Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2011 Dec;111(6):1727-34.
doi: 10.1152/japplphysiol.00569.2011. Epub 2011 Sep 15.

Does cerebral oxygen delivery limit incremental exercise performance?

Affiliations

Does cerebral oxygen delivery limit incremental exercise performance?

Andrew W Subudhi et al. J Appl Physiol (1985). 2011 Dec.

Abstract

Previous studies have suggested that a reduction in cerebral oxygen delivery may limit motor drive, particularly in hypoxic conditions, where oxygen transport is impaired. We hypothesized that raising end-tidal Pco(2) (Pet(CO(2))) during incremental exercise would increase cerebral blood flow (CBF) and oxygen delivery, thereby improving peak power output (W(peak)). Amateur cyclists performed two ramped exercise tests (25 W/min) in a counterbalanced order to compare the normal, poikilocapnic response against a clamped condition, in which Pet(CO(2)) was held at 50 Torr throughout exercise. Tests were performed in normoxia (barometric pressure = 630 mmHg, 1,650 m) and hypoxia (barometric pressure = 425 mmHg, 4,875 m) in a hypobaric chamber. An additional trial in hypoxia investigated effects of clamping at a lower Pet(CO(2)) (40 Torr) from ∼75 to 100% W(peak) to reduce potential influences of respiratory acidosis and muscle fatigue imposed by clamping Pet(CO(2)) at 50 Torr. Metabolic gases, ventilation, middle cerebral artery CBF velocity (transcranial Doppler), forehead pulse oximetry, and cerebral (prefrontal) and muscle (vastus lateralis) hemoglobin oxygenation (near infrared spectroscopy) were monitored across trials. Clamping Pet(CO(2)) at 50 Torr in both normoxia (n = 9) and hypoxia (n = 11) elevated CBF velocity (∼40%) and improved cerebral hemoglobin oxygenation (∼15%), but decreased W(peak) (6%) and peak oxygen consumption (11%). Clamping at 40 Torr near maximal effort in hypoxia (n = 6) also improved cerebral oxygenation (∼15%), but again limited W(peak) (5%). These findings demonstrate that increasing mass cerebral oxygen delivery via CO(2)-mediated vasodilation does not improve incremental exercise performance, at least when accompanied by respiratory acidosis.

PubMed Disclaimer

Figures

Fig. 1.
Fig. 1.
Control (○) and clamp (●) experiments in normoxia (n = 9), hypoxia (n = 11), and follow-up (n = 6) trials. Values are means and SDs at 0 W, 25, 50, 75, and 100% of peak work rate. End-tidal Pco2 (PetCO2) was clamped at 50 Torr in normoxia and hypoxia throughout exercise. In follow-up trials, PetCO2 was clamped at 40 Torr from ∼75 to 100% peak work rate. Clamping increased cerebral blood flow velocity (CBFv) and cerebral oxygenation, but decreased maximal power output. ΔTSI, change in tissue saturation index. Different from control (*P < 0.05) and trend (#P < 0.10).
Fig. 2.
Fig. 2.
Control (○) and clamp at 50 Torr (●) trials in normoxia (n = 9) and hypoxia (n = 11). Values are means and SDs at 0 W, 25, 50, 75, and 100% of peak work rate expressed as changes from the 15-s period immediately before exercise. Clamping increased oxyhemoglobin (ΔO2Hb) in cerebral but not muscle tissue. Different from control, *P < 0.01.

References

    1. Ainslie PN, Ashmead JC, Ide K, Morgan BJ, Poulin MJ. Differential responses to CO2 and sympathetic stimulation in the cerebral and femoral circulations in humans. J Physiol (Lond) 566: 613–624, 2005 - PMC - PubMed
    1. Amann M, Calbet JAL. Convective oxygen transport and fatigue. J Appl Physiol 104: 861–870, 2008 - PubMed
    1. Amann M, Kayser B. Nervous system function during exercise in hypoxia. High Alt Med Biol 10: 149–164, 2009 - PubMed
    1. Amann M, Pegelow DF, Jacques AJ, Dempsey JA. Inspiratory muscle work in acute hypoxia influences locomotor muscle fatigue and exercise performance of healthy humans. Am J Physiol Regul Integr Comp Physiol 293: R2036–R2045, 2007 - PubMed
    1. Amann M, Romer LM, Subudhi AW, Pegelow DF, Dempsey JA. Severity of arterial hypoxaemia affects the relative contributions of peripheral muscle fatigue to exercise performance in healthy humans. J Physiol (Lond) 581: 389–403, 2007 - PMC - PubMed

Publication types