Академический Документы
Профессиональный Документы
Культура Документы
Exercise Physiology
The study of the effects of exercise on the body.
Bodys responses and adaptations to exercises
System to subcellular level
Acute (short term) to chronic (long term) adaptations
Population served
Elite performers
People of all ages and abilities, diseased or not, in
leisure, sports and health contexts
17/02/2015
In Kisner, C and Colby LA. (2007). Therapeutic exercise: Foundations and techniques
17/02/2015
Pulmonary Ventilation
Minute ventilation or VE (L/min) = Tidal
volume (L/breathing) X Breathing rate
(Breaths/min)
Measure of volume of air passing through
pulmonary system: air expired/minute
Variables
Tidal Volume
(L/breathing)
Breathing Rate
(breaths/min)
Rest
10 - 14
10 20
Maximal Exercise
100 180
40 - 60
3.0
2.5
40
30
2.0
1.5
1.0
20
80 100 120 140 160 180
Heart Rate
70
60
200
150
50
40
30
100
50
VE (L/min)
50
3.5
VO2 (ml/kg/min)
60
Breaths/Minute
20
0
10
80 100 120 140 160 180
Heart Rate
17/02/2015
Exercise (max)
Max occurs
80 90
110 200
(Depending on training
status)
17/02/2015
Exercise:
Heart Rate
Stroke volume
Blood pressure
170
140
140
120
110
100
80
80
50
0 20 40 60 80 100
60
0 20 40 60 80 100
40
35
30
25
20
15
10
5
0
160
200
Cardiac Output = SV x HR
Rest: ~ 5.0 L/min
Maximal Exercise: up to 30 L/min
17/02/2015
17/02/2015
In Kisner, C and Colby LA. (2007). Therapeutic exercise: Foundations and techniques
17/02/2015
VO2max
Uses a percentage of the maximum rate of oxygen
consumption
Very time-consuming and complicated measure
Typically a laboratory measure in hospitals and universities
because of expensive equipment required
Highly competitive athletes (performance goal category) may
want to pursue such a measure at a university exercise
physiology laboratory to track changes through a training
program.
17/02/2015
In Kisner, C and Colby LA. (2007). Therapeutic exercise: Foundations and techniques
17/02/2015
Assessing VO2
Direct Measure: Rearrange Fick Equation: VO2 = CO X (a vO2)
Indirect Measure: gas exchange at mouth: VO2 = VE X (FIO2 FEO2)
Rest: 0.20 to 0.35 L/min
Maximal Exercise: 2 to 6 L/min
10
17/02/2015
Determinants of VO2max
Peripheral Factors
Central Factors
Cardiac Output
Arterial Pressure
Hemoglobin
Ventilation
O2 Diffusion
Hb-O2 Affinity
Alveolar Ventilation
Perfusion ratio
11
17/02/2015
Genetic
Gender
Body Composition
Muscle mass
Age
Pathologies
Extrinsic
Activity Levels
Time of Day
Sleep Deprivation
Dietary Intake
Nutritional Status
Environment
Secondary Criteria
12
17/02/2015
retalk/wp-content/blogs.dir/7/files/2011/05/diseases/Aerobic_Capacity-2.jpg
Lactate Threshold
16
12
1000
2000
3000
4000
5000
13
17/02/2015
100
90
80
70
60
50
40
30
0
20
40
60
80
100
% of VO2max
In http://www.escardio.org/
14
17/02/2015
Athletes
Moderately Active
Sedentary
50
40
30
20
10
0
20
30
40
50
60
70
Age (yr)
VO2max (L/min)
VO2max (ml/kg/min)
60
Men
Women
3.5
3.0
2.5
2.0
1.5
10
20
30
40
Age (Years)
50
60
15
17/02/2015
% Decline in VO2max
%Decline in VO2max
1.4 - 0.85 X Days; r = - 0.73
-10
-20
-30
-40
0
10
20
30
40
Days of Bedrest
In VA Convertino MSSE 1997
Low
Fair
20 - 29
<25
25 - 33
34 - 42
43 - 52
53+
30 - 39
<23
23 - 30
31 - 38
39 - 48
49+
40 - 49
<20
20 - 26
27 - 35
36 - 44
45+
50 - 59
<18
18 - 24
25 - 33
34 - 42
43+
60 - 69
<16
16 - 22
23 - 30
31 - 40
41+
16
17/02/2015
20 - 29
<24
24 - 30
31 - 37
38 - 48
49+
30 - 39
<20
20 - 27
28 - 33
34 - 44
45+
40 - 49
<17
17 - 23
24 - 30
31 - 41
42+
50 - 59
<15
15 - 20
21 - 27
28 - 37
38+
60 - 69
<13
13 - 17
18 - 23
24 - 34
35+
17
17/02/2015
Treadmill (walking/running)
Cycle Ergometry
Arm Ergometry
Step Tests
% of VO2max
Uphill Running
Horizontal Running
Upright Cycling
Supine Cycling
Arm Cranking
Arms and Legs
Step Test
100%
95 - 98%
93 - 96%
82 - 85%
65 - 70%
100 - 104%
97%
18
17/02/2015
CPET evaluates the way in which your heart, lungs and circulation
simultaneously respond to exercise.
