Slow component of VO2 kinetics: mechanistic bases and practical applications

Training-Intensity Distribution During an Ironman Season: Relationship With Competition Performance

Purpose:

To describe training loads during an Ironman training program based on intensity zones and observe training–performance relationships.

Methods:

Nine triathletes completed a program with the same periodization model aiming at participation in the same Ironman event. Before and during the study, subjects performed ramp-protocol tests, running, and cycling to determine aerobic (AeT) and anaerobic thresholds (AnT) through gas-exchange analysis. For swimming, subjects performed a graded lactate test to determine AeT and AnT. Training was subsequently controlled by heart rate (HR) during each training session over 18 wk. Training and the competition were both quantified based on the cumulative time spent in 3 intensity zones: zone 1 (low intensity; <AeT), zone 2 (moderate intensity; between AeT and AnT), and zone 3 (high intensity; >AnT).

Results:

Most of training time was spent in zone 1 (68% ± 14%), whereas the Ironman competition was primarily performed in zone 2 (59% ± 22%). Significant inverse correlations were found between both total training time and training time in zone 1 vs performance time in competition (r = –.69 and –.92, respectively). In contrast, there was a moderate positive correlation between total training time in zone 2 and performance time in competition (r = .53) and a strong positive correlation between percentage of total training time in zone 2 and performance time in competition (r = .94).

Conclusions:

While athletes perform with HR mainly in zone 2, better performances are associated with more training time spent in zone 1. A high amount of cycling training in zone 2 may contribute to poorer overall performance.

Validation of a novel intermittent w' model for cycling using field data

Recently, an adaptation to the critical-power (CP) model was published, which permits the calculation of the balance of the work capacity available above the CP remaining (W'bal) at any time during intermittent exercise. As the model is now in use in both amateur and elite sport, the purpose of this investigation was to assess the validity of the W'bal model in the field. Data were collected from the bicycle power meters of 8 trained triathletes. W'bal was calculated and compared between files where subjects reported becoming prematurely exhausted during training or competition and files where the athletes successfully completed a difficult assigned task or race without becoming exhausted. Calculated W'bal was significantly different between the 2 conditions (P < .0001). The mean W'bal at exhaustion was 0.5 ± 1.3 kJ (95% CI = 0-0.9 kJ), whereas the minimum W'bal in the nonexhausted condition was 3.6 ± 2.0 kJ (95% CI = 2.1-4.0 kJ). Receiver-operator-characteristic (ROC) curve analysis indicated that the W'bal model is useful for identifying the point at which athletes are in danger of becoming exhausted (area under the ROC curve = .914, SE .05, 95% CI .82-1.0, P < .0001). The W'bal model may therefore represent a useful new development in assessing athlete fatigue state during training and racing.

Beetroot juice supplementation speeds O2 uptake kinetics and improves exercise tolerance during severe-intensity exercise initiated from an elevated metabolic rate

Recent research has suggested that dietary nitrate (NO3(-)) supplementation might alter the physiological responses to exercise via specific effects on type II muscle. Severe-intensity exercise initiated from an elevated metabolic rate would be expected to enhance the proportional activation of higher-order (type II) muscle fibers. The purpose of this study was, therefore, to test the hypothesis that, compared with placebo (PL), NO3(-)-rich beetroot juice (BR) supplementation would speed the phase II VO2 kinetics (τ(p)) and enhance exercise tolerance during severe-intensity exercise initiated from a baseline of moderate-intensity exercise. Nine healthy, physically active subjects were assigned in a randomized, double-blind, crossover design to receive BR (140 ml/day, containing ~8 mmol of NO3(-)) and PL (140 ml/day, containing ~0.003 mmol of NO3(-)) for 6 days. On days 4, 5, and 6 of the supplementation periods, subjects completed a double-step exercise protocol that included transitions from unloaded to moderate-intensity exercise (U→M) followed immediately by moderate to severe-intensity exercise (M→S). Compared with PL, BR elevated resting plasma nitrite concentration (PL: 65 ± 32 vs. BR: 348 ± 170 nM, P < 0.01) and reduced the VO2 τ(p) in M→S (PL: 46 ± 13 vs. BR: 36 ± 10 s, P < 0.05) but not U→M (PL: 25 ± 4 vs. BR: 27 ± 6 s, P > 0.05). During M→S exercise, the faster VO2 kinetics coincided with faster near-infrared spectroscopy-derived muscle [deoxyhemoglobin] kinetics (τ; PL: 20 ± 9 vs. BR: 10 ± 3 s, P < 0.05) and a 22% greater time-to-task failure (PL: 521 ± 158 vs. BR: 635 ± 258 s, P < 0.05). Dietary supplementation with NO3(-)-rich BR juice speeds VO2 kinetics and enhances exercise tolerance during severe-intensity exercise when initiated from an elevated metabolic rate.

