Exercise
Time course of changes in ventilation
Exercise
- At, just immediately just before, the start of exercise, ventilation increases instantly (phase I) 
 - At moderate levels of exercise, ventilation then increases further with time (phase II), and an equilibrium level of ventilation (phase III) is reached within 3 minutes. 
 - With heavy exercise, ventilation increases further and reaches equilibrium at a higher level of ventilation 
 - With severe exercise, ventilation continues to increase
 
##20050306(03) - "Exercise and ventilation"
Recovery
- After exercise, ventilation falls to resting levels in a few minutes. 
 - More intense exercise
--> Oxygen debt greater and lactate level higher
--> Recovery takes longer 
 
Control of ventilation during exercise
Control of ventilation during exercise is still largely unknown
- Phase I can be in part due to a learned response
* Can also be due to joint/muscle receptor 
 - Arterial blood gases are probably not the main factor in the increase of ventilation during exercise.
* PaO2 is normal
* PaCO2 is often reduced
* However, 100% O2 does reduce minute volume for a particular level of oxygen consumption. 
 - Hyperthermia
* May have small contribution 
 - Metabolic acidosis
* Causes excess ventilation during heavy and severe exercise 
Role of training
Training affects
- Owles point 
 - Cardiac fitness
--> thus oxygen delivery
--> thus the aerobic exercise capacity 
 - Ability of muscles to remove lactate 
 - (In animal study) ability of liver to remove lactate 
 - Tolerance to lactate 
 - Fraction of MBC that can be sustained, via stronger and more enduring respiratory muscles
 
Training does not affect
- Linear relationship between power generated and oxygen consumed 
 - Maximal expiratory flow 
 - Slope of ventilation vs oxygen consumption curve (but Owles point is affected)
 
Summary
Training improves
- Performance of skeletal muscles and cardiovascular system 
 - Not respiratory function
 
 
Additional notes
Levels of exercise
Moderate exercise
- Below the subject's anaerobic threshold 
 - Arterial blood lactate is not raised 
 - Considered as steady state
 
Heavy exercise
- Above the anaerobic threshold 
 - Arterial blood lactate is elevated but remains constant 
 - Considered as steady state
 
Severe exercise
- Well above the anaerobic threshold 
 - Arterial blood lactate continues to rise 
 - Unsteady state