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J Appl Physiol 87: 253-260, 1999;
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Vol. 87, Issue 1, 253-260, July 1999

Kinetics of oxygen uptake during supine and upright heavy exercise

Shunsaku Koga1, Tomoyuki Shiojiri2, Manabu Shibasaki3, Narihiko Kondo3, Yoshiyuki Fukuba4, and Thomas J. Barstow5

1 Applied Physiology Laboratory, Kobe Design University, Kobe 651-2196; 2 Laboratory of Exercise and Sports Science, Yokohama City University, Yokohama 236-0027; 3 Faculty of Human Development, Kobe University, Kobe 657-0011; 4 Department of Exercise Science and Physiology, Hiroshima Women's University, Hiroshima 734-8558, Japan; and 5 Department of Kinesiology, Kansas State University, Manhattan, Kansas 66506-0302


    ABSTRACT
TOP
ABSTRACT
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

It is presently unclear how the fast and slow components of pulmonary oxygen uptake (VO2) kinetics would be altered by body posture during heavy exercise [i.e., above the lactate threshold (LT)]. Nine subjects performed transitions from unloaded cycling to work rates representing moderate (below the estimated LT) and heavy exercise (VO2 equal to 50% of the difference between LT and peak VO2) under conditions of upright and supine positions. During moderate exercise, the steady-state increase in VO2 was similar in the two positions, but VO2 kinetics were slower in the supine position. During heavy exercise, the rate of adjustment of VO2 to the 6-min value was also slower in the supine position but was characterized by a significant reduction in the amplitude of the fast component of VO2, without a significant slowing of the phase 2 time constant. However, the amplitude of the slow component was significantly increased, such that the end-exercise VO2 was the same in the two positions. The changes in VO2 kinetics for the supine vs. upright position were paralleled by a blunted response of heart rate at 2 min into exercise during supine compared with upright heavy exercise. Thus the supine position was associated with not only a greater amplitude of the slow component for VO2 but also, concomitantly, with a reduced amplitude of the fast component; this latter effect may be due, at least in part, to an attenuated early rise in heart rate in the supine position.

posture; gas exchange kinetics; oxygen transport; slow component of oxygen uptake


    INTRODUCTION
TOP
ABSTRACT
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

PULMONARY OXYGEN UPTAKE (VO2) has been reported to adjust more slowly at the onset of exercise in the supine position for both moderate- (8, 15, 18, 19, 22, 25, 34) and heavy-intensity exercise (8, 9, 23). Despite greater cardiac output (15, 18, 23), it appears that effective blood flow to the working leg muscles is less in the supine posture (11, 13, 25, 33), presumably as a consequence of lower arterial pressure in the legs when the effect of gravity (hydrostatic gradient effect) is removed. These results imply that the slowing of VO2 kinetics in the supine position may be the result of a blunted cardiovascular response to exercise.

None of the previous studies (8, 9, 23), however, partitioned VO2 kinetics during supine heavy-intensity exercise [i.e., above the lactate threshold (LT)] into discrete components, so as to elucidate the mechanism by which the kinetics appeared slowed in the supine position. Furthermore, the previous studies (8, 23) did not repeat each exercise test to improve the dynamic resolution of VO2 kinetics during supine heavy exercise. It has been proposed that the slower VO2 kinetics and the presence of a slow component during heavy exercise in the upright position reflect inadequate perfusion and O2 delivery to the working muscles (14, 24), which results in lactic acidosis (7, 30, 32). Therefore, if supine exercise is associated with a relative perfusion inadequacy to the working muscles, this should be exacerbated during heavy exercise. On the basis of the above findings, we hypothesized that heavy exercise in the supine position would be associated with a slower adjustment for the predominant component of VO2 and a larger slow component compared with the upright position. In addition, we characterized the off-kinetics for VO2 in the two positions to investigate whether any alterations in kinetics seen during exercise would also be translated into parallel differences in recovery.


