3.+aerobic+capaciy+and+endurance (1)
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17/02/2015
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Aerobic Capacity and Endurance
Research Center in Physical Acitivity , Health and Leisure, University of Porto
School of Health, Faculty of Health Sciences, Fernando Pessoa University
José António Lumini
Exercise Physiology
• The study of the effects of exercise on the body.
• Body’s responses and adaptations to exercises
– System to subcellular level
– Acute (short term) to chronic (long term) adaptations
• Population served
– Elite performers
– People of all ages and abilities, diseased or not, in leisure, sports and health contexts
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•What is exercise physiology?
•What is the role of physical activity and exercise in achieving physical fitness and health?
•How do you use the FITT formula to design a fitness program?
•What are the contributors and deterrents
to fitness?
Fitness is a general term used to describe the ability to perform
physical work.
Performing physical work requires cardiorespiratory functioning,
muscular strength and endurance, and musculoskeletal flexibility.
In Kisner, C and Colby LA. (2007). Therapeutic exercise: Foundations and techniques
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Pulmonary Ventilation
• Minute ventilation or VE (L/min) = Tidal volume (L/breathing) X Breathing rate (Breaths/min)
• Measure of volume of air passing through pulmonary system: air expired/minute
VariablesTidal Volume
(L/breathing)
Breathing Rate
(breaths/min)
Rest 10 - 14 10 – 20
Maximal Exercise 100 – 180 40 - 60
Relation Between Breathing and
Ventilation
20
30
40
50
60
Bre
ath
s/M
inu
te
80 100 120 140 160 180
Heart Rate
1.0
1.5
2.0
2.5
3.0
3.5
Tid
al v
olu
me (
L/B
reath
)
10
20
30
40
50
60
70
VO
2(m
l/kg
/min
)
80 100 120 140 160 180
Heart Rate
0
50
100
150
200
VE
(L
/min
)
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Stroke Volume (SV)
• Amount of blood ejected from heart with each
beat (ml/beat).
Rest Exercise (max) Max occurs
80 – 90 110 – 200
(Depending on training
status)
40-50% of VO2 max
untrained
Up to 60% VO2 max in
athletes
Cardiac Output (CO)
• Amount of blood ejected from heart each min (L/min).
• Stroke Volume x Heart Rate
– Fick Equation: CO = VO2/(a - v O2)
– Rest: ~ 5 L/min
– Exercise: ~10 to 25 L/min
• Primary Determinant = Heart rate
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Exercise:
↑ Heart Rate
↑ Stroke volume
↑ Blood pressure
in Willmore, JA. and Costill, DL.(1994).Phsysiology of sport and exercise
Relation Between SV and CO
Cardiac Output = SV x HRRest: ~ 5.0 L/minMaximal Exercise: up to 30 L/min
60
80
100
120
140
160
Str
oke
Vo
lum
e (
ml/
be
at)
50
80
110
140
170
200
He
art
Ra
te (
bp
m)
0 20 40 60 80 100
% of Maximal Oxygen Uptake
05
1015
2025
3035
40
Ca
rdia
c O
utp
ut
(L/m
in)
0 20 40 60 80 100
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In Voight et al (2007).Musculoskeletal interventions: techniques for therapeutic exercise
In Voight et al (2007).Musculoskeletal interventions: techniques for therapeutic exercise
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Maximum oxygen consumption (VO2 max) is a measure of
the body’s capacity to use oxygen.
It is the maximum amount of oxygen consumed per minute
when the individual has reached maximum effort.
Ability to take in, transport and deliver O2 to skeletal muscle for use by tissue.
It is usually expressed relative to body weight, as milliliters of oxygen per
kilogram of body weight per minute (ml/kg per minute).
In Kisner, C and Colby LA. (2007). Therapeutic exercise: Foundations and techniques
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VO2max
•Uses a percentage of the maximum rate of oxygen
consumption
•Very time-consuming and complicated measure
•Typically a laboratory measure in hospitals and universities
because of expensive equipment required
•Highly competitive athletes (performance goal category) may
want to pursue such a measure at a university exercise
physiology laboratory to track changes through a training
program.
Oxygen supply to the body involves
the coordinated fuction
In Voight et al (2007).Musculoskeletal interventions: techniques for therapeutic exercise
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Endurance is the ability to work for prolonged periods of
time and the ability to resist fatigue.
