respiracao durante exercicio

Respirao durante o exerccio

Copyright The McGraw-Hill Companies, Inc. Permission required for reproduction or display.

Sistema respiratrioRealiza as trocas gasosas entre nosso organismo e o meio ambiente.Tem um papel importante na regulao do equilbrio cido-base durante o exerccio.


Funo dos pulmesO propsito primrio proporcionar a troca de gases entre o ambiente externo e o corpoVentilao refere-se ao processo mecnico de movimentar ar para dentro e fora dos pulmesDifuso o movimento randmico das molculas de uma rea de maior concentrao para de menor concentrao.


Sistema Respiratrio


Membrana Respiratria


Troca gasosa nos pulmesPresso parcial dos gases:Presso que qualquer gs exerce independentemente. PATM = PN2 + P02 + PC02 + PH20= 760 mmHg.Figure 16.20


Msculos envolvidos na Respirao


INSPIRAO E EXPIRAO


A Mecnica da Inspirao e Expirao


Ventilao Pulmonar (V)Volume de ar que se movimenta para dentro e para fora dos pulmes por minuto Produto do Volume corrente (VC) e da Frequncia respiratria (f)

V = VC x f


Volume e Capacidade PulmonarVolume tidal ou correnteVolume inspirado ou expirado por ciclo respiratorioCapacidade Vital (CV)Quantidade mxima de ar que pode ser expirada seguida de uma inspirao mximaVolume Residual (VR)Ar que permanece nos pulmes depois de uma expirao mximaCapacidade Total dos Pulmes (CTP)Soma da CV e VR


Volume e Capacidade PulmonarFig 10.9


Presso parcial e trocas gasosas


Fluxo Sanguneo nos PulmesCircuito PulmonarMesma taxa de fluxo que a circulao sistmicaMenor Presso


Circulao PulmonarTaxa de fluxo sanguneo atravs da circulao pulmonar = a taxa de fluxo da circulao sistmica Presso mdia esta em torno de 10 mmHg.A resistncia vascular Pulmonar menorMenor presso produz uma menor filtrao comparada aos capilares sistmicos.Autoregulao:As arterolas pulmonares contraem quando a P02 alveolar diminuiBronquolos respondem a alteraes na PCO2Equilibrar a razo ventilao/perfuso.


Fluxo sanguneo nos PulmesEm p, a maioria do fluxo sanguneo esta na base do pulmoDevido a fora gravitacional



Relao ventilao-perfusoRazo ventilao-perfuso.Indica a relao do fluxo sanguneo com a ventilao.Ideal: ~1.0BaseSuperperfusada (razo 1.0)


Razo Ventilao-Perfuso


Transporte de O2 no sangueAproximadamente 99% do O2 transportado no sangue ligado a hemoglobina (Hb) Oxihemoglobina: O2 ligado a HbDeoxihemoglobina: O2 no ligado a HbQuantidade de O2 que pode ser transportado por volume de sangue dependente da concentrao de hemoglobina


Curva de dissociao da oxiemoglobina


Curva de dissociao O2-Hb Efeito do pHpH diminui durante o exerccioResulta em deslocamento para direita da curvaEfeito BorhFavorece liberao de O2 para os tecidos


Aumento da temperatura enfraquece a ligao entre Hb-O2Deslocamento para direitaMaior liberao de O2 para os tecidosCurva de dissociao O2-Hb Efeito da temperatura


Transporte de O2 no msculoMioglobina transporta o O2 da membrana celular at a mitocndriaMaior afinidade pelo O2 que a hemoglobinaMesmo a baixas PO2 Permite Mb estocar O2


Curva de dissociao para Mioglobina e Hemoglobina


Transporte de CO2 no sangueDissolvido no plasma (10%)Ligado a Hb (20%)Bicarbonato (70%)CO2 + H2O H2CO3 H+ + HCO3-Tambm importante para tamponar H+


Transporte de CO2 no sangue


Liberao de CO2 do sangueFig 10.19


Controle da VentilaoCentro de controle respiratrioRecebe estmulos neurais e humoraisFeedback dos msculosnvel de CO2 no sangueRegula taxa respiratria


QuimioreceptoresMonitoram as mudanas na PC02, P02, e pH no sangue Central:BulboPerifrico:Corpos Carotdeos e ArticosControla a respirao indiretamenteInsert fig. 16.27