Muscle metabolic responses during high-intensity intermittent exercise measured by (31)P-MRS: relationship to the critical power concept

We investigated the responses of intramuscular phosphate-linked metabolites and pH (as assessed by (31)P-MRS) during intermittent high-intensity exercise protocols performed with different recovery-interval durations. Following estimation of the parameters of the power-duration relationship, i.e., the critical power (CP) and curvature constant (W'), for severe-intensity constant-power exercise, nine male subjects completed three intermittent exercise protocols to exhaustion where periods of high-intensity constant-power exercise (60 s) were separated by different durations of passive recovery (18 s, 30 s and 48 s). The tolerable duration of exercise was 304 ± 68 s, 516 ± 142 s, and 847 ± 240 s for the 18-s, 30-s, and 48-s recovery protocols, respectively (P < 0.05). The work done >CP (W>CP) was significantly greater for all intermittent protocols compared with the subjects' W', and this difference became progressively greater as recovery-interval duration was increased. The restoration of intramuscular phosphocreatine concentration during recovery was greatest, intermediate, and least for 48 s, 30 s, and 18 s of recovery, respectively (P < 0.05). The W>CP in excess of W' increased with greater durations of recovery, and this was correlated with the mean magnitude of muscle phosphocreatine reconstitution between work intervals (r = 0.61; P < 0.01). The results of this study show that during intermittent high-intensity exercise, recovery intervals allow intramuscular homeostasis to be restored, with the degree of restoration being related to the duration of the recovery interval. Consequently, and consistent with the intermittent CP model, the ability to perform W>CP during intermittent high-intensity exercise and, therefore, exercise tolerance, increases when recovery-interval duration is extended.

The effect of priming exercise on O2 uptake kinetics, muscle O2 delivery and utilization, muscle activity, and exercise tolerance in boys

This study used priming exercise in young boys to investigate (i) how muscle oxygen delivery and oxygen utilization, and muscle activity modulate oxygen uptake kinetics during exercise; and (ii) whether the accelerated oxygen uptake kinetics following priming exercise can improve exercise tolerance. Seven boys that were aged 11.3 ± 1.6 years completed either a single bout (bout 1) or repeated bouts with 6 min of recovery (bout 2) of very heavy-intensity cycling exercise. During the tests oxygen uptake, muscle oxygenation, muscle electrical activity and exercise tolerance were measured. Priming exercise most likely shortened the oxygen uptake mean response time (change, ±90% confidence limits; -8.0 s, ±3.0), possibly increased the phase II oxygen uptake amplitude (0.11 L·min(-1), ±0.09) and very likely reduced the oxygen uptake slow component amplitude (-0.08 L·min(-1), ±0.07). Priming resulted in a likely reduction in integrated electromyography (-24% baseline, ±21% and -25% baseline, ±19) and a very likely reduction in Δ deoxyhaemoglobin/Δoxygen uptake (-0.16, ±0.11 and -0.09, ±0.05) over the phase II and slow component portions of the oxygen uptake response, respectively. A correlation was present between the change in tissue oxygenation index during bout 2 and the change in the phase II (r = -0.72, likely negative) and slow component (r = 0.72, likely positive) oxygen uptake amplitudes following priming exercise, but not for muscle activity. Exercise tolerance was likely reduced (change -177 s, ±180) following priming exercise. The altered phase II and slow component oxygen uptake amplitudes in boys following priming exercise are linked to an improved localised matching of muscle oxygen delivery to oxygen uptake and not muscle electrical activity. Despite more rapid oxygen uptake kinetics following priming exercise, exercise tolerance was not enhanced.

