Cardiac output in paraplegic subjects at high exercise intensities

Summary The purpose of this investigation was to compare cardiac output ( _c ) in paraplegic subjects (P) with wheelchair-confined control subjects (C) at high intensities of arm exercise. At low and moderate exercise intensity _c was the same at a given oxygen uptake ( O₂) in P and C. A group of 11 athletic male P with complete spinal-cord lesions between T6 and T12 and a group of 5 well-matched athletic male C performed maximal arm-cranking exercise and submaximal exercise at 50%, 70% and 80% of each individual's maximal power output (W_max) . Maximal O₂ ( O_2max) was significantly lower, O_2max per kilogram body mass was equal and maximal heart rate (f _c) was significantly higher in P compared to C. At O₂ of 1.3, 1.5 and 1.7 1-min^–1, and for P 65%–90% of the O_2max, _c was not significantly different between the groups, although, _c in P was achieved with a significantly lower stroke volume (SV) and a significantly higherf _c. Although the SV was lower in P, it followed the same pattern as SV in C during incremental exercise, i.e. an increase in SV until about 45%W _max and thereafter a stable SV. The similar _c at a given O₂ in both groups indicated that, even at high exercise intensities, circulation in P can be considered isokinetic with a complete compensation byf _c for a lower SV.     

Submaximal working capacity,heart size and body size in boys 8–18 years

Heart diameters, heart volume (HV), PWC ₁₃₀, O₂ at 130 heart rate, and cardiorespiratory reactions during work at 3 kgm·s^–1 were obtained in 237 boys ranging in age from 8–18 years. Results indicate that heart size, PWC ₁₃₀, O₁₃₀, and exercise HR, O₂/HR, and SBP change significantly with age. On the other hand, HV·kg^–1 and work O₂, _E and _E/ O₂ remain rather stable throughout the growth period.Correlation analysis indicates that about 85% of the observed variation in the size of the heart during growth can be accounted for by body weight, while about 70% of the variation in light submaximal working capacity ( O₁₃₀) can be explained by HV alone. Holding age, height and body weight constant by partial correlation procedures yields significant relationships between HV and O₁₃₀ (r = 0.461), and between HV·kg^–1 and O₁₃₀ (r = 0.414). Age, height, weight and size of the heart correlated simultaneously against O₁₃₀ account for 75% of the variance in the dependent variable.It would seem important to suggest the need for study of the interactions between age, size and maturity, in addition to indicators of size and efficiency of the oxygen delivery system, and indices of muscle oxygen utilization efficiency. Such an approach will permit a more definite partitioning of the variance in submaximal aerobic capacity during growth, and would probably yield a more conservative estimate of the relationship between the size of the heart and submaximal working capacity during growth.Abbreviations used HV heart volume - HV·kg^–1 heart volume per kg of body weight - PWC ₁₃₀ physical working capacity in kgm·s^–1 of work at a heart rate of 130·min^–1 - O₁₃₀ oxygen consumption per min at a heart rate of 130·min^–1 - O₂, , _E, _E/ O₂, HR, O₂/HR, SBP oxygen consumption, breathing frequency, expiratory volume, respiratory equivalent, heart rate, oxygen pulse, systolic blood pressure in the third minute of work at 3 kgm·s^–1 - CA chronological age Partially supported by grants from the Kuratorium für die Sportmedizinische Forschung, Federal Republic of Germany and Laval University, Quebec, Canada     

Oxygen uptake during running as related to body mass in circumpubertal boys: a longitudinal study