Laboratory Tests
Maximal
Sub-maximal
19
17/02/2015
Field Tests
Maximal
Sub-maximal
CPET information:
1. 12 lead ECG (Resting and exertion)
2. Lung function: Spirometry and lung volume
flow loops
3. Oxygen consumption during exercise
4. VO2 max
5. Anaerobic threshold (Lactate threshold)
6. Metabolism during exercise (Fat vs.
carbohydrate burning)
7. Cardiac and respiratory function during
Who might need a CPET?
exercise
Patients scheduled for major surgery
Patients taking part in a health check-up for
the diagnosis of heart and lung disease
Patients in rehabilitation following a major
illness
Healthy subjects assessing their fitness,
personal fitness goals and or weight loss
targets
Athletes at all levels needing expert guidance
to titrate training programs
Athletes looking to quantify fitness levels and
evaluate training effectiveness
20
17/02/2015
21
17/02/2015
In Kisner, C and Colby LA. (2007). Therapeutic exercise: Foundations and techniques
22
17/02/2015
Important Questions
1. How is energy released?
2. What fuels sources exist in our body?
3. Where does ATP come from?
4. What pathways can we use to make ATP?
5. Why do we slow down?
23
17/02/2015
Energy
http://www.lactate.com/triathlon/lactate_triathlon_energy_basic.html
24
17/02/2015
Energy
Muscle Glycogen
Blood Glucose (Liver)
Fats (Adipose Tissue)
Proteins (Amino Acids)*
ATP ADP +
Energy
25
17/02/2015
Slow Twitch
Fast Twitch
Type Ia
Type lla
Type lld(x)
Aerobic Capacity
HIGH
MED/HIGH
MED
Myoglobin Content
HIGH
MED
LOW
Color
RED
RED
PINK/WHITE
Fatigue Resistance
HIGH
MED/HIGH
MED
Glycolytic Capacity
LOW
MED
MED/HIGH
Glycogen Content
LOW
MED
HIGH
Triglyceride Content
HIGH
MED
MED/LOW
MHCIb
MHCIIa
MHCIId(x)
Energy
26
17/02/2015
O2
2. Aerobic O2 dependent
Requires oxygen
O2
27
17/02/2015
ATP reservoir
CHO
O2
AT
P
FAT
28
17/02/2015
Energy Systems
Energy Systems
Mole of
ATP/min
Time to Fatigue
5 to 10 sec
2.5
Unlimited time
Anaerobic vs Aerobic
Energy Systems
Anaerobic
ATP-PCR : 10 sec.
Glycolysis: < 3 minutes
Aerobic
Krebs cycle
Electron Transport Chain
-Oxidation
2 minutes +
29
17/02/2015
Glycolysis
Aerobic
Phosphagen (ATP-PCR)
10 sec
30 sec
2 min
5 min +
Immediate
Short-term
ATP-stores
ATP
Long-term
ATP-production
PCR
Glycolysis
Anaerobic
Glycolysis
Aerobic
aerobic
Glycolysis
system-oxidation
TCA-Cycle
Oxidative Phosphorylation
30
17/02/2015
Plasma glucose
Plasma FFA
IMTG
Muscle glycogen
600
300
25
65
85
31
17/02/2015
Limiting Factors
ATP/PC
R
Anaerobic
Glycolysis
Aerobic
Glycolysis
-oxidation
Velocity of supply
++
--
Rate of supply
++
--
Stores
++
Efficiency
--
++
32
17/02/2015
8%
40%
50%
44.1%
50%
65%
92%
49.6%
6 sec
ATP
60%
50%
30 sec
CP
60 sec
Anaerobic
Glycolytic
50%
35%
2 min
1 hour
Aerobic
Glycolytic
4 hours
Aerobic
Lipolytic
33
17/02/2015
Event
Energy System
1. Power (Jump)
2. Speed (Sprint)
3. Endurance (Run)
4. Ultra-Endurance
Energy Sources
1. ATP ADP + Pi + H+
2. CP + ADP + H+ ATP + Cr
Availability: Immediate- stored in muscle
Anaerobic Power: Large
Anaerobic Capacity: Small
34
17/02/2015
Energy Sources
Muscle Glycogen 2 ATP + 2 Lactate + 2H+
Availability: Rapid- via glycogen breakdown (glycolysis)
Anaerobic Power: Moderate
Anaerobic Capacity: Larger than ATP-CP
Aerobic
system
Lactate
35
17/02/2015
Oxidative phosphorylation
Energy Sources
Carbohydrates + O2 38 ATP + by-products
Availability: Fast- via breakdown CHO
Aerobic Power: Large
Aerobic Capacity: Large but limited
36
17/02/2015
Energy Sources
Fats + O2 456 ATP + by-products
Availability: Slow- via fat breakdown (lipolysis)
Aerobic Power: Low
Aerobic Capacity: Unlimited
Lactic Acid
Regeneration of NAD+
sustains continued
operation of glycolysis.
