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Biomedical subjects

P Cerretelli

Publications and source records attributed to P Cerretelli.

At least 109 records · Page 6Linked to original sources

Effects of L-carnitine loading on the aerobic and anaerobic performance of endurance athletes.

L-Carnitine (L-C), a well known physiological carrier across the inner mitochondrial membrane of activated long chain fatty acids and acceptor of acyl groups from acyl-CoA, has been recently synthesised industrially. This has made it possible to study the effects of L-C loading (4 g X d(-1) by mouth over a period of 2 weeks) on the aerobic and anaerobic performance of 6 long distance competitive walkers. As a result of the treatment: 1) mean total, free and esterified serum L-C both at rest and shortly after completing a 120 min walk at about 65% of the individual maximal aerobic power (VO2max) were significantly increased; 2) VO2max increased 6%, from 54.5 +/- 3.7 (S.D.) to 57.8 +/- 4.7 m1O2 X kg(-1) X min(-1) (P less than 0.02); 3) blood lactate concentration (Lab) as a consequence of short bouts repeated exercise (series of 10, 15 and 20 jumps off both feet on a force platform) was unchanged; 4) heart rate, pulmonary ventilation, oxygen consumption, and respiratory quotient in the same conditions as for 1) were unchanged. It is concluded that, in trained athletes, as a consequence of L-C loading VO2max is slightly but significantly raised, probably as a result of an activation of substrate flow through the TCA cycle, whereas the lipid contribution to metabolism in prolonged submaximal exercise remains unchanged.

Adolescent↗

Simulation of oxygen delivery to tissues: the role of the hemoglobin oxygen equilibrium curve at altitude.

A simplified model is described to estimate the oxygen delivery to tissues as a function of oxygen uptake, gas exchange ratio, 2,3-DPG/Hb concentration ratio, arterial and venous PO2, PCO2 and pH. Due to the complexity of the oxygen delivery system, the aim of this model is to predict relative changes of the oxygen delivery to tissues induced by changes of the other variables, rather than to yield absolute values. In this work, the importance of the observed shifts of the hemoglobin oxygen equilibrium curve at altitude is evaluated in terms of the efficiency of the oxygen transport system. It will be shown that a rightward shift of the oxygen equilibrium curve is beneficial up to 5400 m.a.s.l., while for higher altitudes such shifts lead to less efficient oxygen delivery to tissues.

Altitude↗

Cardiac output and muscle blood flow in exercising dogs.

Average blood flow (q) was determined by trapping of 15 micron radioactive microspheres in the vastus lateralis, the gastrocnemius-flexor digitorum superficialis and the triceps brachii of five 18 kg untrained mongrel dogs at rest and during graded treadmill running. Oxygen uptake (VO2) and cardiac output (Qco) were simultaneously determined. q leveled off in all investigated muscles at 60-100 ml X 100 g-1 X min-1 when VO2 was ca. 70% of peak VO2. Qco increased linearly with VO2 up to peak VO2. The regional blood flow (qR) distribution pattern within the muscle was found to be extremely scattered around q, both at rest and at heavy exercise. qR ranged from approximately 5 to approximately 55 ml X 100 g-1 X min-1 at rest and from approximately 10 to approximately 200 ml X 100 g-1 X min-1 at maximal exercise. No significant topographic pattern was observed in the qR distribution of the gastrocnemius muscle which was essentially similar to that previously found for the isolated-perfused muscle preparation. The results indicate that maximal limb muscle blood flow and/or its uneven distribution may be the primary limiting factor to peak VO2 in untrained running dogs.

Animals↗

Blood flow distribution in dog gastrocnemius muscle at rest and during stimulation.

The distribution of blood flow within the isolated perfused dog gastrocnemius muscle (weight 100-240 g) was studied by intra-arterial injection of radioactively labeled microspheres (diameter 15 micron) at rest and during supramaximal stimulation to rhythmic isotonic tetanic contractions of varied frequency against varied loads. After the experiment the muscle was cut into 180-250 pieces of approximately 0.75 g each, and the blood flow to each muscle piece was determined from its radioactivity. The inhomogeneity of blood flow was represented as the frequency distribution of the ratios of regional specific blood flow, i.e., blood flow per unit tissue weight of the piece, QR, to the overall specific blood flow of the muscle, Q. The QR/Q values for the individual pieces of a muscle were found to vary widely both at rest and during stimulation. With rising work load the frequency distribution had a tendency to broaden and flatten, indicating increasing perfusion inhomogeneity. On the average of the experiments, there was no significant difference in specific blood flow between the three anatomic components of the gastrocnemius (lateral and medial heads of gastrocnemius and flexor digitorum superficialis) nor between the superficial and deep portions within these anatomic components, only the distal third of the muscle was relatively less perfused compared with the proximal two-thirds. The considerable inhomogeneity of blood flow as revealed by microsphere embolization and by other methods is expected to exert important limiting effects on local O2 supply, particularly during exercise. Its neglect would lead to serious errors in the analysis of O2 supply to muscle tissue.

