VO2 max (S1W5) Flashcards

1
Q

How and why do we standardise VO2 max?

A
  • Divide VO2max by body mass of the individual

- Allows us to compare VO2max of people of different body masses (relative VO2max)

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2
Q

Why use VO2 max as a measure for aerobic capacity?

A
  • VO2max is an overall descriptor of the systems required to work to process O2
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3
Q

Explain how VO2 max and aerobic capacity links to the systems

A

Pulmonary ventilation

  • taking up O2 to absorb it into the body
  • once in the bloodstream, we need good O2-carrying capacity so O2 can reach tissues

Peripheral blood flow

  • need a strong heart to distribute blood full of O2
  • peripheral blood flow - O2 extraction - need to carry blood to the muscle cells

Aerobic metabolism

  • need a high mitochondria count
  • O2 extraction capacity will be smaller with less mitochondria and aerobic enzymes
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4
Q

Aerobic contribution vs exercise duration

A
  • Short sprints use ATP-CP systems, long distance running uses aerobic glycolysis and lipolysis
  • All energy systems are always active at the same time, just to different extents depending on exercise intensity
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5
Q

Aerobic contribution vs exercise duration: tap and tank analogy

A

Tanks

  • Each tank contributes to overall ATP turnover
  • Size of tanks - fat tank is enormous
  • Can walk for 1000km if not constrained by anything else based on fat alone

Taps

  • Energy per time from PC system is large (large tap) - lots of energy coming through at the same time
  • Tap for the fat is small - released over a long period of time
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6
Q

The maths behind oxygen uptake (VO2): Fick equation

A

VO2 = HR x SV x (a-v)O2 difference

  • a-v = artery-mixed venous
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7
Q

The maths behind oxygen uptake (VO2): Fick equation: central portion

A
  • HR x SV
  • Faster the heart beats (HR), the more blood/O2 goes into circulation
  • Stroke volume x HR - how many litres of blood go out every minute? (cardiac output) - doesn’t tell us about O2 uptake
  • The central CV system - heart and cardiac output
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8
Q

The maths behind oxygen uptake (VO2): Fick equation: peripheral portion ((a-v)O2 difference)

A
  • How much O2 in the blood is being extracted by the muscle
  • The difference between O2 in the arteries and veins
  • The difference is the O2 that has been extracted by active tissue (muscle)
  • ‘Ability of the muscles to extract O2’
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9
Q

The maths behind oxygen uptake (VO2): Fick equation: arterio-mixed venous

A
  • Measuring O2 content in a vein coming from legs - blood came from every muscle in the leg but not all would have been active
  • Blood comes back from active and inactive tissue, so it’s mixed-venous
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10
Q

Training adaptations at muscle level

A
  • Determined by amount of blood supply to the muscle
  • Capillary number
  • Capillary recruitment
  • Mitochondria size and number
  • Oxidative enzymes
  • Myoglobin
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11
Q

SNS activity

A
  • Stress response
  • Adrenaline can be measured - stressed = lots of adrenaline - leads to higher contractility and blood being supplied to muscles (not to intestines, etc)
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12
Q

What limits VO2 max? / What does VO2 max depend on?

A

VO2 depends on . . .

  • a good cardio-vascular system and high cardiac output
  • well-developed oxidative capacity in skeletal muscle (e.g. mitochondria, oxidative enzymes etc)
  • oxygen delivery is the limiting factor
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13
Q

Evidence as to what limits VO2 max: acute exercise study

A
  • isolated muscle can use more O2 than the heart can deliver
  • e.g. one vs two legged exercise - O2 extraction by quads during one-legged exercise is 2-3 times higher than that measured in the same muscle group during whole body exercise
  • implies a single leg can do more O2 extraction than compared to both legs being active - if body could supply more O2 to both legs we would be stronger
  • therefore shows that blood supply/oxygen delivery is the limiting factor of VO2 max
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14
Q

Evidence as to what limits VO2 max: longitudinal training studies (Basset and Howley, 2000)

A
  • muscle biopsy to measure mitochondrial enzymes and measure VO2 max
  • 6-8 weeks training period then remeasured these
  • 2.2 fold increase in mitochondrial enzymes but only ~20-40% increase in VO2 max
  • enzymes increase more than VO2 max
  • if the legs improved their aerobic capacity by a factor of 2.2, VO2 max should go up by 2.2 but this doesn’t happen
  • therefore shows that blood supply/oxygen delivery is the limiting factor of VO2 max
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15
Q

Evidence as to what limits VO2 max: training study with manipulation of blood volume

A
  • reducing blood volume through phlebotomy after training (to pre-training levels) reduces both cardiac output and VO2 max to pre-training levels (Montero et al, 2015)
  • taking away the blood takes away the positive adaptations of blood delivery - suggests central factors limit VO2 max, not peripheral

central portion: stroke volume

  • oxygen delivery, and thus VO2 max is partially limited by stroke volume
  • can’t train maximum heart rate - stroke volume is trainable so is the principle limiter of VO2 max
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16
Q

A dog’s story: can you change stroke volume?

A
  • removal of the pericardium (lining of the heart)
  • pericardium restricts expansion of the heart - removing it allows it to expand to a greater degree
  • with pericardium removed, VO2 max, stroke volume and cardiac output increased
  • suggests cardiac output is the limiting factor
17
Q

What is a “good” VO2 max? Absolute score

A
  • absolute score: 2.5 L/min (VO2 max)
18
Q

What would the relative VO2 max be for a 25 year old, 50kg, endurance trained female?

A
  • female 50 kg, 25 years old

- 2.5 L/min divided by 50kg = 50 ml/kg/min