    METHODS
TOP
ABSTRACT
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

Subjects

Nine healthy subjects (8 men and 1 woman, age 23.8 ± 9.2 yr, height 172.8 ± 6.7 cm, and weight 65.8 ± 10.6 kg) volunteered for this study. After a detailed explanation of the study, informed consent was obtained. The study was approved by the Human Subjects Committee of Kobe Design University.

Protocol

Incremental-exercise tests. A ramp exercise protocol (25 W/min), preceded by 4-min unloaded cycling on a cycle ergometer, was utilized to estimate each individual's LT and peak VO2 (the highest VO2 achieved during exercise). Responses to upright and supine posture conditions were tested on separate days. In the supine position, the crank shaft was positioned 30 cm above the level of the back. Handgrips were available for support. The VO2 at the LT was estimated as the break point in the plot of CO2 output (VCO2) against a function of VO2 (V-slope method) (6). The break point was determined by a computer program that defined the VO2 above which VCO2 increased faster than VO2, without hyperventilation.

Constant work rate tests. Exercise transition tests were conducted under the two posture conditions on separate days. Each constant work rate exercise test was performed for 6 min. The steady-state work rate that corresponded to the LT was defined as the work rate that occurred 45 s before the LT was actually exceeded during the ramp test. The 45-s offset represents an average correction for the delay in the VO2 response relative to the ramp forcing function. The moderate work rate used for both posture conditions corresponded to a VO2 of ~80% of the LT determined for the upright position, whereas the heavy exercise work rate was estimated to require a VO2 equal to ~50% of the difference (Delta ) between the subject's LT and peak VO2, i.e., a value of (LT + 0.50Delta ), on the basis of the initial VO2-to-work rate ratio observed during the ramp exercise in the upright position (Table 1). The exercise was preceded by 3 min, and was followed by 6 min, of unloaded cycling at a pedal frequency of 60 rpm. To minimize random noise and enhance the underlying response patterns for the moderate work rate tests, subjects performed a total of four to six repetitions of the exercise transition under each posture condition. Subjects performed two to three exercise transitions under each posture condition for the heavy work rate.

                              
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Table 1.   Peak and submaximal responses to upright and supine exercise

Measurements

Subjects breathed through a low-resistance valve (Hans-Rudolph) connected to two pneumotachographs for measurement of inspiratory and expiratory flows, as previously described (20). Each system was calibrated repeatedly by inputting known volumes of room air at various mean flows and flow profiles. Respired gases were analyzed by mass spectrometry (model MGA-1100, Perkin-Elmer) from a sample drawn continuously from the mouthpiece. Precision-analyzed gas mixtures were used for calibration. Alveolar gas exchange variables were calculated breath by breath according to the algorithms of Beaver et al. (5). Heart rate (HR) was continuously monitored via a three-lead electrocardiogram.

