Adjustment of Pulmonary O2 Uptake, Muscle Deoxygenation and Metabolism During Moderate-intensity Exercise Transitions Initiated from Low and Elevated Baseline Metabolic Rates


Book Description

When instantaneous step-wise transitions within the moderate intensity domain are initiated from elevated metabolic rates, the rate of pulmonary oxygen uptake (VȮ2p) adjustment is slowed, and the VȮ2p gain (VȮ2p /WR) is greater. This study sought to determine the relationship between VȮ2p kinetics and metabolic activity and energy status during step transitions from low and elevated metabolic rates within the moderate intensity domain. Ten young men completed six double-step constant load cycling bouts, consisting of step-wise transitions from 20 W to 45% L and 45% L [lower step (LS)] to 90% L [upper step (US)], one double-step bout included needle biopsies at; baseline, steady-state values and during transitions. Gas exchange was analyzed breath-by-breath and muscle de-oxygenation status ([HHb]) was measured with near infrared spectroscopy. The VȮ2p gain in the US (10.37 ± 1.49) was greater (p2p (VȮ2p) in the US (34 ± 12) was slower (pamp in the US (3.5 ± 2.6) was decreased (pfree] and [Pi] concentration was increased (p15) and remained elevated relative to baseline through the protocol. The calculated G ATP values at the LS 360 and the US 360 were both significantly (p




The Effect of Low and High Carbohydrate Diets on Pulmonary Oxygen Uptake and Muscle Deoxygenation Kinetics During Exercise Transitions Into the Heavy-intensity Domain


Book Description

The purpose of this study was to determine the effects of a high carbohydrate (HCHO) and low carbohydrate (LCHO) diet on the adjustment of pulmonary oxygen (O2) uptake () and muscle deoxygenation ([HHb]) during transitions to heavy intensity exercise. Young, healthy, male subjects aged (24+/-3) underwent a 4 day LCHO followed immediately by a 4 day HCHO diet, with each diet preceded by a glycogen depletion protocol. This protocol was designed to alter PDH activity. Subjects completed 3 step transitions to a work rate corresponding to 35% of the difference between their lactate threshold and peak for each condition. On day 3 of the diets gas exchange measurements were collected using mass spectrometry and [HHb] measures were recorded using near-infrared spectroscopy (NIRS). On day 4 of the diets muscle biopsies were taken from the vastus lateralis muscle of the quadriceps muscle group at steady-state baseline exercise (20 W) and at 15 s and 360 s during the transition to heavy exercise. These biopsies were frozen for later analysis. It was found that the dietary manipulation had a significant effect (p0.05) [HHb]. This study posits that PDH plays a crucial role in the adjustment of oxidative metabolism to exercise.










Oxygen Uptake Kinetics in Sport, Exercise and Medicine


Book Description

Despite its crucial importance, scientists interested in the limitations of human physical performance have only just started to give the field of oxygen uptake kinetics the attention it deserves. Understanding the principal determinant of the oxygen uptake kinetics is fundamental to improving human performance or the quality of life. This book provides a detailed overview of the current state of knowledge of this emerging field of study, and features: * an introduction to oxygen uptake kinetics and historical development of the discipline * measurement and analysis of oxygen uptake kinetics * control of and limitations to oxygen uptake kinetics * applications of oxygen uptake kinetics in a range of human populations. Oxygen Uptake Kinetics in Sport, Health and Medicine is richly illustrated and structured to enable easy access of information and represents an invaluable resource for students and researchers in exercise physiology, as well as for respiratory physiologists and pulmonary clinicians.




Energetics of Muscular Exercise


Book Description

This book discusses the maximal power and capacity of the three major biochemical pathways - aerobic (oxygen consumption), anaerobic lactic (muscle lactate accumulation in absence of oxygen consumption), and anaerobic alactic (phosphocreatine hydrolysis) metabolism - as well as the factors that limit them. It also discusses the metabolic and cardio-pulmonary mechanisms of the dynamic response to exercise. The way and extent to which the power and capacity of the three major energy metabolisms are affected under a number of different conditions, such as training, hypoxia and microgravity, are also described.




