Am. J. Respir. Crit. Care Med., Vol 155, No. 1, 01 1997, 229-235.
Effect of hypoxia and carbon monoxide on muscle oxygenation during exercise
K Maehara, M Riley, P Galassetti, TJ Barstow and K Wasserman
Harbor-UCLA Medical Center, Division of Respiratory and Critical Care Physiology and Medicine, Torrance, California 90509-2910, USA.
We used near-infrared spectroscopy (NIRS) to test the hypothesis that
reducing oxygen availability during exercise would affect the rate of
muscle oxyhemoglobin (O2Hb) desaturation when performing work above the
lactic acidosis threshold (LAT), but not below it. Seven healthy men each
performed two constant work intensities (60%LAT and the LAT plus 40% of the
difference between the LAT and VO2max [40%delta]) four times under the
following conditions: (1) 10 min air; (2) 5 min 15%O2 + 5 min air; (3) 5
min air + 5 min 15%O2; (4) 5 min after carbon monoxide (CO) loading to
increase the carboxyhemoglobin (COHb) saturation to 15%. During each test,
cardiorespiratory parameters and muscle oxygenation measured with NIRS were
continuously monitored. Forearm venous blood lactate was measured every 2
to 3 min. Hypoxia and CO accelerated muscle deoxygenation only for exercise
above the LAT; for exercise below the LAT, neither progressive
deoxygenation nor lactate accumulation occurred after initital, rapid
muscle deoxygenation. The rate of decrease in muscle oxygenation between 3
to 5 min of exercise correlated with the increase in VO2 (r = 0.61, p <
0.01) and blood lactate (r = 0.70, p < 0.01) over the same period. These
results support the hypothesis that progressive muscle deoxygenation occurs
above the LAT and that the rate of deoxygenation is sensitive to oxygen
delivery.
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Copyright © 1997 American Thoracic Society
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