Thoracic sympathectomy and cardiopulmonary responses to exercise

The purpose was to study the effect of endoscopic thoracic sympathectomy (ETS) for palmar and/or axillary hyperhidrosis on physiological responses at rest, and during sub-maximal and maximal exercise in ten healthy patients (7 females and 3 males 18-40 years old) with idiopathic palmar and/or axillary hyperhidrosis. T2-T3 thoracoscopic sympathectomy was performed using a simplified one stage bilateral procedure. Physiological variables were recorded at rest and during sub-maximal (steady-state) and maximal treadmill exercise immediately prior to and 70 days (+/-7.5, SD) after bilateral ETS. Exercise performance capacity and peak VO(2) were not found to be different following bilateral ETS than prior to the ETS. However, heart rate was significantly reduced at rest (14%), at sub-maximal exercise (12.3%), and at peak exercise (5.7%), together with a significant increase in oxygen pulse (11.8, 12.7, and 7.8%, respectively). The rate pressure product (RPP) was also significantly reduced following the surgical procedure at all three study stages, while all other physiological variables measured remained unchanged. It is suggested that thoracic-sympathetic denervation affects the heart, sweating, and circulation of the respective denervated region but does not affect exercise performance or mechanical/physiologic efficiency, despite a significant reduction in heart rate (both at rest and during exercise). The latter was, most likely, fully compensated by an increase in stroke volume and less likely by an improved muscle O(2) extraction due to more efficient blood distribution, keeping the work-rate and oxygen uptake unaffected.     

Acute dietary nitrate supplementation improves dry static apnea performance

Acute dietary nitrate (NO??) supplementation has been reported to lower resting blood pressure, reduce the oxygen (O?) cost of sub-maximal exercise, and improve exercise tolerance. Given the proposed effects of NO?? on tissue oxygenation and metabolic rate, it is possible that NO?? supplementation might enhance the duration of resting apnea. If so, this might have important applications both in medicine and sport. We investigated the effects of acute NO?? supplementation on pre-apnea blood pressure, apneic duration, and the heart rate (HR) and arterial O? saturation (SaO?) responses to sub-maximal and maximal apneas in twelve well-trained apnea divers. Subjects were assigned in a randomized, double blind, crossover design to receive 70 ml of beetroot juice (BR; containing ～5.0 mmol of nitrate) and placebo juice (PL; ～0.003 mmol of nitrate) treatments. At 2.5 h post-ingestion, the subjects completed a series of two 2-min (sub-maximal) static apneas separated by 3 min of rest, followed by a maximal effort apnea. Relative to PL, BR reduced resting mean arterial pressure by 2% (PL: 86±7 vs. BR: 84 ± 6 mmHg; P=0.04). The mean nadir for SaO? after the two sub-maximal apneas was 97.2±1.6% in PL and 98.5±0.9% in BR (P=0.03) while the reduction in HR from baseline was not significantly different between PL and BR. Importantly, BR increased maximal apneic duration by 11% (PL: 250 ± 58 vs. BR: 278±64s; P=0.04). In the longer maximal apneas in BR, the magnitude of the reductions in HR and SaO? were greater than in PL (P ≤ 0.05). The results suggest that acute dietary NO?? supplementation may increase apneic duration by reducing metabolic costs.     

Effect of chronic intermittent hypoxia on exercise adaptations in healthy subjects

Reduced exercise tolerance has been reported in obstructive sleep apnea syndrome (OSAS) patients, although the associated hypertension, obesity and/or metabolic disorder may underlie this reduction. Therefore, we evaluated the effects of chronic intermittent hypoxia (CIH) in 12 healthy subjects on exercise capacity, cardio-respiratory responses, and substrate oxidation during maximal and sub-maximal exercise. Subjects were exposed to 30 cycles of hypoxia-reoxygenation per hour for 14 nights. Although exercise capacity was unaltered PETCO(2) was reduced and V˙E/V˙CO(2) increased during both maximal and submaximal exercise tests, indicating a hyperventilatory response. Maximal heart rate was lower and diastolic arterial blood pressure (DBP) was higher in the 1st min of recovery after submaximal exercise. Subjects reached maximal lipid oxidation at a higher power output and had decreased blood lactate for a given power output. This suggests that although the metabolic adaptations to CIH in healthy subjects may improve exercise performance, the cardio-pulmonary modifications are similar to those observed in OSAS patients and could limit exercise capacity.     