ACSM's Metabolic Calculations Handbook


Book Description

This handbook provides a step-by-step approach to using metabolic equations, from basic math principles to applying the equations to an exercise plan. Chapters focus separately on each equation, provide an easy-to-follow process of solving, and demonstrate the varied uses of the equation in clinical as well as fitness settings. Each chapter includes a set of problems that focus on real-world applications of the equation. Step-by-step problem solution explanations are provided at the end of each chapter. A comprehensive exam at the end of the book tests the reader's skill in using the equations.




Examination of the Non-linear VȮ2p Response to Exercise


Book Description

He pulmonary O2 uptake (VȮ2p) response to exercise has been characterized by exponential kinetics that remain constant regardless of the exercise protocol used to force the change in VȮ2p (kinetics are invariant). A system that responds in this way is classified as dynamically linear, implying that a first-order rate reaction controls VȮ2 at the muscle level (VȮ2m). However, slowed VȮ2p kinetics when initiating exercise from raised baseline intensities challenges this notion. The purpose of this thesis was to characterize the rate (VȮ2p) and magnitude (gain) of adjustment of VȮ2p in response to step-transitions initiated from a wide range of exercise intensities to examine whether VȮ2 kinetics at the muscle level function as a dynamically linear system. In silico experiments were included to corroborate responses measured in vivo. Using breath-by-breath VȮ2p during step- and ramp-incremental exercise it was demonstrated that: 1) VȮ2p kinetics were invariant and fast (VȮ2p 2̃0s) when transitions of varying ∆WR were initiated from a common WR (Chapter III); and 2) the VȮ2p response to ramp exercise was linearly related to WR and well described by a mono-exponential (Chapter IV) - consistent with dynamically linear control. However, it was also demonstrated in the same groups of participants that VȮ2p and gain increased as a function of baseline intensity (Chapters III and IV) - refuting this notion. Modelling the summed influence of muscle compartments based on in vivo measurements in Chapter III revealed that VȮ2p could appear fast (20s) despite being derived from VȮ2m values ranging 15-40s and Qṁ ranging 20-45s. Additionally, it was demonstrated that the VȮ2p response to ramp exercise in Chapter IV could also be characterized by an exponential function with VȮ2p and gain parameters that vary as a function of WR. Collectively, these data suggest that VȮ2p kinetics are slowed dependent on WR and may be strongly influenced by muscle metabolic and circulatory heterogeneity. Therefore, it is proposed that at the muscle level VȮ2 kinetics operate as a linear system and that non-linear VȮ2p responses to exercise may reflect a heterogeneity of linear responses within the range of muscle fibres recruited to address the exercise challenge.




High Altitude


Book Description

​ Over the last decade the science and medicine of high altitude and hypoxia adaptation has seen great advances. High Altitude: Human Adaptation to Hypoxia addresses the challenges in dealing with the changes in human physiology and the particular medical conditions that arise from exposure to high altitude. In-depth and comprehensive chapters cover both the basic science and the clinical consequences of exposure to high altitude. Genetic, cellular, organ and whole body system responses to high altitudes are covered and chapters discuss these effects on a wide range of diseases. Expert authors provide insight into the care of patients with pre-existing medical conditions that fail in some cases to adapt as well as offer insights into how high altitude research can help critically ill patients. High Altitude: Human Adaptation to Hypoxia is an important new volume that offers a window into greater understanding and more successful treatment of hypoxic human diseases.




Essential Clinical Anesthesia


Book Description

The clinical practice of anesthesia has undergone many advances in the past few years, making this the perfect time for a new state-of-the-art anesthesia textbook for practitioners and trainees. The goal of this book is to provide a modern, clinically focused textbook giving rapid access to comprehensive, succinct knowledge from experts in the field. All clinical topics of relevance to anesthesiology are organized into 29 sections consisting of more than 180 chapters. The print version contains 166 chapters that cover all of the essential clinical topics, while an additional 17 chapters on subjects of interest to the more advanced practitioner can be freely accessed at www.cambridge.org/vacanti. Newer techniques such as ultrasound nerve blocks, robotic surgery and transesophageal echocardiography are included, and numerous illustrations and tables assist the reader in rapidly assimilating key information. This authoritative text is edited by distinguished Harvard Medical School faculty, with contributors from many of the leading academic anesthesiology departments in the United States and an introduction from Dr S. R. Mallampati. This book is your essential companion when preparing for board review and recertification exams and in your daily clinical practice.