Renal, Metabolic, and Circulatory Responses to Heat and Exercise

Studies in Military Recruits During Summer Training, with Implications for Acute Renal Failure

Abstract

Acute renal failure is known to occur in military recruits during summer basic training. The effect of these summer training exercises on the urinary sediment, renal excretion of heme pigments, renal concentrating mechanism, body temperature, muscle enzymes, serum uric acid, coagulation factors, and systemic hemodynamics was evaluated during both the early and late stages of basic training. The findings are discussed in the context of potential predisposing and precipitating causes of acute renal failure, and a pathogenetic schema is proposed.

Article and Author Information

  • ▸From the Department of Metabolism, Walter Reed Army Institute of Research, Washington, D. C.

  • ▸Requests for reprints should be addressed to Robert W. Schrier, M.D., University of California, San Francisco Medical Center, San Francisco, Calif. 94122

    • Received January 23, 1970.
    • Accepted February 18, 1970.
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