Effects of repeated bouts of squatting exercise on sub-maximal endurance running performance

It is well established that exercise-induced muscle damage (EIMD) has a detrimental effect on endurance exercise performed in the days that follow. However, it is unknown whether such effects remain after a repeated bout of EIMD. Therefore, the purpose of this study was to examine the effects of repeated bouts of muscle-damaging exercise on sub-maximal running exercise. Nine male participants completed baseline measurements associated with a sub-maximal running bout at lactate turn point. These measurements were repeated 24–48 h after EIMD, comprising 100 squats (10 sets of 10 at 80 % body mass). Two weeks later, when symptoms from the first bout of EIMD had dissipated, all procedures performed at baseline were repeated. Results revealed significant increases in muscle soreness and creatine kinase activity and decreases in peak knee extensor torque and vertical jump performance at 24–48 h after the initial bout of EIMD. However, after the repeated bout, symptoms of EIMD were reduced from baseline at 24–48 h. Significant increases in oxygen uptake $ (\dot{V}{\text{O}}_{2} ) $ , minute ventilation $ (\dot{V}_{\text{E}} ) $ , blood lactate ([BLa]), rating of perceived exertion (RPE), stride frequency and decreases in stride length were observed during sub-maximal running at 24–48 h following the initial bout of EIMD. However, following the repeated bout of EIMD, $ \dot{V}{\text{O}}_{2} ,\;\dot{V}_{\text{E}} , $ [BLa], RPE and stride pattern responses during sub-maximal running remained unchanged from baseline at all time points. These findings confirm that a single resistance session protects skeletal muscle against the detrimental effects of EIMD on sub-maximal running endurance exercise.     

Myocardial blood flow and lactate metabolism at rest and during exercise with reduced arterial oxygen content

The effect of a reduction in arterial oxygen content, equivalent to acute exposure to an altitude of 2300 metres above sea level, on myocardial blood flow and oxygen and lactate exchange was studied by coronary sinus catheterization in 12 healthy men. Measurements were made at rest, during atrial pacing and during submaximal and maximal exercise both breathing air and breathing 15% oxygen (hypoxia). Coronary sinus blood flow was measured by thermodilution and the possibility of a simultaneous uptake and release of lactate by the heart was calculated using intravenous infusion of 14C lactate. At all levels of cardiac power output myocardial oxygen consumption was the same during hypoxia as during air breathing. At rest this was achieved entirely by a more complete extraction of oxygen from the coronary blood, during maximal exercise entirely by a greater coronary sinus blood flow, while at intermediate levels of cardiac power output a combination of these mechanisms prevailed. At rest and during submaximal work myocardial lactate extraction was lower with hypoxia than air breathing suggesting a change in myocardial redox state, while the 14C lactate data suggested no significant lactate release or possibly limited areas with some lactate production. During maximal exercise, however, there was no difference in myocardial lactate net extraction between hypoxia and air breathing, which together with the greater blood flow suggests that the heart has a 'coronary flow reserve' permitting maximal exercise at moderate altitude without anaerobic myocardial metabolism.     

Response to Submaximal and Maximal Exercise at Different Levels of Carboxyhemoglobin

Five subjects performed submaximal and maximal bicycle and maximal treadmill exercise in normalcy and after carbon monoxide inhalation, giving different levels of carboxyhemoglobin (COHb) in the blood. During maximal treadmill exercise work time on a fixed work load and maximal oxygen uptake were decreased with increasing level of COHb (r = 0.79 and r = 0.85, respectively). Peak blood lactate concentration and pulmonary ventilation were unchanged. Highest measured heart rate was lower in parallell with the increased COHb level compared to control studies. During submaximal work heart rate was increased and oxygen uptake was unchanged at the various levels of COHb. At low submaximal work loads blood lactate concentrations and oxygen deficit was unchanged but increased as work load and COHb-level increased.     