It includes muscular endurance and cardiovascular
endurance.
Cardiovascular endurance refers to the ability to perform
large muscle dynamic exercise, such as walking, swimming,
and/or biking for long periods of time.
In Kisner, C and Colby LA. (2007). Therapeutic exercise: Foundations and techniques
Cardiovascular fitness : endurance type activities: fuel challenging
large muscle mass
repetitive
lower intensity
walking, running, swimming, cycling
Muscular strength: high resistance, high force output
focus on muscle groups not on systemic “exercise”
e.g. knee extensors vs. flexors
Can a type of exercise be both strength and endurance?
yes BUT the effectiveness of any one form of activity to elicit
a specific adaptation is dependent on the endurance/strength
starting state of the individual.
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Specificity of Exercise: Adaptations that occur in response to
training are specific to the nature of the training stimulus
Cardiovascular fitness: requires that the person
train in a manner that challenges heart rate, cardiac
output, capillarity … with the underlying change being
improved oxygen delivery to working tissues
Muscular strength: requires that the person train in a manner
that challenges the recruitment and force output of specific
muscle groups … with the underlying change being increased
muscle mass.
The corollary to this is that training for
endurance will not augment strength or vice
versa.
Assessing VO2
• Direct Measure: Rearrange Fick Equation: VO2 = CO X (a -
vO2)
• Indirect Measure: gas exchange at mouth: VO2 = VE X (FIO2 -
FEO2)
– Rest: 0.20 to 0.35 L/min
– Maximal Exercise: 2 to 6 L/min
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Importance of VO2 max
• An index of maximal cardiovascular and pulmonary
function.
• Single most useful measurement to characterize the
functional capacity of the oxygen transport system.
• Limiting factor in endurance performance
Determinants of VO2max
• Muscle Blood Flow
• Capillary Density
• O2 Diffusion
• O2 Extraction
• Hb-O2 Affinity
• Muscle Fiber Profiles
• Cardiac Output
• Arterial Pressure
• Hemoglobin
• Ventilation
• O2 Diffusion
• Hb-O2 Affinity
• Alveolar Ventilation
Perfusion ratio
Peripheral Factors Central Factors
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Factors Affecting VO2max
Intrinsic
• Genetic
• Gender
• Body Composition
• Muscle mass
• Age
• Pathologies
Extrinsic
• Activity Levels
• Time of Day
• Sleep Deprivation
• Dietary Intake
• Nutritional Status
• Environment
Common Criteria Used to Document
VO2 max
Primary Criteria
• < 2.1 ml/kg/min increase with 2.5% grade increase often
seen as a plateau in VO2
Secondary Criteria
• Blood lactate ≥ 8 mmol/L
• RER ≥ 1.10
• ↑ HR to 90% of age predicted
• RPE ≥ 17
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retalk/wp-content/blogs.dir/7/files/2011/05/diseases/Aerobic_Capacity-2.jpg
0
4
8
12
16
0 1000 2000 3000 4000 5000
Oxygen Uptake (ml/min)
Lactate Threshold
1.0 mM above baseline
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Heart Rate and VO2max
0 20 40 60 80 100
% of VO2max
30
40
50
60
70
80
90
100%
of
Ma
xim
al
He
art
Ra
te
In http://www.escardio.org/
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Aging, Training, and VO2max
0
10
20
30
40
50
60
70
20 30 40 50 60 70
Age (yr)
VO
2m
ax
(ml/
kg
/min
)
Athletes
Moderately Active
Sedentary
Gender, Age and VO2max
1.5
2.0
2.5
3.0
3.5
4.0
VO
2m
ax
(L/m
in)
10 20 30 40 50 60
Age (Years)
Women
Men
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Effect of Bed rest on VO2max
-40
-30
-20
-10
0
0 10 20 30 40
Days of Bedrest
%Decline in VO2max
1.4 - 0.85 X Days; r = - 0.73
In VA Convertino MSSE 1997
% D
ecl
ine
in
VO
2m
ax
VO2max Classification for Men (ml/kg/min)
Age (yrs)
20 - 29
30 - 39
40 - 49
50 - 59
60 - 69
Low
<25
<23
<20
<18
<16
Fair
25 - 33
23 - 30
20 - 26
18 - 24
16 - 22
Average
34 - 42
31 - 38
27 - 35
25 - 33
23 - 30
Good
43 - 52
39 - 48
36 - 44
34 - 42
31 - 40
High
53+
49+
45+
43+
41+
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VO2max Classification for Women (ml/kg/min)
Age (yrs)
20 - 29
30 - 39
40 - 49
50 - 59
60 - 69
Low
<24
<20
<17
<15
<13
Fair
24 - 30
20 - 27
17 - 23
15 - 20
13 - 17
Average
31 - 37
28 - 33
24 - 30
21 - 27
18 - 23
Good
38 - 48
34 - 44
31 - 41
28 - 37
24 - 34
High
49+
45+
42+
38+
35+
Respiratory Exchange Ratio/Quotient
• Respiratory Exchange Ratio (RER): ratio of CO2 expired/O2consumed
- Measured by gases exchanged at the mouth.