Analysis

Individual responses during the baseline-to-exercise transitions were time interpolated to 1-s intervals. Responses to exercise were further averaged across all transitions for each subject and condition. To further reduce the breath-to-breath noise to enhance the underlying characteristics, each average response was smoothed with a five-point moving average filter. For both the on- and off-transients, the response curve of VO2 was fit by a three-term exponential function that included amplitudes, time constants, and time delays, by using nonlinear least squares regression techniques (Fig. 1) (3, 12). The computation of best-fit parameters was chosen by the program to minimize the sum of the squared differences between the fitted function and the observed response. The first exponential term started with the onset of exercise, and the second and third terms began after independent time delays
<A><AC>V</AC><AC>˙</AC></A><SC>o</SC><SUB>2</SUB>(<IT>t</IT>) = <A><AC>V</AC><AC>˙</AC></A><SC>o</SC><SUB>2</SUB>(b) + <IT>A</IT><SUB>0</SUB>⋅(1 − <IT>e</IT><SUP>−<IT>t</IT>/&tgr;<SUB>0</SUB></SUP>)  <IT>Phase 1</IT> (initial component)
+ <IT>A</IT><SUB>1</SUB>⋅[1 − <IT>e</IT><SUP>−(<IT>t</IT>−TD<SUB>1</SUB>)/&tgr;<SUB>1</SUB></SUP>]  <IT>Phase 2</IT> (fast primary component) (1)
+ <IT>A</IT><SUB>2</SUB>⋅[1 − <IT>e</IT><SUP>−(<IT>t</IT>−TD<SUB>2</SUB>)/&tgr;<SUB>2</SUB></SUP>]  <IT>Phase 3</IT> (slow component)
where VO2(b) is the unloaded cycling baseline value; A0, A1, and A2 are the asymptotic values for the exponential terms; tau 0, tau 1, and tau 2 are the time constants; and TD1 and TD2 are the time delays. The phase 1 term was terminated at the start of phase 2 (i.e., at TD1) and assigned the value for that time (A'0)
<IT>A</IT>′<SUB>0</SUB> = <IT>A</IT><SUB>0</SUB> ⋅ (1 − <IT>e</IT><SUP>−TD<SUB>1</SUB>/&tgr;<SUB>0</SUB></SUP>)
The physiologically relevant amplitude of the fast primary exponential component during phase 2 (A'1) was defined as the sum of A'0+ A1. Because of concerns regarding the validity of using the extrapolated asymptotic value for the slow component (A2) for comparisons, we used the value of the slow exponential function at the end of exercise, defined as A'2. Because the VO2 response during moderate-intensity exercise (<LT) reaches a new steady state within 3 min after the onset of exercise in normal subjects, the slow exponential term invariably dropped out during the iterative-fitting procedure. In addition, to facilitate comparison across the subjects and different absolute work rates, the gain of the fast primary response (G1 = A'1/work rate) and relative contribution of slow component to the overall increase in VO2 at end exercise [A'2/ (A'1+ A'2)] were calculated.


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Fig. 1.   Schematic showing 3-exponential model used to describe response of oxygen uptake (VO2) during heavy exercise. Parameters correspond to those in Eq. 1. BL, baseline; Delta EEVO2, increase above baseline in VO2 at end exercise.

Recovery kinetics for VO2 were initially analyzed with Eq. 1. However, preliminary findings (see RESULTS) demonstrated that, for both the supine and upright heavy-exercise conditions, TD2 in recovery converged back to a value that was not significantly different from that found for TD1. Thus we subsequently fit each of the recovery VO2 curves with a model similar to Eq. 1, except that after phase 1 both the primary and slow exponential terms shared the same time delay (TD1), equivalent to the duration of phase 1 in recovery (3, 12).

The overall kinetics of the response was determined from mean response time (MRT). It was calculated by fitting the response data of VO2 to a monoexponential function that included a single amplitude and time constant, starting from the onset of the transition.

For the comparison with the associated VO2 responses, the baseline, 2-min, and end-exercise values of HR and oxygen pulse [VO2-to-HR ratio (VO2/HR)] during exercise were calculated. Furthermore, the kinetics of HR (half time) were determined in terms of the response time to achieve 50% of change in HR from baseline to end-exercise. The values of minute ventilation (VE) and respiratory exchange ratio (R) during exercise were also calculated.

Statistics

Data are presented as means ± SD. The data were analyzed by using a repeated-measures analysis of variance design. Significant results were further analyzed by Scheffé's post hoc test. Significance was declared at P < 0.05.


    RESULTS
TOP
ABSTRACT
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

Incremental Exercise

Supine posture led to significant reductions in peak work rate, peak VO2, estimated LT, and peak HR compared with upright posture (Table 1).

Moderate Constant Work Rate Exercise

The response for VO2 from baseline to moderate exercise is shown in a representative subject for the two conditions in Fig. 2A. During moderate exercise, the steady-state increase in VO2 (as A'1) and the kinetics in phase 2 (as tau 1) were similar for the two positions, but the overall VO2 kinetics (as MRT) were slower in supine compared with the upright position (Table 2).



