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1.
Undersea Hyperb Med ; 39(4): 829-36, 2012.
Article in English | MEDLINE | ID: mdl-22908839

ABSTRACT

INTRODUCTION: Respiratory muscle training against resistance (RRMT) increases respiratory muscle strength and endurance as well as underwater swimming endurance. We hypothesized that the latter is a result of RRMT reducing the high energy cost of breathing at depth. METHODS: Eight subjects breathed air in a hyperbaric chamber at 55 fsw, both before and after RRMT. They rested for 10 minutes, cycled on an ergometer for 10 minutes (100 W), rested for 10 minutes, and then, while still at rest, they voluntarily mimicked the breathing pattern recorded during the exercise (isocapnic simulated exercise ventilation, ISEV). RESULTS: Post-RRMT values of V(E) at rest, exercise and ISEV were not different from those recorded pre-RRMT. Pre-RRMT minute-ventilation (V(E)) during ISEV was not different from the exercise ventilation (49.98 +/- 10.41 vs. 47.74 +/- 8.44 L/minute). The end-tidal PCO2 during ISEV and exercise were not different (44.26 +/- 2.54 vs. 44.49 +/- 4.49 mmHg) or affected by RRMT. Oxygen uptake (VO2) was 0.32 +/- 0.08 L/ minute at rest, 1.78 +/- 0.15 during exercise pre-RRMT, and not different post-RRMT. During ISEV, VO2 decreased significantly from pre-RRMT to post-RRMT (0.46 +/- 0.06 vs. 0.36 +/- 0.11 L/minute). Post-RRMT delta VO2/delta V(E) was significantly lower during ISEV than pre-RRMT (0.0094 +/- 0.0021 L/L vs. 0.0074 +/- 0.0023 L/L). CONCLUSION: RRMT significantly reduced the energy cost of ventilation, measured as delta VO2/delta V(E) during ISEV, at a depth of 55 fsw. Whether this change was due to reduced work of breathing and/or increased efficiency of the respiratory muscles remains to be determined.


Subject(s)
Breathing Exercises , Energy Metabolism/physiology , Oxygen Consumption/physiology , Respiratory Muscles/physiology , Adult , Atmosphere Exposure Chambers , Breath Tests/methods , Electrocardiography , Humans , Male , Respiratory Function Tests
2.
Undersea Hyperb Med ; 39(1): 595-604, 2012.
Article in English | MEDLINE | ID: mdl-22400450

ABSTRACT

BACKGROUND: Because it has earlier been shown that exercise 24 or two hours pre-dive may suppress the appearance of venous gas bubbles (VGB) in connection with the dive, we studied whether exercise before or during N2 elimination would influence the rate of the latter. Nitrogen elimination was recorded in eight volunteers breathing a normoxic O2+argon mixture for two hours. The N2 washout was preceded two (Condition A) or 24 hours (Condition B) earlier, by one hour of exercise at 85% VO2max (two hours of exercise interspersed with two hours of rest). In separate experiments, exercise at -40% of VO2max was performed throughout the two-hour washout (Condition C), and control experiments (Condition D) with denitrogenation without exercise were also performed. RESULTS: There were no significant differences among conditions for the total N2 eliminated (904 +/- 196 mL). The half-times of N2 washout for A (35.2 +/- 10.8 minutes) and B (31.9 +/- 8.6 minutes) did not differ from control washouts. The rate of washout in C increased 14% compared to D (half-time: 30.4 +/- 7.6 vs. 34.5 +/- 7.8 minutes, p = 0.002), and correlated with cardiac output. CONCLUSION: Exercise 24 or two hours pre-N2 washout did not affect it, suggesting that the decreased VGB scores noted by others in dives preceded by conditions similar to A and B are not due to changes in nitrogen exchange but rather to factors related to bubble formation and/or appearance. That N2 elimination is enhanced by concomitant exercise makes physiological sense but does not necessarily explain the observation by others of a reduced risk of decompression sickness with exercise before diving.