Inspiratory muscle training abolishes the blood lactate increase associated with volitional hyperpnoea superimposed on exercise and accelerates lactate and oxygen uptake kinetics at the onset of exercise

We examined the effects of inspiratory muscle training (IMT) upon volitional hyperpnoea-mediated increases in blood lactate ([lac(-)](B)) during cycling at maximal lactate steady state (MLSS) power, and blood lactate and oxygen uptake kinetics at the onset of exercise. Twenty males formed either an IMT (n = 10) or control group (n = 10). Prior to and following a 6-week intervention, two 30 min trials were performed at MLSS (207 ± 28 W), determined using repeated 30 min constant power trials. The first was a reference trial, whereas during the second trial, from 20 to 28 min, participants mimicked the breathing pattern commensurate with 90% of the maximal incremental exercise test minute ventilation ([Formula: see text]). Prior to the intervention, the MLSS [lac(-)](B) was 3.7 ± 1.8 and 3.9 ± 1.6 mmol L(-1) in the IMT and control groups, respectively. During volitional hyperpnoea, [Formula: see text] increased from 79.9 ± 9.5 and 76.3 ± 15.4 L min(-1) at 20 min to 137.8 ± 15.2 and 135.0 ± 19.7 L min(-1) in IMT and control groups, respectively; [lac(-)](B) concurrently increased by 1.0 ± 0.6 (+27%) and 0.9 ± 0.7 mmol L(-1) (+25%), respectively (P < 0.05). Following the intervention, maximal inspiratory mouth pressure increased 19% in the IMT group only (P < 0.01). Following IMT only, the increase in [lac(-)](B) during volitional hyperpnoea was abolished (P < 0.05). In addition, the blood lactate (-28%) and phase II oxygen uptake (-31%) kinetics time constants at the onset of exercise and the MLSS [lac(-)](B) (-15%) were reduced (P < 0.05). We attribute these changes to an IMT-mediated increase in the oxidative and/or lactate transport capacity of the inspiratory muscles.     

Interleukin-6 release is higher across arm than leg muscles during whole-body exercise

Exercising muscle releases interleukin-6 (IL-6), but the mechanisms controlling this process are poorly understood. This study was performed to test the hypothesis that the IL-6 release differs in arm and leg muscle during whole-body exercise, owing to differences in muscle metabolism. Sixteen subjects (10 men and six women, with body mass index 24 ± 1 kg m(-2) and peak oxygen uptake 3.4 ± 0.6 l min(-1)) performed a 90 min combined arm and leg cycle exercise at 60% of maximal oxygen uptake. The subjects arrived at the laboratory having fasted overnight, and catheters were placed in the femoral artery and vein and in the subclavian vein. During exercise, arterial and venous limb blood was sampled and arm and leg blood flow were measured by thermodilution. Lean limb mass was measured by dual-energy X-ray absorbtiometry scanning. Before and after exercise, biopsies were obtained from vastus lateralis and deltoideus. During exercise, IL-6 release was similar between men and women and higher (P < 0.05) from arms than legs (1.01 ± 0.42 and 0.33 ± 0.12 ng min(-1) (kg lean limb mass)(-1), respectively). Blood flow (425 ± 36 and 554 ± 35 ml min(-1) (kg lean limb mass)(-1)) and fatty acid uptake (26 ± 7 and 47 ± 7 μmol min(-1) (kg lean limb mass)(-1)) were lower, glucose uptake similar (51 ± 12 and 41 ± 8 mmol min(-1) (kg lean limb mass)(-1)) and lactate release higher (82 ± 32 and -2 ± 12 μmol min(-1) (kg lean limb mass)(-1)) in arms than legs, respectively, during exercise (P < 0.05). No correlations were present between IL-6 release and exogenous substrate uptakes. Muscle glycogen was similar in arms and legs before exercise (388 ± 22 and 428 ± 25 mmol (kg dry weight)(-1)), but after exercise it was only significantly lower in the leg (219 ± 29 mmol (kg dry weight)(-1)). The novel finding of a markedly higher IL-6 release from the exercising arm compared with the leg during whole-body exercise was not directly correlated to release or uptake of exogenous substrate, nor to muscle glycogen utilization.     