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Fig. 2.   Response of VO2 for transition from unloaded cycling to moderate exercise (A) and heavy exercise (B) in representative subject under conditions of upright (solid lines) and supine position (dashed lines). During moderate exercise, VO2 kinetics were slower in supine position. During heavy exercise, rate of adjustment of VO2 to 6-min value was also slower in supine position but was characterized by a significant reduction in amplitude of fast component of VO2, without significant slowing of fast component time constant. However, amplitude of slow component was significantly increased, such that end-exercise VO2 was the same for 2 positions.


                              
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Table 2.   VO2 response parameters for moderate exercise

The O2 deficit was calculated for the two positions, on the assumption that the end-exercise VO2 (at 6 min) represented the O2 requirement for the exercise. The O2 deficit was similar between the supine (0.54 ± 0.20 liter) and the upright position (0.42 ± 0.27 liter).

Heavy Constant Work Rate Exercise

Associated with the decrease in peak VO2 and the LT, supine posture resulted in an increase for the relative intensity of the heavy work rate, as denoted by %Delta , compared with that seen in the upright position (Table 1). The response for VO2 during heavy exercise in a representative subject is shown for the two conditions in Fig. 2B. The primary time constant (tau 1) was not significantly longer, but instead the amplitude (A'1) and the gain (G1) of the fast component of VO2 during heavy exercise were significantly reduced in supine compared with upright position (Table 3). This was compensated for by an increase in both the absolute (A'2) and the relative magnitude of the slow component of VO2 [A'2/ (A'1+ A'2)], such that the end-exercise VO2 was the same for the two positions. The overall VO2 kinetics (MRT) were slower in supine compared with the upright position.

                              
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Table 3.   VO2 on-response parameters for heavy exercise

When Eq. 1 was used to model the recovery kinetics of VO2 after heavy exercise in both the supine and upright positions, TD2 converged back to a value that, on average, was not significantly different from TD1 (upright: TD2 = 25.7 ± 16.3, TD1 = 15.4 ± 2.9 s, P > 0.05; supine: TD2 = 29.5 ± 19.4, TD1 = 17.4 ± 3.4 s, P > 0.05). Given these results, we fit the recovery VO2 response for each condition and subject with a modified version of Eq. 1, where TD2 was set equal to TD1 (i.e., a common time delay for the fast and slow exponential terms). The results are given in Table 4. There was no significant effect of posture on either the fast or slow component of the off-transient response of VO2. Thus the relative contribution of the slow component to the overall VO2 response was retained during recovery from heavy-intensity exercise, irrespective of positions. Therefore, the amplitudes for both the fast (A'1) and slow components (A'2), and the time constant for the fast component (tau 1), were similar between exercise and recovery responses for each position. These results suggest a symmetry between the exercise and recovery responses of VO2 for this relative intensity (56-80%Delta ) of heavy exercise, especially with regard to the amplitude and time constant of the fast exponential component.

                              
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Table 4.   VO2 off-response parameters for heavy exercise

The O2 deficit was significantly greater in the supine (2.32 ± 0.42 liters) compared with upright position (1.86 ± 0.52 liters, P < 0.05).

HR, VO2/HR, VE, and R Responses

The response for HR from baseline to moderate exercise is shown in a representative subject for the two conditions in Fig. 3A. The end-exercise HR value was significantly lower in the supine compared with upright position (Table 5).



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Fig. 3.   Response of heart rate (HR) for transition from unloaded cycling to moderate exercise (A) and heavy exercise (B) in representative subject under conditions of upright (solid lines) and supine position (dashed lines). During moderate exercise, end-exercise HR value was significantly lower in supine compared with upright position. During heavy exercise, 2-min value of HR was significantly lower in supine compared with upright position.


                              
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Table 5.   HR and VO2/HR exercise responses

The response for HR from baseline to heavy exercise is shown in a representative subject for the two conditions in Fig. 3B. The 2-min value was significantly lower in the supine compared with the upright position (Table 5). The reduced early response of HR during supine heavy exercise likely contributed to the lower VO2 rise, because the oxygen pulse was similar for supine and upright heavy exercise.