REGULAO DA RESPIRAO


Insert fig. 16.29Figure 16.20


Estmulo do Centro de Controle Respiratrio Quimioreceptor Humoral Quimireceptor Central Localizado no bulboConcentrao de PCO2 e H+ no fluido cerebroespinhalQuimioreceptor perifricoCorpos Carotdeos e ArticosPO2, PCO2, H+, K+ no sangueEstmulo neuralDo crtex motor ou msculo esqueltico


Efeitos da PO2 Arterial na Ventilao


Controle Ventilatrio durante o exerccioExerccio SubmximoAumento linear devido ao:Comando central- cortexFeedback neural da musculaturaQuimioreceptor HumoralExerccio PesadoAumento exponencial acima do LventCrescente H+ sanguneo


Controle Ventilatrio durante o exerccio


Os pulmes podem limitar a Performance?Intensidade baixa a moderada de exerccioSistema pulmonar no parece ser uma limitaoExerccio mximoNo parece ser uma limitao para indivduos saudveis ao nvel do marPode ser limitante em atletas de elite Atuais evidncias de que pode ocorrer uma fadiga no msculo respiratrio durante altas intensidades de exerccio.


Trabalho RespiratrioDois fatores que mais determinam o requerimento energtico da respiraoComplacncia dos pulmesResistncia das vias areas ao fluxo de arAs taxas e a profundidade da respirao aumentam durante o exerccio, aumentando tambm o custo energtico.Exerccio mximo, VE> 100 L/m, o custo de oxignio da respirao representa 10-20% do VO2 total.


Efeitos do treinamento na VentilaoMenor ventilao a uma mesma taxa de trabalho aps treinamento Pode ser devido a um menor nvel de acidose no sangue Resulta em menor feedback para estimular a respirao


Efeitos do treinamento aerbio na Ventilao durante o exerccio

Adaptaes respiratrias causadas pelo treino aerbioO sistema respiratrio normalmente no limita o rendimento porque a ventilao pode aumentar em maior grau que o sistema cardiovascular.Pequeno aumento na Capacidade vitalPequena diminuio do Volume Residual


Adaptaes respiratrias causadas pelo treino aerbioDiminuio da freqncia respiratria e reduo da ventilao pulmonar exerccio submximo.Aumento da freqncia respiratria, volume corrente e ventilao pulmonar durante exerccio mximo.

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VE l/min

Sheet1

ID code:37Test number:91Barometric press. (mmHg):704tRfVTVEVO2VCO2O2expCO2expVE/VO2VE/VCO2VO2/KgRFeO2FeCO2HRVO2/HRLoad1Load2Load3PhaseMarkerFetO2FetCO2FiO2FiCO2TiTeTtotTi/TtotIVPetO2PetCO2PaCO2P(a-et)CO2PAO2SpO2VD(phys)VD/VTEnv. Temp.Analyz. Temp.Analyz. Press.Env. Press.BatteriesAux 1AAux 2AAux 3AAux 4AAux 1BAux 2BAux 3BAux 4BSteady StateEEmEEhEEkcEEbsaEEkgPROgPROkcFATgFATkcCHOgCHOkcPRO%FAT%CHO%npRQt Relmark Speedmark Dist.ST IST IIST IIIST aVRST aVLST aVFST V1ST V2ST V3ST V4ST V5ST V6S IS IIS IIIS aVRS aVLS aVFS V1S V2S V3S V4S V5S V6P SystP DiastSymptomDPStageRRMETSPhase timeQtSVVt/FVCLongLatAltGPS SpeedGPS Dist.predVO2BRO2 CostEEtotUser 1User 2User 3

Last name:TAKAHASHITest date:06/11/2007Temperature (degrees C):22hh:mm:ssb/minll/minml/minml/minmlml------ml/min/Kg---%%bpmml/bpmWattWattWatt------%%%%secsecsec---lmmHgmmHgmmHgmmHgmmHg%ml---CCmmHgmmHgmVmVmVmVmVmVmVmVmV---Kcal/minKcal/hKcal/dayKcal/m^2/dayKcal/Kg/dayg/dayKcal/dayg/dayKcal/dayg/dayKcal/day%%%---sm/smmmmmmmmmmmmmmmmmmmmmmmmmmV/secmV/secmV/secmV/secmV/secmV/secmV/secmV/secmV/secmV/secmV/secmV/secmmHgmmHg---mmHg/min#mS---hh:mm:ssl/minml/beat---------mm/sm%%ml/Kg/mKcal---------

