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Reliability of Biomarkers of Physiological Stress at Rest and Post-exertional Heat Stress
Ist Teil von
International journal of sports medicine, 2023-03, Vol.44 (3), p.184-191
Ort / Verlag
Rüdigerstraße 14, 70469 Stuttgart, Germany: Georg Thieme Verlag
Erscheinungsjahr
2023
Quelle
Thieme - Connect here FIRST to enable access
Beschreibungen/Notizen
Abstract
The purpose of this study was to assess the reliability of blood biomarkers that
can signify exercise-induced heat stress in hot conditions. Fourteen males
completed two heat stress tests separated by 5–7 days. Venous blood was
drawn pre- and post- heat stress for the concentration of normetanephrine,
metanephrine, serum osmolality, copeptin, kidney-injury molecule 1, and
neutrophil gelatinase-associated lipocalin. No biomarker, except copeptin,
displayed systematic trial order bias (
p
≥0.05). Normetanephrine,
copeptin and neutrophil gelatinase-associated lipocalin presented acceptable
reliability (CV range: 0.9–14.3%), while greater variability was
present in metanephrine, osmolality and kidney-injury molecule 1 (CV range:
28.6–43.2%). Normetanephrine exhibited the largest increase
(p<0.001) in response to heat stress (trial 1=1048±461
pmol. L
-1
; trial 2=1067±408 pmol. L
-1
),
whilst kidney-injury molecule 1 presented trivial changes (trial
1=–4±20 ng. L
-1
; trial
2=2 ± 16 ng. L
-1
,
p
>0.05). Normetanephrine, copeptin, and neutrophil
gelatinase-associated lipocalin demonstrated good reliability and sensitivity to
an acute bout of heat stress. These biomarkers may be suitable for application
in laboratory and field research to understand the efficacy of interventions
that can attenuate the risk of thermal injury whilst exercising in the heat.