L5. Control of breathing in exercise Flashcards

1
Q

What are the three primary control mechanisms for breathing during exercise?

A

Feedforward, feedback, and adaptive control

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2
Q

What is the role of feedforward control in exercise?

A

It anticipates exercise and adjusts ventilation accordingly

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3
Q

Why is there no error signal for chemical feedback during mild to moderate exercise?

A

Arterial PCO2, pH, and PO2 remain constant

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4
Q

What is the concept of ‘cortical irradiation’ proposed by Krogh and Lindhard?

A

It explains anticipatory hyperventilation prior to exercise

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5
Q

What is the significance of the ‘Douglas Bag’ in breathing studies?

A

It was used to collect expired air for analyzing respiratory patterns

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6
Q

What are the three phases of ventilation during steady-state exercise?

A

Phase 1: Immediate rise, Phase 2: Gradual increase, Phase 3: Plateau

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7
Q

How does central command influence breathing during exercise?

A

It sends signals to increase ventilation based on expected activity

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8
Q

What experiment showed central command’s role in breathing?

A

Eldridge’s fictive locomotion experiments in decerebrate animals

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9
Q

What evidence supports the role of muscle afferents in breathing?

A

Crosse-perfused dog experiments showed increased ventilation from muscle signals

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10
Q

What is cardiodynamic hyperpnoea?

A

The hypothesis that increased cardiac output drives ventilation

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11
Q

How did heart transplant studies challenge cardiodynamic hyperpnoea?

A

Ventilation increased during exercise without neural control of cardiac output

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12
Q

What is CO2 flux sensing?

A

The idea that ventilation adjusts to the rate of CO2 transport

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13
Q

What experiments questioned CO2 flux sensing?

A

Studies showing inconsistent results when venous CO2 was artificially increased

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14
Q

What is the role of the carotid bodies in exercise?

A

They provide load compensation for ventilatory control

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15
Q

How does adaptive control influence breathing?

A

It allows the ventilatory system to calibrate responses over time

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16
Q

What experiment demonstrated learned ventilatory responses?

A

Training animals to exercise with added dead space normalized CO2 levels

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17
Q

What did Helen Wood’s experiment show about humans adapting to CO2 loads?

A

Training improved ventilatory control even with additional CO2

18
Q

Why is redundancy important in respiratory control?

A

Multiple mechanisms ensure accurate ventilation even if one fails

19
Q

What happens to ventilation during high-intensity exercise?

A

Ventilation increases disproportionately due to anaerobic metabolism

20
Q

What role do feedforward mechanisms play in ventilatory control?

A

They dominate during mild to moderate exercise to prevent errors

21
Q

What is the evidence for central command in humans?

A

Increased ventilation even in paralyzed patients with exercise simulation

22
Q

What did studies on carotid body removal reveal?

A

Submaximal exercise ventilation is largely unaffected, but high-intensity responses are impaired

23
Q

How does hyperventilation before exercise occur?

A

Anticipatory signals from the brain increase ventilation before movement starts

24
Q

What is the significance of VCO2 in ventilation studies?

A

It represents the rate of CO2 production and helps analyze ventilatory efficiency

25
Q

How does ventilation respond to changes in exercise intensity?

A

It increases linearly with CO2 production until the anaerobic threshold

26
Q

What is the concept of ‘load compensation’ in carotid bodies?

A

They adjust their sensitivity to match the increased metabolic demands

27
Q

What did experiments on patients with congenital chemoreceptor absence show?

A

Ventilatory control is partially innate but benefits from chemoreceptor feedback

28
Q

What are the key stimuli for increased ventilation during exercise?

A

Central command, muscle afferents, and cardiac output

29
Q

What happens to alveolar CO2 levels during exercise?

A

They show larger fluctuations but maintain a stable mean level

30
Q

What did the artificial CO2 flux experiments conclude?

A

Inconsistent evidence for CO2 flux as a primary ventilatory driver

31
Q

What is the role of perceived exertion in ventilation?

A

Higher perceived effort increases ventilatory drive

32
Q

How does redundancy in control mechanisms benefit respiration?

A

Ensures stable ventilation despite individual mechanism failures

33
Q

What did studies on ventilatory adaptation in goats reveal?

A

Animals can recalibrate their breathing to compensate for artificial changes

34
Q

How does hyperventilation relate to unexplained breathlessness?

A

Some patients hyperventilate without clear physiological causes

35
Q

What did Mitchell’s experiments on ventilatory learning demonstrate?

A

Animals adapt their breathing patterns to external respiratory challenges

36
Q

How do ventilation and metabolism synchronize during exercise?

A

Feedforward systems anticipate and match ventilation to metabolic needs

37
Q

What is the significance of the phase 1 ventilatory response?

A

It provides immediate ventilation increase at exercise onset

38
Q

What is the relationship between tidal volume and ventilation?

A

Increases in tidal volume contribute to higher overall ventilation

39
Q

What did Krogh and Lindhard conclude about central command?

A

It is a primary driver of anticipatory hyperventilation during exercise

40
Q

What is the impact of hypercapnia on ventilatory responses during exercise?

A

Hypercapnia increases ventilatory drive to expel excess CO2