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J Physiol Volume 570, Number 1, 185-205, January 1, 2006 DOI: 10.1113/jphysiol.2005.094615
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SKELETAL MUSCLE AND EXERCISE

Alkalosis increases muscle K+ release, but lowers plasma [K+] and delays fatigue during dynamic forearm exercise

Simon M. Sostaric1, the late Sandford L. Skinner2, Malcolm J. Brown3, Termboon Sangkabutra1, Ivan Medved1, Tanya Medley1, Steve E. Selig1, Ian Fairweather1, Danny Rutar1 and Michael J. McKenna1

1 Muscle, Ions and Exercise Group, Centre for Ageing, Rehabilitation, Exercise and Sport, School of Human Movement, Recreation and Performance, Victoria University, Melbourne, Victoria, Australia
2 Department of Physiology, University of Melbourne, Melbourne, Victoria, Australia
3 Department of Anaesthesiology, Austin and Repatriation Medical Centre, Melbourne, Victoria, Australia

Abstract

Alkalosis enhances human exercise performance, and reduces K+ loss in contracting rat muscle. We investigated alkalosis effects on K+ regulation, ionic regulation and fatigue during intense exercise in nine untrained volunteers. Concentric finger flexions were conducted at 75% peak work rate (~3 W) until fatigue, under alkalosis (Alk, NaHCO3, 0.3 g kg–1) and control (Con, CaCO3) conditions, 1 month apart in a randomised, double-blind, crossover design. Deep antecubital venous (v) and radial arterial (a) blood was drawn at rest, during exercise and recovery, to determine arterio-venous differences for electrolytes, fluid shifts, acid–base and gas exchange. Finger flexion exercise barely perturbed arterial plasma ions and acid–base status, but induced marked arterio-venous changes. Alk elevated [HCO3] and PCO2, and lowered [H+] (P < 0.05). Time to fatigue increased substantially during Alk (25 ± 8%, P < 0.05), whilst both [K+]a and [K+]v were reduced (P < 0.01) and [K+]a-v during exercise tended to be greater (P= 0.056, n= 8). Muscle K+ efflux at fatigue was greater in Alk (21.2 ± 7.6 µmol min–1, 32 ± 7%, P < 0.05, n= 6), but peak K+ uptake rate was elevated during recovery (15 ± 7%, P < 0.05) suggesting increased muscle Na+,K+-ATPase activity. Alk induced greater [Na+]a, [Cl]v, muscle Cl influx and muscle lactate concentration ([Lac]) efflux during exercise and recovery (P < 0.05). The lower circulating [K+] and greater muscle K+ uptake, Na+ delivery and Cl uptake with Alk, are all consistent with preservation of membrane excitability during exercise. This suggests that lesser exercise-induced membrane depolarization may be an important mechanism underlying enhanced exercise performance with Alk. Thus Alk was associated with improved regulation of K+, Na+, Cl and Lac.

(Received 14 July 2005; accepted after revision 18 October 2005; first published online 20 October 2005)
Corresponding author M. J. McKenna: School of Human Movement, Recreation and Performance, Victoria University, PO Box 14428, Melbourne, 8001, Victoria, Australia. Email: michael.mckenna{at}vu.edu.au




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