The effect of posture change on blood volume, serum potassium and whole body electrical impedance

Eur J Appl Physiol Occup Physiol. 1994;69(5):461-3. doi: 10.1007/BF00865413.

Abstract

After standing for 1 h, ten subjects (7 male, 3 female) assumed a supine position for a further hour. Whole body bioelectrical impedance increased progressively during the hour spent in the supine position: after 60 min supine the increase was 13(6 to 32) omega. Blood and plasma volumes, estimated from haematocrit and haemoglobin concentration, increased by 8.0(6.7 to 12.4)% and 16.7(12.3 to 20.8)% (median(range)) respectively after 60 min supine. Serum potassium concentration had fallen after 10 min supine (4.1(0.1)mmol l-1; mean (SEM)) relative to the standing value (4.6(0.1)mmol l-1) and was unchanged thereafter. Serum osmolality (P = 0.991) and sodium (P = 1.000) and chloride (P = 0.998) concentrations remained unchanged throughout the study. The fall in serum potassium concentration in the supine position does not appear to be a simple dilutional effect consequent upon increases in blood and plasma volume as there was no effect of postural change on serum sodium or chloride concentrations.

MeSH terms

  • Adult
  • Blood Volume*
  • Electric Impedance
  • Electrolytes / blood
  • Female
  • Humans
  • Male
  • Osmolar Concentration
  • Plasma Volume
  • Posture / physiology*
  • Potassium / blood*
  • Serum Albumin / analysis

Substances

  • Electrolytes
  • Serum Albumin
  • Potassium