The effect of intermittent standing or walking during head down tilt bedrest on peak O2 consumption

The cardiovascular aspect of bedrest deconditioning is manifested by decreases in peak O2 uptake (VO(sub 2 peak)) during minimal exercise. The effect of intermittent standing (+G(z)) or walking (+G(z)W) during 4 days of 7 degree Head Down Tilt bedrest (HDT) on VO(sub 2 peak) was evaluated. Methods: Five protocols were performed by eight male subjects; control (C) consisting of complete bedrest, and 15 minute periods to total 2 or 4 hours daily of standing (+G(z)(exp 2) and +G(z)(exp 4) respectively) or walking at 3.0 MPH (+G(z)W2 and +G(z)W4 respectively). Subjects performed VO(sub 2 peak) tests prior to and on the final day of HDT. VO(sub 2 peak) was determined using open circuit indirect calorimetry during supine leg cycling ergometry. After a 5 minute warmup, three 2 minute incremental loads of 33 W previously determined to elicit VO(sub 2 peak) were given and the subject cycled to volitional fatigue. Results: The C protocol VO(sub 2 peak) decreased by 16 percent (2.71 plus or minus 0.16 to 2.27 plus or minus 0.14 L/min) and 11 percent in +G(z)(exp 4) (2.72 plus or minus 0.15 to 2.43 plus or minus 0.14 L/min). With +G(z)W2 VO(sub 2 peak) decreased by 9 percent (2.71 plus or minus 0.17 to 2.46 plus or minus 0.14 L/min) and with +G(z)W4, VO(sub 2 peak) decreased by 10 percent (2.71 plus or minus 0.14 to 2.43 plus or minus 0.14 L/min). VO(sub 2 peak) in all protocols decreased with HDT (P less than 0.05). The decrease in C VO(sub 2 peak) was significantly greater (P less than 0.05) than the decreases in either +G(z) or +G(z)W protocols. Conclusion: The deconditioning that occurs after only 4 days of HDT was demonstrated by decreases in VO(sub 2 peak). Intermittent +G(z) or +G(z)W attenuated, but did not prevent, the decrease in VO(sub 2 peak) with HDT.