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NUTRITION IN SPORT - Index of

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ance in the blood <strong>of</strong> lactic acid, as related to the<br />

anaerobic metabolism.<br />

For the athlete performing aerobic exercise<br />

under most conditions, it is considered that the<br />

individual’s capacity for ventilation is adequate<br />

to provide O 2 from the atmosphere to the alveoli<br />

and to carry CO 2 from the alveoli to the atmosphere.<br />

In elite endurance athletes who are highly<br />

conditioned for aerobic metabolism and are performing<br />

near their capacities for aerobic power<br />

production, it can be frequently observed that<br />

blood leaving the lungs via the pulmonary veins<br />

is not as saturated with oxygen as it is under the<br />

conditions <strong>of</strong> rest and submaximal aerobic exercise.<br />

It can thus be concluded that, under the very<br />

special conditions where a very highly conditioned<br />

athlete is performing high-intensity<br />

aerobic exercise, pulmonary ventilation serves as<br />

a limiting factor for external respiration and<br />

therefore oxygen uptake.<br />

Circulation<br />

For the delivery <strong>of</strong> oxygen, the removal <strong>of</strong> carbon<br />

dioxide and the transport <strong>of</strong> anabolites and<br />

catabolites to and from the body cells, the organism<br />

is dependent upon the circulation <strong>of</strong> the<br />

blood. With regard to the aerobic metabolism<br />

related to exercise and recovery, the most important<br />

factors are: the oxygen-carrying capacity <strong>of</strong><br />

the blood, the blood volume available, the ability<br />

<strong>of</strong> the heart to pump blood (cardiac output) and<br />

the capillarization <strong>of</strong> the skeletal muscles.<br />

basic exercise physiology 11<br />

The term cardiac output can actually refer to the<br />

amount <strong>of</strong> blood ejected through the aorta or the<br />

pulmonary arteries per minute (‘minute volume’<br />

or Q . ) or the amount <strong>of</strong> blood ejected per systole<br />

(‘stroke volume’ or SV). The relationship<br />

between minute volume and stroke volume<br />

includes the contraction frequency <strong>of</strong> the heart<br />

(f H ) as follows: Q . = f H ·SV.<br />

The relationship <strong>of</strong> these variables with<br />

oxygen uptake includes the unloading factor <strong>of</strong><br />

oxygen in the tissues as determined from the<br />

content <strong>of</strong> oxygen in systemic arterial blood<br />

(C a o 2 ) and the content in systemic mixed venous<br />

blood (C v o 2 ). It is:<br />

V . o 2 = f H ·SV·a-vo 2 diff.<br />

Representative values for an 80-kg athlete are<br />

presented in Table 1.3. It can be observed that the<br />

relationship between aerobic power (oxygen<br />

uptake) and heart rate is essentially rectilinear.<br />

Stroke volume increases from a resting value <strong>of</strong><br />

104ml to near maximum values even during<br />

low-intensity aerobic exercise. The increase in<br />

cardiac minute volume as higher levels <strong>of</strong><br />

oxygen uptake are attained is accounted for by<br />

the increase in heart rate.<br />

Meanwhile, the arteriovenous oxygen difference<br />

continues to increase due solely to the<br />

lowered concentration <strong>of</strong> oxygen in systemic<br />

mixed venous blood leaving the active tissues.<br />

The arterial concentration remains constant at a<br />

value <strong>of</strong> approximately 20 ml ·l –1 blood, indicating<br />

that pulmonary capillary blood becomes<br />

Table 1.3 Representative data for steady-state oxygen uptake and circulatory variables at rest and during various<br />

intensities <strong>of</strong> constant-intensity exercise (for an 80-kg athlete). The maximum aerobic power for the athlete is<br />

4.5 l · min -1 and maximum f H is 195.<br />

V . o 2<br />

fH a-vo2diff. (l · min-1) (l · min-1) (beats · min-1) SV (ml) (ml O2 ·l-1) Q .<br />

Rest 0.25 6.4 60 104 40<br />

-- 1.00 12.3 100 123 81<br />

-- 2.00 14.8 120 123 136<br />

-- 3.00 17.2 140 123 174<br />

Intense aerobic exercise 3.50 19.7 160 123 178<br />

Intense aerobic exercise with 4.00 22.1 180 123 180<br />

anaerobic contribution

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