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Updated: Aug 12, 2026

Evaluation of Blood Lactate and Plasma Insulin During High-intensity Exercise by Antecubital Vein Catheterization
Published on: May 18, 2018
Hormonal, electrolyte, and renal responses to exercise are intensity dependent
B J Freund1, E M Shizuru, G M Hashiro
1Department of Clinical Investigation, Tripler Army Medical Center, Honolulu, Hawaii 96859-5000.
Exercise intensity impacts kidney function. Lower intensity exercise may increase urine flow due to atrial natriuretic peptide, while higher intensities reduce renal function via hormonal changes.
Area of Science:
- Exercise Physiology
- Renal Physiology
- Endocrinology
Background:
- Renal responses to exercise are intensity-dependent.
- Mechanisms underlying these responses require further investigation.
Purpose of the Study:
- To investigate renal and hormonal responses to varying exercise intensities.
- To elucidate the mechanisms behind exercise-induced changes in renal function.
Main Methods:
- Eight healthy males performed 20-min submaximal exercise bouts at 25%, 40%, 60%, and 80% of maximal oxygen consumption.
- Measured urine flow, osmotic clearance, glomerular filtration rate, and sodium excretion.
- Assessed plasma levels of vasopressin (ADH), aldosterone, plasma renin activity, and atrial natriuretic peptide.
Main Results:
- Urine flow, glomerular filtration rate, and sodium excretion increased at 25% workload but decreased at higher intensities.
- Plasma vasopressin, aldosterone, and renin activity increased with exercise intensity, becoming significant at >=60% workload.
- Atrial natriuretic peptide significantly elevated at all workloads, while vasopressin decreased at 25% workload.
Conclusions:
- Atrial natriuretic peptide and vasopressin suppression may explain increased urine flow at low exercise intensity.
- Higher exercise intensities lead to reduced renal function, mediated by hormonal changes.
- Exercise intensity is a critical determinant of renal and hormonal responses during physical activity.
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