Lecture 31: Thermoregulation Flashcards

(43 cards)

1
Q

What is an endotherm?

A

Warm blooded e.g. human

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2
Q

What is the core temperature of the body and how is this maintained?

A

36.5 - 37.5°C
1. Behaviour modification in cortex; awareness, choice, action
2. Homeostatic mechanisms in hypothalamus; autonomic control of thermoregulation

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3
Q

What is the thermoneutral zone?

A

21 - 30°C
The range of environmental temperatures where:
1. Body’s basal rate of heat production = rate of heat loss to environment
2. Core body temp is maintained with minimal metabolic regulation at rest (via small changes in skin blood flow)

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4
Q

What type of rhythm does core temperature follow?

A

Circadian rhythm with:
▪ ~1˚C range
▪ High at 4pm and low at 4am

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5
Q

Why does core temperature follow this rhythm?

A
  • Mostly due to melatonin, secreted by pineal gland
  • Time-zone shift upsets rhythm - gradual reset over time
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6
Q

What happens when core body temperature increases too much?

A

Heat exhaustion, stroke, death

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7
Q

What happens when core body temperature decreases too much?

A

Hypothermia, confusion, cardiac arrhythmias, death

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8
Q

How is heat balance maintained?

A

Balancing heat loss and heat gain:
▪ 3 heat transfer: loss or gain
▪ 1 heat loss only: evaporation
▪ 1 heat gain only: metabolism

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9
Q

What are the 3 methods of heat transfer?

A

1.Conduction: Transmission of heat through physical contact (requires a gradient)
2. Convection: Transmission of heat through movement of fluid or air
3. Radiation:
Transmission of heat through electromagnetic waves

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10
Q

What is the mechanism of heat loss only?

A

Evaporation: Loss of heat through conversion of water (sweat) to gas
▪ Energy (heat) imparted into moisture, which then evaporates from the skin

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11
Q

What secretes sweat onto skin and how much?

A

Sweat glands: ~600mL/day at rest in neutral environment

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12
Q

What does heat loss require and what does this determine?

A
  • Temperature and moisture gradient for water to evaporate
  • The size of the gradient (humidity) determines the speed of evaporation
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13
Q

What is the mechanism of heat gain only?

A

Metabolism: Gain of heat through oxidation of nutrients to make ATP, and hydrolysis of ATP
* Heat is produced as a byproduct during both processes.

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14
Q

How much does heat resting (basal) metabolism generate?

A

At rest, 70% from internal organs e.g. liver, kidney, GI tract, brain

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15
Q

How does exercise contribute to the heat gain mechanism?

A

Increases ATP production and use -> increasing heat production

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16
Q

How does shivering thermogenesis contribute to the heat gain mechanism?

A
  • Cold-induced involuntary muscle contractions
  • Increases ATP production and breakdown
  • Increased production of heat as a byproduct
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17
Q

How does non-shivering thermogenesis contribute to the heat gain mechanism?

A
  1. Hypothalamus activates sympathetic NS when core body temp drops causing release of noradrenaline and thyroid hormones
  2. Activation of uncoupling proteins in the mitochondria of
    brown adipose tissue
  3. Increased heat production from oxidation of fatty acids and some glucose due to making heat rather than ATP
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18
Q

What is the main mechanism for heat gain in infants under 1 year?

A

Non-shivering thermogenesis

19
Q

Does brown fat cell metabolism or shivering generate more heat?

A

Metabolism in brown fat - has more mitochondria so more ATP and more heat production

20
Q

What is hypothermia?

A
  • Core body temperature < 35˚C
    ▪ Heat loss > Heat gain
21
Q

What are the physiological effects of hypothermia?

A

Slows physiological functions
▪ Decreased metabolic rate
▪ Reduced ventilation and heart rate
▪ Electrolyte disturbances (low potassium, acidosis)
▪ Slower neural conduction

21
Q

What homeostatic mechanisms correct heat loss?

