Effects of high altitude and water deprivation on arginine vasopressin release in men

  • C. M. Maresh
  • , W. J. Kraemer
  • , D. A. Judelson
  • , J. L. VanHeest
  • , L. Trad
  • , J. M. Kulikowich
  • , K. L. Goetz
  • , A. Cymerman
  • , A. J. Hamilton

Research output: Contribution to journalArticlepeer-review

22 Scopus citations

Abstract

High-altitude exposure changes the distribution of body water and electrolytes. Arginine vasopressin (AVP) may influence these alterations. The purpose of this study was to examine the effect of a 24-h water deprivation trial (WDT) on AVP release after differing altitude exposures. Seven healthy males (age 22 ± 1 yr, height 176 ± 2 cm, mass 75.3 ± 1.8 kg) completed three WDTs: at sea level (SL), after acute altitude exposure (2 days) to 4,300 m (AA), and after prolonged altitude exposure (20 days) to 4,300 m (PA). Body mass, standing and supine blood pressures, plasma osmolality (Posm), and plasma AVP (PAVP) were measured at 0, 12, 16, and 24 h of each WDT. Urine volume was measured at each void throughout testing. Baseline Posm increased from SL to altitude (SL 291.7 ± 0.8 mosmol/kgH2O, AA 299.6 ± 2.2 mosmol/kgH2O, PA 302. 3 ± 1.5 mosmol/kgH20, P < 0.05); however, baseline PAVP measurements were similar. Despite similar Posm values, the maximal PAvP response during the WDT (at 16 h) was greater at altitude than at SL (SL 1.7 ± 0.5 pg/ml, AA 6.4 ± 0.7 pg/ml, PA 8.7 ± 0. 9 pg/ml, P < 0.05). In conclusion, hypoxia appeared to alter AVP regulation by raising the osmotic threshold and increasing AVP responsiveness above that threshold.

Original languageEnglish (US)
Pages (from-to)E20-E24
JournalAmerican Journal of Physiology - Endocrinology and Metabolism
Volume286
Issue number1 49-1
DOIs
StatePublished - Jan 2004

Keywords

  • Acute mountain sickness
  • Antidiuretic hormone
  • Dehydration
  • Fluid regulation
  • Osmotic threshold

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Physiology
  • Physiology (medical)

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