• Respiratory Quotient (RQ): ratio of CO2 produced by cellular metabolism to O2 used by tissues
-Measurements are made at cellular level
• Useful indicator of type of substrate (fat vs. carbohydrate) being metabolized:
-Fat is the first fuel source used during exercise. As RQ/RER increases towards 1.0 the use of CHO as energy increases.
RER/RQ typically ranges from .70 to 1.0+
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Typical Ways to Measure VO2max
• Treadmill (walking/running)
• Cycle Ergometry
• Arm Ergometry
• Step Tests
Maximal Values During Various
Exercise Tests
Types of Exercise
Uphill Running
Horizontal Running
Upright Cycling
Supine Cycling
Arm Cranking
Arms and Legs
Step Test
% of VO2max
100%
95 - 98%
93 - 96%
82 - 85%
65 - 70%
100 - 104%
97%
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Cardiopulmonary Exercise Testing (CPET)
Cardiopulmonary exercise testing (CPX, CPEX or CPET) is the 'gold
standard' tool for the evaluation of cardiopulmonary function and
fitness. It is an entirely non-invasive and objective method of
assessing the exercise response of the pulmonary,
cardiovascular and skeletal muscle systems.
CPET evaluates the way in which your heart, lungs and circulation
simultaneously respond to exercise.
Laboratory Tests
Maximal
Sub-maximal
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Field Tests
Maximal
Sub-maximal
CPET information:
1. 12 lead ECG (Resting and exertion)
2. Lung function: Spirometry and lung volume
flow loops
3. Oxygen consumption during exercise
4. VO2 max
5. Anaerobic threshold (Lactate threshold)
6. Metabolism during exercise (Fat vs.
carbohydrate burning)
7. Cardiac and respiratory function during
exercise Who might need a CPET?
•Patients scheduled for major surgery
•Patients taking part in a health check-up for
the diagnosis of heart and lung disease
•Patients in rehabilitation following a major
illness
•Healthy subjects assessing their fitness,
personal fitness goals and or weight loss
targets
•Athletes at all levels needing expert guidance
to titrate training programs
•Athletes looking to quantify fitness levels and
evaluate training effectiveness
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In Kisner, C and Colby LA. (2007). Therapeutic exercise: Foundations and techniques
In Voight et al (2007).Musculoskeletal interventions: techniques for therapeutic exercise
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in Willmore, JA. and Costill, DL.(1994).Phsysiology of sport and exercise
METABOLISM: Muscle Fuel Sources
Important Questions
1. How is energy released?
2. What fuels sources exist in our body?
3. Where does ATP come from?
4. What pathways can we use to make ATP?
5. Why do we slow down?
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ATP or adenosine triphosphate is the energy currency used by
our body everyday to perform a number of tasks:
METABOLISM: Energy Release
• Maintain body temperature
• Repair damaged cells
• Digestion of food
• Mechanical work – movement
ATP↔ ADP + Energy
http://www.lactate.com/triathlon/lactate_triathlon_energy_basic.html
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Fact: Our muscles already contain ATP molecules
METABOLISM: Our need for Energy
Problem: There are not enough!
Physiology Principle: ATP Supply = ATP DemandEnergy
Result: Find other ways to provide our body with ATP
In order to maintain exercise we need to supply our
muscles with an adequate amount of ATP or energy.
Question: Where does the additional ATP come from?