A
  1. Feedforward (anticipation)
  2. Negative feedback (correction)
    -> stop sweating, vasoconstriction, shivering, increased metabolic rate and heat production
22
Q

What homeostatic mechanisms correct heat gain?

A
  1. Feedforward (anticipation)
  2. Negative feedback (correction)
    -> sweating, vasodilation, decreased metabolic rate and heat production
22
Q

How does exercise effect the perception of a decrease in core body temperature?

A

Don’t feel ”as cold” as with the same drop in core body temp when not exercising

22
Does exercising in cold temperatures increase or decrease the risk of hypothermia, why?
* Increase the risk of hypothermia * Shivering begins after a larger drop in core body temp during exercise * Sweating leads to greater heat loss in the cold
23
During steady-state exercise when does the heat loss mechanism stop increasing?
Heat loss mechanisms will increase until heat production and heat loss are balanced, and core body temperature stabilises
23
Describe thermoregulation during exercise in relation to heat production, loss and core body temperature:
1. Heat production increases immediately at start of exercise 2. Leads to core body temp increase in relation to exercise intensity 3. Stimulates hypothalamus to activate heat loss mechanisms: * Sweating; evaporation * Skin blood vessels vasodilate; convection/radiation
23
What is a heat tolerance limit?
When heat loss mechanisms can’t keep up with heat production and core body temp gets to dangerous levels leading to fatigue and/or heat stroke
24
What is hyperthermia: heat exhaustion?
* Doesn’t necessarily require a large increase in core body temperature * Depends on temperature tolerance
24
What effect does exercise training have on the heat tolerance limit?
Can increase the limit
24
What effect does temperature acclimation have on heat tolerance limit?
* Decreases duration to reach heat tolerance limit * Doesn't change limit of heat tolerance itself
24
What occurs during temperature acclimation?
* Vasodilation of skin arterioles: increased plasma volume and maximal skin blood flow * Sweating: begins earlier in exercise, increased rate of sweat production, decreases sodium content of sweat (aldosterone)
25
What are the symptoms of hyperthermia (heat exhaustion) due to?
Hypotension from: * Vasodilation of skin arterioles decreases TPR * Sweating causes dehydration, and loss of plasma volume, causing a decrease in preload and SV * SV decrease = CO decrease * CO and TPR decrease = MABP decrease
26
What is the treatment for hyperthermia (heat exhaustion)?
Stop exercising, cool down, rehydrate
27
What is hyperthermia: heat stroke?
* Core body temperature > 40˚C * Heat gain > Heat loss
28
What happens to heat loss and core body temperature during heat stroke?
* Heat loss: In hot and humid conditions heat loss systems can become overwhelmed * Core body temp: continues to increase
28
What are the symptoms of heat stroke?
Fainting, seizures, delirium and prolonged unconsciousness
29
What is the treatment for heat stroke?
Internal cooling and fluid replacement
30
What is a fever?
Regulation of core body temperature still occurs but the set point changes and can fluctuate up and down
31
What occurs during an onset of a fever?
1. Core body temp set-point increases 2. Feel suddenly ‘too cold’ = chills 3. Heat gain mechanisms activated: vasoconstriction of skin arterioles and shivering to increase temp until it reaches the new set-point
32
What are fever breaks?
1. Core body temp set-point decreases 2. Feel suddenly ‘too hot’ = sweats 3. Heat loss mechanisms activated: sweating and vasodilation of skin arterioles
33
When there is a fever from an infection, what is released and what do they act on?
Macrophages release endogenous pyrogens (chemical messengers) which act via: 1. Directly on the hypothalamus 2. By stimulating the vagus nerve, which acts on the hypothalamus ▪ Both cause release of prostaglandins within the hypothalamus ▪ Increases the core body temp set point
34
What are the effectors for a fever from an infection?
1. Skeletal muscle ▪ Voluntary response: feel cold so put more clothes/blankets on ▪ Involuntary response: shivering 2. Skin arterioles ▪ Vasoconstriction to reduce blood flow to the skin ▪ Increases the core body temp to match new set point