Subject(s)
Decompression Sickness/prevention & control , Diving/physiology , Exercise/physiology , Nitrogen/metabolism , Adult , Atmospheric Pressure , Breath Tests , Carbon Dioxide/metabolism , Cardiac Output/physiology , Decompression Sickness/metabolism , Humans , Male , Oxygen Consumption/physiology , Time Factors
3.
Eur J Appl Physiol ; 111(3): 367-78, 2011 Mar.
Article in English | MEDLINE | ID: mdl-20428884

ABSTRACT

The energy cost to swim a unit distance (C(sw)) is given by the ratio E/v where E is the net metabolic power and v is the swimming speed. The contribution of the aerobic and anaerobic energy sources to E in swimming competitions is independent of swimming style, gender or skill and depends essentially upon the duration of the exercise. C(sw) is essentially determined by the hydrodynamic resistance (W(d)): the higher W(d) the higher C(sw); and by the propelling efficiency (η(P)): the higher η(P) the lower C(sw). Hence, all factors influencing W(d) and/or η(P) result in proportional changes in C(sw). Maximal metabolic power E max and C(sw) are the main determinants of swimming performance; an improvement in a subject's best performance time can more easily be obtained by a reduction of C sw) rather than by an (equal) increase in E max (in either of its components, aerobic or anaerobic). These sentences, which constitute a significant contribution to today's knowledge about swimming energetics, are based on the studies that Professor Pietro Enrico di Prampero and his co-workers carried out since the 1970s. This paper is devoted to examine how this body of work helped to improve our understanding of this fascinating mode of locomotion.


Subject(s)
Energy Metabolism/physiology , Swimming/physiology , Biomechanical Phenomena/physiology , Exercise Test/history , History, 20th Century , Humans , Hydrodynamics , Models, Biological , Models, Theoretical , Torque
4.
Eur J Appl Physiol ; 111(3): 379-90, 2011 Mar.
Article in English | MEDLINE | ID: mdl-21079991

ABSTRACT

There is no consensus on the best diet for exercise, as many variables influence it. We propose an approach that is based on the total energy expenditure of exercise and the specific macro- and micronutrients used. di Prampero quantified the impact of intensity and duration on the energy cost of exercise. This can be used to determine the total energy needs and the balance of fats and carbohydrates (CHO). There are metabolic differences between sedentary and trained persons, thus the total energy intake to prevent overfeeding of sedentary persons and underfeeding athletes is important. During submaximal sustained exercise, fat oxidation (FO) plays an important role. This role is diminished and CHO's role increases as exercise intensity increases. At super-maximal exercise intensities, anaerobic glycolysis dominates. In the case of protein and micronutrients, specific recommendations are required. We propose that for submaximal exercise, the balance of CHO and fat favors fat for longer exercise and CHO for shorter exercise, while always maintaining the minimal requirements of each (CHO: 40% and fat: 30%). A case for higher protein (above 15%) as well as creatine supplementation for resistance exercise has been proposed. One may also consider increasing bicarbonate intake for exercise that relies on anaerobic glycolysis, whereas there appears to be little support for antioxidant supplementation. Insuring minimal levels of substrate will prevent exercise intolerance, while increasing some components may increase exercise tolerance.


Subject(s)
Exercise/physiology , Nutritional Requirements , Anaerobiosis/physiology , Energy Intake/physiology , Energy Metabolism/physiology , Humans , Immune System/physiology , Models, Theoretical , Nutrition Policy , Oxidative Stress/physiology , Resistance Training
5.
Int J Sports Med ; 30(3): 194-9, 2009 Mar.
Article in English | MEDLINE | ID: mdl-19199194

ABSTRACT

Maximal performance in swimming depends on metabolic power and the economy of swimming. Thus, the energy cost of swimming (economy= VO(2)/V, C(s)) and maximal aerobic power (VO(2max)) in elite young female swimmers (n=10, age: 15.3+/-1.5 years) and their relationships to race times (50-1,000 m) and national ranking were examined. VO(2) increased exponentially with velocity (V), (VO(2)=5.95+(-10.58 V)+5.84 V(2)) to a maximal VO(2) of 2.71+/-0.50 L x min(-1) (46.7+/-8.2 mL x kg(-1) x min(-1)) at a free swimming velocity of 1.37+/-0.07 m x s(-1). C(s) was constant up to 1.2 m x s(-1) (21.5 mL x m(-1)), however was significantly higher at 1.36 m x s(-1) (27.3 mL x m(-1)). Peak [La] was 5.34+/-2.26 mM. C(s) expressed as a percentage of Cs at maximal swimming velocity was significantly correlated with race times and ranking across a number of distances. The data for these elite females demonstrate that the energy cost of swimming is a good predictor of performance across a range of distances. However, as swimming performance is determined by a combination of factors, these findings warrant further examination.