Animals↗

After effects of chronic hypoxia on VO2 kinetics and on O2 deficit and debt.

Single breath O2 consumption (PB = 730, FI02 = 0.21) was measured at rest, during 10 min cycloergometric exercise at 125 W, and in the following recovery phase in seven subjects before, and 12 days after 6 weeks at 5,200 m or above. Peak blood lactate after exercise (Lâb) was measured. O2 deficits and debts and half times (t1/2) of the VO2 on- and off-kinetics were calculated. Before acclimatization, the VO2 on- and off-responses were close to a single exponential with t1/2 = 30 s. After return to sea level, the VO2 on-response curves were less steep in the initial phase, becoming closer to sigmoid. The t1/2, independent of the shape of the underlying function, was approximately 10 s longer. The VO2 off-responses during the initial 4 min of recovery were the same before and after acclimatization. Average O2 deficit was approximately 320 ml larger after acclimatization: the fast component of O2 debt was similar. Since steady state VO2 and Lâb were the same, the O2 deficit difference can be attributed to a greater utilization of O2 stores. Of these, about 1/3 is explained in terms of increased mixed venous blood O2 stores, due to increased [Hb] (16.6 vs 14.9 g X dl-1), while the remainder is ascribed essentially to increased Mb-bound O2. O2 stores utilization and replenishment is presumed to occur when muscle metabolism is low; as a consequence, while it is clearly detectable from the shape of the initial phase of the VO2 on-response, during recovery it is spread throughout, thus becoming more difficult to appreciate.

Acclimatization↗

After effects of chronic hypoxia on cardiac output and muscle blood flow at rest and exercise.

Cardiac output (Q, by N2-CO2 rebreathing) and limb muscle blood flow (qm, from 133Xe clearance) were determined in eight male subjects at rest and during cycloergometric loads immediately before and 12 days after return from the 1981 Swiss Lhotse Shar (8,398 m) Expedition. Compared to control conditions, after exposure to hypoxia: 1) Q was unchanged at rest and at 75 watts (W) but was 18% less (P less than 0.01) at 150 W with constant heart rate (approximately 140 beats X min-1); 2) qm in the vastus lateralis was identical at rest but 26% and 39% less (P less than 0.05 and P less than 0.001, respectively) at two submaximal leg work loads (75 and 125 W); 3) qm in the biceps at 50 W was 34% less (P less than 0.01); 4) hemoglobin flow (QHb and qmHb), similarly to blood flow (Q and qm), was significantly reduced; 5) the qm adjustment rate, measured from the time required to attain a new steady state upon a square wave change of work load starting from rest, was slower, particularly at the lower work loads. From the above results as well as from corresponding morphometric findings showing in the same subjects: 1) a decrease of the ratio between fiber section and number of capillaries and 2) a rise of the mitochondrial to fiber volume ratio, it is concluded that during altitude acclimatization peripheral O2 delivery becomes more efficient.

Acclimatization↗

Blood flow in exercising muscles by xenon clearance and by microsphere trapping.

The accuracy of muscle blood flow measurement by the 133Xe clearance method (QXe) was assessed against direct venous outflow (Qv) and microsphere trapping flow (Q mu) determinations in isolated perfused dog gastrocnemius both at rest and during graded stimulation [O2 consumption (VO2) up to 12 ml X 100 g-1 X min-1] and in the gastrocnemius, vastus lateralis, and triceps of intact dogs at rest and while running on a treadmill at varied speeds up to maximum VO2. In 29 measurements performed in 11 isolated muscles, Q mu was in good agreement with Qv at rest and at all stimulation levels (Q mu/Qv = 1.0; r = 0.98). 133Xe clearance yielded much lower blood flows than the venous outflow and the microsphere trapping methods. In 43 measurements in 11 muscles, the mean QXe/Qv ratio was 0.57 +/- 0.03 (SE), independent of blood flow. Similarly, in 65 measurements in 2 intact dogs, the mean QXe/Q mu ratio in all tested muscles was 0.49 +/- 0.02 (SE), independent of blood flow. These results show that the 133Xe clearance method considerably underestimates blood flow in dog muscles.

