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EFFECT OF ALTERED BODY CO2 STORES ON PULMONARY GAS EXCHANGE DYNAMICS DURING INCREMENTAL EXERCISE IN HUMANS

Published online by Cambridge University Press:  04 January 2001

O. OZCELIK
Affiliation:
Department of Physiology, St George's Hospital Medical School, London SW17 0RE and Centre for Exercise Science and Medicine, Institute of Biomedical and Life Sciences and Clinical Medicine Planning Unit, University of Glasgow, Glasgow G128QQ, UK
S. A. WARD
Affiliation:
Department of Physiology, St George's Hospital Medical School, London SW17 0RE and Centre for Exercise Science and Medicine, Institute of Biomedical and Life Sciences and Clinical Medicine Planning Unit, University of Glasgow, Glasgow G128QQ, UK
B. J. WHIPP
Affiliation:
Department of Physiology, St George's Hospital Medical School, London SW17 0RE and Centre for Exercise Science and Medicine, Institute of Biomedical and Life Sciences and Clinical Medicine Planning Unit, University of Glasgow, Glasgow G128QQ, UK
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Abstract

The lactate threshold is a widely used and, at times, controversial construct in exercise physiology and pathophysiology. Its non-invasive estimation during incremental exercise depends upon CO2 output increasing as a function of O2 uptake, i.e. 'V-slope', as a result of bicarbonate buffering during the lactic acidosis. However, we hypothesised that the V-slope deflection could also occur as a consequence of metabolic CO2 being diverted proportionally more into the CO2 stores in the early phase of exercise. Eight healthy males performed two incremental exercise tests on a cycle ergometer, with and without controlled prior hyperventilation; the hyperventilation caused end-tidal PCO2 to decline by [sim]10 mmHg, with the clearance of a CO2 volume averaging 2547 ml. This corresponded to an 'effective' CO2 capacitance of some 3·12 ml mmHg-1 kg-1. Gas exchange was determined breath-by-breath, and blood was sampled from the dorsum of the heated hand. Our results demonstrate that the early dynamics of CO2 wash-in to the previously depleted body stores can result in a 'pseudo-threshold', i.e. significantly before the onset of the actual lactic acidosis. Precautions should therefore be taken to avoid hyperventilation prior to non-invasive estimation of the lactate threshold.

Type
Research Article
Copyright
The Physiological Society 1999

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