METABOLISM: Sources of Energy
The chemical breakdown of
the fuel sources in our body:
a. Muscle Glycogen
b. Blood Glucose (Liver)
c. Fats (Adipose Tissue)
d. Proteins (Amino Acids)*
ATP ↔ ADP + Energy
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Characteristics of Human Muscle
Fiber Types
Other Terminology Slow Twitch Fast Twitch
Type Ia Type lla Type lld(x)
Aerobic Capacity HIGH MED/HIGH MED
Myoglobin Content HIGH MED LOW
Color RED RED PINK/WHITE
Fatigue Resistance HIGH MED/HIGH MED
Glycolytic Capacity LOW MED MED/HIGH
Glycogen Content LOW MED HIGH
Triglyceride Content HIGH MED MED/LOW
Myosin Heavy Chain (MHC) MHCIb MHCIIa MHCIId(x)
Important: two factors determine the amount of ATP
required to perform exercise and the types of fuel used:
METABOLISM: Sources of Energy
I. Exercise Intensity : rate of ATP production
II. Exercise Duration: amount of ATP production
ATP ↔ ADP + Energy
In the next section we will learn to categorise sporting events
using exercise intensity and duration to determine the energy
systems that are being used to provide our bodies with ATP.
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In Katch, VL. et al (2011). Essencials of Exercise Physiology.
ATP is able to be produced by more than one system/ pathway
METABOLISM: ATP Production
1. Anaerobic “O2 independent”
Does not require oxygen
2. Aerobic “O2 dependent”
Requires oxygen
O2
O2
A system can be categorised as either:
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Remember: these pathways generate energy without using O2
METABOLISM: Anaerobic Pathways
1. ATP-CP system
• ATP ‘reservoir’
• Immediate energy system
2. Anaerobic Glycolysis system
• Exclusively uses CHO
• Short-term “lactic acid” system
ATP is produced by these energy systems:
Remember: these pathways require O2 to generate energy
METABOLISM: Aerobic Pathways
3. Aerobic glycolytic (CHO) system
• Moderate- to high-intensity exercise
• Finite energy source (CHO →ATP)
4. Aerobic lipolytic (Fat) system
• Prolonged low-intensity exercise
• Unlimited energy source (Fat →ATP)
ATP is produced by these energy systems:
CHO
FAT
O2
AT
P
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Energy Systems
Energy SystemsMole of
ATP/minTime to Fatigue
Immediate: Phosphagen (Phosphocreatine
and ATP)4 5 to 10 sec
Short Term: Glycolysis
(Glycogen-Lactic Acid)2.5 1.0 to 1.6 min
Long Term: Aerobic system 1 Unlimited time
In Katch, VL. et al (2011). Essencials of Exercise Physiology.
Anaerobic vs Aerobic
Energy Systems
• Anaerobic
– ATP-PCR : ≤ 10 sec.
– Glycolysis: < 3 minutes
• Aerobic
– Krebs cycle
– Electron Transport Chain
– ß-Oxidation
2 minutes +
In Katch, VL. et al (2011). Essencials of Exercise Physiology.
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100%
% C
ap
aci
ty o
f E
ne
rgy S
yste
m
10 sec 30 sec 2 min 5 min +
Aerobic
Glycolysis
Phosphagen (ATP-PCR)
Energy Transfer Systems and Exercise
Aerobic and Anaerobic
ATP Production
Oxidative Phosphorylation
ATP-production
Fatty acids
Glycogen
Glucose
PCRATP
ATP-stores
Immediate
Glycolysis
Short-term
aerobic
Long-term
system
Substrate level phosphorylation TCA-Cycle
Amino acids
Anaerobic
Glycolysis
Aerobic
Glycolysis
ß-oxidation
In Katch, VL. et al (2011). Essencials of Exercise Physiology.
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En
erg
y e
xpe
nd
itu
re (
J/k
g/m
in)
EFFECTS OF EXERCISE INTENSITY ONFUEL SELECTION DURING EXERCISE
1500
1200
900
600
300
Plasma glucose
Plasma FFA
IMTG
Muscle glycogen
25 65 85
Relative exercise intensity (% of VO2max)
Romijn et al. Am. J Phsyiol. Endocrin. Metab. 265: E380-E391, 1993.
