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J Appl Physiol (July 21, 2005). doi:10.1152/japplphysiol.01399.2004
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Submitted on December 21, 2004
Accepted on July 14, 2005

Repeat Exercise Normalizes the Gas Exchange Impairment Induced by a Previous Exercise Bout in Asthmatics

H. C. Haverkamp1*, J. A. Dempsey1, J. D. Miller1, L. M. Romer1, D. F. Pegelow1, A. T. Lovering1, and M. W. Eldridge2

1 Department of Population Health Sciences, University of Wisconsin-Madison, Madison, WI, USA
2 Department of Population Health Sciences, University of Wisconsin-Madison, Madison, WI, USA; Department of Pediatrics, University of Wisconsin-Madison, Madison, WI, USA

* To whom correspondence should be addressed. E-mail: hans.haverkamp{at}med.uvm.edu.

Twenty-one asthmatics underwent treadmill exercise to exhaustion at a workload that elicited ~90% of each subjects maximal O2 uptake [(VO2max) EX1]. Following EX1, 12 subjects experienced significant exercise-induced bronchospasm [(EIB+), % decrease in forced expiratory volume in 1.0 s = -24.0 ± 11.5%; pulmonary resistance (RLi) at rest vs. post-exercise = 3.2 ± 1.5 vs. 8.1 ± 4.5 cmH2O.L-1.sec-1] and nine did not (EIB-). The alveolar-to-arterial PO2 difference (AaDO2) was widened from rest (9.1 ± 6.7 Torr) to 23.1 ± 10.4 and 18.1 ± 9.1 Torr at 35 min after EX1 in subjects with and without EIB, respectively (P < 0.05). Arterial PO2 (PaO2) was reduced in both groups during recovery (EIB+, -16.0 ± -13.0 Torr vs. baseline; EIB-, -11.0 ± 9.4 Torr vs. baseline, P ≤ 0.05). Forty minutes following EX1, a second exercise bout was completed at VO2max (EX2). During EX2, RLi decreased to baseline levels in the EIB+ group and the AaDO2 and PaO2 returned to match the values seen during EX1 in both groups. Sputum histamine (34.6 ± 25.9 vs. 61.2 ± 42.0 ng.ml-1, pre vs. post-exercise) and urinary 9{alpha}, 11{beta}- prostaglandin F2 (74.5 ± 38.6 vs. 164.6 ± 84.2 ng.mmol creatinine-1, pre vs. post-exercise) were increased after exercise only in the EIB+ group (P < 0.05), and post-exercise sputum histamine was significantly correlated with the exercise PaO2 and AaDO2 in the EIB+ subjects. Thus, exercise causes gas exchange impairment during the post-exercise period in asthmatics independent of decreases in forced expiratory flowrates after the exercise; however, a subsequent exercise bout normalizes this impairment secondary in part to a fast acting, robust exerciseinduced bronchodilatory response.




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