Summary To investigate the effect of endurance training on physiological characteristics during circumpubertal growth, eight young runners (mean starting age 12 years) were studied every 6 months for 8 years. Four other boys served as untrained controls. Oxygen uptake ( O ₂) and blood lactate concentrations were measured during submaximal and maximal treadmill running. The data were aligned with each individual's age of peak height velocity. The maximal oxygen uptake ( O _2max; ml · kg^–1 · min^–1) decreased with growth in the untrained group but remained almost constant in the training group. The oxygen cost of running at 15 km · h^–1 ( O ₂₁₅, ml · kg^–1 · min^–1) was persistently lower in the trained group but decreased similarly with age in both groups. The development of O _2max and O ₂₁₅ (1 · min^–1) was related to each individual's increase in body mass so that power functions were obtained. The mean body mass scaling factor was 0.78 (SEM 0.07) and 1.01 (SEM 0.04) for O _2max and 0.75 (SEM 0.09) and 0.75 (SEM 0.02) for O ₂₁₅ in the untrained and trained groups, respectively. Therefore, expressed as ml · kg^–0.75 · min^–1, O ₂₁₅ was unchanged in both groups and O _2max increased only in the trained group. The running velocity corresponding to 4 mmol · 1^–1 of blood lactate ( _la4) increased only in the trained group. Blood lactate concentration at exhaustion remained constant in both groups over the years studied. In conclusion, recent and the present findings would suggest that changes in the oxygen cost of running and O _2max (ml · kg^–1 · min^–1) during growth may mainly be due to an overestimation of the body mass dependency of O ₀₂ during running. The O ₂ determined during treadmill running may be better related to kg^0.75 than to kg¹.     

Physiological strain due to load carrying in heavy footwear

Summary To determine the effects of wearing heavy footwear on physiological responses five male and five female subjects were measured while walking on a treadmill (4, 5.25, and 6.5 km·h^–1) with different external loads (barefooted, combat boots, and waist pack). While walking without an external load the oxygen uptake, as a percentage of maximal oxygen uptake (% O_2max) of the men increased from 25% O_2max at 4 km·h^–1 to 31% O_2max at 5.25 km·h^–1 and to 42% O_2max at 6.5 km·h^–1. The women had a significantly higher oxygen uptake of 30%, 40%, and 55% O_2max, respectively. In the most strenuous condition, walking at 6.5 km·h^–1 with combat boots and waist pack (12 kg), the oxygen uptake for the men and women amounted to 53% and 75% O_2max, respectively. The heart rate showed a similar response to the oxygen uptake, the women having a heart rate which was 15–40 beats·min^–1 higher than that of the men, depending on the experimental condition. The perceived exertion was shown to be greatly dependent on the oxygen uptake. From the results a regression formula was calculated predicting the oxygen uptake depending on the mass of the footwear, walking speed and body mass. It was concluded that the mass of footwear resulted in an increase in the energy expenditure which was a factor 1.9–4.7 times greater than that of a kilogram of body mass, depending on sex and walking speed.     

Oxygen uptake during swimming in a hypobaric hypoxic environment

Summary The purpose of this study was to determine oxygen uptake O₂) at various water flow rates and maximal oxygen uptake ( O_2max) during swimming in a hypobaric hypoxic environment. Seven trained swimmers swam in normal [N; 751 mmHg (100.1 kPa)] and hypobaric hypoxic [H; 601 mmHg (80.27 kPa)] environments in a chamber where atmospheric pressure could be regulated. Water flow rate started at 0.80 m · s^–1 and was increased by 0.05 m· s^–1 every 2 min up to 1.00 m · s^–1 and then by 0.05 m · s^–1 every minute until exhaustion. At submaximal water flow rates, carbon dioxide production ( CO₂), pulmonary ventilation ( _E) and tidal volume (V _T) were significantly greater in H than in N. There were no significant differences in the response of submaximal O₂, heart rate (f _c) or respiratory frequency (f _R) between N and H. Maximal _E,f _R,V _T,f _c blood lactate concentration and water flow rate were not significantly different between N and H. However, VO_2max under H [3.65 (SD 0.11) l · min^–1] was significantly lower by 12.0% (SD 3.4) % than that in N [4.15 (SD 0.18) l · min^–1] . This decrease agrees well with previous investigations that have studied centrally limited exercise, such as running and cycling, under similar levels of hypoxia.     