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Comparison of Aerobic and Anaerobic ATP
production
Limiting Factors
Anaerobic
Glycolysis
Aerobic
Glycolysis
ATP/PC
R ß-oxidation
Velocity of supply + + + - - -
Rate of supply + + + - - -
Stores - + + + +
Efficiency ? - - + + +
Aerobic glucose degradation yields 18-19 more ATP
than anaerobic, but velocity and rate are lower
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The contribution of these systems to energy production will depend on the
event type:
49.6%
44.1%
6.3%
60%50%
35%
40%50%
65%
92%
8%
50%
50%
ATP CP Anaerobic
Glycolytic
Aerobic
Glycolytic
Aerobic
Lipolytic
6 sec 30 sec 60 sec 2 min 1 hour 4 hours
Peak Performance, Hawley & Burke (1998)
• Sporting events can be classified into 4 main
categories listed below:
1. Power Events
2. Speed Events
3. Endurance Events
4. Ultra-Endurance Events
ENERGY SYSTEMS: Athletic Events
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The body has 4 distinct systems it can use to supplyenergy for these different types of events:
Event Energy System
ENERGY SYSTEMS: Pathwaysc
1. Power (Jump)
2. Speed (Sprint)
3. Endurance (Run)
4. Ultra-Endurance
ATP-CP system (phosphagen)
Anaerobic system (O2 independent)
Aerobic glycolytic (CHO) system
Aerobic lipolytic (Fat) system
Event Type: Maximal strength & speed
Event Duration: 0 - 6 sec (Dominant System)
Energy Sources
1. ATP ↔ ADP + Pi + H+
2. CP + ADP + H+ ↔ ATP + Cr
Availability: Immediate- stored in muscle
Anaerobic Power: Large
Anaerobic Capacity: Small
ENERGY SYSTEMS: ATP-CP (Phosphagen)
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Event Type: Maximal speed or high-intensity efforts
Event Duration: 6 - 60 sec (Dominant System)
Energy Sources
Muscle Glycogen ↔ 2 ATP + 2 Lactate + 2H+
Availability: Rapid- via glycogen breakdown (glycolysis)
Anaerobic Power: Moderate
Anaerobic Capacity: Larger than ATP-CP
ENERGY SYSTEMS: Anaerobic (O2 independent)
Modified from http://www.lactate.com/triathlon/lactate_triathlon_energy_basic.html
Aerobic
system
Lactate
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In Katch, VL. et al (2011). Essencials of Exercise Physiology.
Oxidative phosphorylation
Event Type: Moderate and High-intensity exercise
Event Duration: 2 min – 1.5 hours (Dominant System)
Energy Sources
Carbohydrates + O2 ↔ 38 ATP + by-products
Availability: Fast- via breakdown CHO
Aerobic Power: Large
Aerobic Capacity: Large but limited
ENERGY SYSTEMS: Aerobic Glycolytic (CHO)
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Event Type: Low-intensity exercise
Event Duration: 4 hours+ (Dominant System)
Energy Sources
Fats + O2 ↔ 456 ATP + by-products
Availability: Slow- via fat breakdown (lipolysis)
Aerobic Power: Low
Aerobic Capacity: Unlimited
ENERGY SYSTEMS: Aerobic Lipolytic (Fat)
Lactic Acid
Acetyl-CoA Lactate
Glucose 6-P G-3-P Pyruvate
Regeneration of NAD+
sustains continued
operation of glycolysis.
• Formed from reduction of pyruvate in recycling of NAD or when insufficient O2
is available for pyruvate to enter TCA cycle.
• If NADH + H+ can’t pass H+ to mitochondria, H+ is passed to pyruvate to form lactate.
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Pyruvate:Lactate
Oxygen Uptake and HR
Exercise Domains
2
0 12Time (minutes)
24
4
2
150
Work Rate (Watts)
INCREMENTAL CONSTANT LOAD
Moderate
Heavy
TLac Wa
300
VO
2(l/m
in)
SevereModerate
Heavy
Severe
0
4
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Lactate/Lactic Acid
• A product of glycolysis formed from reduction of pyruvate in recycling of NAD or when insufficient O2 is available for pyruvate to enter the TCA cycle.
• Extent of lactate formation depends on availability of both pyruvate and NADH.
• Blood lactate at rest is about 0.8 to 1.5 mM, but during
intense exercise can be in excess of 18 mM.