Scaling behaviour of VO2 in athletes and untrained individuals

OBJECTIVE: The present study analysed the allometric relationship (MR = a . M(b)) between human metabolic rate (MR), ranging from resting to maximal metabolic conditions, and body mass (M ), both in athletes of different specialization and untrained individuals. SUBJECTS AND METHODS: Two hundred and seventy male athletes and 43 untrained men performed a continuous incremental test to volitional exhaustion on a motorized treadmill. Metabolic rate (i.e. VO2) was measured during resting (VO2REST), sub-maximal (walking at 5 km h(-1) VO2WALK; running at 7.5 km h(-1) VO2RUN; ventilatory anaerobic threshold VO2VT) and maximal exercise conditions (maximum oxygen uptake VO2MAX). RESULTS: A significant difference (p < 0.001) in the MR-body mass relationships between athletes and controls was found. For the control group, the mass exponent b exhibited a non-significant (p = 0.37) increase with increasing metabolic demand (b = 0.69, 0.76, 0.76, 0.84, and 0.89, for VO2REST, VO2WALK, VO2RUN, VO2VT, and VO2MAX, respectively). In contrast, the corresponding mass exponent for the athletic group significantly (p < 0.01) decreased when moving from resting to maximal metabolic conditions (b = 0.98, 0.88, 0.80, 0.69, and 0.67). CONCLUSION: These results indicate that the recently proposed allometric cascade model may be valid in describing the scaling behaviour of MR in untrained individuals, but not in athletes of different specialization.     

Use of perceived effort ratings to control exercise intensity in young healthy adults

Summary The purpose of this study was to evaluate the use of the rating of perceived exertion (RPE) as a means of regulating the intensity of exercise during running. The subjects were healthy, relatively fit young adults (16 men and 12 women). Estimates of effort were recorded using the Borg 6–20 Scale whilst the maximal oxygen uptake of the subjects was measured as they ran on an electrically driven treadmill. In a further session, the same subjects were requested to run on the treadmill at constant exercise intensity based on their interpretation of levels 9, 13 and 17 of the Borg Scale. They regulated their running speed and the treadmill gradient but had no knowledge of performance from the equipment display panel. A linear regression analysis was carried out to examine the relationship between heart rate, perceived exertion and relative metabolic demand. This revealed that the rating of perceived exertion was at least as good a predictor of exercise intensity as heart rate in both the graded exercise test and effort production test. The results support the view that RPE may be used to predict relative metabolic demand, especially at higher workloads and could be a useful medium for controlling intensity of effort during vigorous exercise in such subjects.     

Energetics of running in top-level marathon runners from Kenya

On ten top-level Kenyan marathon runners (KA) plus nine European controls (EC, equivalent to KA), we measured maximal oxygen consumption ([Formula: see text]) and the energy cost of running (C (r)) on track during training camps at moderate altitude, to better understand the KA dominance in the marathon. At each incremental running speed, steady-state oxygen consumption ([Formula: see text]) was measured by telemetric metabolic cart, and lactate by electro-enzymatic method. The speed requiring [Formula: see text] provided the maximal aerobic velocity (v (max)). The energy cost of running was calculated by dividing net [Formula: see text] by the corresponding speed. The speed at lactate threshold (v (ΘAN)) was computed from individual La(b) versus speed curves. The sustainable [Formula: see text] fraction (F (d)) at v (ΘAN) (F (ΘAN)) was computed dividing v (ΘAN) by v (max). The F (d) for the marathon (F (mar)) was determined as F (mar)?=?0.92 F (ΘAN). Overall, [Formula: see text] (64.9?±?5.8 vs. 63.9?±?3.7?ml?kg(-1)?min(-1)), v (max) (5.55?±?0.30 vs. 5.41?±?0.29?m?s(-1)) and C (r) (3.64?±?0.28 vs. 3.63?±?0.31?J?kg(-1)?m(-1)) resulted the same in KA as in EC. In both groups, C (r) increased linearly with the square of speed. F (ΘAN) was 0.896?±?0.054 in KA and 0.909?±?0.068 in EC; F (mar) was 0.825?±?0.050 in KA and 0.836?±?0.062 in EC (NS). Accounting for altitude, running speed predictions from present data are close to actual running performances, if F (ΘAN) instead of F (mar) is taken as index of F (d). In conclusion, both KA and EC did not have a very high [Formula: see text], but had extremely high F (d), and low C (r), equal between them. The dominance of KA over EC cannot be explained on energetic grounds.     

