Tracing Acid-Base Variables in Exercising Horses: Effects of Pre-Loading Oral Electrolytes

Oral electrolyte supplementation may influence acid-base state during exercise due to the intestinal absorption of administered water and electrolytes used to mitigating sweat losses. This study examined the effect of pre-exercise electrolyte supplementation (3 and 8 L) on plasma acid-base variables at rest, during moderate intensity exercise and during recovery. It was hypothesized that electrolyte supplementation will result in improved acid-base state compared to the alkalosis typical of prolonged exercise. In randomized crossover fashion, four horses were administered 3 L or 8 L of a hypotonic electrolyte solution (PNW) intended to replace sweat losses, or water alone (CON), 1 h before treadmill exercise to fatigue (at 35% of peak VO2) or for 45 min at 50% peak VO2. Blood was sampled at 10-min intervals before, during and after exercise, and analyzed for dependent and independent acid-base variables. Effects of 3 L of supplementation at low exercise intensities were minimal. In the 8 L trials, plasma [H+] decreased (p < 0.05) during exercise and early recovery in CON but not PNW. Plasma TCO2 decreased (p < 0.05) by 30 min after PNW reaching a nadir of 28.0 ± 1.5 mmol/L during the early exercise period (p = 0.018). Plasma pCO2 and strong ion difference [SID] were the primary contributors to changes in [H+] and [TCO2], respectively. Pre-exercise PNW of 8 L intended to fully replenish sweat loses maintained [H+], decreased [TCO2] and mitigated the mild alkalosis during moderate intensity exercise.

Oral Electrolyte and Water Supplementation in Horses

Horses that sweat for prolonged periods lose considerable amounts of water and electrolytes. Maintenance of hydration and prevention of dehydration requires that water and electrolytes are replaced. Dehydration is common in equine disciplines and can be avoided, thus promoting equine wellness, improved performance and enhanced horse and rider safety. Significant dehydration occurs through exercise or transport lasting one hour or more. Oral electrolyte supplementation is an effective strategy to replace water and electrolytes lost through sweating. The stomach and small intestine serve as a reservoir for uptake of water and electrolytes consumed 1 to 2 h prior to exercise and transport. The small intestine is the primary site of very rapid absorption of ions and water. Water and ions absorbed in the small intestine are taken up by muscles, and also transported via the blood to the skin where they serve to replace or augment the losses of water and ions in the body. Effective electrolyte supplements are designed to replace the proportions of ions lost through sweating; failure to do so can result in electrolyte imbalance. Adequate water must be consumed with electrolytes so as to maintain solution osmolality less than that of body fluids in order to promote gastric emptying and intestinal absorption. The electrolyte supplement should taste good, and horses should be trained to drink the solution voluntarily prior to and during transport, and prior to and after exercise.

Pre-loading large volume oral electrolytes: tracing fluid and ion fluxes in horses during rest, exercise and recovery

KEY POINTS

Exercise results in rapid and large extracellular to intracellular fluid shifts, as well as significant sweating losses of water and ions. It is unknown whether ions within oral electrolyte supplements are taken up by muscle (and other soft tissues) and whether oral supplementation can effectively offset sweating losses. Pre-loading with 8 L of a balanced hypotonic electrolyte supplement attenuated extracellular fluid losses, increased exercise duration and increased sweating fluid and ion losses during submaximal exercise. Supplemented electrolytes appear in skeletal muscle within 1 h after administration. Electrolyte supplementation increased exercise performance, improved maintenance of extracellular fluid volumes, and attenuated body fluid losses while maintaining sweating rates.