An examination of neuromuscular and metabolic fatigue thresholds

This study examined the relationships among the physical working capacity at the fatigue threshold (PWCFT), the power outputs associated with the gas exchange threshold (PGET) and the respiratory compensation point (PRCP), and critical power (CP) to identify possible physiological mechanisms underlying the onset of neuromuscular fatigue. Ten participants (mean ± SD age: 20 ± 1 years) performed a maximal incremental cycle ergometer test to determine the PWCFT, PGET, and PRCP. CP was determined from the 3 min all-out test. The PWCFT (197 ± 55 W), PRCP (212 ± 50 W), and CP (208 ± 63 W) were significantly greater than the PGET (168 ± 40 W), but there were no significant differences among the PWCFT, PRCP, and CP. All thresholds were significantly inter-4 (r = 0.794-0.958). The 17% greater estimates for the PWCFT than PGET were likely related to differences in the physiological mechanisms that underlie these fatigue thresholds, while the non-significant difference and high correlation between the PWCFT and the PRCP suggested that hyperkalemia may underlie both thresholds. Furthermore, it is possible that the 5% lower estimate of the PWCFT than CP could more accurately reflect the demarcation of the heavy from severe exercise intensity domains.

Determining Anaerobic Capacity in Sporting Activities

Anaerobic capacity/anaerobically attributable power is an important parameter for athletic performance, not only for short high-intensity activities but also for breakaway efforts and end spurts during endurance events. Unlike aerobic capacity, anaerobic capacity cannot be easily quantified. The 3 most commonly used methodologies to quantify anaerobic capacity are the maximal accumulated oxygen deficit method, the critical power concept, and the gross efficiency method. This review describes these methods, evaluates if they result in similar estimates of anaerobic capacity, and highlights how anaerobic capacity is used during sporting activities. All 3 methods have their own strengths and weaknesses and result in more or less similar estimates of anaerobic capacity but cannot be used interchangeably. The method of choice depends on the research question or practical goal.

Slow V̇o2 off-kinetics in skeletal muscle is associated with fast PCr off-kinetics—and inversely

The computer model of the bioenergetic system in skeletal muscle, developed previously, was used to study the effect of the characteristic decay time of the parallel activation of oxidative phosphorylation [τ(OFF)] during muscle recovery on the muscle oxygen consumption rate (V̇o2) and phosphocreatine (PCr) work-to-rest transition (off)-kinetics and on the relationship between the V̇o2 and PCr rest-to-work transition (on)- and off-kinetics in moderate and heavy exercise. An increase in τ(OFF) slows down the initial phase of the muscle V̇o2 off-kinetics and accelerates the PCr off-kinetics. As a result, the relationship between the initial phase of the V̇o2 off-kinetics (lasting approximately 3–60 s in computer simulations) and the PCr off-kinetics is inverse: the slower the former, the faster the latter. A faster initial phase of the V̇o2 off-kinetics is associated with a slower late phase of the V̇o2 off-kinetics, and as a result, the integral of V̇o2 above baseline during recovery, representing the oxygen debt, is identical in all cases [values of τ(OFF)] for a given PCr decrease. Depending on τ(OFF), the muscle V̇o2 on-kinetics was either equally fast or slower than the V̇o2 off-kinetics in moderate exercise and always slower in heavy exercise. PCr on-kinetics was always faster than PCr off-kinetics. This study clearly demonstrates that τ(OFF) has a pronounced impact on the mutual relations between the muscle V̇o2 and PCr on- and off-kinetics.

Distinguishing the effects of convective and diffusive O₂ delivery on VO₂ on-kinetics in skeletal muscle contracting at moderate intensity

With current techniques, experimental measurements alone cannot characterize the effects of oxygen blood-tissue diffusion on muscle oxygen uptake (Vo₂) kinetics in contracting skeletal muscle. To complement experimental studies, a computational model is used to quantitatively distinguish the contributions of convective oxygen delivery, diffusion into cells, and oxygen utilization to Vo₂ kinetics. The model is validated using previously published experimental Vo₂ kinetics in response to slowed blood flow (Q) on-kinetics in canine muscle (τQ = 20 s, 46 s, and 64 s) [Goodwin ML, Hernández A, Lai N, Cabrera ME, Gladden LB. J Appl Physiol. 112:9-19, 2012]. Distinctive effects of permeability-surface area or diffusive conductance (PS) and Q on Vo₂ kinetics are investigated. Model simulations quantify the relationship between PS and Q, as well as the effects of diffusion associated with PS and Q dynamics on the mean response time of Vo₂. The model indicates that PS and Q are linearly related and that PS increases more with Q when convective delivery is limited by slower Q dynamics. Simulations predict that neither oxygen convective nor diffusive delivery are limiting Vo₂ kinetics in the isolated canine gastrocnemius preparation under normal spontaneous conditions during transitions from rest to moderate (submaximal) energy demand, although both operate close to the tipping point.