Influence of climbing style on physiological responses during indoor rock climbing on routes with the same difficulty

The objectives of this study were to (1) continuously assess oxygen uptake and heart rate; (2) quantify the extent to which maximal whole-body cardiorespiratory capacity is utilized during climbing on four routes with the same difficulty but different steepness and/or displacement. Fifteen expert climbers underwent a maximal graded exercise test (MT), on a treadmill, in order to assess their maximal physiological capacity. After MT, four sport routes, equal in difficulty rating but different in steepness and/or displacement, were climbed. Oxygen uptake and heart rate were continuously measured. Respiratory exchange ratio (RER) was calculated. Blood lactate concentration and rating of perceived exertion (RPE) were taken before and directly after climbing. Data were expressed as peak values (HRpeak, VO₂peak and RERpeak) and as averages over the entire climb (HRavg, VO₂avg and RERavg). During climbing, higher HRpeak and HRavg were found in routes with a vertical upward displacement in comparison to traversing routes with a horizontal displacement. The average absolute and relative oxygen uptake was significantly lower in the traversing route in comparison with the three other routes. The traverse is done at a lower percent of the running maximum. Comparing four routes with the same difficulty but different steepness and/or displacement shows that (1) routes with an upward displacement causes the highest peak and average heart rate; (2) routes with a vertical displacement on overhanging wall is physiologically the most demanding; (3) the traverse is physiologically the less demanding.     

Effect of calcium channel blockade and beta-adrenoceptor blockade on short graded and single-level endurance exercises in normal men

Summary The effect of verapamil (240 mg) on exercise capacity was studied during a short graded and a single-level endurance exercise test in 12 normal volunteers; it was compared to the effects of atenolol (100 mg × day^–1). Intake of verapamil, atenolol and placebo, administered according to a randomized, double-blind cross-over design, was started 3 days before the exercise tests. Compared to placebo, verapamil did not affect peak oxygen uptake in the graded test or exercise duration in the endurance test. Heart rate, systolic blood pressure, rating of perceived exertion and respiratory data at submaximal and peak exercise were unaffected in either test. On the other hand atenolol reduced maximal oxygen uptake by 5% (p<0.001) and endurance exercise duration by 17% (p<0.05). Besides marked decreases in heart rate and systolic blood pressure during the two types of exercise, atenolol also reduced oxygen uptake at submaximal exercise levels and it increased the rating of perceived exertion (p<0.05), the latter only during the endurance exerice test.     

Effect of digoxin on physical performance in healthy man

The effect of digoxin on the maximal oxygen uptake, the heart rate reaction during submaximal and maximal bicycle exercise and the isokinetic skeletal muscle strength in the thigh was investigated in nine well-trained healthy young men. A daily dose of digoxin of 0.50 mg for 2 weeks, giving a steady state serum digoxin concentration of 1.0 +/- 0.2 nmol/l, did not significantly change maximal oxygen uptake or isokinetic muscle strength. However, the heart rate at rest and during exercise, both at submaximal and maximal levels, decreased significantly during digoxin administration.     