Subject(s)
Energy Metabolism/physiology , Oxygen Consumption/physiology , Swimming/physiology , Adolescent , Athletic Performance/physiology , Female , Humans , Time Factors , Young Adult
6.
Eur J Appl Physiol ; 106(2): 195-205, 2009 May.
Article in English | MEDLINE | ID: mdl-19224240

ABSTRACT

The aim of this study was to investigate the role of trunk incline (TI) and projected frontal area (A(eff)) in determining drag during active/passive measurements. Active drag (D(a)) was measured in competitive swimmers at speeds from 0.6 to 1.4 m s(-1); speed specific drag (D(a)/v(2)) was found to decrease as a function of v (P < 0.001) to indicate that the human body becomes more streamlined with increasing speed. Indeed, both A(eff) and TI were found to decrease with v (P < 0.001) whereas C(d) (the drag coefficient) was found to be unaffected by v. These data suggest that speed specific drag depend essentially on A(eff). Additional data indicate that A(eff) is larger during front crawl swimming than during passive towing (0.4 vs. 0.24 m(2)). This suggest that D(a)/v(2) is larger than D(p)/v(2) and, at a given speed, that D(a) is larger than D(p).


Subject(s)
Swimming/physiology , Adult , Biomechanical Phenomena , Female , Humans , Male
7.
J Appl Physiol (1985) ; 106(1): 276-83, 2009 Jan.
Article in English | MEDLINE | ID: mdl-19036887

ABSTRACT

Water covers over 75% of the earth, has a wide variety of depths and temperatures, and holds a great deal of the earth's resources. The challenges of the underwater environment are underappreciated and more short term compared with those of space travel. Immersion in water alters the cardio-endocrine-renal axis as there is an immediate translocation of blood to the heart and a slower autotransfusion of fluid from the cells to the vascular compartment. Both of these changes result in an increase in stroke volume and cardiac output. The stretch of the atrium and transient increase in blood pressure cause both endocrine and autonomic changes, which in the short term return plasma volume to control levels and decrease total peripheral resistance and thus regulate blood pressure. The reduced sympathetic nerve activity has effects on arteriolar resistance, resulting in hyperperfusion of some tissues, which for specific tissues is time dependent. The increased central blood volume results in increased pulmonary artery pressure and a decline in vital capacity. The effect of increased hydrostatic pressure due to the depth of submersion does not affect stroke volume; however, a bradycardia results in decreased cardiac output, which is further reduced during breath holding. Hydrostatic compression, however, leads to elastic loading of the chest wall and negative pressure breathing. The depth-dependent increased work of breathing leads to augmented respiratory muscle blood flow. The blood flow is increased to all lung zones with some improvement in the ventilation-perfusion relationship. The cardiac-renal responses are time dependent; however, the increased stroke volume and cardiac output are, during head-out immersion, sustained for at least hours. Changes in water temperature do not affect resting cardiac output; however, maximal cardiac output is reduced, as is peripheral blood flow, which results in reduced maximal exercise performance. In the cold, maximal cardiac output is reduced and skin and muscle are vasoconstricted, resulting in a further reduction in exercise capacity.


Subject(s)
Adaptation, Physiological , Body Temperature Regulation , Cardiovascular Physiological Phenomena , Diving , Energy Metabolism , Respiratory Physiological Phenomena , Animals , Carbon Dioxide/metabolism , Exercise , Humans , Hydrostatic Pressure , Kidney/physiology , Nitrogen/metabolism , Oxygen Consumption , Stress, Physiological
8.
Undersea Hyperb Med ; 35(3): 185-96, 2008.
Article in English | MEDLINE | ID: mdl-18619114

ABSTRACT

Respiratory muscle training (RMT) has been shown to improve divers swimming endurance at 4 feet of depth; however, its effectiveness at greater depths, where gas density and the work of breathing are substantially elevated has not been studied. The purpose of this study was to examine the effects of resistance respiratory muscle training (RRMT) on respiratory function and swimming endurance at 55 feet of depth (270.5 kPa). Nine male subjects (25.9 +/- 6.8 years) performed RRMT for 30 min/day, 5 d/ wk, for 4 wks. Pre- and Post RRMT, subjects swam against a pre-determined load (70% VO2 max) until exhausted. As indices of respiratory muscle strength, maximal inspiratory and expiratory pressures were measured before and immediately following the swims pre- and post-RRMT. These measurements showed that ventilation was significantly lower during the swims and, at comparable swim duration, that the respiratory muscles were considerably less fatigued following RRMT. The reduced ventilation was due to a lower breathing frequency following RRMT. The ventilatory changes following RRMT coincided with significantly increased swimming time to exhaustion (approximately 60%, 31.3 +/- 11.6 vs. 49.9 +/- 16.0 min, pre- vs. post-RRMT, p < 0.05). These results suggest respiratory muscle fatigue limits swimming endurance at depth as well as at the surface and RRMT improves performance.