Cinética do VO2 durante o exercício realizado na potência crítica em ciclistas e indivíduos não-treinados no ciclismo

O objetivo foi analisar a cinética do consumo de oxigênio (VO2) na potência crítica (PC), em indivíduos com diferentes níveis de aptidão aeróbia no ciclismo. Seis ciclistas treinados (GT) e sete indivíduos não-treinados (GNT) realizaram os seguintes protocolos em cicloergômetro: (a) progressivo até a exaustão para determinação do VO2max e sua respectiva intensidade (IVO2max); (b) três testes em cargas constantes até a exaustão a 95-110%IVO2max para determinação da PC; e (c) um teste em carga constante até a exaustão a 100%PC. No exercício a 100%PC, o componente lento expresso em valor absoluto (GT: 342,4±165,8 ml.min-1 vs. GNT: 571,3±170,1 ml.min-1) e relativo ao aumento do VO2 em exercício (GT: 10,0±4,6% vs. GNT: 26,6±7,3%) foram menores para GT. O VO2 ao final do exercício (GT: 89,8±8,4%VO2max vs. GNT: 97,4±2,8%VO2max) foi significativamente menor no grupo GT (ρ = 0,045), sendo similar ao VO2max no grupo GNT. Portanto, o nível de aptidão aeróbia pode influenciar as respostas do VO2 ao exercício em PC.

Modeling the expenditure and reconstitution of work capacity above critical power

PURPOSE

The critical power (CP) model includes two constants: the CP and the W' [P = (W' / t) + CP]. The W' is the finite work capacity available above CP. Power output above CP results in depletion of the W' complete depletion of the W' results in exhaustion. Monitoring the W' may be valuable to athletes during training and competition. Our purpose was to develop a function describing the dynamic state of the W' during intermittent exercise.

METHODS

After determination of V˙O(2max), CP, and W', seven subjects completed four separate exercise tests on a cycle ergometer on different days. Each protocol comprised a set of intervals: 60 s at a severe power output, followed by 30-s recovery at a lower prescribed power output. The intervals were repeated until exhaustion. These data were entered into a continuous equation predicting balance of W' remaining, assuming exponential reconstitution of the W'. The time constant was varied by an iterative process until the remaining modeled W' = 0 at the point of exhaustion.

RESULTS

The time constants of W' recharge were negatively correlated with the difference between sub-CP recovery power and CP. The relationship was best fit by an exponential (r = 0.77). The model-predicted W' balance correlated with the temporal course of the rise in V˙O(2) (r = 0.82-0.96). The model accurately predicted exhaustion of the W' in a competitive cyclist during a road race.

CONCLUSIONS

We have developed a function to track the dynamic state of the W' during intermittent exercise. This may have important implications for the planning and real-time monitoring of athletic performance.

Effects of nitrate supplementation via beetroot juice on contracting rat skeletal muscle microvascular oxygen pressure dynamics

NO3(-) supplementation via beetroot juice (BR) augments exercising skeletal muscle blood flow subsequent to its reduction to NO2(-) then NO. We tested the hypothesis that enhanced vascular control following BR would elevate the skeletal muscle O2 delivery/O2 utilization ratio (microvascular PO2, PmvO2) and raise the PmvO2 during the rest-contractions transition. Rats were administered BR (~0.8 mmol/kg/day, n=10) or water (control, n=10) for 5 days. PmvO2 was measured during 180 s of electrically induced (1 Hz) twitch spinotrapezius muscle contractions. There were no changes in resting or contracting steady-state PmvO2. However, BR slowed the PmvO2 fall following contractions onset such that time to reach 63% of the initial PmvO2 fall increased (MRT1; control: 16.8±1.9, BR: 24.4±2.7 s, p<0.05) and there was a slower relative rate of PmvO2 fall (Δ1PmvO2/τ1; control: 1.9±0.3, BR: 1.2±0.2 mmHg/s, p<0.05). Despite no significant changes in contracting steady state PmvO2, BR supplementation elevated the O2 driving pressure during the crucial rest-contractions transients thereby providing a potential mechanism by which BR supplementation may improve metabolic control.