There were no significant differences in the baseline and end-exercise values of VE and R for moderate exercise between the two conditions. The baseline and end-exercise values of VE were similar for supine and upright heavy exercise. The end-exercise values of R for heavy exercise in the supine condition (1.07 ± 0.03) were significantly greater than for the upright position (1.03 ± 0.05, P < 0.01).


    DISCUSSION
TOP
ABSTRACT
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

In the present study, supine exercise at a moderate intensity resulted in a significant slowing of the overall VO2 response (longer MRT) compared with the upright condition, but the exercise steady-state amplitude (A'1) and the kinetics in phase 2 (tau 1) were unaltered. During heavy-intensity exercise in the supine position, the primary time constant (tau 1) was not significantly longer, but instead there was a significant reduction in the initial VO2 amplitude as A'1. This was compensated for by an increase in the magnitude of the slow component of VO2 such that, by the end of exercise (6 min), there was no significant net effect of body position on VO2. The MRT was slower in the supine compared with the upright position. These results represent the first quantitative comparison of VO2 kinetics during heavy exercise between the supine and upright positions.

These results are consistent with previous observations of overall slower VO2 kinetics during moderate supine exercise with both lower (15, 18, 25) and upper body (16) exercise. VO2 responses during presumably >LT exercise have been reported only qualitatively (23) or semiquantitatively (half time only) (8, 9) as being slower in the supine position. In these studies, end-exercise VO2 (at 5-10 min) was not affected by posture, similar to the results in the present study. In neither of these previous studies, however, was the potential effect of a longer time constant distinguished from that of a transiently lower amplitude of the primary VO2 component (A'1) as the mechanism by which the responses appeared slowed in the supine position. In a somewhat similar study in which the hydrostatic contribution to perfusion pressure was manipulated, Hughson et al. (17) found that forearm exercise with the arm above the heart led to an estimated arm VO2 response that was attenuated early and augmented later into exercise, compared with identical exercise with the arm below the heart. These results are similar to the present findings.

In the present study, the finding of a reduced A'1, but not a statistically significant slowing of the time constant tau 1, during heavy supine exercise was contrary to our hypothesis. It has been proposed that slower kinetics during upright heavy exercise reflect a relative inadequate perfusion and O2 delivery to the working muscles (14, 24). The data from this study suggest that, during heavy exercise in the supine position, O2 delivery to and utilization by the working muscles are further compromised, resulting in a consistently reduced amplitude of the fast component of VO2 and a slowing of the overall kinetics response, compared with the upright position. Under these circumstances, then, the amplitude of the fast component was more sensitive to a limitation in O2 delivery than was the associated time constant tau 1. This illustrates that both the time constant and the amplitude of the primary VO2 response need to be considered when the effects of an intervention on VO2 kinetics during heavy exercise are being evaluated.

The amplitude of the VO2 slow component was significantly increased in supine compared with upright heavy exercise. Although the mechanisms underlying the slow component remain speculative, the primary origin appears to be the working muscles (1, 3, 29, 32, 35). It has been suggested that the VO2 slow component may be attributable primarily to motor unit recruitment of lower efficiency, fast-twitch fibers that have a higher O2 cost per tension development and a longer time constant (1-4, 10, 28). Consistent with this, Barstow et al. (3) found that the amplitude of the slow component during upright heavy exercise, comparable to that performed here, was directly related to the percentage of fast-twitch (type II) fibers of the vastus lateralis. It has been suggested that availability of O2 plays an important role in regulating the recruitment of high-threshold motor units, because there is a close link between state of energy supply and types of muscle fibers being recruited (26). Thus one interpretation of the present data would suggest greater recruitment of type II fibers in the supine position during heavy exercise compared with in the upright position.

