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First published online on March 27, 2008.
Copyright © 2008 by The Physiological Society
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jphysiol.2007.149401v1
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Received December 5, 2007
Revised January 14, 2008
Accepted after revision March 20, 2008

Restrictions in systemic and locomotor skeletal muscle perfusion, oxygen supply and VO2 during high-intensity whole-body exercise in humans

Stefan P Mortensen1, Rasmus Damsgaard1, Ellen A Dawson1, Niels H Secher1, and José González-Alonso2*

1 Rigshospitalet
2 Centre for Sports Medicine & Human Performance

* To whom correspondence should be addressed. E-mail: j.gonzalez-alonso{at}brunel.ac.uk.

Perfusion to exercising skeletal muscle is regulated to match O2 delivery to the O2 demand, 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, O2 transport, and VO2 and estimated non-locomotor tissue perfusion during constant load supramaximal (SUP) cycling (498±16 W; 110% of peak power; mean±SEM) in addition to both incremental cycling and knee-extensor exercise to exhaustion in 13 trained males. During SUP, cardiac output (Q), leg blood flow (LBF), and systemic and leg O2 delivery and VO2 reached 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, Q 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, Q, LBF, leg vascular conductance, leg O2 delivery and leg VO2 for 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 in Q and 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.


Key words: cardiac output • Haemodynamics • Vascular conductance







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