Chronobiological effects on exercise performance and selected physiological responses

Previous studies investigating the impact of circadian rhythms on physiological variables during exercise have yielded conflicting results. The purpose of the present investigation was to examine maximal aerobic exercise performance, as well as the physiological and psychophysiological responses to exercise, at four different intervals (0800 hours, 1200?hours, 1600?hours, and 2000?hours) within the segment of the 24-h day in which strenuous physical activity is typically performed. Ten physically fit, but untrained, male university students served as subjects. The results revealed that exercise performance was unaffected by chronobiological effects. Similarly, oxygen uptake, minute ventilation and heart rate showed no time of day influences under pre-, submaximal, and maximal exercise conditions. Ratings of perceived exertion were unaffected by time of day effects during submaximal and maximal exercise. In contrast, rectal temperature exhibited a significant chronobiological rhythm under all three conditions. Under pre- and submaximal exercise conditions, significant time of day effects were noted for respiratory exchange ratio, while a significant rhythmicity of blood pressure was evident during maximal exercise. However, none of these physiological variables exhibited significant differential responses (percent change from pre-exercise values) to the exercise stimulus at any of the four time points selected for study. Conversely, resting plasma lactate levels and lactate responses to maximal exercise were found to be significantly sensitive to chronobiological influences. Absolute post-exercise plasma norepinephrine values, and norepinephrine responses to exercise (percent change from pre-exercise values), also fluctuated significantly among the time points studied. In summary, these data suggest that aerobic exercise performance does not vary during the time frame within which exercise is normally conducted, despite the fact that some important physiological responses to exercise do fluctuate within that time period.     

Skeletal muscle glycolysis during submaximal exercise following acute β-adrenergic blockade in man

The present study describes the influence of β-adrenergic blockade on glycogen utilization and lactate accumulation in skeletal muscle of exercising man. Twelve physically active men were examined during 25 min of continuous cycle exercise equivalent to 65% of their maximal oxygen uptake both with and without oral administration of 80 mg of propranolol (Inderal®). Heart rate, oxygen uptake, rate of perceived exertion (RPE) and blood lactate concentration were measured during exercise. Muscle biopsies were obtained from m. vastus lateralis after 5 and 25 min of exercise, β-adrenergic blockade decreased steady state exercise heart rate by (mean + SD) 35 ± 10 beats min^-1 (P < 0.001) and oxygen uptake from 2.47 to 2.39 1-min^-1 (P < 0.01). Muscle glycogen decreased from the 5th to the 25th min of exercise, and β-blockade had no significant effect on this decrease. In contrast to without drug, β-blockade resulted in a decrease (P < 0.05) in muscle lactate concentration from the 5th (6.9 mmolkg^-1 w./w.) to the 25th min (4.8 mmolkg^-1 w./w.). Similarly blood lactate levels were lower (P < 0.05) with than without β-blockade in the last but not the first 10 min of exercise. The alteration in muscle lactate concentration pattern following β-blockade, may imply that adrenergic effects per se contribute to the stimulation of glycolysis during submaximal exercise, except in its earliest phase. Nevertheless, the effect is not great enough to produce substantial differences in glycogen utilization.     

Effect of lowered muscle temperature on the physiological response to exercise in men

Summary The effect of low muscle temperature on the response to dynamic exercise was studied in six healthy men who performed 42 min of exercise on a cycle ergometer at an intensity of 70% of their maximal O₂ uptake. Experiments were performed under control conditions, i.e. from rest at room temperature, and following 45 min standing with legs immersed in a water bath at 12°C. The water bath reduced quadriceps muscle temperature (at 3 cm depth) from 36.4 (SD 0.5)°C to 30.5 (SD 1.7)°C. Following cooling, exercise heart rate was initially lower, the mean difference ranged from 13 (SD 4) beats · min^–1 after 6 min of exercise, to 4 (SD 2) beats · min^–1 after 24 min of exercise. Steady-state oxygen uptake was consistently higher (0.21 · min^–1). However, no difference could be discerned in the kinetics of oxygen uptake at the onset of exercise. During exercise after cooling a significantly higher peak value was found for the blood lactate concentration compared to that under control conditions. The peak values were both reached after approximately 9 min of exercise. After 42 min of exercise the blood lactate concentrations did not differ significantly, indicating a faster rate of removal during exercise after cooling. We interpreted these observations as reflecting a relatively higher level of muscle hypoxia at the onset of exercise as a consequence of a cold-induced vasoconstriction. The elevated steady-state oxygen uptake may in part have been accounted for by the energetic costs of removal of the extra lactate released into the blood consequent upon initial tissue hypoxia.     