Exercise Intensity Domains
• Moderate Exercise:
– All work rates below LT
• Heavy Exercise:
– Lower boundary: Work rate at LT
– Upper boundary: highest work rate at which blood lactate can be stabilized (Maximum lactate steady state)
• Severe Exercise:
– Neither O2 or lactate can be stabilized
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Lactate and Exercise Domains
0
6
12
0 12 24
Time (minutes)
Heavy
Moderate
Severe
Lactate Threshold
• Intensity of exercise at which blood lactate
concentration is 1 mM above baseline.
• Expressed as a function of VO2max, i.e., 65% of VO2max.
• Expressed as a function of velocity or power output,
i.e., 150 W or 7.5 mph.
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• Anaerobic threshold or AT
– first used in 1964
– based on ↑ blood La- being associated with hypoxia
• Should not be used
• Onset of blood lactate accumulation
– maximal steady state blood lactate concentration
• Can vary between 3 to 7 mmol/L
• Usually assumed to be around 4 mmol/L
Lactate Threshold
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Lactate Threshold
• LT as a % of VO2max or workload
– Sedentary individual→ 40-60% VO2max
– Endurance-trained→ > 70% VO2max
• LT: Maximal lactate at Steady State exercise
– Max intensity SS-exercise can be maintained
– Prescribe intensity as % of LT
Blood Lactate as a Function of Training
Blo
od L
acta
te (
mM
)
Percent of VO2max
25 50 75 100
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What is the Lactate Threshold (LT)?
• Point La- production exceeds removal in blood
– La- rises in a non-linear fashion
– Rest [La-]→ 1 mmol/L blood (max 12-15 mmol)
• LT represents ↑ metabolism
– ↑ glycogenolysis and glycolytic metabolism
– ↑ recruitment of fast-twitch motor units
– Mitochondrial capacity for pyruvate is exceeded
• Pyruvate converted to lactate to maintain NAD+
– ↓ Redox potential (NAD+/NADH)
Redox
Potential
Mitochon
Capacity for
Pyruvate
Exceeded
La-
Production
Blood
Catechols
Lactate
Threshold
Reduced
Removal of
Lactate
Low
Muscle O2
Accelerated
Glycolysis
Recruitment
of Type II
Fibers
Mechanisms of La production
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Lactate is Critical to Cellular Function
• Does not cause acidosis related to fatigue
– pH in body too high for Lactic Acid to be formed
• Assists in regenerating NAD+ (oxidizing power)
– No NAD+, no glycolysis, no ATP
• Removes H+ when it leaves cell: proton consumer
– Helps maintain pH in muscle
• Can be converted to glucose/glycogen in liver via Cori cycle
The relative strength of the aerobic and anaerobic
systems determines substrate utilization for ATP
replacement.
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Mader model - Pyruvate/lactate formation at a given effort level depends
on three variables :
VO2 max - this is aerobic capacity or the maximum rate of energy production
by the aerobic system. VO2 max is usually estimated by a device attached to the
mouth and nose of an athlete. The device measures oxygen uptake by athletes
as they complete a progressive exercise test to exhaustion.
VO2 steady state - this is the amount of aerobic energy that is being used
during a submaximal steady state exercise. It is usually measured using the
same instruments as for VO2 max.
VLamax - this is anaerobic capacity or the maximum rate of energy production
by the glycolytic system. It is sometimes designated by the term Plamax or
maximum production of lactate. In reality this is the maximum rate of
production of pyruvate and lactate but since lactate is what is measured “La”
has been used for this term.
The theory states that VLa (the production of lactate) at
any steady state level is a function of VO2 max, VO2 at
that level and VLamax. In http://www.lactate.com
Estimate of lactate production in the muscle fiber itself
http://www.lactate.com
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http://www.lactate.com
http://www.lactate.com
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Heath et al. (1981). Journal of Applied Physiology. 51 (3) 634-640
Intensity Principle: Lactate production increases as intensity
increases (the levels will be variable within each individual athlete).
Aerobic Capacity Principle: as aerobic capacity increases, the
utilization of the anaerobic system will decrease at every intensity
level in a steady state situation.
Anaerobic Capacity Principle: as anaerobic capacity increases ,the
utilization of the aerobic system will decrease at every intensity
level.
