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Department of Medicine, Division of Respiratory and Critical Care Physiology and Medicine, Harbor-University of California Los Angeles Medical Center, Torrance, California 90509
Previous studies have shown that a metabolic
alkalosis develops in the muscle during early exercise. This has been
linked to phosphocreatine hydrolysis. Over a similar time frame, the femoral vein blood pH and plasma
K+ and
HCO
3 concentrations increase without
an increase in PCO2. Thus
CO2 from aerobic metabolism is converted to HCO
3 rather than being
eliminated by the lungs. The purpose of this study was to quantify the
increase in early CO2 stores and
the component due to the exercise-induced metabolic alkalosis (E-I
Alk). To avoid masking the increase in CO2 stores by
CO2 released as
HCO
3 buffers lactic acid, the
transient increase in CO2 stores
was measured only for work rates (WRs) below the lactic
acidosis threshold (LAT). The increase in
CO2 stores was evident at the
airway starting at ~15 s; the increase reached a peak at ~60 s and
was complete by ~3 min of exercise. The increase in
CO2 stores was greater, but the kinetics were unaffected at the higher WR. Three
components of the change in aerobically generated
CO2 stores were considered relevant: the carbamate component of the Haldane effect, the increase in CO2 stores due to increase in
tissue PCO2, and the E-I Alk. The
Haldane effect was calculated to be ~5%. Physically dissolved
CO2 in the tissues was ~30% of
the store increase. The remaining E-I Alk
CO2 stores averaged 61 and 68%
for 60 and 80% LAT WRs, respectively. The kinetics of
O2 uptake correlated with the time
course of the increase in CO2
stores; the size of the O2 deficit
correlated with the size of the E-I Alk component of the
CO2 stores. We conclude that a
major component of the aerobically generated increase in
CO2 stores is the new
HCO
3 generated as phosphocreatine is
converted to creatine.
carbon dioxide stores; gas-exchange kinetics; near-infrared spectroscopy; lactic acidosis threshold; phosphocreatine hydrolysis; oxygen deficit
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