Relationship between changes in pulmonary V̇O₂ kinetics and autonomic regulation of blood flow

Various regulatory mechanisms of pulmonary oxygen uptake (V̇O2) kinetics have been postulated. The purpose of this study was to investigate the relationship between vagal withdrawal, measured using RMSSDRR, the root mean square of successive differences in cardiac interval (RR) kinetics, a mediator of oxygen delivery, and V̇O2 kinetics. Forty-nine healthy adults (23 ± 3 years; 72 ± 13 kg; 1.80 ± 0.08 m) performed multiple repeat transitions to moderate- and heavy-intensity exercise. Electrocardiography, impedance cardiography, and pulmonary gas exchange parameters were measured throughout; time domain measures of heart rate variability were subsequently derived. The parameters describing the dynamic response of V̇O2, cardiac output (Q) and RMSSDRR were determined using a mono-exponential model. During heavy-intensity exercise, the phase II τ of V̇O2 was significantly correlated with the τ of RR (r = 0.36, P < 0.05), Q (r = 0.67, P < 0.05), and RMSSDRR (r = 0.38, P < 0.05). The τ describing the rise in Q explained 47% of the variation in V̇O2 τ, with 30% of the rate of this rise in Q explained by the τ of RR and RMSSDRR. No relationship was evident between V̇O2 kinetics and those of Q, RR, or RMSSDRR during moderate exercise. Vagal withdrawal kinetics support the concept of a centrally mediated oxygen delivery limitation partly regulating V̇O2 kinetics during heavy-, but not moderate-, intensity exercise.

Metabolic and neuromuscular responses at critical power from the 3-min all-out test

The purpose of this study was to determine the specific metabolic and neuromuscular responses at critical power (CP) from the 3-min all-out test. Nine men (mean ± SD: aged 23.7 ± 3.3 years) performed an incremental test for the determination of peak oxygen consumption (V̇O2peak) and gas exchange threshold. CP was estimated for each subject from the 3-min all-out test. Oxygen consumption (V̇O2), the ventilation versus carbon dioxide production ratio (V̇E/V̇CO2 ratio), electromyographic (EMG) amplitude, and EMG mean power frequency (MPF) were examined during exhaustive rides at CP for each subject. There was no significant difference between the V̇O2 at exhaustion (40.6 ± 7.5 mL·kg−1·min−1) and V̇O2peak (42.9 ± 7.3 mL·kg−1·min−1). Furthermore, there were significant increases in EMG amplitude and the V̇E/V̇CO2 ratio during the exhaustive rides at CP. There was, however, no significant change in EMG MPF over time. Therefore, the current findings indicated that the 3-min all-out test overestimated CP and the demarcation between the heavy- and severe-intensity domains. Specifically, the V̇O2, ventilatory, and EMG amplitude responses were consistent with those observed during continuous exercise in the severe exercise intensity domain. It is likely that the ventilatory and EMG amplitude responses were associated with a common mechanism of fatigue that is different from what affects EMG MPF.

Effects of prior short multiple-sprint exercises with different intersprint recoveries on the slow component of oxygen uptake during high-intensity exercise

