Exercise Phys: Oxygen, Heat, & Fluids Flashcards
T/F At a given PO, oxygen uptake differs between trained and untrained individuals on a cycle ergometer
False; mechanical efficiency for cycling is about the same tf oxygen uptake is the same
What is the maximal oxygen uptake?
Point at which an increase in PO does not result in ay further increase in oxygen uptake
Oxygen uptake is dependent on
exercise intensity; slow increase to steady state, then no further increase beyond maximal O2 uptake
What is the cardiovascular response to exercise?
increase O2 supply to skeletal and cardiac muscle; facilitate CO2 and heat removal (generated in aerobic metabolism); maintain MAP
Fick equation
VO2 = Q x (CaO2 - CvO2) = whole body O2 uptake is equal to whole body CO times difference between arterial and venous concentrations of O2 (AvO2 difference)
Only ___% of O2 consumption is used in mechanical work; extra energy is ____________
20%; dissipated as heat
Which tissues increase metabolic rate during exercise?
Skeletal and cardiac muscle
Increase in CO is about _____ per L of O2 uptake increase
5-6L
What happens to muscle blood flow in exercise?
Increases; 90% of CO at max exercise
What happens to coronary circulation during exercise??
Increases
What is the purpose of vasoconstriction of vascular beds during exercise?
increase in muscle bloodflow occurs via peripheral vasodilation; CO increases to maintain MAP but because MAP = CO x TPR, TPR must also be increased to maintain MAP - this is achieved by vasoconstricting other vascular beds to oppose peripheral vasodilation to muscles
What happens to splanchnic blood flow during exercise?
decreases; vascular bed can be severely constricted and endanger the GIT
What happens to renal blood flow during exercise?
decreases; kidney is vasoconstricted tf reduced urine concentration; GFR is also reduced to decrease urine production and conserve water
What happens to skin blood flow during exercise?
increased early on (vasodilation) to dissipate heat; reduced approaching max CO/intensity (vasodilation) to maintain TPR - can no longer dissipate heat!!
T/F Muscle blood flow is a target of vasoconstriction in exercise
True; approaching max, muscles can become a target for vasoconstriction - muscle wins out over skin but brain wins out over muscle
Why do we get an increase in muscle blood flow during exercise?
Metabolic vasodilators from contracting skeletal muscle, endothelium (NO), and/or RBCs; muscle pump; conducted vasodilation; functional sympatholysis
What role does the endothelium play in vasodilation?
Initial increase in flow causes shear stress on the endothelium that stimulates NO release
What role do RBCs play in vasodilation?
as Hb becomes desaturated, red cells release ATP which binds to purinergic receptors on vascular smooth muscle causing vasodilation
What is conducted vasodilation?
local depolarisation releases ACh which depolarizes local vascular smooth muscle causing proximal spread via gap junctions leading to upstream dilation in resistance arterioles in larger vessels
What is functional sympatholysis?
Giving a vasoconstrictor stimulus to a muscle is much less effective if the muscle is contracting and much more effective if it is at rest - some dilators desensitize sympathetic nerve endings and receptors such that the sympathetic vasoconstrictor effect is blunted
What is the difference in CO between trained and untrained individuals during exercise?
CO increases similarly but trained individuals reach a much higher CO
What is the difference in A-VO2 difference between trained and untrained individuals during exercise?
Similar; even at max trained is only slightly higher
What is thought to be the reason for increased VO2 max in trained individuals vs untrained?
Increase in CO - trained can reach a higher CO
How is a higher CO attained in trained individuals?
lower HR and higher SV due to larger chamber size and expanded blood volume
Systolic blood pressure reflects
CO
Diastolic blood pressure reflects
TPR
What happens to DBP as you approach maximum intensity?
relatively stable, may fall slightly due to vasodilation
What happens to SBP as you approach maximum exercise intensity?
increases bc CO is increasing
What happens to MAP as you approach maximum exercise intensity?
increases slightly bc increase in SBP is greater than decrease in DBP and bc length of time in diastole is decreasing (due to increased HR)
Does MAP track more with SBP or DBP?
SBP
What is unique about MAP and HR in exercise?
only situation where MAP and HR both increase; normally baroreflex will decrease the HR but this is reset during exercise to a higher operating level