The anaerobic system acts as a Gate Keeper for the
Aerobic System. It determines how much it can get
use.
Adapted from http://www.lactate.com
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Ventilatory Threshold
• Describes the point at which pulmonary ventilation
increases disproportionately with oxygen
consumption during graded exercise.
• At this exercise intensity, pulmonary ventilation no
longer links tightly to oxygen demand at the cellular
level.
Ventilatory Threshold
• 3 methods used in research:
– Minute ventilation vs VO2, Work or HR
– V-slope (VO2 & VCO2)
– Ventilatory equivalents (VE/VO2 & VE/VCO2)
• Relation of VT & LT
– highly related (r = .93)
– 30 second difference between thresholds
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Muscle RBC Lung
H+ + HCO3- H2CO3 H2O + CO2
Ventilatory Threshold
• During incremental exercise:
– Increased acidosis (H+ concentration)
– Buffered by bicarbonate (HCO3-)
Marked by increased ventilation
Hyperventilation
Ventilatory Threshold
1000
2000
3000
4000
5000
6000
2000 2500 3000 3500 4000 4500
VO 2 (ml/min)
AT
By V Slope Method
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Ventilatory Threshold
80 100 120 140 160 180
Heart Rate
0
50
100
150
200
VE
(L/
min
)
By Minute Ventilation Method
Respiratory Exchange Ratio/Quotient
• Respiratory Exchange Ratio (RER): CO2 expired/O2
consumed
• Respiratory Quotient (RQ): CO2 produced/O2
consumed at cellular level
• RQ indicates type of substrate (fat vs. carbohydrate) being metabolized:
– 0.7 when fatty acids are main source of energy.
– 1.0 when CHO are primary energy source.
• Can exceed 1.0 during heavy non-steady state, maximal exercise due to increased respiratory and metabolic CO2.
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Oxygen Deficit and Debt
• Oxygen deficit: difference between the total oxygen used during exercise and the total that would have been used if it had achieved steady state immediately
• Excess Post-Exercise O2 Consumption (EPOC) or O2 debt: increased rate of O2 used during recovery period. The extra oxygen is used in theprocesses that restore the body to a resting stateand adapt it to the exercise just performed.
Oxygen Deficit and Debt
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EPOC or Recovery VO2
Fast component (Alactacid debt??): when prior
exercise was primarily aerobic; repaid within 30 to 90
sec; restoration of ATP and CP depleted during
exercise.
Slow component (Lactacid debt): reflects strenuous
exercise; may take up to several hours to repay; may
represent re-conversion of lactate to glycogen.
http://s697.photobucket.com/user/performancetl/media/image1.jpg.html
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Energy expenditure: is the energy expended by individuals
engaging in physical activity and is often expressed in kilocalories.
Activities can be categorized as light, moderate or heavy by deter-
mining the energy cost.
Quantification of Energy Expenditure Energy expended is
computed from the amount of oxygen consumed. Units used to
quantify energy expenditure are:
A Kilocalorie is a measure expressing the energy value of food. It is the amount of
heat necessary to raise 1 kilogram (kg) of water 1C. A kilocalorie (kcal) can be
expressed in oxygen equivalents. Five kilocalories equal approximately 1 liter of
oxygen consumed (5 kcal 1 liter O2).
A MET is defined as the oxygen consumed (milliliters) per kilogram of body weight
per minute (mL/kg). It is equal to approximately 3.5 mL/kg per minute
In Kisner, C and Colby LA. (2007). Therapeutic exercise: Foundations and techniques
(RER + 4) x (L/O2 consumed per minute) = kcal/minute
• Example:
– RER determined from gas analysis =0.75
– 4.0 + 0.75 = 4.75
– L of O2 per minute = 3 liters
– 4.75 x 3 = 14.25 kcal/min
– If exercised for 30 minutes = 427.5 kcals
Estimating Energy Expenditure
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Estimating Energy Expenditure
From RER: (RER + 4) x (L/O2 per minute) = kcal/minute
– RER = 0.75
– 4.0 + 0.75 = 4.75
– L of O2 per minute = 3 liters
– 4.75 x 3 = 14.25 kcal/min
From VO2: 1 L/min of O2 is ~ 5 kcal/L
– VO2 (L/min) = 3
– 3 * 5 kcal/L = 15 kcal/min