Reliability of blood biomarkers of physiological stress at rest and in response to exercise under hot-humid conditions. 

Future Physiology 2020 (Virutal) (2020) Proc Physiol Soc 46, PC0081

Poster Communications: Reliability of blood biomarkers of physiological stress at rest and in response to exercise under hot-humid conditions. 

Daniel Snape1, 2, Barney Wainwright1, John O'Hara1

1 Leeds Beckett University, Leeds, United Kingdom 2 English Institute of Sport , Manchester , United Kingdom

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Purpose: Establish the short-term reliability and acute responsiveness of biomarkers of physiological stress to exercise in the heat. As such, informing their prospective application in research and field settings. Method: Fourteen male endurance trained cyclists/triathletes completed two heat stress tests (HST), separated by 5-7 days. HST’s involved 45-minutes fixed-intensity cycling (2.5W.kg-1) under hot-humid conditions (32oC and 70% relative humidity). Venous blood was drawn pre- and immediately post-HST for the concentration of normetanephrine (NMET), metanephrine (MET), kidney-injury molecule 1 (KIM-1), neutrophil gelatinase-associated lipocalin (NGAL), serum osmolality (Sosmo) and copeptin. Results: No biomarker displayed systematic trial order bias (p ≤ 0.05). The majority of biomarkers had acceptable within-participant variation (CV range: 0.9-14.3%). Copeptin had the lowest short-term variation at rest (CV = 0.9%) and post-HST (CV = 1.2%). However, greater variation was evident in biomarkers MET and KIM-1 at rest (CV = 28.6 & 43.2%) and post-HST (CV = 29.9 & 29.6%), respectively. NMET exhibited very large increases (trial 1 = Δ1048 ± 461; trial 2 = Δ 1067 ± 408) in response to exertional heat stress (p <0.0001, d = 2.8; p <0.0001, d = 3.8). In contrast, KIM-1 demonstrated trivial changes (trial 1 = Δ -3 ± 21; trial 2 = Δ 2 ± 17) in response to exercise in the heat  (p = 0.53, d = 0.1; p = 0.60, d = 0.1). Conclusion: Each biomarker, except MET and KIM-1 had acceptable reliability at rest and following exercise. In addition, biomarkers NMET, copeptin and NGAL demonstrated large increases in response to exercise in the heat. Thus, these markers can provide accurate and sensitive measurement for wide-spread application in laboratory and field research. 



Where applicable, experiments conform with Society ethical requirements.

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