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1 Departament de Pneumologia,
In some trained athletes, maximal exercise
ventilation is believed to be constrained by expiratory flow limitation
(FL). Using the negative expiratory pressure method, we
assessed whether FL was reached during a progressive maximal exercise
test in 10 male competition cyclists. The cyclists reached an average
maximal O2 consumption of 72 ml · kg
1 · min
1
(range: 67-82
ml · kg
1 · min
1)
and ventilation of 147 l/min (range: 122-180 l/min) (88% of preexercise maximal voluntary ventilation in 15 s). In nine subjects, FL was absent at all levels of exercise (i.e., expiratory flow increased with negative expiratory pressure over the entire tidal volume range). One subject, the oldest in the group, exhibited FL
during peak exercise. The group end-expiratory lung volume (EELV)
decreased during light-to-moderate exercise by 13% (range: 5-33%) of forced vital capacity but increased as maximal exercise was approached. EELV at peak exercise and at rest were not
significantly different. The end-inspiratory lung volume increased
progressively throughout the exercise test. The conclusions reached are
as follows: 1) most well-trained
young cyclists do not reach FL even during maximal exercise, and,
hence, mechanical ventilatory constraint does not limit their aerobic
exercise capacity, and 2) in absence of FL, EELV decreases initially but increases during heavy exercise.
negative expiratory pressure; exercise performance; dynamic hyperinflation
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