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Acute Effect of Heat Exposure on Brachial Artery FMD: Impact of Modality and Measurement Timeline

2021· article· en· W3166333405 on OpenAlexafffund
Georgia K. Chaseling, Amélie Debray, Hugo Gravel, Nicholas Ravanelli, Parya Behzadi, Daniel Gagnon

Bibliographic record

VenueThe FASEB Journal · 2021
Typearticle
Languageen
FieldMedicine
TopicCardiovascular Health and Disease Prevention
Canadian institutionsLakehead UniversityMontreal Heart Institute
FundersNatural Sciences and Engineering Research Council of Canada
KeywordsBrachial arteryMedicineForearmArteryCardiologyInternal medicineSurgeryBlood pressure

Abstract

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Introduction Heat exposure is receiving a lot of attention for its potential to improve endothelial function, as measured by brachial artery flow‐mediated dilation (FMD). Although most intervention studies have observed an improvement in brachial artery FMD, the acute effect of heat exposure has been inconsistent. This observation likely stems from the various modalities employed (local limb heating to whole‐body heating) and the timing of FMD measurement following the heating intervention (immediately after up to 60 min post‐heating). Identifying a heating modality that consistently improves brachial artery FMD and establishing the timeline of the response would facilitate investigations into potential mechanisms mediating heat‐induced improvements in brachial artery FMD without the need of more challenging intervention studies. The aims of this study are to 1) determine the acute effect of four heating interventions on brachial artery FMD, and 2) characterize the time‐dependent changes in brachial artery FMD following each intervention. Methods On separate days, 11 young and healthy adults (3F/8M; 29±6 y; 66.5±9.4 kg; 1.7±0.1 m) were exposed to: i) 10 minutes of forearm heating using an electric blanket (EB); ii) 30 minutes of forearm heating in 40˚C water (WI); iii) 60 minutes of whole‐body heating where the arm used to assess brachial artery FMD was not covered by the water perfused suit (WHB‐U), or; iv) was covered for the entire 60 minutes of whole‐body heating with the suit (WBH‐C). During each trial, brachial artery FMD was measured prior to the heating intervention (baseline), within 5 minutes following the end of the intervention, and every 30 minutes for two hours following the intervention. Results Mean shear rate increased from baseline during the WI (+78±43 s ‐1 , P=0.02), WBH‐U (+177±99 s ‐1 , P<0.01) and WBH‐C (+140±43 s ‐1 , P<0.01) interventions, but not during EB (+18±35 s ‐1 , P=0.37). Brachial artery FMD was unaffected by the EB intervention (P=0.39). Conversely, there was a main effect of time for FMD during the WI (P=0.03), WBH‐U (P<0.01), and WBH‐C (P<0.01) interventions. Specifically, FMD was greater relative to baseline, 90 minutes following the WI intervention (+3.7±3.3%, P=0.03, increase in 8/11 participants). A lower FMD relative to baseline was observed within 5 minutes of the end of the WBH‐U (‐4.5±3.7%, P<0.01, decrease in 9/11 participants) and WBH‐C (WBH‐C: ‐6.1±3.5%, P<0.01, decrease in 10/11 participants) interventions. Conclusion These results suggest that 10 minutes of local heating with an electric blanket may not modulate brachial FMD, whereas whole‐body heating with or without local heating of the arm causes a temporary reduction in FMD. Forearm immersion in 40°C water for 30 minutes was the only intervention that consistently improved brachial artery FMD, but only when measured 90 minutes following the intervention.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.001
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.003
Threshold uncertainty score0.009

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0010.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0030.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.018
GPT teacher head0.301
Teacher spread0.283 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

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Citations0
Published2021
Admission routes2
Has abstractyes

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