ABSTRACT

This study used radioactive sodium (24 Na) and potassium (42 K) in a balanced, hypotonic electrolyte supplement to trace their appearance in skeletal muscle, and also quantified extracellular and whole-body fluid and ion changes during electrolyte supplementation, exercise and recovery. In a randomized crossover design, 1 h after administration of 1 to 3 L of water or electrolyte supplement with 24 Na, horses were exercised at 35% VO2max to voluntary fatigue or, after administration of 8 L of water or electrolyte supplement with 42 K were exercised at 50% peak VO2 for 45 min (n = 4 in each trial). Pre-exercise electrolyte supplementation was associated with decreased loss of fluid and electrolytes from the extracellular fluid compartments during exercise and recovery compared with water alone. The improved fluid and ion balance during prolonged exercise was associated with increased exercise duration, despite continuing sweating losses of fluid and ions. Nasogastric administration of radiotracer 24 Na+ and 42 K+ showed rapid absorption into the blood with plasma levels peaking 45 min after administration, followed by distribution into the extracellular space and intracellular fluid of muscle within 1 h. Following exercise, virtually all Na+ remained within the extracellular compartment, while the majority of K+ underwent intracellular uptake by 2 h of recovery. It is concluded that pre-loading with a large volume, balanced electrolyte supplement helps maintain whole-body fluid and ion balance and support muscle function during periods of prolonged sweat ion losses.

Effect of electrolyte supplementation on electrolyte profile in Marwari horses during 20 km moderate intensity riding exercise

The effect of electrolyte supplementation on plasma electrolyte profile in horses in hot environmental conditions was studied using sweat loss and sweat electrolyte concentration. Eleven adult Marwari mares were selected for the study. To develop an electrolyte supplement, 7 mares were given a preliminary 20 km moderate intensity exercise and the electrolyte supplement was designed on basis of their body weight loss and sweat electrolyte concentration during exercise. In the subsequent trials, 4 mares were kept in an exercise control group that did not receive the supplement (ECG), while 3 mares were kept in the exercise supplementation group (ESG) that received the supplement. Four other mares were used as resting controls (RG). ESG mares were daily fed 50 g electrolyte supplement and 150 g supplement orally 1 h before the 20 km trial. Mares of ESG and ECG groups were conferred 3 km trot + canter riding every day in the morning and a 20 km trot + canter ride on every 10th day of the total trial period of 40 days. Blood analysis revealed a significant (P<0.05) decline in plasma calcium and chloride concentrations immediately after exercise in both groups. There was significant less post-exercise decrease of plasma calcium and chloride concentration in ESG mares. Post-exercise plasma sodium concentration was higher (P<0.05) and plasma potassium concentration was lower only in ESG mares (P<0.05) compared to pre-exercise concentrations. The supplement did not affect the physiological responses (heart rate and rectal temperature). However, the changes in plasma sodium, potassium, calcium and chloride concentration were in favour of better performance in supplemented (ESG) mares and advocate sweat-developed electrolyte supplementation in riding mares.

Renal protective effects of induction of haem oxygenase-1 combined with increased adiponectin on the glomerular vascular endothelial growth factor-nitric oxide axis in obese rats

What is the central question of this study? This study aimed to investigate whether induction of haem oxygenase-1 (HO-1) can protect the kidneys of obese rats by regulating the glomerular vascular endothelial growth factor-nitric oxide (VEGF-NO) axis by increasing the adiponectin concentrations. What is the main finding and its importance? Induction of HO-1 reduces the degree of microalbuminuria and has renal protective effects by improving endothelial function and regulating the uncoupled glomerular VEGF-NO axis in diet-induced obese rats. The mechanism may be related to increased activation of the HO-1-adiponectin axis. The glomerular vascular endothelial growth factor-nitric oxide (VEGF-NO) axis plays a critical role in maintenance of normal kidney function in obesity. Induction of haem oxygenase-1 (HO-1) may result in a parallel increase in adiponectin secretion. The aim of this study was to investigate whether induction of HO-1 could protect the kidneys of obese rats by regulating the glomerular VEGF-NO axis by increasing adiponectin levels. Rats received high-fat diets and were injected with either cobalt protoporphyrin to induce HO-1 or stannous protoporphyrin to inhibit HO-1. Blood and urine samples were collected. Endothelial function was determined by measuring the endothelium-dependent vasodilatation of the aorta. Renal tissues were collected for CD34 immunohistochemistry. The glomerular VEGF-NO axis and the AMP kinase-phosphoinositide 3-kinase (PI3K)/Akt-endothelial nitric oxide synthase pathway were measured. Induction of HO-1 by cobalt protoporphyrin decreased microalbuminuria, plasma free fatty acids, serum high-sensitivity C-reactive protein and malondialdehyde levels and increased serum adiponectin levels compared with the untreated obese rats. Severe impairment of endothelium-dependent vasodilatation was observed in the obese rats, which was improved to some extent by HO-1 induction. Induction of HO-1 reduced glomerular CD34 expression and production of reactive oxygen species in obese rats. Obese rats showed increased glomerular VEGF expression and reduced NO levels. This uncoupling of the glomerular VEGF-NO axis was improved to some extent by induction of HO-1, with enhancement of p-AMP kinase, p-Akt and phospho-endothelial nitric oxide synthase in obese rats. These results indicate that induction of HO-1 with cobalt protoporphyrin reduces the degree of microalbuminuria and has renal protective effects by improving endothelial dysfunction and regulating the glomerular VEGF-NO axis in diet-induced obese rats by increasing adiponectin levels.