An alternative interpretation may arise from comparison with the previous work of Barstow et al. (3). In that study, the amplitude of the primary, fast component of VO2 (A'1) was significantly, but inversely, related to the percentage of type II fibers, whereas the end-exercise increase in VO2 was not different as a function of fiber type. Thus, compared with an individual with mostly type I fibers, one with mostly type II fibers had a reduced primary component (A'1) and a greater slow component (A'2). This pattern is similar to the supine response compared with upright in the present study. However, a significant difference between the two studies is that the results of Barstow et al. are based on intersubject comparisons across fiber type and level of fitness, whereas the present results come from intrasubject responses to a perturbation (change in body position). There may be a common mechanism that might explain the similar results in both studies. It could be argued that, in the present study, the primary mechanism producing the attenuated and slowed VO2 response in the supine position was a blunted rise in O2 delivery due to reduced perfusion pressure (and HR, see below). In the study by Barstow et al., there were similar relationships between parameters of the fast and slow VO2 components and fitness (as maximal VO2, ml · kg-1 · min-1) that paralleled those observed with type I fiber composition. Given the known better perfusion in both the trained state and to fibers with greater oxidative capacity (for review, see Ref. 21), it may be concluded that a reduced A'1 during the adjustment to heavy exercise is predictive of (consistent with) an attenuated rise in O2 delivery early into exercise. The fact that by 6-8 min the responses were not affected by body position (present study) or fiber type (Barstow et al.) suggests that eventually the contracting muscle-circulatory complex is able to achieve a similar O2 delivery and utilization pattern. The present results, along with the previous findings regarding muscle fiber type and fitness, suggest that any interpretation of the physiological mechanisms underlying the slow component must also consider the underlying physiological processes reflected by the primary exponential rise in VO2.

In a closed circulatory system at rest, one would predict that any reduction in arterial pressure to a tissue bed in the supine compared with the upright position would be countered somewhat by improved venous return, such that perfusion pressure (arteriovenous) might be similar. However, in the lower limbs, the combination of muscle contractions during exercise (pump) providing energy for venous return and the presence of venous valves to break the venous hydrostatic column keeps leg venous pressure low irrespective of body position. Thus, in the supine posture, the reduction in arterial pressure in the legs is not matched by a similar improvement in venous return, which is already facilitated. The resultant fall in perfusion pressure leads to reduced exercise tolerance and slower VO2 kinetics (11, 15, 18, 23). Consistent with this view, lower body negative pressure, which increases the pressure gradient from the heart to the working muscles of the lower limbs, partially or fully reverses the detrimental effects of supine position on exercise responses (11, 15).

The observation of a reduction in both the HR and VO2 responses to a similar degree at 2 min during heavy exercise in the supine position suggests that the VO2 response was matched to the HR response and that this matching became evident by 2 min into exercise. This is reinforced by the observation that VO2/HR reached a constant value by 2 min. Because VO2/HR is equal to the product of stroke volume and the arteriovenous O2 content difference, the simplest interpretation is that both of these responses reached their exercise levels by 2 min and that any further increase in VO2 was accomplished by an increase in HR. These data thus suggest that a primary mechanism for the slowed VO2 kinetics during heavy exercise in the supine position was an attenuated HR, and presumably cardiac output, response. This conclusion is also supported by the recent work of MacDonald et al. (25), who found slower response kinetics for femoral artery blood flow after the onset of knee extension and flexion exercise in the supine compared with the upright position.

The responses to supine exercise found herein, with the presumably compromised adjustment of leg blood flow, can be contrasted with those reported for heavy exercise in hypoxic conditions (inspired O2 fraction = 0.12), in which arterial O2 content was reduced (12). Under those hypoxic conditions, peak VO2 was reduced ~25%, twice the reduction seen with supine exercise in the present study. However, in the hypoxic condition, the integrated cardiopulmonary system was able to compensate for the reduced arterial O2 content by increasing HR, and possibly leg blood flow (but, see Ref. 36). The net effect was a relatively small increase in the time constant for the primary rise in VO2 (tau 1), with no effect either on the amplitude of the fast component or on any aspect of the slow component. It is interesting to note that, for both hypoxia (12) and supine exercise (present study), end-exercise VO2 at 6-8 min was not different from the control, upright condition, suggesting that the integrated muscle-circulatory system was ultimately able to adjust to the metabolic demand for O2 delivery and utilization under both conditions.

