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What limits [V(·)]O(2max)? A symposium held at the BASES Conference, 6 September 2010
N C Spurway1, B Ekblom, T D Noakes
1College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK. neil.spurway@glasgow.ac.uk
Insights
The factors limiting oxygen uptake in humans are debated. While cardiac output was long considered key, new research suggests cerebral oxygenation may also play a significant role, even at sea level.
Area of Science:
- Exercise Physiology
- Human Physiology
- Cardiovascular Physiology
Background:
- Historically, A. V. Hill's concept influenced understanding of oxygen uptake.
- Cardiac output has been the predominant view for limiting maximal oxygen uptake.
- Recent research challenges the sole reliance on cardiac output as the limiting factor.
Purpose of the Study:
- To review modern perspectives on factors limiting maximal oxygen uptake.
- To contrast current views with historical concepts.
- To investigate the role of cerebral oxygenation in oxygen uptake limitations.
Main Methods:
- Review of historical and contemporary research.
- Analysis of algebraic models of oxygen transport.
- Consideration of evidence from quadruped studies and high-altitude research.
Main Results:
- Cardiac output is widely accepted as a key determinant of maximal oxygen uptake.
- Algebraic analyses show all oxygen transport stages influence uptake.
- Evidence suggests cerebral oxygenation may limit uptake, particularly at reduced oxygen availability.
Conclusions:
- No definitive consensus exists on the primary factor limiting maximal oxygen uptake.
- Both somatic factors (like cardiac output) and central factors (like cerebral oxygenation) are implicated.
- Further research is needed to fully elucidate the complex interplay of factors affecting oxygen uptake.
Abstract:
Three modern views about the factors limiting oxygen uptake in healthy humans are set against the original (early 1920s) concept of A. V. Hill and colleagues. The majority view for most of the intervening time has been that cardiac output is the essential limiting function. Among recent research in support of this contention is that, in quadrupeds, pericardiectomy, which allows greater diastolic filling, elevates maximum oxygen uptake; however, the relevance to bipedal exercise can be questioned. In any case, algebraic analyses of model systems indicate that all identifiable stages on the oxygen transport pathway, from pulmonary diffusion to oxidative phosphorylation in skeletal muscle mitochondria, materially influence maximum uptake. Thus, if a high cardiac output is to be of benefit, all the other steps must function better too. Nevertheless, these two viewpoints concur that the limit to maximum oxygen uptake is somatic. In contrast, there are strong indications that at altitudes where oxygen availability is about half that at sea level, cerebral oxygenation is a limiting factor, and some recent experiments raise the possibility that it might be a substantial influence at sea level also. Clearly, consensus cannot yet be reached on the question posed in the title.
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