Key result
Passive shoulder heating increases baseline brachial diameter and reduces FMD by ~4%, confounding post-heating measurements.
Why the study?
Changes in flow-mediated dilation following acute heating are not well understood and appear protocol-specific.
Does passive heating via hot-water immersion alter flow-mediated dilation and acute vasoactivity in adults?
Does passive heating via hot-water immersion alter flow-mediated dilation and acute vasoactivity in adults?
Post-heating flow-mediated dilation measurements are confounded by heat-induced increases in baseline arterial diameter, suggesting occlusion-induced vasodilation (OIV%) may be a better complementary metric for assessing acute vasoactivity.
Post-heating FMD interpretation warrants caution; leaves open optimal metrics for acute vasoactivity assessment.
Changes in flow‐mediated dilation (FMD) following acute heating are not well understood, appear protocol‐specific, and may be better understood by additional measures of acute vasoactivity. This study investigated FMD responses before and after three different 30‐min hot‐water immersion conditions (40°C‐Shoulder, 42°C‐Waist, and 40°C‐Waist) in 22 adults. Brachial artery diameter was recorded at baseline (D base ), during the final 30 s of occlusion (D occ ), and at peak post‐occlusion (D peak ). Allometrically scaled FMD%, and changes in diameter during occlusion (OIV), and from end‐occlusion to peak diameter (FMD Docc ) were calculated. Pre‐occlusion shear rate was greater post‐immersion in 40‐Shoulder ( p < 0.001) and 42‐Waist (p < 0.001), but not 40‐Waist ( p = 0.13), with the largest increase observed in 40‐Shoulder. Alongside this, D base increased (Δ0.4 ± 0.2 mm, p < 0.001) and FMD% decreased (Δ−3.9 ± 3.8%, p = 0.04) following immersion in 40°C‐Shoulder only. Across all conditions, ΔFMD% was negatively associated with ΔD base ( r rm = −0.47, p = 0.001). OIV% was the only vasoactivity metric to statistically differentiate between all conditions post‐immersion (40°C‐Shoulder: −8.1 ± 4.9%. 42°C‐Waist: −3.0 ± 5.3%. 40°C‐Waist: 1.1 ± 4.1%. p < 0.001). Post‐heating FMD is confounded by heat‐induced increases in baseline diameter, even after allometric scaling, while OIV% may provide complementary insight into acute vasoactivity following passive heating.
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Menzies et al. (2026) studied this question. Passive heating at 40°C Shoulder increased baseline brachial artery diameter by 0.4 mm (p<0.001) and decreased FMD% by 3.9% (p=0.04), confounding post-heating FMD measures.
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