Clinical trial NCT06872762: Effect of Exercise and Heat Stress on Acute Cardiometabolic Adaptations in Healthy Young Adults
Official title: Does Heat Stress Improve the Acute Metabolic and Cardiovascular Adaptations to Exercise
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Exercise
Heat Strain
Control Condition
Keywords: exercise
heat strain
glucose tolerance test
arterial compliance
Lead sponsor: Northern Arizona University
Sponsor class: OTHER
First posted: 2025-03-12
Enrollment: 15
Sex: ALL
Minimum age (years): 18
Maximum age (years): 50
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: CROSSOVER
Intervention model description: Random order, repeated measures, cross-over
Primary purpose: PREVENTION

Brief summary: Life in space is completely void of physical and environmental stress. It is well known that living things need regular physical stress (e.g. exercise) to remain strong, functional and healthy. More and more research is showing that regular environmental stress, for example heat and hypoxia, can further improve physical health. Astronauts aboard the international space station (ISS) exercise for 1-2 hours every day to avoid physical deconditioning that would otherwise cause them to age rapidly in space. Although physical exercise is very effective in remedying this deconditioning, today's astronauts still have physiological changes that indicate accelerated aging. This is a cause for concern given NASA's priority to travel to mars within the next decade; a mission that will require at least double the duration in space for our astronauts. The investigators think that the complete absence of environmental stress, i.e., heat, may be contributing to the accelerated aging that occurs during spaceflight. Our study will assess the health effects of adding heat stress to exercise that could be performed in space by astronauts. The goal is to inform best practice for astronauts to avoid physical deconditioning during long-duration spaceflight. This information will also be relevant to life on earth as spaceflight is a model of inactivity here on earth. Therefore, the potential benefits of adding heat stress will likely translate to life in space and on earth.

Detailed description: Experimental procedures:

Participants will visit the lab on seven occasions. Participants will be required to practice regular exercise and dietary habits that can be easily replicated in the 24 hours prior to every laboratory visit. Exercise and dietary patterns will be documented during the first visit and thereafter the participants will be reminded of these practices and instructed to match them as closely as possible in the 24 hours leading up to all subsequent visits. Participants will only be instructed to avoid heavy exercise in the 12 hours prior to testing sessions. On the first visit, participants will be introduced into the lab, where the investigators will give oral and written instruction detailing the procedures and associated risks related to participating. Details of the experimental visits are outlined below:

Familiarization Visit (1 hour):

* Familiarization and fitness test
* Lactate threshold and maximal aerobic power test on an upright cycle ergometer.

Experimental visit #1 (6 hours):

* Control exercise, heated exercise or control rest
* Rectal or esophageal thermistor will be inserted.
* Venous cannula will be inserted by trained phlebotomist (Chloe Gustafson, Dr Travis Gibbons).
* Cycling exercise for 90 minutes at 90% of lactate threshold with 2 pedestal fans to maximize heat loss and prevent core temperature increase to \<1 ̊ C.
* 2.5 hours of resting recovery in semi-supine position.
* Vascular assessment.
* Glucose tolerance test (blood will be sampled for glucose and insulin 15, 30, 60 and 120 minutes after consuming a mixed macronutrient meal)
* Rectal thermistor and venous cannula will be removed and participant will leave.

Experimental visit #2 (6 hours):

* Control exercise, heated exercise or control rest
* Complete identical procedures as experimental visit #2 with the following exceptions:
* Cycling exercise for 90 minutes at 90% of lactate threshold.
* No fans will be used to maximal heat gain.
* Participants will wear a water impermeable jacket, pants and gloves, and wear a winter hat (beanie).
* Core temperature will be allowed to rise naturally but exercise will stop if core temperature reaches 40 ̊ C.

Experimental visit #3 (6 hours):

* Control exercise, heated exercise or control rest
* Complete identical procedures as experimental visit #2 with the following exceptions:
* Participant will rest comfortably in the semi-supine position for 90 minutes.

Follow-up assessments after experimental visits 1, 2, and 3 (1 hour):

* Rectal or esophageal thermistor will be inserted.
* Participant will lie comfortably for 10 minutes.
* Arterial stiffness assessment will be performed (3 minutes)
* A venous blood sample will be collected.
* Participant will complete 5-minute blood volume assessment via carbon monoxide rebreathing technique.
* A final blood draw will be performed.

Eligibility criteria: Inclusion Criteria:

-regularly physically active as determined via ParQ+

Exclusion Criteria:

* smokers
* bronchial asthma
* chronic obstructive pulmonary disease
* obese
* alcoholism
* requiring daily medications that may effect responses to exercise,
* anti-arrhythmogenics
* inhalers
* history of cardiovascular, respiratory, neurological, skeletal muscle disease
* irregular/absent menstrual cycle (females)
* unexpected responses to pre-experimental exercise tests
* previous diagnosis of heat stroke

Primary outcomes:
measure: Glucose tolerance
timeFrame: 2 hours after intervention complete
Secondary outcomes:
measure: Arterial compliance
timeFrame: 2 hours after intervention complete
measure: Plasma volume expansion
timeFrame: 24 hours after intervention
Other outcomes:
Locations:
city: Flagstaff
country: United States
facility: Northern Arizona University
state: Arizona
Study officials:
References: