The capacity to tolerate high G loads in the head-to-seat direction (+ Gz tolerance) is critical for pilots flying high-performance aircraft. The adaptive effects of repeated + Gz loading on relaxed + Gz tolerance and G-protective sympathetic reflex pressor responses were investigated. Twelve men were exposed to increased + Gz loads in a relaxed state, during 15 × 40 min sessions across 5 wk. Before and after the training regimen, relaxed + Gz tolerance was investigated during rapid onset-rate (ROR) and gradual onset-rate (GOR) G exposures, and cardiovascular responses were investigated during exposures to 2.5 G in the belly-to-back direction (+ Gx) as well as during orthostatic provocations and pressure manipulations of the carotid baroreceptors. The G training increased (P = 0.04) the ROR G tolerance by 17% but did not affect GOR G tolerance, orthostatic tolerance, or the sensitivity and operational pressure range of the carotid baroreflex pressor response. The training reduced (P < 0.001) the arterial pressure response to + Gx exposure. The results suggest that repeated high + Gz exposures do not improve the overall vascular sympathetic response to high + Gz nor the responsiveness of the vascular branch of the carotid baroreflex, but, judging by the arterial pressure responses to + Gx loads, reduces the responsiveness of the vestibulosympathetic reflex. That the G training improved the ROR + Gz tolerance is attributable to local vascular adaptation, in terms of increased stiffness in dependent precapillary vessels resulting from the iterative increments in local transmural pressures.

When entering a coordinated flight turn without visual references, the perception of roll-angular displacement is determined by vestibular cues, and/or probably by assessment of the gravitoinertial (G) load (G magnitude) and its translation into the corresponding bank angle. Herein, we examined whether repeated exposures to hypergravity (G training) in a centrifuge, would advance, not only the ability to accurately assess the G load but also the capacity to detect or estimate the corresponding roll inclination of the centrifuge gondola. To this end, in nine men without piloting experience, the subjective estimation of G load and roll tilt were assessed, in complete darkness, during 5-min coordinated turns in the centrifuge, performed at 1.1 G (25 degrees roll-tilt angle) and 2.0 G (60 degrees roll tilt angle). These trials were conducted before and after 5 wk of G training {3 x 40-min sessions<middle dot>wk-1; protocol: 20 x 1 min at G levels close to the individual relaxed G-level tolerance [range: similar to 2.6 G (similar to 67 degrees)-3.6 G (74 degrees)], separated by 1-min intervals at idle speed (1.4 G)}, whereas continual feedback to the subjects was limited to the G load. As expected, G training improved subjects' capacity to assess G load, especially at 2.0 G (P = 0.006). The perception of roll tilt, however, was consistently underestimated (by similar to 70%-80%), and not enhanced by G training (P >= 0.51). The present findings demonstrate that prolonged repeated G-induced roll-tilts in a centrifuge gondola, while external feedback is restricted to graviception, enhance the capacity to perceive G load, but fail to advance the ability to detect or consciously estimate the magnitude of roll-angular displacement during a coordinated turn. NEW & NOTEWORTHY During a coordinated flight turn without external visual references, the pilot typically underestimates the aircraft bank angle, because unreliable information of roll tilt is conveyed by the vestibular system. The present results demonstrate that prolonged repeated gravitoinertial (G)-induced roll-tilts in a centrifuge gondola, while external feedback is restricted to graviception, enhance the capacity to perceive G load, but fail to advance the ability to consciously estimate the magnitude of roll angular displacement.

We tested the hypothesis that prolonged intermittent hand exposures to transient contrast thermal stimuli would enhance the finger cold-induced vasodilatation (CIVD) response during localized cooling. Eight healthy men participated in a 5-week regimen, during which they immersed, thrice per week, the non-dominant (EXP) hand in 8° and 43 °C water, sequentially and at 3-min intervals, for a total period of 60 min. The contralateral (i.e., dominant) hand served as the control (CON) hand. Before and after the regimen, subjects conducted two 30-min hand cold (8 °C water) provocation trials, one with the EXP hand and the other with the CON hand. In addition, a flow-mediated dilatation test was performed in the brachial artery of the EXP arm. Regardless of the hand tested, the average finger skin temperature [CON hand: pre-trial = 10.5 (1.2)°C, post-trial = 10.8 (1.3)°C and EXP hand: pre-trial = 10.7 (1.1)°C, post-trial 10.9 (1.1)°C; p = 0.79], and the incidence of CIVD events [CON hand: pre-trial = 1.1 (1.2) events, post-trial = 1.2 (1.1) events and EXP hand: pre-trial = 1.1 (0.8) events, post-trial = 1.1 (0.8) events; p = 0.88] were not affected by the 5-week regimen. The sensation of cold-induced pain was transiently alleviated following the regimen (p = 0.02). The flow-mediated dilatation response of the EXP brachial artery remained unaltered [pre-trial = 5.4 (3.2)%, post-trial = 4.7 (3.6)%; p = 0.51]. Therefore, five weeks of intermittent hand exposures to alternating cold and hot stimuli do not improve finger temperature responsiveness to sustained localized cold.

