future studies independently controlling O2 and CO2 to identify central and peripheral chemoreceptors’ roles.



Publikationsverlauf

Eingereicht: 27. April 2022

Angenommen: 04. September 2022

Artikel online veröffentlicht:
01. Dezember 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Georg Thieme Verlag
Rüdigerstraße 14, 70469 Stuttgart, Germany

 
  • References

  • 1 Conkin J, Wessel JH. Critique of the equivalent air altitude model. Aviat Space Environ Med 2008; 79: 975-982
  • 2 Millet GP, Faiss R, Pialoux V. Point: Counterpoint: Hypobaric hypoxia induces/does not induce different responses from normobaric hypoxia. J Appl Physiol (1985) 2012; 112: 1783-1784
  • 3 Saugy JJ, Schmitt L, Cejuela R. et al. Comparison of “Live High-Train Low” in normobaric versus hypobaric hypoxia. PloS One 2014; 9: e114418 DOI: 10.1371/journal.pone.0114418.
  • 4 Coppel J, Hennis P, Gilbert-Kawai E. et al. The physiological effects of hypobaric hypoxia versus normobaric hypoxia: a systematic review of crossover trials. Extrem Physiol Med 2015; 4: 2 DOI: 10.1186/s13728-014-0021-6.
  • 5 Heinzer R, Saugy JJ, Rupp T. et al. Comparison of sleep disorders between real and simulated 3,450-m altitude. Sleep 2016; 39: 1517-1523 DOI: 10.5665/sleep.6010.
  • 6 Ribon A, Pialoux V, Saugy JJ. et al. Exposure to hypobaric hypoxia results in higher oxidative stress compared to normobaric hypoxia. Respir Physiol Neurobiol 2016; 223: 23-27 DOI: 10.1016/j.resp.2015.12.008.
  • 7 DiPasquale DM, Strangman GE, Harris NS. et al. Acute mountain sickness symptoms depend on normobaric versus hypobaric hypoxia. BioMed Res Int 2016; 2016: 6245609 DOI: 10.1155/2016/6245609.
  • 8 Aebi MR, Bourdillon N, Bron D. et al. Minimal influence of hypobaria on heart rate variability in hypoxia and normoxia. Front Physiol 2020; 11: 1072 DOI: 10.3389/fphys.2020.01072.
  • 9 Millet GP, Debevec T. CrossTalk proposal: Barometric pressure, independent of PO2, is the forgotten parameter in altitude physiology and mountain medicine. J Physiol 2020; 598: 893-896 DOI: 10.1113/JP278673.
  • 10 Richalet J-P. CrossTalk opposing view: Barometric pressure, independent of PO2, is not the forgotten parameter in altitude physiology and mountain medicine. J Physiol 2020; 598: 897-899 DOI: 10.1113/JP279160.
  • 11 Bourdillon N, Saugy J, Schmitt L. et al. Acute and chronic changes in baroreflex sensitivity in hypobaric vs. normobaric hypoxia. Eur J Appl Physiol 2017; 117: 2401-2407 DOI: 10.1007/s00421-017-3726-6.
  • 12 Hermand E, Lhuissier FJ, Pichon A. et al. Exercising in Hypoxia and Other Stimuli: Heart Rate Variability and Ventilatory Oscillations. Life (Basel) 2021; 11: 625
  • 13 Halliwill JR, Morgan BJ, Charkoudian N. Peripheral chemoreflex and baroreflex interactions in cardiovascular regulation in humans. J Physiol 2003; 552: 295-302 DOI: 10.1113/jphysiol.2003.050708.
  • 14 Halliwill JR, Minson CT. Effect of hypoxia on arterial baroreflex control of heart rate and muscle sympathetic nerve activity in humans. J Appl Physiol (1985) 2002; 93: 857-864
  • 15 Raven PB, Fadel PJ, Ogoh S. Arterial baroreflex resetting during exercise: a current perspective. Exp Physiol 2006; 91: 37-49 DOI: 10.1113/expphysiol.2005.032250.
