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Respiratory Changes During Exercise, Oxygen Debt, By Dr. Mudassar Ali Roomi 2 main respiratory changes in exercise: • 1) increase in pulmonary ventilation • 2) increase in both rate & depth of respiration. Regulation of Respiration during exercise: • What causes intense ventilation during exercise? O2 consumption in moderate & severe exercise: • In healthy athlete alveolar vent. is directly proportional to oxygen metabolism. • The arterial PO2, PCO2 and pH remain almost normal. Conclusion: Hypoxia, hypercapnia & acidosis have no role in inducing hyperventilation during exercise!! 4 main factors that increase rate of respiration during exercise: 1. Anticipatory increase in rate of ventilation: When a person intends to perform exercise impulses from cerebral cortex skeletal muscle to initiate contraction & simultaneously collateral impulses respiratory centre increase ventilation. • 2. Impulses from proprioceptors: (receptors for position & movement present around joints, in the muscles, tendons and joint ligaments). This is the major stimulus for respiratory centre during exercise. • 3. Increase in temperature: During exercise metabolism increases body temperature increases stimulates respiration directly & indirectly. 4. Chemical factors: – Decrease in PO2 – Increase in PCO2 – Increase in H+ conc. • The effect of PO2, PCO2 & H+ is minimum to stimulate respiration in exercise because there is increased ventilation so PO2 & PCO2 remain in normal limits. Metabolic systems during exercise: 3 types: 1) Phosphagen system: consist of ATP & Creatine phosphate in muscle (ATP can maintain muscle contraction for 5-6 sec; energy from creatine phosphate can sustain contraction for another 10 sec) 2) Glycogen-Lactic Acid System: (another 30-40 sec) Glucose stored as glycogen in the muscle undergoes glycolysis ATP. 3) Aerobic System: (For long long time) Nutrients, Glucose, Amino Acids Fatty Acids are oxidized. It is the ultimate source of energy. Changes in Respiration during Exercise: 1) Normal respiratory minute volume (RMV) at rest = 500 x 12 = 6 L / min – in severe exercise: RMV = up to 100 – 110 L / min 2) Maximum Breathing Capacity (MBC): Up to 150 – 170 L / min • 3) Oxygen Consumption (O.C): It is the percentage of arterial blood which gives its O2 while passing through the tissues. – 250 ml / min (at rest) – may increase to 4-5 L / min in exercise • 4) Utilization Co-efficient (U.C): 25% (at rest) 75 – 85 % in severe exercise • 5) Diffusion Capacity for O2: – At rest: 20 – 30 ml / mm Hg / min – in exercise: 65 ml / mm Hg / min • 6) Chemical parameters in skeletal muscles: – PO2 decreases, – PCO2, H+, Temp increases Right hand shift of oxy-Hb dissociation curve easy dissociation of O2 to supply skeletal muscle. • 7) Effect on Respiratory Quotient (RQ): – In moderate exercise: RQ remains about 1. – In severe exercise: May increase up to 1.5-2 due to extra CO2 formation – After severe exercise: RQ falls up to 0.5. Interrelation between chemical & nervous factors in control of respiration during exercise: • At the onset of exercise alveolar vent. increases instantaneously, without an initial increase in arterial PCO2 • There is initial decrease in arterial PCO2 due to great increase in alv. Vent. • Conclusion: brain anticipatory stim. of resp. at the onset of exercise. Neuro-genic drive from respiratory centre during heavy exercise • Arterial PCO2 remain normal (40 mm Hg) at rest & during heavy exercise. • If PCO2 does change from 40, there is stim. of vent. above 40 & depression of vent. below 40. • This shift in exercise is partly a learned response that involves cerebral cortex. Conclusion: Neurogenic factor shifts the curve about 20- fold in upward direction so that vent. Matches the rate of CO2 release keeping normal level of Arterial PCO2 Oxygen Debt: Definition: Extra amount of oxygen, that must be supplied to body after exercise, in order to restore metabolic system back to pre-exercise state. • During exercise oxygen consumption is increased by skeletal muscle. Oxygen is present: • In combination with Hb • In myoglobin & • In dissolved form Oxygen used in severe exercise: 0.3 L O2 combined with Myoglobin 1L O2 combined with Hemoglobin 0.5 L O2 in alveolar air 0.25 L O2 in dissolved form TOTAL OXYGEN = 2 L (approx.) This much oxygen must be repaid. Debts: • To restore phosphagen & glycogen system: 2 L is required. • To restore Aerobic system: 8 L is required. • So, a total of 10-12 L oxygen is used in exercise & is paid in 90 min after exercise respiratory rate remain increased for 90 min after exercise to repay oxygen debt = 10-12 L.