Effect of previous supramaximal work on lacticaemia during supra-anaerobic threshold exercise

Summary Twelve male and female subjects (eight trained, four untrained) exercised for 30 min on a treadmill at an intensity of maximal O₂ consumption (% O_2max) 90.0%, SD 4.7 greater than the anaerobic threshold of 4 mmol ·1^–1 (Th_an =83.6% O_2max, SD 8.9). Time-dependent changes in blood lactate concentration ([la_b]) during exercise occurred in two phases: the oxygen uptake ( O₂) transient phase (from 0 to 4 min) and the O₂ steady-state phase (4–30 min). During the transient phase, [la_b] increased markedly (l.30 mmol · l ^–1 · min ^–1, SD 0.13). During the steady-state phase, [la_b] increased slightly (0.02 mmol · 1^–1 · min^–1, SD 0.06) and when individual values were considered, it was seen that there were no time-dependent increases in [la_b] in half of the subjects. Following hyperlacticaemia (8.8 mmol -l^–1, SD 2.0) induced by a previous 2 min of supramaximal exercise (120% O_2max), [la_b] decreased during the O₂ transient (–0.118 mmol · 1^–1 · min^–1, SD 0.209) and steady-state (–0.088 mmol · 1^–1 · min ^–1, SD 0.103) phases of 30 min exercise (91.4% O_2max, SD 4.8). In conclusion, it was not possible from the Th_an to determine the maximal [la_b] steady state for each subject. In addition, lactate accumulated during previous supramaximal exercise was eliminated during the O₂ transient phase of exercise performed at an intensity above the Th_an. This effect is probably largely explained by the reduction in oxygen deficit during the transient phase. Under these conditions, the time-course of changes in [la_b] during the O₂ steady state was also affected.     

Lipid metabolism during exercise I: Physiological and biochemical characterization of normal healthy male subjects in relation to their physical fitness

Summary On the basis of maximal oxygen uptake ( O₂ max) 18 normal, healthy men were divided into two groups of equal size: moderately trained subjects (MTR) each having O₂ max below 65.0 ml·min^–1·kg^–1 body weight (54.0±8.3) and well trained subjects (WTR), whose O₂ max exceeded 65.0 ml·min^–1·kg^–1 body weight (69.2±4.1). The WTR group had slightly (non significant, n.s.) higher percentage of slow twitch, oxidative (SO) fibers in M. vastus lateralis and higher (n.s.) activities of cytochrome c oxidase (CytOx), succinate dehydrogenase (SDH), 3-hydroxyacyl-CoA-dehydrogenase (HADH), and citrate synthase (CS), while lactate dehydrogenase (LDH) activity was lower (n.s.). In the MTR group only, the SO-%, and the activities of CytOx, SDH and HADH correlated positively with O₂ max, and LDH negatively with O₂ max. These correlations were not significant in the WTR group possibly because of the adaptations produced by training in this group. Multiple regression analysis was used to elucidate the best combination of variables to explain the variance in O₂ max. The best model consisted of the sum of relative activities of oxidative muscle enzymes (CytOx, SDH, HADH, CS), muscle LDH activity, body fat content (% F) and lean body mass. This model explained 69% of the variance in O₂ max; and of the individual variables % F was of utmost importance.     

