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J Appl Physiol 94: 2548-2550, 2003; doi:10.1152/japplphysiol.00045.2003
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Vol. 94, Issue 6, 2548-2550, June 2003

Interpreting VO2 kinetics in heavy exercise revisited

The following is the abstract of the article discussed in the subsequent letter:


    ABSTRACT

Tordi, N., S. Perrey, A. Harvey, and R. L. Hughson. Oxygen uptake kinetics during two bouts of heavy cycling separated by fatiguing sprint exercise in humans. J Appl Physiol 94: 533-541, 2003. First published October 11, 2002; 10.1152/japplphysiol.00532.2002.---We tested the hypothesis that O2 uptake (VO2) kinetics at the onset of heavy exercise would be altered in a state of muscle fatigue and prior metabolic acidosis. Eight well-trained cyclists completed two identical bouts of 6-min cycling exercise at >85% of peak VO2 separated by three successive bouts of 30 s of sprint cycling. Not only was baseline VO2 elevated after prior sprint exercises but also the time constant of phase II VO2 kinetics was faster (28.9 ± 2.4 vs. 22.2 ± 1.7 s; P < 0.05). CO2 output (VCO2) was significantly reduced throughout the second exercise bout. Subsequently VO2 was greater at 3 min and increased less after this after prior sprint exercise. Cardiac output, estimated by impedance cardiography, was significantly higher in the first 2 min of the second heavy exercise bout. Normalized integrated surface electromyography of four leg muscles and normalized mean power frequency were not different between exercise bouts. VO2 and VCO2 kinetic responses to heavy exercise were markedly altered by prior multiple sprint exercises.


    LETTER

To the Editor: We read with interest the recent paper of Tordi et al. (12) in which it was reported that prior high-intensity cycle exercise caused a speeding of the phase II O2 uptake (VO2) kinetics in a subsequent bout of heavy-intensity cycle exercise. These results are important because the effect of prior exercise on VO2 kinetics provides important clues about the control of muscle energetics at exercise onset. However, we believe that there are a number of significant problems with the data and their interpretation in the paper (12) that should be bought to readers' attention.

In discussing their results, Tordi et al. (12) state that it is important to "optimize" the experimental conditions if the phase II time constant is to be altered. It is then argued that the large number of previous studies (2-7, 9, 11) that did not detect a change in the phase II kinetics failed to do so because 1) the prior exercise did not result in a sufficiently marked acidosis, 2) the curve fitting in these studies was not sensitive enough to detect a change in the phase II time constant, 3) the studies lacked statistical power, and 4) differences in baseline VO2 obscured the results. None of these arguments stands up to scrutiny. First, to support the contention that the acidosis imposed by previous studies was insufficient, Tordi et al. should have included a condition in their study whereby a modest degree of lactacidosis did not speed the phase II VO2 kinetics. They should have also measured blood lactate concentration and/or pH to demonstrate that their protocol resulted in a greater lactic acidosis in comparison to that resulting from a single sprint (5). Thus their conclusion that "the acidosis probably contributed to enhanced vasodilatation early in exercise" is made without measuring lactate, pH, or vasodilatation. Our laboratory (3-6) has demonstrated no change in the phase II VO2 time constant when baseline whole blood lactate concentration (not plasma lactate concentration, as incorrectly stated in Ref. 12) was elevated by up to 7.6 mM and despite indirect evidence that vasodilatation in the exercising muscle was enhanced (3). Second, performing only one test for the acquisition of breath-by-breath data, as Tordi et al. did, is unlikely to provide sufficient confidence in the parameters derived from curve-fitting procedures (8). Thus Tordi et al. have no grounds to question the curve-fitting procedures used in previous studies in which subjects performed two to four transitions (2-6, 9, 11), since these studies used methods that were more sensitive than their own. Third, the charge that previous studies lacked statistical power is also incorrect because the sample sizes involved previously were equal or superior to those of Tordi et al. Fourth, the primary time constant is unchanged as a result of prior heavy exercise irrespective of whether there are differences in baseline VO2 (2, 4, 6, 9, 11).