First name:CESARTest time:20:58Humidity;%56

Sex:MN. of steps:185Temp. flowm. (degrees C):3400:00:1016.25135427951.372966465122.312564438930.8845722968785.3707539718209.67086388768.291045735322.747148538726.961749633911.49240212710.843682210815.27137546474.97397769521078.6998558159000013.736.320.930.031.4472.2453.6920.3919284941.218904142110202340.17043387870000056000000004.4911781905269.4706914316467.2965943453387.669955568279.843167831400360.10506613013384.987621623742.15118704863117.0349856042052.340070881948.19687701240.84368221080000000000000000000000000000000003.283543464900:00:00000E 00000.000N 0000.000000288600000

Age:21Duration (hh:mm:ss):00:30:50Humidity flowm.;%10000:00:2014.83312731771.950735252628.93550436521152.01721525481062.1351506296303.277573811299.016912351724.215944938626.265193686914.22243475620.921978540415.54683411835.075876504410610.8680869364000014.186.2620.930.031.5352.514.0450.37948084051.49693414219803310.16967961160000056000000005.6696382722340.17829633248164.27911197824276.5756376019100.793569283700222.44183134822090.95321467311456.47864652926117.2103154228025.610996218974.92652114810.921978540410000000000000000000000000000000004.063552787500:00:10000E 00000.000N 0000.000000348200.472469856000

Height (cm):168BSA (m^2):1.9090692657STPD:0.761209586600:00:3015.63721657541.598561698424.9970554868956.0228969374904.534352524250.604659611780.846798538725.001964286726.425143787811.8027518140.946142979915.67688378035.05747126441059.1049799708000014.346.2820.930.031.6722.1653.8370.43575710191.33894414219702630.1645228960000056000000004.7336315674284.01789404356816.42945704523570.551147456884.15345008700127.42644832591197.80861426311346.49333535415655.2720084873017.572376004382.96531261890.946142979910000000000000000000000000000000003.37221480400:00:20000E 00000.000N 0000.000000288401.3394090093000

Weight (Kg):81BMI (Kg/m^2):28.6989795918BTPS insp:1.108389315600:00:4012.4740124741.999733312324.9446982828931.5579880956903.2809853999316.445802361100.139784553625.840063331826.648980548411.50071590240.969645472415.82440020425.00765696781019.2233464168000014.266.3320.930.031.9652.8454.810.40852390851.65493414219603630.18152420510000056000000004.6395793319278.37475991576680.9942379783499.608085565882.48141034540069.9822116744657.83278973981442.64175967346059.095390628209.846330745290.69152247110.969645472410000000000000000000000000000000003.285918829300:00:30000E 00000.000N 0000.000000288402.1205099176000

Notes:HR max (bpm):199BTPS exp:1.020792910800:00:5015.28662420381.435234832621.9398955309854.3734080165780.9058037932223.553647474471.965900214424.427061564426.725159084810.54781985210.914009959215.57610241825.01422475111018.4591426536000014.046.3520.930.031.482.4453.9250.37707006371.24592414219902390.16652327170000056100000004.196366335251.78198010026042.76752240383165.295063478474.602068177800181.81824340851709.09148803951039.56036167084366.1535190174028.283257327172.25420310860.914009959210000000000000000000000000000000003.013662814900:00:40000E 00000.000N 0000.000000258602.8568387232000

UN (g/day):000:01:0012.591815321.764950942822.2239363212941.1705748254839.6965692769268.468535551592.687996304522.676558128525.416930388611.61938981270.892183193715.21110468485.2515905147989.6037813758000013.696.5320.930.031.92.8654.7650.39874081851.38989424319902780.15751146010000056100000004.5972705996275.83623597666620.06966343913467.694851386781.729255104200251.12578048242360.5823365351022.63266211374295.0571808774035.65796821764.87933510120.892183193710000000000000000000000000000000003.319825660800:00:50000E 00000.000N 0000.000000288603.5896418011000

AMR (Kcal/day)000:01:1013.07189542481.645518172321.5100414677874.7994093478785.5553882592253.564959053283.909177271223.542549946726.217131338910.7999927080.897983446115.40942928045.0992555831988.9265245852000013.946.4120.930.031.852.744.590.40305010891.44791424319802930.17805941310000056100000004.279348582256.76091492126162.26195810983227.888096563176.077308124800220.8599565262076.0835913442980.78356858774119.2909880684033.690284597766.84706064220.897983446110000000000000000000000000000000003.085712202300:01:00000E 00000.000N 0000.000000268604.3293600662000