Independence of ventilation and blood lactate responses during graded exercise

The effect of power output increment, based on an increase in pedal rate, on blood lactate accumulation during graded exercise is unknown. Therefore, in the present study, we examined the effect of two different rates of power output increments employing two pedal rates on pulmonary ventilation and blood lactate responses during graded cycle ergometry in young men. Males (n=8) with an mean (SD) peak oxygen uptake of 4.2 (0.1) 1·min^–1 served as subjects. Each subject performed two graded cycle ergometer tests. The first test, conducted at 60 rev· min^–1, employed 4 min of unloaded pedaling followed by a standard power output step increment (SI) of 60 W every 3rd min. The second test, conducted at 90 rev·min^–1, employed 4 min of unloaded pedaling followed by a high power output step increment (HI) of 90 W every 3rd min. Venous blood was sampled from a forearm vein after 5 min of seated rest, 4 min of unloaded pedaling, and every 3rd min of graded exercise. Peak exercise values for heart rate, oxygen uptake ( O₂), and ventilation ( _E) were similar (P > 0.05) for SI and HI exercise, as was the relationship between _E and O₂, and between _E and carbon dioxide production ( CO₂). However, the relationship between blood lactate concentration and O₂ was dissimilar between SI and HI exercise with blood lactate accumulation beyond the lowest ventilatory equivalent of oxygen, and peak exercise blood lactate concentration values significantly higher (P < 0.05) for SI [12.8 (2.6) mmol·l^–1] compared to HI [8.0(1.9) mmol·l^–1] exercise. Our findings demonstrate that blood lactate accumulation and _E during graded exercise are dissociated. Blood lactate accumulation is influenced by the rate of external power output increment, while _E is related to O₂ and CO₂.     

Relationships of the anaerobic threshold with the 5 km, 10 km,and 10 mile races

Summary The purpose of present study was to assess the relationship between anaerobic threshold (AT) and performances in three different distance races (i.e., 5 km, 10 km, and 10 mile). AT, O₂ max, and related parameters for 17 young endurance runners aged 16–18 years tested on a treadmill with a discontinuous method. The determination of AT was based upon both gas exchange and blood lactate methods. Performances in the distance races were measured within nearly the same month as the time of experiment. Mean AT- O₂ was 51.0 ml·kg^–1·min^–1 (2.837 l·min^–1), while O₂ max averaged 64.1 ml·kg^–1·min^–1 (3.568 l·min^–1). AT-HR and %AT (AT- O₂/ O₂ max) were 174.7 beats·min^–1 and 79.6%, respectively. The correlations between O₂ max (ml·kg^–1·min^–1) and performances in the three distance races were not high (r=–0.645, r=–0.674, r=–0.574), while those between AT- O₂ and performances was r=–0.945, r=–0.839, and r=–0.835, respectively. The latter results indicate that AT- O₂ alone would account for 83.9%, 70.4%, and 69.7% of the variance in the 5 km, 10 km, and 10 mile performances, respectively. Since r=–0.945 (5 km versus AT- O₂) is significantly different from r=–0.645 (5 km versus O₂ max), the 5 km performance appears to be more related to AT- O₂ than VO₂ max. It is concluded that individual variance in the middle and long distance races (particularly the 5 km race) is better accounted for by the variance in AT- O₂ expressed as milliliters of oxygen per kilogram of body weight than by differences in O₂ max.     

Skeletal muscle determinants of maximum aerobic power in man

Summary The interrelationship between whole body maximum O₂ uptake capacity ( O_{2 max}), skeletal muscle respiratory capacity, and muscle fiber type were examined in 20 physically active men. The capacity of homogenates of vastus lateralis muscle biopsy specimes to oxidize pyruvate was significantly related to O_{2 max} (r=0.81). Correlations of 0.75 and 0.74 were found between % slow twitch fibers (%ST) and O_{2 max}, and between % ST fibers and muscle respiratory capacity, respectively (P<0.01). Multiple correlation analysis (R=0.85) indicated that 72% (R ²=0.72) of the variance in CO_{2 max} could be accounted for by the combined effect of muscle respiratory capacity and the % ST fibers. When the % ST fibers was correlated with O_{2 max}, with the effect of respiratory capacity statistically removed, the relationship became insignificant (r=0.38). These data suggest that muscle respiratory capacity plays an important role in determining O_{2 max}, and that the relationship between % ST fibers and O_{2 max} is due primarily to the high oxidative capacity of this muscle fiber type.This research was supported by NIH grant (HL 20408-02)     

