Key result
Incremental cycling in the heat increases inactive-forearm blood flow by ~118% near peak power.
Why the study?
Blood flow in inactive limb tissues and skin is widely thought to decline during incremental exercise to exhaustion, but direct evidence supporting this view was lacking.
Does incremental exercise in the heat affect skin perfusion and blood oxygen in non-exercising limbs in endurance-trained males?
Does incremental exercise in the heat affect skin perfusion and blood oxygen in non-exercising limbs in endurance-trained males?
Effect estimate: ~118% increase
p-value: p=<0.001
Skin perfusion in non-exercising limbs increases during incremental exercise in the heat, challenging the view that it declines due to sympathoadrenal vasoconstriction.
Challenges prevailing models of skin vasoconstriction in non-exercising limbs during heat exercise; leaves open relevance for athlete thermoregulation.
Blood flow in the inactive limb tissues and skin is widely thought to decline during incremental exercise to exhaustion due to augmented sympathoadrenal vasoconstrictor activity, but direct evidence to support this view is lacking. Here, we investigated the inactive‐forearm haemodynamic () and oxygenation responses to a range of two‐leg exercise intensities and durations in the heat. Blood oxygen and flow were measured in the forearm tissue and skin of endurance‐trained males during three incremental cycling exercise tests, with tests 1 and 2 separated by a 2 h bout of moderate constant load cycling exercise, all performed in the heat (35°C, 50% relative humidity, with fan cooling). In incremental exercise tests 1 and 3, was stable from rest to ∼40% W peak , before increasing by ∼118% at 80% W peak ( P <0.001). Correspondingly, forearm skin arterio‐venous oxygen difference (a‐vO 2 diff) decreased by ∼62% at 80% W peak ( P = 0.043), remaining reduced through to W peak . Concomitantly, forearm skin blood flow more than doubled, while forearm deep tissue O 2 saturation decreased. When incremental exercise started shortly after constant load exercise (test 2), was 2‐ to 3‐fold higher than during tests 1 and 3, whereas skin a‐vO 2 diff was suppressed to a low level. Similar changes were observed during constant load exercise. In conclusion, skin perfusion increases during incremental exercise in the heat, concomitant to proportional reductions in oxygen extraction from the cutaneous circulation. Hence, contrary to the generally held view, skin perfusion remains elevated during maximal exercise and heat stress despite profound increases in sympathoadrenal activity.
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Trangmar et al. (2025) studied Healthy. Incremental and constant load cycling exercise in the heat vs. Rest was evaluated on Inactive-forearm haemodynamic response (blood flow) (~118% increase, p=<0.001). Incremental cycling exercise in the heat increased inactive-forearm blood flow by ~118% at 80% peak power (P<0.001) and decreased skin arterio-venous oxygen difference by ~62% (P=0.043).
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