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First published online on March 31, 2006.
Copyright © 2006 by The Physiological Society
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Received February 2, 2006
Revised February 27, 2006
Accepted after revision March 21, 2006

Determinants of maximal exercise and muscle oxygen extraction in acclimatizing lowlanders and in high altitude natives

Carsten Lundby1*, Mikael Sander2, Gerrit van Hall1, Bengt Saltin1, and Jose A. L. Calbet3

1 Copenhagen Muscle Research Centre
2 Aviation Medicine & Copenhagen Muscle Research Centre
3 Universidad de Las Palmas de Gran Canaria

* To whom correspondence should be addressed. E-mail: carsten{at}cmrc.dk.

The tight relation between arterial oxygen content and VO2max within a given person at sea level is diminished with altitude acclimatization. An explanation often suggested for this mismatch, is impairment of the muscle O2 extraction capacity with chronic hypoxia, and is the focus of the present study. We have studied six lowlanders during maximal exercise at sea level (SL) and with acute (AH) exposure to 4100 m altitude, and again after two (W2) and eight weeks (W8) of altitude sojourn, where also eight high altitude native (Nat) Aymaras were studied. Fractional arterial muscle O2 extraction at maximal exercise was 90.0 ± 1.0 % in the Danish lowlanders at sea level, and remained close to this value in all situations. In contrast to this, fractional arterial O2 extraction was 83.2 ± 2.8 in the high altitude natives, and did not change with the induction of normoxia. The capillary oxygen conductance of the lower extremity, a measure of oxygen diffusing capacity, was decreased in the Danish lowlanders after 8 weeks of acclimatization, but was still higher than the value obtained from the high altitude natives. The values were 55.2 ± 3.7 (SL), 48.0 ± 1.7 (W2), 37.8 ± 0.4 (W8), and 27.7 ± 1.5 (Nat) ml.min-1.mmHg-1. However, when correcting oxygen conductance for the observed reduction in maximal leg blood flow with acclimatisation the effect diminished. When calculating a hypothetical leg VO2max at altitude using either the leg blood flow or the O2 conductance values obtained at sea level, the former values were almost completely restored to sea level values. This would suggest that the major determinant for VO2max not to increase with acclimatization is the observed reduction in maximal leg blood flow and O2conductance.


Key words: Altitude • Blood flow • Exercise




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