Lactate
37
17/02/2015
Pyruvate:Lactate
VO2 (l/min)
TLac
CONSTANT LOAD
Wa
Severe
4
Heavy
Severe
Moderate
Heavy
Moderate
150
Work Rate (Watts)
300
12
24
Time (minutes)
38
17/02/2015
Lactate/Lactic Acid
A product of glycolysis formed from reduction of pyruvate in
recycling of NAD or when insufficient O2 is available for
pyruvate to enter the TCA cycle.
Extent of lactate formation depends on availability of both
pyruvate and NADH.
Blood lactate at rest is about 0.8 to 1.5 mM, but during
intense exercise can be in excess of 18 mM.
Heavy Exercise:
Lower boundary: Work rate at LT
Upper boundary: highest work rate at which blood
lactate can be stabilized (Maximum lactate steady state)
Severe Exercise:
Neither O2 or lactate can be stabilized
39
17/02/2015
Heavy
Moderate
12
24
Time (minutes)
Lactate Threshold
Intensity of exercise at which blood lactate
concentration is 1 mM above baseline.
Expressed as a function of VO2max, i.e., 65% of VO2max.
Expressed as a function of velocity or power output,
i.e., 150 W or 7.5 mph.
40
17/02/2015
Anaerobic threshold or AT
first used in 1964
based on blood La- being associated with hypoxia
Should not be used
Lactate Threshold
41
17/02/2015
Lactate Threshold
LT as a % of VO2max or workload
Sedentary individual 40-60% VO2max
Endurance-trained > 70% VO2max
25
50
75
100
Percent of VO2max
42
17/02/2015
LT represents metabolism
glycogenolysis and glycolytic metabolism
recruitment of fast-twitch motor units
Mitochondrial capacity for pyruvate is exceeded
Pyruvate converted to lactate to maintain NAD+
Redox potential (NAD+/NADH)
Mechanisms of La production
Blood
Catechols
Lactate
Threshold
Reduced
Removal of
Lactate
Low
Muscle O2
Redox
Potential
LaProduction
Accelerated
Glycolysis
Recruitment
of Type II
Fibers
Mitochon
Capacity for
Pyruvate
Exceeded
43
17/02/2015
44
17/02/2015
In http://www.lactate.com
http://www.lactate.com
45
17/02/2015
http://www.lactate.com
http://www.lactate.com
46
17/02/2015
47
17/02/2015
Ventilatory Threshold
Describes the point at which pulmonary ventilation
increases disproportionately with oxygen
consumption during graded exercise.
At this exercise intensity, pulmonary ventilation no
longer links tightly to oxygen demand at the cellular
level.
Ventilatory Threshold
3 methods used in research:
Minute ventilation vs VO2, Work or HR
V-slope (VO2 & VCO2)
Ventilatory equivalents (VE/VO2 & VE/VCO2)
Relation of VT & LT
highly related (r = .93)
30 second difference between thresholds
48
17/02/2015
Ventilatory Threshold
During incremental exercise:
Increased acidosis (H+ concentration)
Buffered by bicarbonate (HCO3-)
Lung
RBC
Ventilatory Threshold
6000
By V Slope Method
5000
4000
3000
2000
1000
2000
AT
2500
3000
3500
4000
4500
VO 2 (ml/min)
49
17/02/2015
Ventilatory Threshold
VE (L/min)
200
150
100
50
0
80
100
120
140
160
180
Heart Rate
50
17/02/2015
51
17/02/2015
http://s697.photobucket.com/user/performancetl/media/image1.jpg.html
52
17/02/2015
53
17/02/2015
RER = 0.75
4.0 + 0.75 = 4.75
L of O2 per minute = 3 liters
4.75 x 3 = 14.25 kcal/min
54