Subject(s)
Breathing Exercises , Diving/physiology , Physical Endurance/physiology , Respiratory Muscles/physiology , Swimming/physiology , Adult , Carbon Dioxide/metabolism , Heart Rate/physiology , Humans , Male , Muscle Fatigue/physiology , Oxygen Consumption/physiology , Respiratory Function Tests
9.
Undersea Hyperb Med ; 34(3): 169-80, 2007.
Article in English | MEDLINE | ID: mdl-17672173

ABSTRACT

Respiratory work is increased during exercise under water and may lead to respiratory muscle fatigue, which in turn can compromise swimming endurance. Previous studies have shown that respiratory muscle training, conducted five days per week for four weeks, improved both respiratory and fin swimming endurance. This training (RRMT-5) consisted of intermittent vital capacity breaths (twice/minute) against spring loaded breathing valves imposing static and resistive loads generating average inspiratory pressures of approximately 40 cmH2O and expiratory pressures of approximately 47 cmH2O. The purpose of the present study (n = 20) was to determine if RRMT 3 days per week (RRMT-3) would give similar improvements, and if continuing RRMT 2 days per week (RRMT-M) would maintain the benefits of RRMT-3 in fit SCUBA divers. Pulmonary function, maximal inspiratory (P(insp)) and expiratory pressures (P(exp)), respiratory endurance (RET), and surface and underwater (4 fsw) fin swimming endurance were determined prior to and after RRMT, and monthly for 3 months. Pulmonary function did not significantly improve after either RRMT-3 or RMMT-5; while P(insp) (20 and 15%) and P(exp) (25 and 11%), RET (73 and 217%), surface (50 and 33%) and underwater (88 and 66%) swim times improved. VO2, VE and breathing frequency decreased during the underwater endurance swims after both RRMT-3 and RRMT-5. During RRMT-M P(insp) and P(exp) and RET and swimming times were maintained at post RRMT-3 levels. RRMT 3 or 5 days per week can be recommended to divers to improve both respiratory and fin swimming endurance, effects which can be maintained with RRMT twice weekly.


Subject(s)
Diving/physiology , Physical Endurance/physiology , Respiratory Muscles/physiology , Swimming/physiology , Adult , Breathing Exercises , Humans , Oxygen Consumption , Respiratory Function Tests/methods , Time Factors , Vital Capacity/physiology
10.
J Inherit Metab Dis ; 30(3): 388-99, 2007 Jun.
Article in English | MEDLINE | ID: mdl-17410478

ABSTRACT

Cholesterol lowering drugs are associated with myopathic side effects in 7% of those on therapy, which is reversible in most, but not all patients. This study tested the hypothesis that total body fat oxidation (TBFO) is reduced by statins in patients with genetic deficiencies in FO, determined by white blood cells (FOwbc) and by molecular analysis of common deficiencies, and would cause intolerance in some patients. Six patients on statin therapy without myopathic side effects (tolerant) and 7 patients who had previously developed statin-induced myopathic symptoms (intolerant) (age = 58 +/- 8.25 yrs, ht. = 169 +/- 11 cm, and wt. = 75.4 +/- 14.2 kg) were tested for TBFO (Respiratory Exchange Ratio, RER) pre- and during exercise. FOwbc was not significantly different between tolerant and intolerant (0.261 +/- 0.078 vs. 0.296 +/- 0.042 nmol/h per 10(9) wbc), or normals (0.27 +/- 0.09 nmol/h per 10(9) wbc) and no common molecular abnormalities were found. Pre-exercise RER (0.73 +/- 0.05 vs. 0.84 +/- 0.05) was significantly lower in the intolerant group and the VO2 at RER = 1.0 (1.27 +/- 0.32 vs. 1.87 +/- 0.60 L/min) greater than the tolerant. Post-exercise lactates were not different between groups. Although dietary fat intake was not different, blood lipoprotein levels, particularly triglycerides were 35% lower in tolerant than previously intolerant. TBFO and blood lipoproteins were reduced in tolerant patients in spite of the absence of genetic limitations, but not in the intolerant group as hypothesized. Although not conclusive, these data suggest the need for a prospective study of the effects of statins on fat oxidation.