Purpose

We evaluated the hypothesis that repetitive gravitoinertial stress would augment the arterial-pressure response to peripheral sympathetic stimulation.

Methods

Before and after a 5-weeks G-training regimen conducted in a human-use centrifuge, twenty healthy men performed a hand cold-pressor test, and nine of them also a foot cold-pressor test (4 min; 4 °C water). Arterial pressures and total peripheral resistance were monitored.

Results

The cold-induced elevation (P ≤ 0.002) in arterial pressures and total peripheral resistance did not vary between testing periods, either in the hand [mean arterial pressure: Before =  + 16% vs. After =  + 17% and total peripheral resistance: Before =  + 13% vs. After =  + 15%], or in the foot [mean arterial pressure: Before =  + 19% vs. After =  + 21% and total peripheral resistance: Before =  + 16% vs. After =  + 16%] cold-pressor tests (P > 0.05).

Conclusion

Present results demonstrate that 5 weeks of prolonged iterative exposure to hypergravity does not alter the responsiveness of sympathetically mediated circulatory reflexes.

The study examined intra- and interlimb variations in cutaneous vessel responsiveness to acute and repeated transmural pressure elevations. In 11 healthy men, red blood cell flux was assessed via laser-Doppler flowmetry on both glabrous and nonglabrous skin regions of an arm (finger and forearm) and leg (toe and lower leg), across a wide range of stepwise increasingdistending pressures imposed in the vessels of each limb separately. The pressure-flux cutaneous responses were evaluatedbefore and after 5 wk of intermittent (40 min, 3 sessions per week) exposures to hypergravity (2.6–3.3 G; G training). Beforeand after G training, forearm and lower leg blood flux were relatively stable up to 210 and 240 mmHg distending pressures,respectively; and then they increased two- to threefold (P < 0.001). Finger blood flux dropped promptly (P < 0.001), regardlessof the G training (P = 0.64). At 120-mmHg distending pressures, toe blood flux enhanced by 40% (P  0.05); the increasewas augmented after the G training (P = 0.01). At high distending pressures, toe blood flux dropped by 70% in both trials (P <0.001). The present results demonstrate that circulatory autoregulation is more pronounced in glabrous skin than in nonglabrousskin, and in nonglabrous sites of the leg than in those of the arm. Repetitive high-sustained gravitoinertial stress does not modifythe pressure-flow relationship in the dependent skin vessels of the arm nor in the nonglabrous sites of the lower leg. Yet it maypartly inhibit the myogenic responsiveness of the toe’s glabrous skin.

We sought to examine whether short-term, whole body cold acclimation would modulate finger vasoreactivity and thermosensitivity to localized cooling. Fourteen men were equally assigned to either the experimental (CA) or the control (CON) group. The CA group was immersed to the chest in 14°C water for ≥120 min daily over a 5-day period while the skin temperature of the right-hand fingers was clamped at ∼35.5°C. The CON group was instructed to avoid any cold exposure during this period. Before and after the intervention, both groups performed, on two different consecutive days, a local cold provocation trial consisting of a 30-min hand immersion in 8°C water while immersed to the chest once in 21°C (mild-hypothermic trial; 0.5°C fall in rectal temperature from individual preimmersion values) and on the other occasion in 35.5°C (normothermic trial). In the CA group, the cold-induced reduction in finger temperature was less (mild-hypothermic trial: P = 0.05; normothermic trial: P = 0.02), and the incidence of the cold-induced vasodilation episodes was greater (in normothermic trials: P = 0.04) in the post- than in the preacclimation trials. The right-hand thermal discomfort was also attenuated (mild-hypothermic trial: P = 0.04; normothermic trial: P = 0.01). The finger temperature responses of the CON group did not vary between testing periods. Our findings suggest that repetitive whole body exposure to severe cold within a week may attenuate finger vasoreactivity and thermosensitivity to localized cooling. These regional thermo-adaptions were ascribed to central neural habituation produced by the iterative, generalized cold stimulation.