We are also concerned that Tordi et al. (12) make inappropriate interpretations from previously reported data in order to support their position that an O2 delivery limitation exists at the onset of heavy exercise. For example, the authors use the data of Krustrup et al. (10) to show that blood flow (and O2 availability) is increased at the onset of a second high-intensity exercise bout and argue that this is responsible for the higher VO2 observed in the early phase of exercise. However, Krustrup et al. come to the opposite conclusion based on evidence that muscle O2 delivery was far in excess of muscle VO2 throughout the transient phase of high-intensity exercise even when prior exercise was not performed (1, 10), indicating that O2 availability did not limit muscle VO2 during the on transient.

We would also point out an inconsistency between the data presented by Tordi et al. (12) in their Fig. 4 and the data presented in their Table 1. Figure 4 demonstrates an increased phase II VO2 amplitude with no obvious change in the rate of adaptation, as has been shown previously (2-7). Therefore, the response profile that they present does not support their interpretation (based on the data in their Table 1) that phase II VO2 kinetics are speeded. These inconsistencies highlight the limited sensitivity of the methods and analyses employed in the paper.

In summary, the paper of Tordi et al. (12) is at odds with the large body of work that demonstrates that prior high-intensity (including sprint) exercise does not speed the phase II VO2 kinetics during subsequent heavy or severe upright cycle exercise (2-7, 9, 11). We believe that this difference is related to significant methodological shortcomings in their study, as well as to marked differences in data interpretation.


    REFERENCES

1.   Bangsbo, J, Krustrup P, Gonzalez-Alonso J, and Saltin B. ATP production and efficiency of human skeletal muscle during intense exercise: effect of previous exercise. Am J Physiol Endocrinol Metab 280: E956-E964, 2001[Abstract/Free Full Text].

2.   Bearden, SE, and Moffatt RJ. VO2 and heart rate kinetics in cycling: transitions from an elevated baseline. J Appl Physiol 90: 2081-2087, 2001[Abstract/Free Full Text].

3.   Burnley, M, Doust JH, Ball D, and Jones AM. Effects of prior heavy exercise on VO2 kinetics during heavy exercise are related to changes in muscle activity. J Appl Physiol 93: 167-174, 2002[Abstract/Free Full Text].

4.   Burnley, M, Doust JH, Carter HH, and Jones AM. Effects of prior exercise and recovery duration on oxygen uptake kinetics during heavy exercise in humans. Exp Physiol 86: 417-425, 2001[Abstract].

5.   Burnley, M, Doust JH, and Jones AM. Effects of prior heavy exercise, prior sprint exercise and passive warming on oxygen uptake kinetics during heavy exercise in humans. Eur J Appl Physiol 87: 424-432, 2002[Web of Science][Medline].

6.   Burnley, M, Jones AM, Carter H, and Doust JH. Effects of prior heavy exercise on phase II pulmonary oxygen uptake kinetics during heavy exercise. J Appl Physiol 89: 1387-1396, 2000[Abstract/Free Full Text].

7.   Fukuba, Y, Hayashi N, Koga S, and Yoshida T. VO2 kinetics in heavy exercise is not altered by prior exercise with a different muscle group. J Appl Physiol 92: 2467-2474, 2002[Abstract/Free Full Text].

8.   Gerbino, A, Ward SA, and Whipp BJ. Effects of prior exercise on pulmonary gas exchange kinetics during high-intensity exercise in humans. J Appl Physiol 80: 99-107, 1996[Abstract/Free Full Text].

9.   Koppo, K, and Bouckaert J. The effect of prior high-intensity cycling exercise on the VO2 kinetics during high-intensity cycling exercise is situated at the additional slow component. Int J Sports Med 22: 21-26, 2001[Web of Science][Medline].