Animals↗

Blood O2 affinity and maximal O2 consumption in elite bicycle racers.

The PO2 at which hemoglobin is half-saturated with O2 (P50) at 37 degrees C, PCO2 = 42 Torr, measured pH and 2,3-diphosphoglycerate-to-hemoglobin concentration ratio ( [2,3-DPG]/[Hb]) values, Hill's coefficient (n) at rest, and maximal O2 consumption (VO2max) were determined in 11 world-class professional bicycle racers off-season (control, C), after 3 mo of 3 h daily training (preseason, PrS), and after additional 6 mo of competitions (competitive season, CoS). The results indicate that the P50 observed in trained athletes was the same as that of a comparable group of sedentary subjects (Sed) under the same conditions of pH, PCO2, and [2,3-DPG]/[Hb] and was similar to that obtained after "normalization" in respect to pH and the [2,3-DPG]/[Hb]; [2,3-DPG]/[Hb] increased as a function of training from 0.72 to 0.95 (P less than 0.001); the slope of the central portion of the O2 equilibrium curve (OEC) was nearly unaffected by endurance training as indicated by the n value (NCoS = 2.70 +/- 0.08; nSed = 2.65 +/- 0.08); and VO2max increased in the course of training 7 and 9% (P less than 0.001), respectively, when expressed in absolute units or per kilogram body weight. The VO2max predicted on the basis of a computer simulation does not increase significantly as a consequence of the measured rise in [2,3-DPG]. Therefore, the observed increase of VO2max cannot be explained with adaptive changes of the OEC. The present results differ from previous findings reported in other types of athletes.

2,3-Diphosphoglycerate↗

The effect of preceding anaerobic exercise on aerobic and anaerobic work.

The effects of exercise-induced elevation of lactic acid concentration in blood [Lab] up to 12-14 mM on the subsequent aerobic (less than or equal to VO2 max) and anaerobic (supramaximal) performance was investigated in a group of trained non-athletic subjects. For submaximal loads ranging from 0.6 VO2 max to VO2 max the VO2 max/external work load (Wext) ratio was unaffected by preceding anaerobic exercise, VO2 max was not significantly different, whereas the maximal performance time of a standard exercise was reduced. The kinetics of the VO2 on- adjustment at the onset of 0.9 VO2 max rectangular loads carried out by the arms and/or by the legs was significantly increased by a preceding supramaximal anaerobic load carried out by the same as well as by the non-exercised limbs. It is concluded that in the presence of high [Lab] (1) the maximal aerobic power (VO2 max) is unchanged; (2) the efficiency of aerobic work is unaffected, which implies that during active recovery most La is used as substrate, provided the metabolic level during the latter exceeds 0.6 VO2 max; (3) the endurance for anaerobic as well as for aerobic exercise is reduced; (4) the kinetics of the VO2 adjustment at the onset of submaximal rectangular loads is faster, both in primed and in non-exercised muscles.

Adult↗

A programmable electrically braked ergometer.

Research protocols require that the actual braking power (Wb) of electrically braked ergometers (EBE) is precisely set at the chosen power level, stable, and universally programmable. No commercially available EBEs appear to meet jointly the above conditions. In fact, EBE settings were found to deviate up to 25% from the reference level (WR), their Wb to drop as a result of increased temperature as much as 30% within 1 h of continuous operation, and the programming features to be limited and rigid. To overcome the above pitfalls a procedure for building or improving EBEs is presented whereby 1) the stator of the brake used as a dynamometer is mounted on ball bearings, the torque being transmitted to a strain gauge; 2) the number of revolutions of the rotor is measured on a cogwheel by a proximity detector and an impulse counter; and 3) the torque and impulse number signals are fed into a low-priced microcomputer controlling the brake's power supply. The device has proved to be satisfactory in following any preprogrammed exercise-forcing functions. In the range approximately 10-500 W, Wb = WR +/- 1%.

Computers↗

Breath-by-breath alveolar gas exchange.

A method is described for breath-by-breath measurement of alveolar gas exchange corrected for changes of lung gas stores. In practice, the subject inspires from a spirometer, and each expired tidal volume is collected into a rubber bag placed inside a rigid box connected to the same spirometer. During the inspiration following any given expiration the bag is emptied by a vacuum pump. A computer monitors inspiratory and expiratory tidal volumes, drives four solenoid valves allowing appropriate operation of the system, and memorizes end-tidal gas fractions as well as mixed expired gas composition analyzed by mass spectrometer. Thus all variables for calculating alveolar gas exchange, based on the theory developed by Auchincloss et al. (J. Appl. Physiol. 21: 810-818, 1966), are obtained on a single-breath basis. Mean resting and steady-state exercise gas exchange data are equal to those obtained by conventional open-circuit measurements. Breathing rates up to 30 X min-1 can be followed. The breath-to-breath variability of O2 uptake at the alveolar level is less (25-35%) than that measured at the mouth as the difference between the inspired and expired volumes, both at rest and during exercise up to 0.7 of maximum O2 consumption.