This study compares the effects of two short multiple-sprint exercise (MSE) (6 × 6 s) sessions with two different recovery durations (30 s or 180 s) on the slow component of oxygen uptake ([Formula: see text]O2) during subsequent high-intensity exercise. Ten male subjects performed a 6-min cycling test at 50% of the difference between the gas exchange threshold and [Formula: see text]O2peak (Δ50). Then, the subjects performed two MSEs of 6 × 6 s separated by two intersprint recoveries of 30 s (MSE30) and 180 s (MSE180), followed 10 min later by the Δ50 (Δ5030 and Δ50180, respectively). Electromyography (EMG) activities of the vastus medialis and lateralis were measured throughout each exercise bout. During MSE30, muscle activity (root mean square) increased significantly (p ≤ 0.04), with a significant leftward-shifted median frequency of the power density spectrum (MDF; p ≤ 0.01), whereas MDF was significantly rightward-shifted during MSE180 (p = 0.02). The mean [Formula: see text]O2 value was significantly higher in MSE30 than in MSE180 (p < 0.001). During Δ5030, [Formula: see text]O2 and the deoxygenated hemoglobin ([HHb]) slow components were significantly reduced (–27%, p = 0.02, and –34%, p = 0.003, respectively) compared with Δ50. There were no significant modifications of the [Formula: see text]O2 slow component in Δ50180 compared with Δ50 (p = 0.32). The neuromuscular and metabolic adaptations during MSE30 (preferential activation of type I muscle fibers evidenced by decreased MDF and a greater aerobic metabolism contribution to the required energy demands), but not during MSE180, may lead to reduced [Formula: see text]O2 and [HHb] slow components, suggesting an alteration in motor units recruitment profile (i.e., change in the type of muscle fibers recruited) and (or) an improved muscle O2 delivery during subsequent exercise.

Training-induced acceleration of O(2) uptake on-kinetics precedes muscle mitochondrial biogenesis in humans

The effects of 5 weeks of moderate-intensity endurance training on pulmonary oxygen uptake kinetics (V(O(2)) on-kinetics) were studied in 15 healthy men (mean ± SD: age 22.7 ± 1.8 years, body weight 76.4 ± 8.9 kg and maximal V(O(2)) 46.0 ± 3.7 ml kg(-1) min(-1)). Training caused a significant acceleration (P = 0.003) of V(O(2)) on-kinetics during moderate-intensity cycling (time constant of the 'primary' component 30.0 ± 6.6 versus 22.8 ± 5.6 s before and after training, respectively) and a significant decrease (P = 0.04) in the amplitude of the primary component (837 ± 351 versus 801 ± 330 ml min(-1)). No changes in myosin heavy chain distribution, muscle fibre capillarization, level of peroxisome proliferator-activated receptor γ coactivator 1α and other markers of mitochondrial biogenesis (mitochondrial DNA copy number, cytochrome c and cytochrome oxidase subunit I contents) in the vastus lateralis were found after training. A significant downregulation in the content of the sarcoplasmic reticulum ATPase 2 (SERCA2; P = 0.03) and a tendency towards a decrease in SERCA1 (P = 0.055) was found after training. The decrease in SERCA1 was positively correlated (P = 0.05) with the training-induced decrease in the gain of the V(O(2)) on-kinetics (ΔV(O(2)) at steady state/Δpower output). In the early stage of training, the acceleration in V(O(2)) on-kinetics during moderate-intensity cycling can occur without enhanced mitochondrial biogenesis or changes in muscle myosin heavy chain distribution and in muscle fibre capillarization. The training-induced decrease of the O(2) cost of cycling could be caused by the downregulation of SERCA pumps.

Lack of functional effects of neuromuscular electrical stimulation on skeletal muscle oxidative metabolism in healthy humans

A recent study has demonstrated that neuromuscular electrical stimulation (NMES) determines, in vitro, a fast-to-slow shift in the metabolic profile of muscle fibers. The aim of the present study was to evaluate if, in the same subjects, these changes would translate, in vivo, into an enhanced skeletal muscle oxidative metabolism. Seven young men were tested (cycle ergometer) during incremental exercises up to voluntary exhaustion and moderate and heavy constant-load exercises (CLE). Measurements were carried out before and after an 8-wk training program by isometric bilateral NMES (quadriceps muscles), which induced an ∼25% increase in maximal isometric force. Breath-by-breath pulmonary O2 uptake (V̇o2) and vastus lateralis oxygenation indexes (by near-infrared spectroscopy) were determined. Skeletal muscle fractional O2 extraction was estimated by near-infrared spectroscopy on the basis of changes in concentration of deoxygenated hemoglobin + myoglobin. Values obtained at exhaustion were considered “peak” values. The following functional evaluation variables were unaffected by NMES: peak V̇o2; gas exchange threshold; the V̇o2 vs. work rate relationship (O2 cost of cycling); changes in concentration of deoxygenated hemoglobin + myoglobin vs. work rate relationship (related to the matching between O2 delivery and V̇o2); peak fractional O2 extraction; V̇o2 kinetics (during moderate and heavy CLE) and the amplitude of its slow component (during heavy CLE). Thus NMES did not affect several variables of functional evaluation of skeletal muscle oxidative metabolism. Muscle hypertrophy induced by NMES could impair peripheral O2 diffusion, possibly counterbalancing, in vivo, the fast-to-slow phenotypic changes that were observed in vitro, in a previous work, in the same subjects of the present study.