10.   Krustrup, P, Gonzalez-Alonso J, Quistorff B, and Bangsbo J. Muscle heat production and anaerobic energy turnover during repeated intense dynamic exercise in humans. J Physiol 536: 947-956, 2001[Abstract/Free Full Text].

11.   Scheuermann, BW, Hoelting BD, Noble ML, and Barstow TJ. The slow component of O2 is not accompanied by changes in EMG during repeated bouts of heavy exercise. J Physiol 531: 245-256, 2001[Abstract/Free Full Text].

12.   Tordi, N, Perrey S, Harvey A, and Hughson RL. Oxygen uptake kinetics during two bouts of heavy cycling separated by fatiguing sprint exercise in humans. J Appl Physiol 94: 533-541, 2003[Abstract/Free Full Text].

Mark Burnley
Department of Sport and Exercise Science
University of Wales
Aberystwyth SY23 3DA, United Kingdom
E-mail: mhb{at}aber.ac.uk
Andrew M. Jones
Department of Exercise and Sports Science
Manchester Metropolitan University
Alsager ST7 2HL, United Kingdom
E-mail: a.m.jones{at}mmu.ac.uk


    REPLY

To the Editor: Burnley and Jones have asked us to believe that a mechanism exists so "that muscle O2 delivery was far in excess of muscle VO2 throughout the transient phase of high intensity exercise." They suggest also that, despite over 20 years of experience collecting and analyzing breath-by-breath VO2 (7), "there are a number of significant problems with the data" from our laboratory. We will first deal with the erroneous and selective referencing by Burnley and Jones, and then we will attempt once again to explain why the system properties that we observed are consistent with known human physiology and basic concepts of control theory.

In their first point, Burnley and Jones failed to recognize that we referenced prior work showing that three repetitions of sprint exercise would cause a more marked and sustained metabolic acidosis (13, 16) than the single sprint employed by Burnley et al. (3). They did not appreciate that an enhanced, sustained acidosis would facilitate vasodilation at the onset of exercise as well as enhance O2 off-loading from the hemoglobin to exercising tissues (10, 12). The second and third points of Burnley and Jones reveal a misrepresentation of statistics and statistical confidence. The signal-to-noise ratio determines the confidence for curve-fitting parameters [note the high signal-to-noise ratio in Fig. 4 and the clear separation of means and 95% confidence intervals for VO2 in Fig. 5 of Tordi et al. (17)]. In contrast to Burnley and Jones' visual misanalysis of our data, the phase II time constants were 20.6 and 16.4 s for pre- and postexercise, respectively. Furthermore, statistical power is not determined by sample size alone, as suggested by Burnley and Jones, but also by differences between mean values and standard deviation of differences between the means (SAS System for Windows, release 8.01). The fourth point by Burnley and Jones that "the primary time constant is unchanged" simply is not true as our data, as well as the recent results of Rossiter et al. (15), have clearly shown a faster phase II time constant after prior heavy exercise.

Returning to the notion that "O2 delivery was far in excess of muscle VO2," it is important for Burnley and Jones to understand what is meant by "transient phase of high intensity exercise." Grassi et al. (4) referred to the "early phase of the transient," in which during the first ~15 s O2 extraction was not increased. Also, the data of Bangsbo et al. (2) showed that O2 delivery minus VO2 increased only during the first ~15 s. As our laboratory has previously indicated (9, 18), the excess delivery of O2 within the first 15 s of exercise is to be expected because the muscle pump "indiscriminately" increases flow throughout the muscle and because substrates for oxidative metabolism increase (5). The main point here is that the first 15 s does not constitute the entire transient phase as implied by Burnley and Jones; another approximately five times the time constant (at least 100 s) occurs before the transient phase is complete. O2 delivery is dependent on appropriate vasodilation to match blood flow to the sites of metabolic demand. Although some feedforward-type controls for muscle blood flow such as muscle pump and flow-mediated dilation do exist, "the prevailing view is that skeletal muscle functional hyperemia ... [is] mediated primarily by local control mechanisms" and that "oxygen delivery to the tissues, not blood flow per se, is the controlled variable producing exercise hyperemia" (11), although myogenic, endothelial, and baroreflex factors can also influence blood flow. Studies that have measured O2 extraction across exercising muscle show that this variable reaches an upper limit relatively early (40-60 s) and that further increases in muscle VO2 are related to further increases in blood flow (2, 8, 10, 19).