Time course of O2-pulse during various tests of aerobic power

Summary The purpose of this study was to test the hypothesis that oxygen pulse typically reaches a maximum before maximal oxygen consumption by observing the time course of oxygen pulse throughout exercise to maximal stress and to discern those physiologic variables which might predispose an individual to reach a peak in oxygen pulse before achieving maximal oxygen consumption. Thirty male volunteers ranging in age from 18–25 (¯X=20.5) years were recruited for this study. Maximal oxygen uptake was assessed on both bicycle ergometer and treadmill. Based upon the results of the exercise tests, subjects were classified into subgroups as a consequence of whether or not a maximal oxygen pulse or a plateau in oxygen pulse was demonstrated during submaximal exercise. The results indicate that submaximal peaking or at least the achieving of plateau values of oxygen pulse does in fact occur in some but not all individuals. It was observed that this phenomenon occurs at a relatively high percentage of maximal heart rate and maximal oxygen consumption. It appeared that individuals who demonstrate low heart rates at low-work intensities, high maximal heart rates, and a disproportionate increase in R for a given ventilation are most likely to reach a submaximal peak in oxygen pulse. Oxygen pulse during submaximal exercise appears to provide a good indication of cardiorespiratory fitness.     

脑梗塞患者红细胞变形能力与膜磷脂组分的关系

为探讨脑梗塞患者红细胞膜磷脂各组分对红细胞变形能力的影响，采用高效液相色谱法对58例脑梗塞患者和26名健康人的红细胞膜磷脂各组分进行了测定，并同时检测了其红细胞胆固醇含量及红细胞变形能力。结果表明，脑梗塞患者红细胞膜磷脂酸胆碱（PC）、磷脂酸乙醇胺（PE）含量降低，胆固醇（CHO）含量升高，红细胞变形能力降低。直线相关分析，膜PC与红细胞滤过指数呈显著负相关。结论：脑梗塞患者红细胞膜你在以PE、PC变化为主的磷脂代谢紊乱，膜PC异常可能是影响红细胞变形能力的一个重要因素。     

Utilization of blood-borne and intramuscular substrates during continuous and intermittent exercise in man.

1. Substrate utilization in the legs during bicycle exercise was studied in five subjects when performing intermittent intense exercise (15 sec work--15 sec rest) as well as continuous exercise during 60 min, with an almost identical average power output and oxygen uptake in both situations. 2. Muscle biopsies were obtained from vastus lateralis at rest, during, and after exercise in order to determine intramuscular lipid and carbohydrate utilization. The contribution from blood-borne substrates to total oxidative metabolism was determined by arterial-femoral venous (a-fv) differences for oxygen, FFA, glucose, and lactate and leg blood flow. 3. Intermittent and continuous exercise revealed a similar glycogen depletion and the intramuscular lactate accumulation was rather small. A similar uptake of blood-borne substrate (FFA, glucose) was found in both situations whereas a release of lactate only was observed in intermittent exercise. 4. ATP and CP levels oscillated between work and rest periods in intermittent exercise but were not resynthesized to resting levels at the end of the rest periods. The mainly aerobic energy release during each work period in intermittent exercise is partly caused by myoglobin functioning as an oxygen store; this factor was calculated to be more important than ATP and CP or lactate level oscillations. 5. The metabolic response to intermittent exercise was found to be similar to that found in continuous exercise with approximately the same average power output and oxygen uptake. This indicates that some factor in the intermediary metabolism, for instance citrate, functions as a regulator retarding glycolysis and favouring lipid utilization and an aerobic energy release in intermittent exercise.