Improved exercise tolerance after enzyme replacement therapy in Pompe disease

PURPOSE

Enzyme replacement therapy (ERT) has recently became available for Pompe disease. Data on the effects of ERT on physiological variables related to exercise tolerance have never been published.

METHODS

Pulmonary gas exchange, cardiac output (by impedance cardiography), and vastus lateralis muscle O₂ extraction (by near-infrared spectroscopy) were determined during cycle ergometer exercise in a 50-yr-old patient before and after 1, 12, and 24 months of ERT.

RESULTS

At the same constant-workload submaximal exercise, RPE, R, pulmonary ventilation, and HR were lower during ERT versus before, suggesting an increased exercise tolerance. Peak oxygen uptake (V˙O2peak) increased by ~35% from before (0.64 L·min⁻¹ or 11.4 mL·kg·min⁻¹) to 1 month (0.88 L·min⁻¹ or 15.7 mL·kg·min⁻¹) of treatment and did not significantly change thereafter. Also, peak cardiac output significantly increased during ERT, whereas peak skeletal muscle fractional O₂ extraction was unchanged compared with before.

CONCLUSIONS

Improvements of peak exercise capacity and exercise tolerance at submaximal workloads were observed in a patient with Pompe disease after 1 month of ERT, with no further changes during the ensuing treatment period (up to 24 months).

Exercise tolerance in intermittent cycling: application of the critical power concept

PURPOSE

This study tested the relevance of the critical power (CP) model for explaining exercise tolerance during intermittent high-intensity exercise with different recovery intensities.

METHODS

After estimation of CP and W' from a 3-min all-out test, seven male subjects completed, in randomized order, a cycle test to exhaustion at a severe-intensity constant-work-rate (S-CWR) and four cycle tests to exhaustion using different intermittent ("work-recovery") protocols (i.e., severe-severe (S-S), severe-heavy (S-H), severe-moderate (S-M), and severe-light (S-L)).

RESULTS

The tolerable duration of exercise in S-CWR was 384 ± 48 s, and this was increased by 47%, 100%, and 219% for S-H, S-M, and S-L, respectively (all P < 0.05). Consistent with this, compared with S-CWR (22.9 ± 7.4 kJ), the work done above the CP was significantly greater by 46%, 98%, and 220% for S-H, S-M, and S-L, respectively (all P < 0.05). The slope of the relationship between V˙O₂ and time was significantly reduced for S-H, S-M, and S-L (0.09 ± 0.02, 0.09 ± 0.01, and 0.07 ± 0.02 L·min⁻², respectively) compared with S-CWR (0.16 ± 0.03 L·min⁻², P < 0.05). In addition, the slope of the relationship between integrated EMG and time showed a systematic decline for S-H, S-M, and S-L compared with S-CWR (P < 0.05).

CONCLUSIONS

These results indicate that, when recovery intervals during intermittent exercise are performed below the CP, exercise tolerance is improved in proportion to the reconstitution of the finite W'. The enhanced exercise tolerance with the lower-intensity recovery intervals was associated with a blunted increase in both V˙O₂ and integrated EMG with time.

Isometric strength training lowers the O2 cost of cycling during moderate-intensity exercise

The effect of maximal voluntary isometric strength training of knee extensor muscles on pulmonary V'O(2) on-kinetics, the O(2) cost of cycling and peak oxygen uptake (V'O(2peak)) in humans was studied. Seven healthy males (mean ± SD, age 22.3 ± 2.0 years, body weight 75.0 ± 9.2 kg, V'O(2peak) 49.5 ± 3.8 ml kg(-1) min(-1)) performed maximal isometric strength training lasting 7 weeks (4 sessions per week). Force during maximal voluntary contraction (MVC) increased by 15 % (P < 0.001) after 1 week of training, and by 19 % (P < 0.001) after 7 weeks of training. This increase in MVC was accompanied by no significant changes in the time constant of the V'O(2) on-kinetics during 6 min of moderate and heavy cycling intensities. Strength training resulted in a significant decrease (by ~7 %; P < 0.02) in the amplitude of the fundamental component of the V'O(2) on-kinetics, and therefore in a lower O(2) cost of cycling during moderate cycling intensity. The amplitude of the slow component of V'O(2) on-kinetics during heavy cycling intensity did not change with training. Training had no effect on the V'O(2peak), whereas the maximal power output reached at V'O(2peak) was slightly but significantly increased (P < 0.05). Isometric strength training rapidly (i.e., after 1 week) decreases the O(2) cost of cycling during moderate-intensity exercise, whereas it does not affect the amplitude of the slow component of the V'O(2) on-kinetics during heavy-intensity exercise. Isometric strength training can have beneficial effects on performance during endurance events.

