Chapter 11: Acid-Base Balance During Exercise Flashcards

1
Q

3 factors that H+ production depends on

A

1) exercise intensity
2) amount of muscle mass involved
3) duration of exercise

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2
Q

how does the decline in blood pH compare to the decline in muscle pH?

A

muscle pH declines more dramatically than blood pH

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3
Q

3 source of H+ ions during exercise

A

1) production of CO2
2) production of lactic acid
3) ATP breakdown

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4
Q

where does carbon dioxide come from?

A

end product of oxidative phosphorylation (bicarbonate buffering reaction contributes the H+ ions with an increase in CO2)

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5
Q

where does lactic acid come from?

A

glucose metabolism via glycolysis; lactic acid <—> lactate + H+

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6
Q

how does ATP production result in H+ increase?

A

ATP + H2O <—> ADP + HPO4- + H+

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7
Q

what types of sports/exercises promote acid-base disturbances in skeletal muscle?

A

higher intensity exercises lasting greater than 45 seconds (linked to effort/max effort)

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8
Q

2 ways increased [H+] impairs performance

A

1) inhibits enzymes in aerobic and anaerobic ATP production
2) [H+] can impair muscle contraction by competing with Ca2+ for binding sites on troponin

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9
Q

how is the acid-base balance maintained during exercise?

A

by buffers that releases H+ ions when pH is too high and accepts H+ ions when pH is too low

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10
Q

5 cellular buffer systems (first line of defense against pH changes)

A

1) bicarbonate *
2) phosphates *
3) proteins
4) carnosine
5) transport of hydrogen ions out of muscle

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11
Q

which have a higher buffering capacity: type I or type II?

A

type II muscle fibers have a higher buffering capacity

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12
Q

how does high intensity exercise training improve the muscle buffering capacity?

A

by increasing carnosine and hydrogen ion transporters in the trained muscle fibers

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13
Q

2 blood buffer systems (second line of defense against changes in pH)

A

1) respiratory compensation for metabolic acidosis
2) bicarbonate

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14
Q

given the bicarb buffering equation:
CO2 + H2O <—> H2CO3 <—> H+ + HCO3-

how does decreasing pH lead to CO2 removal by lungs?

A

decreased pH (increased H+ ions) —> reaction moves to the left —> CO2 is removed by the lungs —> eliminating H+ and increasing pH

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15
Q

what is ventilatory threshold caused by?

A

increasing blood PCO2 and H+ (increasing K+, increasing body temp, elevated blood catecholamines and neural influences may contribute as well)

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16
Q

what group proves that lactic acid production does not cause the ventilatory threshold?

A

McArdle’s patients (they can’t produce lactic acid but they still experience a ventilatory threshold)

17
Q

how does arterial PO2 change during graded exercise in an untrained subject?

A

maintained within 10-12 mmHg of resting value; does not change much (not experiencing exercise-induced arterial hypoxemia)

18
Q

how does arterial PCO2 change during graded exercise in an untrained subject?

A

arterial PCO2 slightly decreases with maximal exercise (because of hyperventilation)

19
Q

how does arterial pH change during graded exercise in an untrained subject?

A

decreases with maximal exercise (increasing H+ production causes buffering systems to reach capacity)

20
Q

how does ventilation change during graded exercise in an untrained subject?

A

linear increase up to 50-75% VO2 max, then exponential rise

21
Q

are kidneys significant in maintaining the acid-base balance during exercise? why?

A

no, because there is decreased blood flow to the kidneys

22
Q

how do kidneys contribute to the acid-base balance at rest?

A

by regulating the blood bicarbonate concentration:
decreased blood pH (increased H+ ions) —> bicarbonate excretion by kidneys is reduced
increased blood pH (decreased H+ ions) —> bicarbonate excretion by kidneys is increased

23
Q

3 ways lactate can be removed following exercise

A

1) 70% of lactic acid is oxidized by heart and skeletal muscle to make energy
2) 20% converted to glucose via Cori cycle in the liver
3) 10% converted to amino acids

24
Q

what helps lactic acid removal after strenuous exercise?

A

lactic acid is removed more rapidly with light exercise in recovery (optimal intensity of recovery exercise is 30-40% VO2 max)