Sports Medicine: Just the Facts

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CHAPTER 8 • BASICS IN EXERCISE PHYSIOLOGY 43

Hb-O 2 affinity. Peripheral determinants include
muscle blood flow, capillary density, O 2 diffusion to
and extraction by muscle cells, Hb-O 2 affinity, and
skeletal muscle fiber profiles.

AEROBIC AND ANAEROBIC EXERCISE


EXERCISEDOMAINS



  • Three specific exercise domains were reported by
    Gaesser and Poole (1996). Graphical presentations of
    the domains (moderate, heavy, and severe) are pre-
    sented in Fig. 8-4 for an incremental exercise test and
    for constant load tests at three workloads. In panel
    one, the lactate threshold(TLac) represents the bound-
    ary between the moderate and heavy domain, and
    critical power (Wa) represents the boundary for the
    severe domain. These concepts are described below.

  • Lactate threshold:As shown in Fig. 8-4, TLacrepre-
    sents the lowest exercise intensity that can be main-
    tained where blood lactate appearance exceeds its
    removal and there is a sustained increase of about
    1 mM lactates above preexercise levels.

  • Maximal lactate at steady state:Maximal lactate at
    steady state(MLSS) is the highest blood lactate con-
    centration that can be sustained without progressive
    accumulation: a new steady state is achieved (between
    3 and 8 mM). The upper boundary of the heavy
    domain may demarcate MLSS.

  • Critical power:As the lower boundary of the severe
    domain, Wa is the maximum power output that can be
    sustained without a continued and progressive anaero-
    bic contribution. Exercise above Wa will elicit VO2max.

    • Onset of blood lactate accumulation:At specific
      exercise intensity, muscle lactate production exceeds
      utilization and blood lactate begins to accumulate
      because appearance exceeds removal. Wa, MLSS, and
      onset of blood lactate accumulation (OBLA) may all
      demarcate the transition between the heavy and severe
      exercise domains.

    • Steady state exercise:When rate of lactate produc-
      tion is balanced by the rate of oxidative removal and
      VO 2 is stabilized within 3 to 6 min. As such, cardiac
      output, HR, and pulmonary gas exchange are in a
      steady state and exercise can continue for an extended
      period of time.

    • Slow component of oxygen uptake:A continued rise
      in VO 2 beyond the 3rd min is observed when exercise is
      above the lactate threshold. The rise in VO 2 (Fig. 8-4)
      usually stabilizes within 20 min when exercise is within
      the heavy domain, or gradually increases to VO2max
      when exercise is within the severe domain. The cause of
      the slow component of oxygen uptake has not been
      clearly defined, but may reflect that the working limbs
      are a key to initiation of this rise in VO 2.




OXYGENKINETICS


  • Oxygen deficit:When an individual begins to exer-
    cise, a certain VO 2 is required but the aerobic energy
    system cannot meet the demands aerobically. VO 2
    gradually increases until it reaches a steady state. The
    difference in VO 2 between steady state O 2 and O 2
    required but not used prior to steady state conditions
    is termed the O 2 deficit.

  • Oxygen debt: On termination of exercise, VO 2
    remains elevated to restore energy systems to their


FIG. 8-4 The VO 2 responses to incremental exercise (left panel), and the VO 2 (middle panel) and
blood lactate (right panel) responses to constant load exercise as a function of exercise intensity
domains. TLacrepresents the lactate threshold and Wa represents critical power or work rate where
maximal lactate at steady state occurs. (Reprinted with permission, DA Poole [Poole and
Richardson, 1997; Gaesser and Poole, 1996]).

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