Muscle oxygen transport and utilization in heart failure: implications for exercise (in)tolerance

The defining characteristic of chronic heart failure (CHF) is an exercise intolerance that is inextricably linked to structural and functional aberrations in the O(2) transport pathway. CHF reduces muscle O(2) supply while simultaneously increasing O(2) demands. CHF severity varies from moderate to severe and is assessed commonly in terms of the maximum O(2) uptake, which relates closely to patient morbidity and mortality in CHF and forms the basis for Weber and colleagues' (167) classifications of heart failure, speed of the O(2) uptake kinetics following exercise onset and during recovery, and the capacity to perform submaximal exercise. As the heart fails, cardiovascular regulation shifts from controlling cardiac output as a means for supplying the oxidative energetic needs of exercising skeletal muscle and other organs to preventing catastrophic swings in blood pressure. This shift is mediated by a complex array of events that include altered reflex and humoral control of the circulation, required to prevent the skeletal muscle "sleeping giant" from outstripping the pathologically limited cardiac output and secondarily impacts lung (and respiratory muscle), vascular, and locomotory muscle function. Recently, interest has also focused on the dysregulation of inflammatory mediators including tumor necrosis factor-α and interleukin-1β as well as reactive oxygen species as mediators of systemic and muscle dysfunction. This brief review focuses on skeletal muscle to address the mechanistic bases for the reduced maximum O(2) uptake, slowed O(2) uptake kinetics, and exercise intolerance in CHF. Experimental evidence in humans and animal models of CHF unveils the microvascular cause(s) and consequences of the O(2) supply (decreased)/O(2) demand (increased) imbalance emblematic of CHF. Therapeutic strategies to improve muscle microvascular and oxidative function (e.g., exercise training and anti-inflammatory, antioxidant strategies, in particular) and hence patient exercise tolerance and quality of life are presented within their appropriate context of the O(2) transport pathway.

Determinants of performance in 1,500-m runners

Our aim was to investigate the relationship between physiological variables (not previously studied) and performance in elite 1,500-m runners. We assessed eight male athletes with an average personal best time of 233.3 ± 6.9 s (110% of the world record) for the 1,500-m race. Ventilatory measurements, maximal oxygen consumption VO2max maximal vastus lateralis muscle deoxygenation (∆[deoxy(Hb+Mb)])max via near-infrared spectroscopy (NIRS), and maximal velocity (V (max)) were obtained during an incremental treadmill test. During subsequent constant-speed exercise at Vmax, we determined the time to exhaustion (Tlim), end-exercise blood lactate concentration ([La]b(max)), VO2 and ∆[deoxy(Hb+Mb)] kinetics parameters. The mean VO2max, [La]b(max) and Vmax were 70.2 ± 3.9 mL kg(-1) min(-1), 12.7 ± 2.4 mmol L(-1), 21.5 ± 0.5 km h(-1), respectively. VO2 at Vmax showed a significant negative correlation with Tlim, whereas [La]b(max) was positively correlated with Tlim. Race speed was found to significantly correlate with ∆[deoxy(Hb+Mb)](max) (79% of maximal value obtained during a transient limb ischemia), ∆[deoxy(Hb+Mb)] slow component (22.9 ± 9.3% of total amplitude) and [La]b(max) at Vmax. [La]b(max) at Vmax was also significantly correlated with ∆[deoxy(Hb+Mb)] slow component, suggesting a greater release of oxygen from the hemoglobin due to the Bohr effect. We conclude that both the maximal capacity of muscle to extract O2 from the blood and the end-exercise blood lactate accumulation are important predictors of best performance in 1,500-m runners.