Subject(s)
Adipose Tissue/metabolism , Hydroxymethylglutaryl-CoA Reductase Inhibitors/therapeutic use , Lipid Metabolism, Inborn Errors/drug therapy , Lipids/physiology , Muscle, Skeletal/physiopathology , Adipose Tissue/drug effects , Adult , Child , Child, Preschool , Databases, Factual , Energy Intake , Exercise , Female , Humans , Knee Joint , Leukocytes/drug effects , Leukocytes/metabolism , Lipid Metabolism, Inborn Errors/physiopathology , Male , Middle Aged , Nutrition Assessment , Oxidation-Reduction , Oxygen Consumption
11.
Undersea Hyperb Med ; 34(6): 431-8, 2007.
Article in English | MEDLINE | ID: mdl-18251440

ABSTRACT

Underwater swimming is a unique exercise and its fitness is not accomplished by other types of training. This study compared high intensity intermittent fin-swim training (HIIT) with moderate intensity continuous (MICT). Divers (n = 20; age = 23 +/- 4 yrs; weight = 82.57 +/- 10.38 kg; height = 180 +/- 6 cm) were assigned to MICT (65%-75% heart rate max (HRmax), for 45 min) or HIIT three 10 min swims/rest cycles (77%, 83%, and 92% HRmax, respectively) for 50 min. They trained using snorkel and fins at the surface paced by an underwater light system 3 times per week for 4 weeks. Swim tests were the energy cost of swimming, VO2max and timed endurance swim (at 70%/VO2max). The VO2 was a non-significantly reduced at any velocity with either HIIT or MICT. Maximal swim velocity increased after HIIT (10%) (p < or = 0.05) but not after MICT (p > 0.05). VO2max increased 18% after HIIT and 6% after MICT (p < or = 0.05). The endurance times increased 131% after HIIT and 78% after MICT (p < or = 0.05), and in spite of this post-swim lactate was not significantly different and averaged 4.69 +/- 1.10mM (p > 0.05). Although both training methods significantly improved fin swimming performance with similar time commitments, the HIIT improved VO2max and endurance more than MICT (p < or = 0.05). As no improvements in ventilation were observed, combining HIIT with respiratory muscle training could optimize diver swim fitness.


Subject(s)
Diving/physiology , Swimming/physiology , Adult , Analysis of Variance , Carbon Dioxide/analysis , Energy Metabolism/physiology , Equipment and Supplies , Heart Rate/physiology , Humans , Lactic Acid/blood , Male , Oxygen/analysis , Physical Endurance/physiology
12.
Undersea Hyperb Med ; 33(6): 447-53, 2006.
Article in English | MEDLINE | ID: mdl-17274314

ABSTRACT

Typically, ventilation is tightly matched to CO2 production. However, in some cases CO2 is retained (SCUBA diving). One factor behind hypoventilation in divers may be low respiratory CO2 sensitivity. If this is due to inadequate respiratory muscle performance it might be remedied by respiratory muscle training (RMT). We retrospectively investigated respiratory CO2 sensitivity prior to and after RMT in several groups of SCUBA divers. CO2 sensitivity (slope of expired ventilation as a function of inspired PCO2) was measured with a rebreathing technique in 35 subjects with diving experience. RMT consisted of either isocapnic hyperventilation or intermittent vital capacity breaths (twice/minute) against spring loaded breathing valves imposing static and resistive loads generating average inspiratory pressures of approximately 40 cmH2O and expiratory pressures of approximately 47 cmH2O; RMT was performed 30 min/day, 3 or 5 days/week for 4 weeks. Based on pre-RMT CO2 sensitivity the subjects were divided into three groups: low sensitivity: < 2 l/min/mmHg PCO2, normal: 2-4 l/min/mmHg, and high sensitivity: > 4 l/min/mmHg of inspired PCO2. The normal group had a Pre-RMT CO2 sensitivity of 2.88 +/- 0.60 and a post RMT sensitivity of 2.51 +/- 0.88 l/min/mmHg (Mean +/- SD, n = 19, p = n.s). Response in low sensitivity subjects increased from 1.41 +/- 0.32 to 2.27 +/- 0.53 (n = 10, p = 0.002,) while in the high sensitivity group it decreased from 5.41 +/- 1.25 to 2.90 +/- 0.32 l/min/mmHg (n = 6, p = 0.003). These preliminary findings showed that 46% of the subjects had abnormal sensitivity, and suggest that RMT may normalize it in hypo- and hyper-ventilating divers. If the present results are verified, RMT may be an effective means of enhancing safety in CO2 retaining divers.


