We tested the hypothesis that the individual ventilatory adaptation to high altitude (HA, 5050 m) may influence renal water excretion in response to water loading. In 8 healthy humans (33 ± 4 S.D. years) we studied, at sea level (SL) and at HA, resting ventilation (over(V, ̇)E), arterial oxygen saturation (S pO2), urinary output after water loading (WL, 20 mL/kg), and total body water (TBW). Ventilatory response to HA was defined as the difference in resting over(V, ̇)E over S pO2 (Δ over(V, ̇)E / Δ S pO2) from SL to HA. At HA, a significant increase in urinary volume after the first hour from WL (%WLt(0-60)) was observed. Significant correlations were found between Δ over(V, ̇)E / Δ S pO2 versus %WLt(0-60) at HA and versus changes in TBW, from SL to HA. In conclusion, in healthy subjects the ventilatory response to HA influences water balance and correlates with kidney response to WL. A higher ventilatory response at HA, allowing a more efficient water renal handling, is likely to be a protective mechanisms from altitude illness.

Relationship between individual ventilatory response and acute renal water excretion at high altitude / G. Valli, D. Bonardi, F. Campigotto, V. Fasano, A. Gennari, L. Pomodori, A. Cogo, P. Palange. - In: RESPIRATORY PHYSIOLOGY & NEUROBIOLOGY. - ISSN 1569-9048. - 162:2(2008 Apr 30), pp. 103-108.

Relationship between individual ventilatory response and acute renal water excretion at high altitude

V. Fasano;
2008

Abstract

We tested the hypothesis that the individual ventilatory adaptation to high altitude (HA, 5050 m) may influence renal water excretion in response to water loading. In 8 healthy humans (33 ± 4 S.D. years) we studied, at sea level (SL) and at HA, resting ventilation (over(V, ̇)E), arterial oxygen saturation (S pO2), urinary output after water loading (WL, 20 mL/kg), and total body water (TBW). Ventilatory response to HA was defined as the difference in resting over(V, ̇)E over S pO2 (Δ over(V, ̇)E / Δ S pO2) from SL to HA. At HA, a significant increase in urinary volume after the first hour from WL (%WLt(0-60)) was observed. Significant correlations were found between Δ over(V, ̇)E / Δ S pO2 versus %WLt(0-60) at HA and versus changes in TBW, from SL to HA. In conclusion, in healthy subjects the ventilatory response to HA influences water balance and correlates with kidney response to WL. A higher ventilatory response at HA, allowing a more efficient water renal handling, is likely to be a protective mechanisms from altitude illness.
Hypobaria; Hypoxia; Kidney; Ventilation; Water excretion
Settore MED/10 - Malattie dell'Apparato Respiratorio
30-apr-2008
Article (author)
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/46205
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