Maximal O2 uptake of boys and girls — ages 14–17

Summary White high school girls (n = 120) and boys (n = 120) aged 14–17 years, selected from 9th, 10th, 11th and 12 grades of a northern, midwest U.S. high school performed running exercise on a motor driven treadmill for determinations of maximal O₂ uptake ( O₂ max).The mean O₂ max for all age groups was 40.8±4.0 and 54.7±5.6 ml/kg·min^–1 for girls and boys respectively. The difference in O₂ max across age groups varied only from 40.2–41.2 ml/kg·min^–1 for girls and 54.0–56.3 ml/kg·min^–1 for boys. These differences were not significant (P>0.05). The reported O₂ max data are compared with those reported in other studies for bicycle ergometer and treadmill exercise using similar age groups.     

Severe hypoxia decreases oxygen uptake relative to intensity during submaximal graded exercise

Summary The effect of severe acute hypoxia (fractional concentration of inspired oxygen equalled 0.104) was studied in nine male subjects performing an incremental exercise test. For power outputs over 125 W, all the subjects in a state of hypoxia showed a decrease in oxygen consumption ( O₂) relative to exercise intensity compared with normoxia (P < 0.05). This would suggest an increased anaerobic metabolism as an energy source during hypoxic exercise. During submaximal exercise, for a given O₂, higher blood lactate concentrations were found in hypoxia than in normoxia (P < 0.05). In consequence, the onset of blood lactate accumulation (OBLA) was shifted to a lower O₂ ( O₂ 1.77 l·min^–1 in hypoxia vs 3.10 l·min^–1 in normoxia). Lactate concentration increases relative to minute ventilation ( _E) responses were significantly higher during hypoxia than in normoxia (P < 0.05). At OBLA, _E during hypoxia was 25% lower than in the normoxic test. This study would suggest that in hypoxia subjects are able to use an increased anaerobic metabolism to maintain exercise performance.     

Times to exhaustion at 100% of velocity at\dot V{\text{O}}_{\text{2}} max and modelling of the time-limit / velocity relationship in elite long-distance runners

The aim of this study was to measure running times to exhaustion (Tlim) on a treadmill at 100% of the minimum velocity which elicits _{max max} in 38 elite male long - distance runners _max = 71.4 ± 5.5 ml.kg^–1.min^–1 and _max = 21.8 ± 1.2 km.h^–1). The lactate threshold (LT) was defined as a starting point of accelerated lactate accumulation around 4 mM and was expressed in _max. Tlim value was negatively correlated with _max (r = -0.362, p< 0.05) and _max (r = –0.347, p< 0.05) but positively with LT (%v _max) (r = 0.378, p < 0.05). These data demonstrate that running time to exhaustion at _max in a homogeneous group of elite male long-distance runners was inversely related to _max and experimentally illustrates the model of Monod and Scherrer regarding the time limit-velocity relationship adapted from local exercise for running by Hughson et al. (1984) .     

Cardiovascular responses to facial cooling during low and moderate intensity exercise