Previously (9, 18), we and our colleagues described the elegant work of Wilson and Rumsey (20) and Arthur et al. (1), who demonstrated the O2 dependence of muscle metabolism. For any given ATP flux rate, the intracellular redox and phosphorylation potentials must change if mitochondrial PO2 is less than ~20 Torr. Clearly, from the work of Richardson et al. (14) showing that intracellular PO2 is <= 5 Torr across a wide range of work rates and from the more recent work from members of the same team (6) that demonstrated dependence of phosphocreatine kinetics on blood PO2 during recovery, the intracellular environment is in this dependent region. That is, both O2 delivery and O2 utilization must adapt during the transient phase of exercise to attain the appropriate ATP flux rates (18). This precludes simple one-component kinetics even during the so-called primary phase (phase II) and points strongly to O2 delivery being one of the key factors determining VO2 kinetics. Thus, in "optimizing" the conditions of our experiment by achieving a high, sustained level of metabolic acidosis, we enhanced O2 delivery so that we were able to detect a statistically significant acceleration of the phase II time constant where previous experiments did not (3). These data and conclusions are consistent with the notion that, like other exquisite feedback control systems in the human body, the delivery of O2 to muscle during heavy exercise is also regulated by feedback control of skeletal muscle blood flow.


    FOOTNOTES

10.1152/japplphysiol.00045.2003


    REFERENCES

1.   Arthur, PG, Hogan MC, Bebout DE, Wagner PD, and Hochachka PW. Modeling the effects of hypoxia on ATP turnover in exercising muscle. J Appl Physiol 73: 737-742, 1992[Abstract/Free Full Text].

2.   Bangsbo, J, Krustrup P, González-Alonso J, Boushel R, and Saltin B. Muscle oxygen kinetics at onset of intense dynamic exercise in humans. Am J Physiol Regul Integr Comp Physiol 279: R899-R906, 2000[Abstract/Free Full Text].

3.   Burnley, M, Doust JH, and Jones AM. Effects of prior heavy exercise, prior sprint exercise and passive warming on oxygen uptake kinetics during heavy exercise in humans. Eur J Appl Physiol 87: 424-432, 2002[Web of Science][Medline].

4.   Grassi, B, Poole DC, Richardson RS, Knight DR, Erickson BK, and Wagner PD. Muscle O2 uptake kinetics in humans: implications for metabolic control. J Appl Physiol 80: 988-998, 1996[Abstract/Free Full Text].

5.   Greenhaff, PL, Campbell-O'Sullivan SP, Constantin-Teodosiu D, Poucher SM, Roberts PA, and Timmons JA. An acetyl group deficit limits mitochondrial ATP production at the onset of exercise. Biochem Soc Trans 30: 275-280, 2002[Web of Science][Medline].

6.   Haseler, LJ, Hogan MC, and Richardson RS. Skeletal muscle phosphocreatine recovery in exercise-trained humans is dependent on O2 availability. J Appl Physiol 86: 2013-2018, 1999[Abstract/Free Full Text].

7.   Hughson, RL. Alterations in the oxygen deficit-oxygen debt relationships with beta -adrenergic receptor blockade in man. J Physiol 349: 375-387, 1984[Abstract/Free Full Text].