Subject(s)
Breathing Exercises , Carbon Dioxide/metabolism , Diving/physiology , Respiratory Muscles/physiology , Adult , Humans , Male , Maximal Voluntary Ventilation , Partial Pressure , Regression Analysis , Reproducibility of Results , Retrospective Studies , Statistics, Nonparametric , Vital Capacity
13.
Undersea Hyperb Med ; 32(1): 45-57, 2005.
Article in English | MEDLINE | ID: mdl-15796314

ABSTRACT

Propulsion in water requires a propulsive force to overcome drag. Male subjects were measured for cycle frequency, energy cost and drag (D) as a function of velocity (V), up to maximal V, for fin and front crawl swimming, kayaking and rowing. The locomotion with the largest propulsive arms and longest hulls traveled the greatest distance per cycle (d/c) and reached higher maximal V. D while locomotoring increased as a function of V, with lower levels for kayaking and rowing at lower Vs. For Vs below 1 m/s, pressure D dominated, while friction D dominated up to 3 m/s, after which wave D dominated total D. Sport training reduced the D, increased d/c, and thus lowered C and increased maximal V. Maximal powers and responses to training were similar in all types of locomotion. To minimize C or maximize V, D has to be minimized by tailoring D type (friction, pressure or wave) to the form of locomotion and velocity.


Subject(s)
Energy Metabolism/physiology , Friction , Locomotion/physiology , Sports/physiology , Water , Adult , Humans , Male , Swimming/physiology
14.
Eur J Appl Physiol ; 94(1-2): 134-44, 2005 May.
Article in English | MEDLINE | ID: mdl-15702343

ABSTRACT

With the aim of computing a complete energy balance of front crawl, the energy cost per unit distance (C = Ev(-1), where E is the metabolic power and v is the speed) and the overall efficiency (eta(o) = W(tot)/C, where W(tot) is the mechanical work per unit distance) were calculated for subjects swimming with and without fins. In aquatic locomotion W(tot) is given by the sum of: (1) W(int), the internal work, which was calculated from video analysis, (2) W(d), the work to overcome hydrodynamic resistance, which was calculated from measures of active drag, and (3) W(k), calculated from measures of Froude efficiency (eta(F)). In turn, eta(F) = W(d)/(W(d) + W(k)) and was calculated by modelling the arm movement as that of a paddle wheel. When swimming at speeds from 1.0 to 1.4 m s(-1), eta(F) is about 0.5, power to overcome water resistance (active body drag x v) and power to give water kinetic energy increase from 50 to 100 W, and internal mechanical power from 10 to 30 W. In the same range of speeds E increases from 600 to 1,200 W and C from 600 to 800 J m(-1). The use of fins decreases total mechanical power and C by the same amount (10-15%) so that eta(o) (overall efficiency) is the same when swimming with or without fins [0.20 (0.03)]. The values of eta(o) are higher than previously reported for the front crawl, essentially because of the larger values of W(tot) calculated in this study. This is so because the contribution of W(int) to W(tot )was taken into account, and because eta(F) was computed by also taking into account the contribution of the legs to forward propulsion.


Subject(s)
Algorithms , Energy Metabolism/physiology , Models, Biological , Physical Exertion/physiology , Swimming/physiology , Adult , Computer Simulation , Humans , Male
15.
Respir Physiol Neurobiol ; 140(1): 99-109, 2004 Apr 20.
Article in English | MEDLINE | ID: mdl-15109932

ABSTRACT

Cardiac output (Q) is a determinant of blood pressure and O(2) delivery and is critical in the maintenance of homeostasis, particularly during environmental stress and exercise. Cardiac output can be determined invasively in patients; however, indirect methods are required for other situations. Soluble gas techniques are widely used to determine (Q). Historically, measurements during a breathhold, prolonged expiration and rebreathing to CO(2) equilibrium have been used; however, with limitations, especially during stress. Farhi and co-workers developed a single-step CO(2) rebreathing method, which was subsequently revised by his group, and has been shown to be reliable and compared closely to direct, invasive measures. V(CO2), P(ACO2), and P(VCO2) are determined during a 12-25s rebreathing, using the appropriate tidal volume, and (Q) is calculated. This method can provide accurate data in laboratory and field experiments during exercise, increased or decreased gravity, water immersion, lower body pressure, head-down tilt, altered ambient pressure or changes in inspired gas composition.


Subject(s)
Carbon Dioxide , Cardiac Output/physiology , Exercise Test/methods , Heart Function Tests/methods , Models, Cardiovascular , Algorithms , Breath Tests/methods , Humans , Monitoring, Physiologic/methods , Respiration
16.
J Inherit Metab Dis ; 27(1): 89-99, 2004.
Article in English | MEDLINE | ID: mdl-14970749