Recovery kinetics for VO2 after the heavy-exercise bouts were initially described with the same model as was used for the exercise responses (Eq. 1), which contained separate time delays for the fast and slow exponential terms. However, the second time delay (TD2) converged to a value similar to that for the fast component (TD1), implying that both the fast and slow exponential processes decayed together during phase 2 of recovery. This finding of a common time delay in recovery for the fast and slow exponential processes has also been recently reported by Scheuermann et al. (31), using a similar approach. Furthermore, in the present study, symmetry was found between the exercise and recovery kinetics for VO2 for the heavy-exercise intensities for both supine and upright body positions, i.e., similar relative contributions (amplitudes) of the fast and slow components and similar fast time constant (tau 1) for exercise and recovery responses. In contrast, Paterson and Whipp (27) found asymmetry of VO2 kinetics, with a greater amplitude and a faster time constant for the fast component, and less contribution of the slow component, during recovery compared with exercise. Their results could be interpreted to suggest that the slow component of VO2 during heavy exercise includes metabolism from motor units with essentially fast VO2 kinetic characteristics (e.g., type I motor units) but which are recruited progressively over time during the exercise. In this case, these units would be predicted to exhibit fast kinetics during recovery and thus contribute to a faster time constant and a greater amplitude for the fast exponential response and less contribution of a slow exponential term. The present findings are not consistent with this interpretation, however. Symmetry between exercise and recovery responses for similar intensities of heavy exercise has also been reported for hypoxic exercise (12) and for different pedal rates (3). The observation of symmetry between the exercise and recovery kinetics for VO2 suggests that, irrespective of the metabolic process(es) responsible for the slow component during exercise, in recovery these metabolic processes remain kinetically distinguishable from those associated with the fast VO2 component. It is presently unclear what the explanation(s) might be for the differences in findings between the present study and those of Paterson and Whipp (27).

In conclusion, during moderate (<LT) exercise, the VO2 kinetics are slowed, but the steady-state increase is unchanged for supine compared with upright cycle ergometer exercise. During heavy (>LT) exercise, the supine position is associated with a reduction in the amplitude of the primary VO2 exponential component without slowing of the fast component time constant, and a concomitant increase in the slow component, such that the 6-min value is no different from that seen during upright exercise at the same work rate. The reduced early response of VO2 in the supine position is associated with a proportionately lower HR rise. These data suggest that, during heavy exercise in the supine position, O2 delivery to and utilization by the working muscles are further compromised, compared with in the upright position.


    FOOTNOTES

The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. §1734 solely to indicate this fact.

Address for reprint requests and other correspondence: S. Koga, Applied Physiology Laboratory, Kobe Design Univ., 8-1-1 Gakuennishi-machi, Nishi-ku, Kobe, 651-2196, Japan (E-mail: s-koga{at}kobe-du.ac.jp).

Received 9 February 1998; accepted in final form 30 March 1999.


    REFERENCES
TOP
ABSTRACT
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

1.   Barstow, T. J. Characterization of VO2 kinetics during heavy exercise. Med. Sci. Sports Exerc. 26: 1327-1334, 1994[Medline].

2.   Barstow, T. J., R. Casaburi, and K. Wasserman. O2 uptake kinetics and the O2 deficit as related to exercise intensity and blood lactate. J. Appl. Physiol. 75: 755-762, 1993[Abstract/Free Full Text].

3.   Barstow, T. J., A. M. Jones, P. H. Nguyen, and R. Casaburi. Influence of muscle fiber type and pedal frequency on oxygen uptake kinetics of heavy exercise. J. Appl. Physiol. 81: 1642-1650, 1996[Abstract/Free Full Text].

4.   Barstow, T. J., and P. A. Molé. Linear and nonlinear characteristics of oxygen uptake kinetics during heavy exercise. J. Appl. Physiol. 71: 2099-2106, 1991[Abstract/Free Full Text].

5.   Beaver, W. L., N. Lamarra, and K. Wasserman. Breath-by-breath measurement of true alveolar gas exercise. J. Appl. Physiol. 51: 1662-1675, 1981[Abstract/Free Full Text].

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