  • 16 Steinback CD, Salzer D, Medeiros PJ. et al. Hypercapnic vs. hypoxic control of cardiovascular, cardiovagal, and sympathetic function. Am J Physiol Regul Integr Comp Physiol 2009; 296: R402-R410 DOI: 10.1152/ajpregu.90772.2008.
  • 17 Hughson RL, Yamamoto Y, McCullough RE. et al. Sympathetic and parasympathetic indicators of heart rate control at altitude studied by spectral analysis. J Appl Physiol (1985) 1994; 77: 2537-2542
  • 18 Hughson RL, Maillet A, Gharib C. et al. Reduced spontaneous baroreflex response slope during lower body negative pressure after 28 days of head-down bed rest. J Appl Physiol (1985) 1994; 77: 69-77
  • 19 Ponchia A, Noventa D, Bertaglia M. et al. Cardiovascular neural regulation during and after prolonged high altitude exposure. Eur Heart J 1994; 15: 1463-1469
  • 20 Roche F, Reynaud C, Garet M. et al. Cardiac baroreflex control in humans during and immediately after brief exposure to simulated high altitude. Clin Physiol Funct Imaging 2002; 22: 301-306
  • 21 Bourdillon N, Yazdani S, Subudhi AW. et al. AltitudeOmics: baroreflex sensitivity during acclimatization to 5,260 m. Front Physiol 2018; 9: 767 DOI: 10.3389/fphys.2018.00767.
  • 22 Querido JS, Wehrwein EA, Hart EC. et al. Baroreflex control of muscle sympathetic nerve activity as a mechanism for persistent sympathoexcitation following acute hypoxia in humans. Am J Physiol Regul Integr Comp Physiol 2011; 301: R1779-R1785 DOI: 10.1152/ajpregu.00182.2011.
  • 23 Düker H, Lienert G. KLT-R Konzentrations-Leistungs-Test. Hogrefe. Auflage Neubearbeitung von H Lukesch und S Mayrhofer. Hogrefe; Göttingen: 2001. Available: https://epub.uni-regensburg.de/2835/
  • 24 Conkin J. Equivalent air altitude and the alveolar gas equation. Aerosp Med Hum Perform 2016; 87: 61-64 DOI: 10.3357/AMHP.4421.2016.
  • 25 Perez-Suarez I, Martin-Rincon M, Gonzalez-Henriquez JJ. et al. Accuracy and precision of the COSMED k5 portable analyser. Front Physiol 2018; 9: 1764 DOI: 10.3389/fphys.2018.01764.
  • 26 Crouter SE, LaMunion SR, Hibbing PR. et al. Accuracy of the Cosmed K5 portable calorimeter. PLoS One. 2019. 14. e0226290
  • 27 Bernardi L, De Barbieri G, Rosengård-Bärlund M. et al. New method to measure and improve consistency of baroreflex sensitivity values. Clin Auton Res 2010; 20: 353-361
  • 28 Parati G, Di Rienzo M, Bertinieri G. et al. Evaluation of the baroreceptor-heart rate reflex by 24-hour intra-arterial blood pressure monitoring in humans. Hypertension 1988; 12: 214-222
  • 29 La Rovere MT, Pinna GD, Raczak G. Baroreflex sensitivity: measurement and clinical implications. Ann Noninvasive Electrocardiol 2008; 13: 191-207
  • 30 Di Rienzo M, Parati G, Castiglioni P. et al. Baroreflex effectiveness index: an additional measure of baroreflex control of heart rate in daily life. Am J Physiol Regul Integr Comp Physiol 2001; 280: R744-R751
  • 31 Bourdillon N, Yazdani S, Vesin J-M. et al. AltitudeOmics: spontaneous baroreflex sensitivity during acclimatization to 5,260 m: a comparison of methods. Front Physiol 2019; 10: 1505 DOI: 10.3389/fphys.2019.01505.