Reduced high intensity training distance had no effect on VLa4 but attenuated heart rate response in 2-3-year-old Standardbred horses

BACKGROUND

Training of Standardbred race horses aims to improve cardiovascular and metabolic functions but studies on the effects of different training strategies from breaking till racing are lacking. Sixteen horses with the goal to race as 3-year-olds were studied from breaking (1-year-olds) to December as 3-year-olds. Horses were allocated to either a control (C) or reduced (R) training program from 2 years of age. The aim was to evaluate the effect of reducing the distance of high intensity exercise by 30% with respect to velocity at lactate concentration 4 mmol/l (VLa4), blood lactate and cardiovascular response. All training sessions were documented and heart rate (HR) was recorded. A standardized exercise test of 1,600 m was performed 10 times and a VLa4 test was performed five times.

RESULTS

C horses initially exercised for a longer time with a HR >180 beats per minute compared to R horses (P < 0.05) but after 6-9 months, time with HR >180 bpm decreased in C and were similar in the two groups (P > 0.05). Over the 2-year period, recovery HR after the 1,600 m-test decreased in both groups but was within 2 months lower in C than in R (P < 0.05). C horses also had lower resting HR as 3-year-olds (P < 0.01) than R horses. In C, post exercise hematocrit was higher than in R (P < 0.05). There was a tendency (P < 0.1) towards a larger aortic diameter in C as 3-year-olds (C: 1.75 ± 0.05, R: 1.70 ± 0.05 cm/100 kg BW). Left ventricle diameter and blood volume (in December as 2-year-olds) did not differ between groups. There were no differences between groups in post exercise blood lactate concentration or in VLa4. Both groups were equally successful in reaching the goal of participation in races.

CONCLUSIONS

Horses subjected to a reduced distance of high intensity training from the age of 2 showed an attenuated heart rate response, but were able to maintain the same VLa4 and race participation as horses subjected to longer training distances.

Determining dehydration and its compartmentation in horses at rest and with exercise: a concise review and focus on multi-frequency bioelectrical impedance analysis

Multi-frequency bioelectrical impedance analysis (MFBIA) has been, and likely will increasingly be, used to rapidly and non-invasively assess the time course of volume losses and recovery in horses. Dehydration in performance horses is frequently the cause of health and performance problems, and presently used techniques for objectively quantifying optimum hydration are time consuming and challenging to perform accurately. Dehydration can take a number of different forms, with a balanced loss of water and electrolytes from both extra- and intracellular fluid compartments, or a primarily extracellular or intracellular dehydration. This review summarises the current state of knowledge regarding the quantification of dehydration, losses of water and electrolytes from extra- and intracellular fluid compartments. The effects of dehydration on exercise performance, muscle function, cardiovascular function, thermoregulation and feeding are briefly summarised. The review provides a quantitative description of the magnitude and time course of compartmental fluid losses and recovery in horses in response to feeding and due to exercise at different intensities and durations representing the endurance horse to the track race horse. Effective rehydration requires knowledge of the losses from the main body fluid compartments, which is now possible using MFBIA technology. The present review outlines the key approaches that have been used to assess dehydration in horses, including the new technique of MFBIA.