Fluid shifts and endocrine responses during chair rest and water immersion in man

Abstract

To determine the effect of external water pressure per se on intercompartmental fluid volume shifts, plasma and urine electrolytes, osmotic and endocrine responses were compared in four men (21-22 yr) during 8 h of water immersion (TH2O = 34.4 degrees C) and during 8 h of chair rest (Ta = 22.5 degrees C), followed by16 h of bed rest in both regimens. Water intake was 1,800 ml during 8-h exposures. Urine volume during immersion was 2,954 ml/8 h and 1,538 ml/8 h (P less than 0.01) during chair rest; the respective decreases in extracellular volume (ECV) were 2,230 ml/8 h and 1,892 ml/8 h. Losses from the intersititial volume (1.81 vs. 1.67 liters) and plasma volume (0.43 vs. 0.23 liters) during immersion and chair rest, respectively, were approximately proportional to theri normal ratios. With a negative H2O balance (corrected for blood withdrawal) during immersion of 1,234 ml and a positive balance (190 ml) during chair rest, there appeared to be a shift of ECV to the intracellular compartment in both regimens. There was suppression of both plasma arginine vasopressin (AVP) and renin activity (PRA) during chair rest and immersion. It appears that the increased central blood volume, as opposed to increased plasma osmolality, is the primary stimulus for AVP suppression. In hyperhydrated subjects, about half (6.7%) of the immersion plasma volume loss of 12.6% could be attributed to orthostatic responses associated with the upright body position during chair rest and the remaining half to the external water pressure.