Humans↗

Human muscle adaptations to chronic hypoxia.

Maximal aerobic power (V02max) decreases with increasing altitude, the drop being about the same in acute and chronic hypoxia. To elucidate this well established but still rather inexplicable finding, experiments were carried out on a group of participants before and immediately after return from a mountaineering expedition to Mount Lhotse Shar (8398 m). The results of a typical subject exposed over a period of 5 weeks to an altitude of at least 5200 m indicate that: A) In the vastus lateralis muscle the number of capillaries to the number of fibers ratio was unchanged, the mean fiber diameter was reduced from 77.3 to 67.9 mu while the mitochondrial to fiber volume ratio increased from 6.7 to 7.9%; in addition, muscle protein concentration diminished by 37% and succinate dehydrogenase activity (SDH) was 48% less than in control conditions; B) Cardiac output and muscular (vastus lateralis) blood flow at submaximal work loads were reduced by 21% and 53%, respectively; C) The V02 on-response kinetics at the mouth upon rectangular submaximal work loads was delayed (t 1/2 = 37.5 vs. 27.0 s). From the above results it is concluded that the apparent lack of beneficial effects of acclimatization on maximal aerobic power is likely the consequence of the interaction of a number of positive (increased hematocrit, rightward shift of the 02 dissociation curve) and negative (reduced thoracic and peripheral blood flow, decreased muscle mass and oxidative enzymes activity) changes induced by hypoxia.

Adaptation, Physiological↗

The effect of an alpha-ketoglutarate-pyridoxine complex on human maximal aerobic and anaerobic performance.

The administration of 30 mg/kg of body weight of an alpha-ketoglutarate-pyridoxine complex (alpha-KG compl; stoichiometric ratio alpha-KG: pyridoxine 46.35 to 53.65) to trained non-athletic individuals increases VO2 max by 6% (p less than 0.005). The kinetics of the VO2on- and off-responses at the onset and offset of a rectangular work load is not affected by the drug. Peak blood lactate concentration [Lab] following two supramaximal running work loads lasting 60 s and 132 +/- 4 s, respectively is significantly (p less than 0.05 and p less than 0.005) less after the alpha-KG compl treatment (delta Lab = -1.1 and -2.7 mmol . l-1, respectively) than in a control group. The half time (t1/2) of La disappearance from blood during recovery is unaffected by the alpha-KG compl treatment (19.7 min vs 19.5 min). The increase in VO2 max and the corresponding decrease of [Lab] are not found after separate administration of either of the components of the complex. It is concluded that alpha-KG complex stimulates aerobic metabolism, probably prompting mitochondrial reabsorption of alpha-KG, which activates the malate-oxalacetate shuttle and the generation of high energy phosphates at the substrate level.

Adult↗

Dynamic and steady-state metabolic changes in running dogs.

Dynamic and steady-state changes of VO2, VE, VCO2, PaO2 and blood lactate concentration (Lab) were studied in 4 intact (I) and in the same tracheostomized (T) dogs walking or running uphill (+ 10%) on a treadmill at speeds up to 12 km X h-1. A) Non-steady state results: The half times of the VO2 on-response (t1/2 VO2 on-) to rectangular work loads were 18.9 sec +/- 1.2 (SE) in I and 15.6 sec +/- 1.0 in T dogs (P less than 0.05), independent of work intensity and similar to those found for isolated perfused dog gastrocnemii (15-17 sec). Lab during the rest to work transient was almost unchanged. B) Steady-state results: VO2 and VE increased with increasing speed up to 8 km X h-1 (+ 10%) then levelled off both in I and T. Asymptotic VO2, and VE values were higher for I than for T (VO2 = 93 and 83 ml X kg-1 X min-1; VE = 2.6 and 1.75 l X kg-1 X min-1, respectively). Calculated delta VO2/delta VE ratios for equal external work loads indicate that the energy cost of breathing was about 12 ml O2 per liter VE. From (A) it is concluded that the adjustment of oxidative reactions upon work onset is as fast for the whole animal as for isolated gastrocnemius and can be assessed from gas exchange in the upper airways. From (B) it appears that, in the absence of glycolysis, the cost of running per unit distance decreases with increasing speed while the cost of VE becomes a sizeable part of the overall energy expenditure.

