Systemic and vastus lateralis muscle blood flow and O2 extraction during ramp incremental cycle exercise

Abstract

During ramp incremental cycling exercise increases in pulmonary O2 uptake (V̇o2p) are matched by a linear increase in systemic cardiac output ( Q). However, it has been suggested that blood flow in the active muscle microvasculature does not display similar linearity in blood flow relative to metabolic demand. This study simultaneously examined both systemic and regional (microvascular) blood flow and O2 extraction during incremental cycling exercise. Ten young men (V̇o2 peak = 4.2 ± 0.5 l/min) and 10 young women (V̇o2 peak = 3.2 ± 0.5 l/min) were recruited to perform two maximal incremental cycling tests on separate days. The acetylene open-circuit technique and mass spectrometry and volume turbine were used to measure Q (every minute) and breath-by-breath V̇o2p, respectively; systemic arterio-venous O2 difference (a-vO2diff) was calculated as V̇o2p/ Q on a minute-by-minute basis. Changes in near-infrared spectroscopy-derived muscle deoxygenation (Δ[HHb]) were used (in combination with V̇o2p data) to estimate the profiles of peripheral O2 extraction and blood flow of the active muscle microvasculature. The systemic Q-to-V̇o2p relationship was linear (∼5.8 l/min increase in Q for a 1 l/min increase in V̇o2p) with a-vO2diff displaying a hyperbolic response as exercise intensity increased toward V̇o2 peak. The peripheral blood flow response profile was described by an inverted sigmoid curve, indicating nonlinear responses relative to metabolic demand. The Δ[HHb] profile increased linearly with absolute V̇o2p until high-intensity exercise, thereafter displaying a “near-plateau”. Results indicate that systemic blood flow and thus O2 delivery does not reflect the profile of blood flow changes at the level of the microvasculature.