ABSTRACT

Fat oxidation is important for maintaining health and for supplying energy for exercise. We have proposed that the predisposition for individual rates of fat oxidation is determined genetically but may be modulated by acute exercise or exercise training. The purpose of this study was to examine cellular fat oxidation in white blood cells (WBC) using [9,10-3H]palmitic acid. Sedentary controls free of symptoms (SED-C, n=32), were compared with known carnitine palmitoyltransferase (CPT) II-deficient patients (n =2), patients with fatiguing diseases (chronic fatigue syndrome, CFS, n=6; multiple sclerosis, MS, n=31), obesity (OB, n=5), eating disorders (ED, n=16), sedentary individuals prior to and after exercise (SED-Ex, n=12), exercise-trained sedentary individuals (SED-Tr, n=12), and elite runners (ER, n=5). Fat oxidation in WBC for all subjects was normally distributed (mean=0.270 +/- 0.090 nmol/h per 10(9) WBC) and ranged from 0.09 nmol/h per 10(9) WBC in CPT II-deficient patients to 0.59 nmol/h per 10(9) WBC in ER. There were no significant sex or acute exercise effects on WBC fat oxidation. Patients with MS, OB or ED were not different from SED-C; however, in CPT II-deficient patients, fat oxidation was low, while that of CFS patients was high. Exercise training in SED-C resulted in a 16% increase in fat oxidation but in ER it was still 97% higher than in SED-C. We propose that while WBC fat oxidation is not significantly affected by sex or acute exercise, and only by 15-20% with training, genetic factors play a role in determining both high and low fat oxidation in certain groups of individuals. The genetic predisposition for individual rates of fat oxidation may be easily measured using WBC fat oxidation, as has been shown for CPT II-deficient patients and for elite runners. Ranges of WBC fat oxidation that are abnormally low (<20 nmol/h per 10(9) WBC, normal 20-35) or high (>35 nmol/h per 10(9) WBC) are proposed based on genetic factors evaluated in this study.


Subject(s)
Carnitine O-Palmitoyltransferase/deficiency , Fatigue/blood , Fats/metabolism , Feeding and Eating Disorders/blood , Leukocytes/metabolism , Metabolism, Inborn Errors/blood , Adolescent , Adult , Case-Control Studies , Exercise , Female , Humans , Leukocyte Count , Life Style , Oxidation-Reduction , Physical Education and Training , Reproducibility of Results , Tissue Distribution
17.
Eur J Appl Physiol ; 90(3-4): 377-86, 2003 Oct.
Article in English | MEDLINE | ID: mdl-12955519

ABSTRACT

In this paper a complete energy balance for water locomotion is attempted with the aim of comparing different modes of transport in the aquatic environment (swimming underwater with SCUBA diving equipment, swimming at the surface: leg kicking and front crawl, kayaking and rowing). On the basis of the values of metabolic power (E), of the power needed to overcome water resistance (Wd) and of propelling efficiency (etaP=Wd/Wtot, where Wtot is the total mechanical power) as reported in the literature for each of these forms of locomotion, the energy cost per unit distance (C=E/v, where v is the velocity), the drag (performance) efficiency (etad=Wd/E) and the overall efficiency (etao=Wtot/E=etad/etaP) were calculated. As previously found for human locomotion on land, for a given metabolic power (e.g. 0.5 kW=1.43 l.min(-1) VO2) the decrease in C (from 0.88 kJ.m(-1) in SCUBA diving to 0.22 kJ.m(-1) in rowing) is associated with an increase in the speed of locomotion (from 0.6 m.s(-1) in SCUBA diving to 2.4 m.s(-1) in rowing). At variance with locomotion on land, however, the decrease in C is associated with an increase, rather than a decrease, of the total mechanical work per unit distance (Wtot, kJ.m(-1)). This is made possible by the increase of the overall efficiency of locomotion (etao=Wtot/E=Wtot/C) from the slow speeds (and loads) of swimming to the high speeds (and loads) attainable with hulls and boats (from 0.10 in SCUBA diving to 0.29 in rowing).


Subject(s)
Energy Metabolism/physiology , Locomotion/physiology , Algorithms , Biomechanical Phenomena , Diving/physiology , Friction , Humans , Kinetics , Oxygen Consumption/physiology , Physical Exertion/physiology , Ships , Swimming/physiology
18.
Eur J Appl Physiol ; 90(3-4): 292-304, 2003 Oct.
Article in English | MEDLINE | ID: mdl-12942332