Summary To investigate the hypothesis that facial cooling (FC) exerts a greater influence on the cardiovascular system at lower versus higher levels of exercise, this study examined the effect of facial cooling [mean (SE): 0 (2)°C at 0.8 m·s^–1 wind velocity] during 30 min low [35% maximum oxygen consumption ( O_2max)] and moderate (70% O_2max) levels of cycle ergometry in the supine position. Five male subjects were assigned in random order to four exercise conditions: (1) FC at 35% O_2max(FC35), (2) no cooling (NFC35), (3) FC at 70% O_2max(FC70), and (4) no cooling (NFC70). Heart rate (f _c), stroke volume (V _s), and cardiac output ( _c) were measured at rest and every 10 min of exercise using impedance cardiography. During FC35, the change in f _c [mean (SE)] was significantly lower (P < 0.05) than NFC35 at 10 [22 (5) vs 31 (3) beats· min^–1], 20 [29 (6) vs 35 (3) beats·min^–1], and 30 [29 (5) vs 38 (4) beats·min^–1] min. No differences in f _c were observed between FC70 and NFC70. Furthermore, FC had no effect on V _s or _cat either exercise intensity. However, when comparing the FC70 and NFC70 conditions, there was a significant main effect (P<0.05) in mean arterial pressure (P _a) response with cooling despite the fact that neither V _s or _cwere different from the NFC70 control. The increase (P < 0.05) in the estimated change in systemic vascular resistance ( _a· _c ^–1) could partly explain the relative rise in _aat FC70. No pressor effect of cooling was observed at 35% O_2max. The results suggest that the FC condition promotes exercise bradycardia at low levels of exercise and exerts a greater pressor response during moderate exercise.     

O2 Uptake in hyperthyroidism during constant work rate and incremental exercise

Summary To investigate the effect of hyperthyroidism on the pattern and time course of O₂ uptake ( O₂) following the transition from rest to exercise, six patients and six healthy subjects performed cycle exercise at an average work rate (WR) of 18 and 20 W respectively. Cardiorespiratory variables were measured breath-by-breath. The patients also performed a progressively increasing WR test (1-min increments) to the limit of tolerance. Two patients repeated the studies when euthyroid. Resting and exercise steady-state (SS) O₂ (ml·kg^–1·min^–1) were higher in the patients than control (5.8, SD 0.9 vs 4.0, SD 0.3 and 12.1, SD 1.5 vs 10.2, SD 1.0 respectively). The increase in O₂ during the first 20 s exercise (phase I) was lower in the patients (mean 89 ml·min^–, SD 30) compared to the control (265 ml·min^–1, SD 90), while the difference in half time of the subsequent (phase 11) increase to the SS O₂ (patient 26 s, SD 8; controls 17 s, SD 8) were not significant (P = 0.06). The OZ cost per WR increment ( O₂/WR) in ml·min^–1·^–1, measured during the incremental period (mean 10.9; range 8.3–12.2), was always within two standard deviations of the normal value (10.3, SD 1). In the two patients who repeated the tests, both the increment of O₂ from rest to SS during constant WR exercise and the O₂/WRs during the progressive exercise were higher in the hyperthyroid state than during the euthyroid state. While both resting and exercise O₂ are increased in the hyperthyroid patients, the O₂ cost of a given increment of WR is within the normal range. However, a small reduction in the O₂ requirement to perform exercise following treatment of the hyperthyroid state suggests a subtle change O₂ cost of muscle work in this disease.     

Pulmonary gas exchange and ventilatory responses to brief intense intermittent exercise in young trained and untrained adults