  • 32 Mozer MT, Holbein WW, Joyner MJ. et al. Reductions in carotid chemoreceptor activity with low-dose dopamine improves baroreflex control of heart rate during hypoxia in humans. Physiol Rep 2016; 4
  • 33 Guyenet PG. Neural structures that mediate sympathoexcitation during hypoxia. Respir Physiol 2000; 121: 147-162
  • 34 Prabhakar NR, Kumar GK. Mechanisms of sympathetic activation and blood pressure elevation by intermittent hypoxia. Respir Physiol Neurobiol 2010; 174: 156-161 DOI: 10.1016/j.resp.2010.08.021.
  • 35 Dempsey JA, Powell FL, Bisgard GE. et al. Role of chemoreception in cardiorespiratory acclimatization to, and deacclimatization from, hypoxia. J Appl Physiol (1985) 2014; 116: 858-866
  • 36 Smith CA, Blain GM, Henderson KS. et al. Peripheral chemoreceptors determine the respiratory sensitivity of central chemoreceptors to CO2 : role of carotid body CO2. J Physiol 2015; 593: 4225-4243 DOI: 10.1113/JP270114.
  • 37 Maher AR, Milsom AB, Gunaruwan P. et al. Hypoxic modulation of exogenous nitrite-induced vasodilation in humans. Circulation 2008; 117: 670-677 DOI: 10.1161/CIRCULATIONAHA.107.719591.
  • 38 Somers VK, Mark AL, Abboud FM. Interaction of baroreceptor and chemoreceptor reflex control of sympathetic nerve activity in normal humans. J Clin Invest 1991; 87: 1953-1957 DOI: 10.1172/JCI115221.
  • 39 Cooper VL, Pearson SB, Bowker CM. et al. Interaction of chemoreceptor and baroreceptor reflexes by hypoxia and hypercapnia – a mechanism for promoting hypertension in obstructive sleep apnoea. J Physiol 2005; 568: 677-687 DOI: 10.1113/jphysiol.2005.094151.
  • 40 Petrassi FA, Davis JT, Beasley KM. et al. AltitudeOmics: effect of reduced barometric pressure on detection of intrapulmonary shunt, pulmonary gas exchange efficiency, and total pulmonary resistance. J Appl Physiol (1985) 2018; 124: 1363-1376
  • 41 Coates G, Gray G, Mansell A. et al. Changes in lung volume, lung density, and distribution of ventilation during hypobaric decompression. J Appl Physiol 1979; 46: 752-755 DOI: 10.1152/jappl.1979.46.4.752.
  • 42 Simmons DH, Linde LM, Miller JH. et al. Relation between lung volume and pulmonary vascular resistance. Circ Res 1961; 9: 465-471 DOI: 10.1161/01.RES.9.2.465.
  • 43 Hakim TS, Michel RP, Chang HK. Effect of lung inflation on pulmonary vascular resistance by arterial and venous occlusion. J Appl Physiol 1982; 53: 1110-1115 DOI: 10.1152/jappl.1982.53.5.1110.
  • 44 Simpson LL, Busch SA, Oliver SJ. et al. Baroreflex control of sympathetic vasomotor activity and resting arterial pressure at high altitude: insight from Lowlanders and Sherpa. J Physiol 2019; 597: 2379-2390 DOI: 10.1113/JP277663.
  • 45 Porta A, Bassani T, Bari V. et al. Accounting for respiration is necessary to reliably infer Granger causality from cardiovascular variability series. IEEE Trans Biomed Eng 2012; 59: 832-841 DOI: 10.1109/TBME.2011.2180379.
  • 46 Aebi MR, Bourdillon N, Noser P. et al. Cognitive impairment during combined normobaric vs. hypobaric and normoxic vs. hypoxic acute exposure. Aerosp Med Hum Perform 2020; 91: 845-851 DOI: 10.3357/AMHP.5616.2020.