ABSTRACT

Cardiac output (Q) is a primary determinant of blood pressure and O2 delivery and is critical in the maintenance of homeostasis, particularly during environmental stress. Cardiac output can be determined invasively in patients; however, indirect methods are required for other situations. Soluble gas techniques are widely used to determine Q. Historically, measurements during a breathhold, prolonged expiration and rebreathing to CO2 equilibrium have been used; however, with limitations, especially during stress. Farhi and co-workers developed a single-step CO2 rebreathing method, which was subsequently revised by his group, and has been shown to be valid (compared to direct measures) and reliable. Carbon dioxide output (VCO2), partial pressure of arterial CO2 (PaCO2), and partial pressure of mixed venous CO2 (Pv(CO2)) are determined during 12-25 s of rebreathing, using the appropriate tidal volume, and Q is calculated. This method has the utility to provide accurate data in laboratory and field experiments during exercise, increased and micro-gravity, water immersion, lower body pressure, head-down tilt, and changes in gas composition and pressure. Utilizing the Buffalo CO2 rebreathing method it has been shown that the Q can adjust to a wide range of changes in environments maintaining blood pressure and O2 delivery at rest and during exercise.


Subject(s)
Cardiac Output/physiology , Algorithms , Blood Flow Velocity/physiology , Carbon Dioxide/blood , Carbon Dioxide/metabolism , Diving/physiology , Exercise/physiology , Exhalation/physiology , Gravitation , Humans , Hypoxia/physiopathology , Immersion/physiopathology , Inhalation/physiology , New York , Oxygen/blood , Oxygen/metabolism , Partial Pressure , Pulmonary Gas Exchange/physiology , Pulmonary Ventilation/physiology
19.
Undersea Hyperb Med ; 30(1): 57-73, 2003.
Article in English | MEDLINE | ID: mdl-12841609

ABSTRACT

Underwater swimmers use fins which augment thrust to overcome drag and propel the diver. The VdotO2 of swimming as a function of speed, velocity as a function of kick frequency, maximal speed (v), maximal oxygen consumption (VdotO2) and the maximal thrust were determined for eight fins in 10 male divers swimming at 1.25 m depth in a 60 m annular pool. A theoretical analysis of fin cycles was also performed. VdotO2 increased as a second order polynomial as a function of velocity; VdotO2 = 0.045 + 1.65B V + 1.66 (2) V2 (r2 = 0.997), VdotO2 = 0.25 + 1.03 V + 1.83 V2 (r2 = 0.997) and VdotO2 = -0.15 + 2.26 V + 1.49 V2 (r2 = 0.997), for least, average and most economical fins respectively. Kick frequency increased linearly with velocity and had a unique movement path (signature), giving theoretical values that agreed with the measured thrust, drag and efficiency. In conclusion, virtually all thrust comes from the downward power stroke, with rigid fins kicked deep (high drag), while flexible fins are kicked less deep but with higher frequency (low efficiency). Kick depth and frequency explain the performance of the eight tested fins, and should be optimized to enhance diver performance.


Subject(s)
Diving/physiology , Energy Metabolism , Oxygen Consumption/physiology , Swimming/physiology , Adult , Analysis of Variance , Equipment Design , Friction , Humans , Male , Posture , Sports Equipment
20.
Undersea Hyperb Med ; 30(1): 75-85, 2003.
Article in English | MEDLINE | ID: mdl-12841610

ABSTRACT

Underwater swimmers use fins, which provide thrust to overcome drag and propel the diver. The type of fin used has been shown to affect diver performance, however data are lacking for women. The oxygen consumption (VdotO2) of swimming as a function of speed, velocity as a function of kick frequency, maximal speed (v), maximal VdotO2 and the maximal thrust were determined for 8 female divers swimming at 1.25 m depth in a 60 m annular pool. VdotO2 increased as a function of v as; 0.52 + -0.485 V + 2.85 V2 (r2 = 0.996) and 0.12 + 1.52 V +1.275 V2 (r2 = 0.999) for high (5 fins) and low (3 fins) groupings, respectively. Splits, vents and flanges did not significantly affect VdotO2. Kick frequency increased linearly with v, with unique slopes for each fin. Maximal VdotO2 was not affect by fin type (1.46 +/- 0.05 l/min). Velocities that could be stained aerobically were 0.60 +/- 0.02 m/sec on average, with the most flexible fin higher (0.71 m/sec). Maximal v averaged 0.87 +/- 0.03 m/sec, with the most rigid fin lower (0.77 m/sec). Maximal thrust was not affected by fin and averaged 104 +/- 9 N. It can be concluded that female divers preferred the most flexible fins, which were also the most economical. This is most likely due to low leg power, which could also explain the absence of differences in maximal thrust and velocity.


Subject(s)
Diving/physiology , Energy Metabolism/physiology , Oxygen Consumption/physiology , Sports Equipment , Swimming/physiology , Adult , Aerobiosis , Analysis of Variance , Equipment Design , Female , Friction , Humans , Sex Factors
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