Animals↗

Energy sources and mechanical efficiency of anaerobic work in dog gastrocnemius.

Thermally isolated dog gastrocnemii were stimulated to exhaustion by rhythmic isotonic tetani of 0.2s duration (30 min-1) in complete occlusion of blood flow. Total enthalpy change, H = heat + work, work output, w, (kJ . kg-1) and average mechanical efficiency over the working period, n = w/H, were determined from deep muscle temperature increase and amount of shortening, and lactate produced, La, (mol . kg-1) from washout curves, respectively. Under these conditions H is the sum of the enthalpies due to a) alactic sources (Hal), i.e., net approximately P depletion and muscle O2 stores utilization, and b) formation: H = Hal + "delta HLa" . La. Thus, as "delta HLa", the molar enthalpy of La formation, amounts to 76 kJ . mol-1, Hal could be calculated. It was observed that: i) n ranged from 0.2-0.5 and was higher the lower H, this inverse relationship being essentially due to the dependence of n on Hal as described by: Hal = Ho . 10-kn + a (where Ho = 9.3, k = 3.7 and a = 0.15), and ii) the shortening speed of the first few tetani (vi, mm . s-1), was directly related to Hal as described by: vi = 63.3 + 30.7 Hal. Hal is essentially proportional to the approximately P content of resting muscle. These findings suggest therefore that the efficiency of contraction and the shortening speed are both affected by the approximately P concentration, the efficiency increasing, and the speed decreasing with decreasing approximately P.

Anaerobiosis↗

Oxygen affinity of blood in altitude Sherpas.

Oxygen equilibrium curves on blood within 6 h from sampling have been estimated from polarographic measurements of oxyhemoglobin concentration, in 13 male 14- to 50-yr old Sherpas residing at 3,850 m above sea level (Kumjung, Nepal). In samples with red blood cell counts = 4.7 +/- 0.8 (SD) x 10(6)/mm3, total hemoglobin concentration [Hb] = 17.0 +/- 1.9 g/dl, and hematocrit = 53.3 +/- 5.0, the mean oxygen half-saturation of hemoglobin (P50) (pH = 7.4 and PCO2 = 40 Torr) was 27.3 +/- 1.8 Torr. The P50 of altitude Sherpas was not significantly different from that of acclimatized lowlanders (28.2 +/- 1.3; n = 7), sea-level Caucasian residents (26.5 +/- 1.0; n = 17), and Sherpas at sea level (27.1; n = 3). The 2,3-diphosphoglyceric acid-to-hemoglobin concentration ratio ([2,3-DPG]/[Hb]) in altitude Sherpas was 1.22 +/- 0.03, the same as that of acclimatized Caucasians (1.22 +/- 0.10). The Bohr effect measured for the blood of one altitude Sherpas by the ratio deltalog P50/deltapH was -0.32 and -0.45 at PCO2 levels of 40 and 20 Torr, respectively. These values are not significantly different from those found in Caucasians at sea level where deltalog P50/deltalpH was -0.35 and -0.42, respectively. It is concluded that the P50 in native highlanders is not significantly different from that observed in sea-level dwellers. [2,3-DPG]/[Hb] at altitude, both in natives and in newcomers, is 20% higher than in sea-level residents.

Adaptation, Physiological↗

Aerobic and glycolytic metabolism in arm exercise.

Eight kayakers (K) and 3 sedentary subjects (S) performed arm cranking and pedaling while erect or supine at each of several work loads from submaximal to the highest they could sustain for 2 min and for intervals varying from 10 s to 5 min. From measurements of VO2 and blood lactate concentration, the aerobic and glycolytic energy release in arm work was assessed. For steady-state aerobic work all subjects had a mechanical efficiency averaging 0.24 independent of posture or exercise mode. Per unit fat-free limb volume, arm VO2max of group K was 1.5-fold that of group S, whereas leg VO2max was the same in each group. Compared to group S, glycolytic arm work in group K was characterized by: 1) higher thresholds for release of lactate at the onset of submaximal work, 2) lower blood lactate concentrations during comparable absolute or relative submaximal work, 3) higher conventional anaerobic thresholds for absolute, but not relative work loads, 4) higher maximal rates of lactate release, and 5) the same maximal blood lactate concentrations. Measurement of the early lactate threshold, which occurred at considerably lower arm work loads than did anaerobic threshold, but which was greatly increased by specific muscle training, may provide a simple, sensitive, and nontraumatic evaluation of muscle training.

Adult↗