VD (ml):7000:01:2013.30376940131.907861950425.3817554372990.3644285696928.6299402023298.17360925796.669088656724.688378210926.329639526612.22672134040.937664877115.62867843775.06688068491009.9036442857000014.246.3120.930.031.7652.7454.510.39135254991.53893414219803250.1703477550000056200000004.8932831405293.59698842717046.3277222513690.975413533686.991700274700152.78294619721436.15969425391344.77407460415648.0511133372020.381676113680.15595266030.937664877110000000000000000000000000000000003.493348954400:01:10000E 00000.000N 0000.000000298405.0937460431000

LT:--:--:--00:01:3016.30434782611.543438881225.1647643673946.7508394242894.6159267682243.152871362676.865706186425.374638203726.853378417111.68828196820.944932805515.7539682544.98015873021009.4675083942000014.466.220.930.031.5552.1253.680.42255434781.23895404119802410.15614482890000056300000004.6863048253281.17828951656748.27894839623534.852857261183.312085782700129.02603109151212.84469226041326.59962115555571.7184088531017.97265201382.56502808290.944932805510000000000000000000000000000000003.339509133800:01:20000E 00000.000N 0000.000000288405.8920450402000

RC:--:--:--00:01:4013.5074290861.791491558524.198445185893.6806777839867.10053058284.086667087389.217300407626.019277049426.816873394611.03309478750.970257668215.85754985754.98005698011008.9368067778000014.456.2420.930.031.812.6324.4420.40747411081.53894404119702910.16243448010000056300000004.451609999267.09659994176410.31839860083357.823895621979.13973331610065.7827174493618.35754402381387.24743605845826.439231445409.646284405490.89157307250.970257668210000000000000000000000000000000003.152312796400:01:30000E 00000.000N 0000.000000278506.6535379422000

FEV1 (l):000:01:5012.55230125521.662871651820.8728659217803.4667471722771.8818348405260.098033682685.644525219624.884918889525.90319389759.91934255770.960689210315.64149785145.1503990178938.6394273889000014.376.2620.930.032.3052.4754.780.48221757321.44694414219702530.15214643880000056400000003.9927256008239.56353604535749.52486508813011.690025362770.98178845790078.1685297852734.78417998081201.34788007645045.6610963211012.779911335787.75787938510.960689210310000000000000000000000000000000002.834097873600:01:40000E 00000.000N 0000.000000248707.3572325755000

FVC (l):000:02:0019.31123270041.076936520920.7969717594815.9143730739721.9665558145166.389244467353.897865692523.832385005126.933637456910.07301695150.884855788415.45023696685.0047393365899.1675772255000013.866.420.930.031.3751.7323.1070.44254908270.79591424319901830.16992645010000056400000003.9780448741238.68269244815728.38461875433000.616437455770.720797762400232.49920410032185.492518543850.87329929493573.6678570384038.151986362662.38526382010.884855788410000000000000000000000000000000002.878004843300:01:50000E 00000.000N 0000.000000248708.0214634485000

MVV (l/min):000:02:1018.73828856961.322947612524.7897741246916.4309983975849.7566815986209.160467431564.20787409225.6190525727.629196019511.31396294320.927245677115.81018518524.8533950617989.3513367183000014.476.0820.930.031.2251.9773.2020.38257339161.146953940110001980.14966579030000056400000004.5161746201270.97047720476503.29145291283406.524619050280.287548801400165.007319781551.06880593181187.42414454414987.1814070854023.850519650976.6870352220.927245677110000000000000000000000000000000003.232560840900:02:00000E 00000.000N 0000.000000278408.729315073000

IC (l):000:02:2020.18842530281.182078190823.8642972562930.4727381123819.6032971029183.742723951657.981037335824.128710670827.39265149911.48731775450.880846115715.54404145084.9050086356999.3987145264000014.196.1620.930.031.2621.712.9720.42462987891.031934041110101820.15396612630000056400000004.5319667013271.91800207916526.0320498993418.436495374180.568296912300274.37572834372579.1318464305948.08557608593981.9594195609039.520673921261.01654710110.880846115710000000000000000000000000000000003.28209078700:02:10000E 00000.000N 0000.000000288509.4833268498000

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