Pilots in long-duration flight missions in single-seat aircraft may be affected by fatigue. This study determined associations between cognitive performance, emotions and physiological activation and deactivation–measured by heart rate variability (HRV)–in a simulated 11-h flight mission in the 39 Gripen aircraft. Twelve participants volunteered for the study. Perceived fatigue was measured by the Samn-Perelli Fatigue Index (SPFI). Cognitive performance was measured by non-executive and executive tasks. Emotions were assessed by the Circumplex Affect Space instrument. HRV was considered in relation to the cognitive tasks in four time points–Hours 3, 5, 7, 9–and their associations with emotional ratings. Results indicated a decrease in performance in the non-executive task after approximately 7 h. This result was correlated with self-reported measures of fatigue. HRV, assessed by indices of parasympathetic modulation, remained unchanged for both non-executive and executive tasks over time (p >.05 for all). Significant correlations were observed between emotions and HRV; with increased boredom, increased passiveness, decreased stimulation, and decreased activeness, HRV indicators increased (p <.05). This suggests that a low self-regulatory effort for maintaining performance in these conditions was prevalent and that pilots could adapt to some degree to the demands and fatigue of long-duration missions.

Due to the observations of weight loss at high altitude, normobaric hypoxia has been considered as a method of weight loss in obese individuals. With this regard, the aim of the present study was to determine the effect of hypoxia per se on metabolism in men with excess weight. Eight men living with excess weight (125.0 ± 17.7 kg; 30.5 ± 11.1 years, BMI: 37.6 ± 6.2 kg⋅m^-2) participated in a randomized cross-over study comprising two 10-day confinements: normobaric (altitude of facility ≃ 940 m) normoxia (NORMOXIA; P _I O₂ = 133 mmHg), and normobaric hypoxia (HYPOXIA). The P _I O₂ in the latter was reduced from 105 (simulated altitude of 2,800 m) to 98 mmHg (simulated altitude of 3,400 m over 10 days. Before, and at the end of each confinement, participants completed a meal tolerance test (MTT). Resting energy expenditure (REE), circulating glucose, GLP-1, insulin, catecholamines, ghrelin, peptide-YY (PYY), leptin, gastro-intestinal blood flow, and appetite sensations were measured in fasted and postprandial states. Fasting REE increased after HYPOXIA (+358.0 ± 49.3 kcal⋅day^-1, p = 0.03), but not after NORMOXIA (-33.1 ± 17.6 kcal⋅day^-1). Postprandial REE was also significantly increased after HYPOXIA (p ≤ 0.05), as was the level of PYY. Furthermore, a tendency for decreased energy intake was concomitant with a significant body weight reduction after HYPOXIA (-0.7 ± 0.2 kg) compared to NORMOXIA (+1.0 ± 0.2 kg). The HYPOXIA trial increased the metabolic requirements, with a tendency toward decreased energy intake concomitant with increased PYY levels supporting the notion of a hypoxia-induced appetite inhibition, that could potentially lead to body weight reduction. The greater postprandial blood-glucose response following hypoxic confinement, suggests the potential development of insulin resistance.

Despite decades of experience from high-G exposures in aircraft and centrifuges, information is scarce regarding primary cardiovascular adaptations to +Gz loads in relaxed humans. Thus, effects of G-training are typically evaluated after regimens that are confounded by concomitant use of anti-G straining maneuvers, anti-G suits and pressure breathing. Accordingly, the aim was to evaluate cardiovascular adaptations to repeated +Gz exposures in the relaxed state. Eleven men underwent 5 weeks of centrifuge G training, consisting of 15 × 40 min +Gz exposures at G levels close to their individual relaxed G-level tolerance. Before and after the training regimen, relaxed G-level tolerance was investigated during rapid (ROR) and gradual (GOR) onset-rate G exposures, and cardiovascular responses were investigated during orthostatic provocation and vascular pressure-distension tests. The G training resulted in: (i) a 13% increase in relaxed ROR G tolerance (P < 0.001), but no change in GOR G tolerance, (ii) increased pressure resistance in the arteries and arterioles of the legs (P < 0.001), but not the arms, (iii) a reduced initial drop in arterial pressure upon ROR high G, but no change in arterial pressure under basal resting conditions or during GOR G loading, or orthostatic provocation. The results suggest +Gz adaptation via enhanced pressure resistance in dependent arteries/arterioles. Presumably this reflects local adaptations to high transmural pressures, resulting from the +Gz-induced exaggeration of the intravascular hydrostatic pressure gradients.