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Upright posture reduces thermogenesis and augments core hypothermia
Yasufumi Nakajima1, Akira Takamata, Tomoyuki Ito
1Department of Anesthesiology, Kyoto Prefectural University of Medicine, Kawaramachi Hirokoji, Kamigyo-ku, Kyoto 602-8566, Japan. nakajima@koto.kpu-m.ac.jp
Anesthesia and Analgesia
|May 29, 2002
Summary
Upright posture reduces the body's shivering response to cold, increasing heat loss. Baroreceptor reflexes, influenced by posture, alter thermoregulation, impacting peripheral vasoconstriction and heat generation.
Area of Science:
- Physiology
- Thermoregulation
- Human Physiology
Background:
- Baroreceptor-mediated reflexes are known to modulate thermoregulatory vasoconstriction.
- Postural changes can alter baroreceptor loading, potentially influencing thermoregulatory responses.
Purpose of the Study:
- To investigate if postural differences and associated baroreceptor loading alterations modulate the human thermogenic (shivering) response to hypothermia.
- To examine the impact of upright versus supine posture on core temperature decrease, thermogenic threshold, and peripheral vasoconstriction during induced hypothermia.
Main Methods:
- Healthy participants (n=7) underwent intravenous cold saline infusion to induce hypothermia.
- Core temperature and oxygen consumption were monitored in both supine and upright positions.
- Plasma norepinephrine concentrations were measured to assess sympathetic nervous system activity.
Main Results:
- Upright posture resulted in a greater core temperature decrease compared to the supine position.
- The threshold temperature for thermogenesis (shivering) was significantly lower in the upright posture.
- Peripheral vasoconstriction and plasma norepinephrine levels were augmented in the upright posture, indicating increased sympathetic response.
Conclusions:
- Upright posture attenuates the thermogenic response to hypothermia while augmenting peripheral vasoconstriction.
- Baroreceptor input appears to modify individual thermoregulatory pathways at a site distal to the central thermoregulatory center.