8.   Hughson, RL, Shoemaker JK, Tschakovsky M, and Kowalchuk JM. Dependence of muscle VO2 on blood flow dynamics at the onset of forearm exercise. J Appl Physiol 81: 1619-1626, 1996[Abstract/Free Full Text].

9.   Hughson, RL, Tschakovsky ME, and Houston ME. Regulation of oxygen consumption at the onset of exercise. Exerc Sports Sci Rev 29: 129-133, 2001.

10.   Krustrup, P, González-Alonso J, Quistorff B, and Bangsbo J. Muscle heat production and anaerobic energy turnover during repeated intense dynamic exercise in humans. J Physiol 536: 947-956, 2001[Abstract/Free Full Text].

11.   Laughlin, MH, Korthuis RJ, Duncker DJ, and Bache RJ. Control of blood flow to cardiac and skeletal muscle during exercise. In: Handbook of Physiology. Exercise: Regulation and Integration of Multiple Systems. Bethesda, MD: Am. Physiol. Soc, 1996, p. 705-769, sect. 12, chapt. 16.

12.   MacDonald, MJ, Naylor HL, Tschakovsky ME, and Hughson RL. Evidence that peripheral circulatory factors limit the rate of increase in muscle O2 uptake at the onset of heavy exercise. J Appl Physiol 90: 83-89, 2001[Abstract/Free Full Text].

13.   McCartney, N, Spriet LL, Heigenhauser GJ, Kowalchuk JM, Sutton JR, and Jones NL. Muscle power and metabolism in maximal intermittent exercise. J Appl Physiol 60: 1164-1169, 1986[Abstract/Free Full Text].

14.   Richardson, RS, Noyszewski EA, Kendrick KF, Leigh JS, and Wagner PD. Myoglobin O2 desaturation during exercise---evidence of limited O2 transport. J Clin Invest 96: 1916-1926, 1995[Web of Science][Medline].

15.   Rossiter, HB, Ward SA, Kowalchuk JM, Howe FA, Griffiths JR, and Whipp BJ. Effects of prior exercise on oxygen uptake and phosphocreatine kinetics during high-intensity knee-extension exercise in humans. J Physiol 537: 291-303, 2001[Abstract/Free Full Text].

16.   Spriet, LL, Lindinger MI, McKelvie RS, Heigenhauser GJF, and Jones NL. Muscle glycogenolysis and H+ concentration during maximal intermittent cycling. J Appl Physiol 66: 8-13, 1989[Abstract/Free Full Text].

17.   Tordi, N, Perrey S, Harvey A, and Hughson RL. Oxygen uptake kinetics during two bouts of heavy cycling separated by fatiguing sprint exercise in humans. J Appl Physiol 94: 533-541, 2003.

18.   Tschakovsky, ME, and Hughson RL. Interaction of factors determining oxygen uptake at the onset of exercise. J Appl Physiol 86: 1101-1113, 1999[Abstract/Free Full Text].

19.   Van Beekvelt, MC, Shoemaker JK, Tschakovsky ME, Hopman MT, and Hughson RL. Blood flow and muscle oxygen uptake at the onset and end of moderate and heavy dynamic forearm exercise. Am J Physiol Regul Integr Comp Physiol 280: R1741-R1747, 2001[Abstract/Free Full Text].

20.   Wilson, DF, and Rumsey WL. Factors modulating the oxygen dependence of mitochondrial oxidative phosphorylation. Adv Exp Biol Med 222: 121-131, 1988[Medline].

Richard L. Hughson
Department of Kinesiology
University of Waterloo
Waterloo, Ontario, Canada N2L 3G1
E-mail: hughson{at}uwaterloo.ca
Nicolas Tordi
Laboratoire des Sciences du Sport
25030 Besançon Cedex, France
Stephane Perrey
UPRES-EA 2991, Faculté des Sciences du Sport
34090 Montpellier, France


J APPL PHYSIOL 94(6):2548-2550
8750-7587/03 $5.00 Copyright © 2003 the American Physiological Society




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