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Restrictions in systemic and locomotor skeletal muscle perfusion, oxygen supply andVO2during high‐intensity whole‐body exercise in humans

Mortensen S, Damsgaard R, Dawson E +2 more2008The Journal of PhysiologyCross-Sectional Study
CardiovascularMusculoskeletal

Abstract

Perfusion to exercising skeletal muscle is regulated to match O2delivery to the O2demand, but this regulation might be compromised during or approaching maximal whole‐body exercise as muscle blood flow for a given work rate is blunted. Whether muscle perfusion is restricted when there is an extreme metabolic stimulus to vasodilate during supramaximal exercise remains unknown. To examine the regulatory limits of systemic and muscle perfusion in exercising humans, we measured systemic and leg haemodynamics, O2transport, and, and estimated non‐locomotor tissue perfusion during constant load supramaximal cycling (498 ± 16 W; 110% of peak power; mean ±s.e.m.) in addition to both incremental cycling and knee‐extensor exercise to exhaustion in 13 trained males. During supramaximal cycling, cardiac output (), leg blood flow (LBF), and systemic and leg O2delivery andreached peak values after 60–90 s and thereafter levelled off at values similar to or ∼6% (P< 0.05) below maximal cycling, while upper body blood flow remained unchanged (∼5.5 l min−1). In contrast,and LBF increased linearly until exhaustion during one‐legged knee‐extensor exercise accompanying increases in non‐locomotor tissue blood flow to ∼12 l min−1. At exhaustion during cycling compared to knee‐extensor exercise,, LBF, leg vascular conductance, leg O2delivery and legfor a given power were reduced by 32–47% (P< 0.05). In conclusion, locomotor skeletal muscle perfusion is restricted during maximal and supramaximal whole–body exercise in association with a plateau inand limb vascular conductance. These observations suggest that limits of cardiac function and muscle vasoconstriction underlie the inability of the circulatory system to meet the increasing metabolic demand of skeletal muscles and other tissues during whole‐body exercise.

Part of CIRS Nexus · Curated by Lauren Lowenstein, The Biotoxin Lady

Key Biomarkers

Cardiac OutputLeg Blood Flow (LBF)Leg Vascular ConductanceSystemic and Leg O2 DeliveryVO2 (Oxygen Uptake)