TY - JOUR TI - Heat acclimation enhances the cold-induced vasodilation response AU - Ciuha, Ursa AU - Sotiridis, Alexandros AU - Mlinar, Tinkara AU - Royal, AU - Joshua T. AU - Eiken, Ola AU - Mekjavic, Igor B. JO - European Journal of Applied Physiology PY - 2021 VL - 121 TODO - 11 SP - 3005-3015 PB - Springer-Verlag SN - 1439-6319, 1439-6327 TODO - 10.1007/s00421-021-04761-x TODO - Cold-induced vasodilation; Cross-adaptation; Exercise training; Heat acclimation; Hypoxic acclimation TODO - Purpose It has been reported that the cold-induced vasodilation (CIVD) response can be trained using either regular local cold stimulation or exercise training. The present study investigated whether repeated exposure to environmental stressors, known to improve aerobic performance (heat and/or hypoxia), could also provide benefit to the CIVD response. Methods Forty male participants undertook three 10-day acclimation protocols including daily exercise training: heat acclimation (HeA; daily exercise training at an ambient temperature, T-a = 35 degrees C), combined heat and hypoxic acclimation (HeA/HypA; daily exercise training at T-a = 35 degrees C, while confined to a simulated altitude of similar to 4000 m) and exercise training in normoxic thermoneutral conditions (NorEx; no environmental stressors). To observe potential effects of the local acclimation on the CIVD response, participants additionally immersed their hand in warm water (35 degrees C) daily during the HeA/HypA and NorEx. Before and after the acclimation protocols, participants completed hand immersions in cold water (8 degrees C) for 30 min, followed by 15-min recovery phases. The temperature was measured in each finger. Results Following the HeA protocol, the average temperature of all five fingers was higher during immersion (from 13.9 +/- 2.4 to 15.5 +/- 2.5 degrees C; p = 0.04) and recovery (from 22.2 +/- 4.0 to 25.9 +/- 4.9 degrees C; p = 0.02). The HeA/HypA and NorEx protocols did not enhance the CIVD response. Conclusion Whole-body heat acclimation increased the finger vasodilatory response during cold-water immersion, and enhanced the rewarming rate of the hand, thus potentially contributing to improved local cold tolerance. Daily hand immersion in warm water for 10 days during HeA/Hyp and NorEx, did not contribute to any changes in the CIVD response. ER -