To investigate pulmonary gas exchange and ventilatory responses to brief intense intermittent exercise and to study the effects of physical fitness on thes responses, nine trained and nine untrained healthy male subjects aged 18–33 years performed the force-velocity (F-) exercise test. This test consisted of 6-s sprints against increasing braking forces (F) separated by 5-min recovery periods. Oxygen uptake ( ), carbon dioxide output ( CO₂), and ventilation _E) were continuously measured during the test and the magnitudes of their responses to the sprints were then calculated.For all subjects CO₂ increased rapidly after beginning the sprints, and the peaks of the responses (F = 13.4;P < 0.001), end of recovery values (F = 6.5;P < 0.01), and O₂ magnitudes of response (F = 12.4;P < 0.001) rose significantly with the repetition of the sprints. The O₂ magnitudes of response correlated with the corresponding sprint power outputs (r = 0.55;P < 0.001) and with the sprint repetitions (r = 0.51,P < 0.001). The CO₂ (F = 7.1;P < 0.01) and {ie442-8} (F = 5.0;P < 0.01) peaks of response increased with the initial load incrementation, then stabilized when the subjects attained peak power output. End of recovery CO₂ (F = 18.0;P < 0.001) and _E (F = 14.1;P < 0.001) values rose with increasingF. TheF- peak O₂, CO₂, _E, tidal volume and respiratory frequency responses attained 53%, 40%, 44%, 66%, and 82% of the peak values measured at exhaustion of maximal graded exercise, respectively.Trained and untrained subjects had the same first sprint power output and braking, force. Nevertheless, the trained subjects had higher O₂ peaks (F = 35.2;P < 0.001) and CO₂ magnitudes of response (F = 30.0;P < 0.001) than the untrained subjects for all sprints. The higher peak O₂ values represented similar percentages of maximal oxygen uptake in the trained and untrained subjects. In summary, the present study showed that in brief intense intermittent exercise, i.e. theF- test, the O₂, CO₂, and ventilatory responses in young subjects were submaximal with respect to the peak values attained at exhaustion of maximal graded exercise. The CO₂ magnitude of response increase was related to the power output rise in the corresponding sprints and to the repetition of sprints. Moreover, the trained subjects presented higher CO₂ peaks and magnitudes of response to the sprints than the untrained subjects.     

Physiological responses of women during lifting exercise

Summary Physiological responses were measured in 7 women subjects who lifted boxes weighing 6.8, 15.9 or 22.7 kg from the floor to a height of 60 cm. After training and establishing the O₂ max, the boxes were lifted for 1 h at 30, 50, and 60% O₂ max. The changes in heart rate, O₂, the integrated EMG during lifting and the loss of isometric hand-grip endurance after lifting were used to assess the development of fatigue. There was no evidence of fatigue at 30% O₂ max but fatigue did exist in some conditions at 50% and in all conditions at 60% O₂ max. It is suggested that fatigue is unlikely to occur while lifting boxes up to 15.9 kg weight at 35–40% O₂ max, i.e., at rates of lifting varying from 5 to 7 times per min.     

Criteria for maximum oxygen uptake in progressive bicycle tests

Summary Different criteria for O₂ max in a progressive bicycle exercise were studied in 115 healthy subjects. In the repeated progressive tests performed on 16 men, aged 25–35 years, three types of O₂ response against work load were noticed: a linear increase, an unexpectedly high increase, and a plateau; the last two only appearing when O₂ max was achieved. The last three O₂ values at least were required to define the plateau. Most commonly, subjective exhaustion was achieved, respiratory quotient (R) was over 1.15 and maximal heart rate (HR) at the estimated level for age, though O₂ max was not achieved. No significant differences were found between peak O₂ in the first progressive test (mean=2.95 l/min), the second progressive test (mean=3.14 l/min), or the constant-load test (mean=3.05 l/min). In the progressive test performed once on 55 men and 44 women, aged 35–62 years, subjective exhaustion was achieved by most of the subjects, but the plateau in O₂ was shown only in 17 subjects, and the peak O₂ values were somewhat lower than expected. Moreover, R max did not correlate with peak O₂, and was over 1.15 only in 9 subjects, and HR max was often below the estimated level. Thus, the progressive test appeared to be convenient in testing the physical work capacity of the subjects, but the establishment of the physiological maximum was more difficult: the relatively uncommon plateau in O₂ was the only useful criterion for O₂ max, the value of other criteria being unacceptable.     

