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1 Division of Respiratory Medicine, Department of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada S7N 0W8; and 2 Department of Respiratory Medicine, University College, Dublin, and St. Vincent's Hospital, Dublin-4, Ireland
We investigated the relationship
between minute ventilation
(
E) and
net respiratory muscle pressure (Pmus) throughout the breathing cycle
[Total Pmus = mean
Pmus, I (inspiratory) + mean Pmus, E
(expiratory)] in six normal subjects performing constant-work heavy exercise (CWHE, at ~80% maximum) to exhaustion on a cycle ergometer. Pmus was calculated as the sum of chest wall pressure (elastic + resistive) and pleural pressure, and all mean Pmus variables
were averaged over the total breath duration.
Pmus, I was also expressed
as a fraction of volume-matched, flow-corrected dynamic capacity of the
inspiratory muscles
(Pcap, I).
E increased
significantly from 3 min to the end of CWHE and was the result
of a significantly linear increase in Total Pmus (
= 43 ± 9%
from 3 min to end exercise, P < 0.005) in all subjects (r = 0.81-0.99). Although mean
Pmus, I during inspiratory
flow increased significantly (
= 35 ± 10%), postinspiratory
Pmus, I fell (
=
54 ± 10%) and postexpiratory expiratory activity was
negligible or absent throughout CWHE. There was a greater increase in
mean Pmus, E (
= 168 ± 48%), which served to increase
E throughout
CWHE. In five of six subjects, there were significant linear
relationships between
E
and mean Pmus, I
(r = 0.50-0.97) and mean
Pmus, E
(r = 0.82-0.93) during CWHE. The
subjects generated a wide range of
Pmus, I/Pcap, I
values (25-80%), and mean
Pmus, I/Pcap, I
increased significantly (
= 42 ± 16%) and in
a linear fashion (r = 0.69-0.99) with
E throughout CWHE. The progressive increase in
E during
CWHE is due to 1) a linear increase
in Total Pmus, 2) a linear increase in inspiratory muscle load, and 3) a
progressive fall in postinspiratory inspiratory activity. We conclude
that the relationship between respiratory muscle pressure and
E during
exercise is linear and not curvilinear.
endurance exercise; minute ventilation; respiratory muscle pressure; postinspiratory inspiratory activity
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