Impact of repeated local heat stress on skeletal muscle structure and function in humans

Abstract

IntroductionShort‐term exposure to heat stress has been shown to enhance muscle strength and elicit mitochondrial adaptations in human skeletal muscle. We recently documented that exposure to five sessions of heat therapy (HT) accelerates the recovery of fatigue resistance following exercise‐induced muscle damage in humans. However, the long‐term impact of repeated exposure to local heat stress on contractile function and skeletal muscle structure remains unknown. The purpose of the present study was to examine the effects of 8 weeks of daily treatment with local HT on muscle strength, fatigability, fiber size and mitochondrial content in humans.MethodsTwelve healthy young adults (23.6±1.4 years, BMI 24.9±0.9 kg/m2) had one randomly selected thigh treated with daily HT for 8 consecutive weeks while the opposite thigh served as a control. A water‐circulating garment perfused with water at ~52ºC was used to apply HT for 90 min daily. Knee extensor strength (single peak torque during 3 repetition maximums at 180°/s and 60°/s) and fatigue resistance (total work during 40 repetition maximums at 180°/s) were assessed using isokinetic dynamometry before and after 4 and 8 weeks of treatment. Biopsies were obtained from the vastus lateralis muscle for the determination of myofiber cross‐sectional area and maximal citrate synthase activity.ResultsTreatment with HT elicited an increase in thigh skin temperature (39.8±0.1ºC), while skin temperature remained at baseline levels in the control thigh (32.4± 0.1ºC). A significant treatment effect was observed for the changes from baseline in peak isokinetic torque at 180º/s (p=0.04). On average, the changes in peak isokinetic torque from baseline for HT were ~2 fold higher than control at week 4 (Control: 4.1±3.7 Nm vs. HT: 9±4.6 Nm) and ~4 fold higher at week 8 (Control: 1.7±2.7 Nm vs. HT: 7.7±2.9 Nm). There were no differences between treatments for peak isokinetic torque at 60º/s, myofiber cross‐sectional area and citrate synthase activity.ConclusionThese results indicate that daily exposure to HT for 8 weeks enhances muscle strength in humans. Local HT may be a practical therapeutic approach to improve muscle function in individuals with limited mobility and skeletal muscle weakness.Support or Funding InformationSupport: American College of Sports Medicine Research EndowmentThis abstract is from the Experimental Biology 2019 Meeting. There is no full text article associated with this abstract published in The FASEB Journal.