A method for determining the maximal steady state of blood lactate concentration from two levels of submaximal exercise

The aim of this study was to estimate the characteristic exercise intensity _CL which produces the maximal steady state of blood lactate concentration (MLSS) from submaximal intensities of 20 min carried out on the same day and separated by 40 min. Ten fit male adults [maximal oxygen uptake _max 62 (SD 7) ml · min^–1 · kg^–1] exercisOed for two 30-min periods on a cycle ergometer at 67% (test 1.1) and 82% of _max (test 1.2) separated by 40 min. They exercised 4 days later for 30 min at 82% of _max without prior exercise (test 2). Blood lactate was collected for determination of lactic acid concentration every 5 min and heart rate and O₂ uptake were measured every 30 s. There were no significant differences at the 5th, 10th, 15th, 20th, 25th, or 30th min between , lactacidaemia, and heart rate during tests 1.2 and 2. Moreover, we compared the exercise intensities _CL which produced the MLSS obtained during tests 1.1 and 1.2 or during tests 1.1 and 2 calculated from differential values of lactic acid blood concentration ([1a^–]_b) between the 30th and the 5th min or between the 20th and the 5th min. There was no significant difference between the different values of _CL [68 (SD 9), 71 (SD 7), 73 (SD 6),71 (SD 11) % of _max (ANOVA test,P<0.05). Four subjects ran for 60 min at their _CL determined from periods performed on the same day (test 1.1 and 1.2) and the difference between the [la^–]_b at 5 min and at 20 min ( ([la^–]_b)) was computed. The [la^–]_b remained constant during exercise and ranged from 2.2 to 6.7 mmol · l^–1 [mean value equal to 3.9 (SD 1) mmol · l^–1]. These data suggest that the _CL protocol did not overestimate the exercise intensity corresponding to the maximal fractional utilization of _max at MLSS. For half of the subjects the _CL was very close to the higher stage (82% of _max where an accumulation of lactate in the blood with time was observed. It can be hypothesized that _CL was very close to the real MLSS considering the level of accuracy of [la^–]_b measurement. This study showed that exercise at only two intensities, performed at 65% and 80% of _max and separated by 40 min of complete rest, can be used to determine the intensity yielding a steady state of [la^–1]_b near the real MLSS workload value.     

Relationship of middle cerebral artery blood flow velocity to intensity during dynamic exercise in normal subjects

Summary Cerebral blood flow has been reported to increase during dynamic exercise, but whether this occurs in proportion to the intensity remains unsettled. We measured middle cerebral artery blood flow velocity (m) by transcranial Doppler ultrasound in 14 healthy young adults, at rest and during dynamic exercise performed on a cycle ergometer at a intensity progressively increasing, by 50 W every 4 min until exhaustion. Arterial blood pressure, heart rate, end-tidal, partial pressure of carbon dioxide (P _ETCO₂), oxygen uptake ( O₂) and carbon dioxide output were determined at exercise intensity. Mean vM increased from 53 (SEM 2) cm · s^–1 at rest to a maximum of 75 (SEM 4) cm · s^–1 at 57% of the maximal attained O₂( O_2max), and thereafter progressively decreased to 59 (SEM 4) cm · s^–1 at O_2max. The respiratory exchange ratio (R) was 0.97 (SEM 0.01) at 57% of O_2maxand 1.10 (SEM 0.01) at O_2max. The P _ETCO₂ increased from 5.9 (SEM 0.2) kPa at rest to 7.4 (SEM 0.2) kPa at 57% of O_2maxand thereafter decreased to 5.9 (SEM 0.2) kPa at O_2max. Mean arterial pressure increased from 98 (SEM 1) mmHg (13.1 kPa) at rest to 116 (SEM 1) mmHg (15.5 kPa) at 90% of O_2max, and decreased slightly to 108 (SEM 1) mmHg (14.4 kPa) at O_2max. In all the subjects, the maximal value of v _m was recorded at the highest attained exercise intensity below the anaerobic threshold (defined by R greater than 1). We concluded that cerebral blood flow as evaluated by middle cerebral artery flow velocity increased during dynamic exercise as a function of exercise intensity below the anaerobic threshold. At higher intensities, cerebral blood flow decreased, without however a complete return to baseline values, and it is suggested that this may have been at least in part explained by concomitant changes in arterial PCO₂.