Lipid metabolism after mild cold stress in persons with a cervical spinal cord injury

© 2022. The Author(s), under exclusive licence to International Spinal Cord Society..

STUDY DESIGN: Experimental study.

OBJECTIVES: To compare lipid metabolism in individuals with a cervical spinal cord injury (SCIC) and able-bodied (AB) persons in response to mild cold stress.

SETTINGS: Laboratory of Wakayama Medical University, Japan.

METHODS: Nine males with SCIC and 11 AB wore a water-perfusion suit in a supine position. Following 30-min rest thermoneutrality, the whole body was cooled by perfusing 25 °C water through the suit for 15-20 min (CS). Blood samples were collected before, immediately, and 60 (post-CS60) and 120 min after CS (post-CS120). Concentrations of serum free fatty acid ([FFA]s), total ketone bodies ([tKB]s), insulin ([Ins]s) and plasma adrenaline ([Ad]p), noradrenaline ([NA]p) and glucose ([Glc]p) were assessed.

RESULTS: [Ad]p in SCIC were lower than AB throughout the study (p = 0.0002) and remained largely unchanged in both groups. [NA]p increased after cold stress in AB only (p < 0.0001; GxT p = 0.006). [FFA]s increased by 62% immediately after cold stress in SCIC (p = 0.0028), without a difference between groups (p = 0.65). [tKB]s increased by 69% at post-CS60 and 132% at post-CS120 from the start in SCIC with no differences between groups (p = 0.54). [Glc]p and [Ins]s were reduced in SCIc only (GxT p = 0.003 and p = 0.001, respectively).

CONCLUSION: These data indicate that mild cold stress acutely elevates lipid and ketone body metabolism in persons with SCIc, despite the presence of sympathetic dysfunction.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:60

Enthalten in:

Spinal cord - 60(2022), 11 vom: 04. Nov., Seite 978-983

Sprache:

Englisch

Beteiligte Personen:

Nishiyama, Kazunari [VerfasserIn]
Kamijo, Yoshi-Ichiro [VerfasserIn]
van der Scheer, Jan W [VerfasserIn]
Kinoshita, Tokio [VerfasserIn]
Goosey-Tolfrey, Victoria L [VerfasserIn]
Hoekstra, Sven P [VerfasserIn]
Nishimura, Yukihide [VerfasserIn]
Kawasaki, Takashi [VerfasserIn]
Ogawa, Takahiro [VerfasserIn]
Tajima, Fumihiro [VerfasserIn]

Links:

Volltext

Themen:

059QF0KO0R
Journal Article
Water

Anmerkungen:

Date Completed 07.11.2022

Date Revised 05.12.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1038/s41393-022-00788-9

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM340371951