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A detailed comparison of oxygen uptake kinetics at a range of exercise intensities

Abstract

Aim:

The aim of this study was to comprehensively examine oxygen uptake (V̇O2) kinetics during cycling through mathematical modeling of the breath-by-breath gas exchange responses across eight conditions of unloaded cycling to moderate to high-intensity exercise.

Methods:

Following determination of GET and V̇O2peak, eight participants (age: 24±8y; height: 1.78±0.09m; mass: 76.5±10.1kg; V̇O2peak: 3.89±0.72 L.min-1) completed a series of square-wave rest-to-exercise transitions at; -20%∆ (GET minus 20% of the difference in V̇O2 between that at GET and VO2peak), -10%∆, GET, 10%∆, 20%∆, 30%∆, 40%∆, and 50%∆. The V̇O2 kinetic response was modelled using mono- and bi-exponential non-linear regression techniques. The difference in the standard error of the estimates (SEE) for the mono- and bi-exponential models, and the slope of V̇O2 vs time (for the final minute of exercise) were analysed using paired and one-sample t-tests, respectively.

Results:

The bi-exponential model SEE was lower than the mono-exponential model across all exercise intensities (p<0.05), indicating a better model fit. Steady-state V̇O2 was achieved across all exercise intensities (all V̇O2 vs. time slopes; p>0.05). The modelled slow component time constants, typical of literature reported values, indicated that the V̇O2 kinetic response would not be completed during the duration of the exercise.

Conclusion:

It was shown that the addition of the more complex bi-exponential model resulted in a better model fit across all intensities (notably including sub-GET intensities). The slow component phase was incomplete in all cases, even when the investigation of slopes indicated that a steady state had been achieved.

Keywords:
exercise physiology; oxygen uptake; gas exchange; model; cycling

Introduction

Oxygen uptake (V̇O2) kinetics refers to the gas exchange responses to the on-or-offset of exercise 11 Hughson RL. Exploring cardiorespiratory control mechanism through gas exchange dynamics. Med Sci Sports Exerc. 1990;22(1):72-79.),(22 Hughson RL, Morrissey M. Delayed kinetics of respiratory gas exchange in the transition from prior exercise. J Appl Physiol. 1982;52(4):921-929. and have been shown to respond differently above and below the gas exchange threshold (GET) 33 Whipp BJ, Ward SA, Lamarra N, Davis JA, Wasserman K. Parameters of ventilatory and gas exchange dynamics during exercise. J Appl Physiol Respir Environ Exerc Physiol. 1982;52(6):1506-1513.)-(55 Barstow TJ. Characterization of VO2 kinetics during heavy exercise. Med Sci Sports Exerc. 1994;26(11):1327-1334.. The conventional measure of GET has been defined as the breakpoint in the slope of the relationship between CO2 output and O2 uptake 66 Beaver WL, Wasserman K, Whipp BJ. A New Method for Detecting Anaerobic Threshold by Gas-Exchange. J. Appl. Physiol. 1986;60(6):2020-2027.),(77 Gaskill SE, Ruby BC, Walker AJ, Sanchez OA, Serfass RC, Leon AS. Validity and reliability of combining three methods to determine ventilatory threshold. Med Sci Sports Exerc. 2001;33(11):1841-1848.. It has been shown in constant work rate exercise, below the GET, that V̇O2 increases in mono-exponential fashion, attaining steady-state within ~3 min 33 Whipp BJ, Ward SA, Lamarra N, Davis JA, Wasserman K. Parameters of ventilatory and gas exchange dynamics during exercise. J Appl Physiol Respir Environ Exerc Physiol. 1982;52(6):1506-1513.),(44 Whipp BJ, Ward SA. Physiological Determinants of Pulmonary Gas-Exchange Kinetics during Exercise. Med Sci Sports Exerc. 1990;22(1):62-71.. For exercise intensities that are above GET, V̇O2 is widely reported to no longer increase in a simple mono-exponential manner due to a delayed response termed the slow component of V̇O288 Casaburi R, Barstow TJ, Robinson T, Wasserman K. Influence of work rate on ventilatory and gas exchange kinetics. J. Appl. Physiol. 1989;67(2):547-555.),(99 Poole DC, Barstow TJ, Gaesser GA, Willis WT, Whipp BJ. VO2 slow component: physiological and functional significance. Med Sci Sports Exerc. 1994;26(11):1354-1358.. The slow component has been described as a continued rise in V̇O2 beyond the third minute of exercise (for intensities above GET) 55 Barstow TJ. Characterization of VO2 kinetics during heavy exercise. Med Sci Sports Exerc. 1994;26(11):1327-1334.; this is further characterised as a delayed response becoming superimposed on the exponential rise in V̇O2 at the onset of exercise 1010 Barstow TJ, Mole PA. Linear and nonlinear characteristics of oxygen uptake kinetics during heavy exercise. J. Appl. Physiol. 1991;71(6):2099-2106..

The time course of an exponential process is characterised by the time constant (τ) and must be complete after 5 x τ has elapsed 1111 Jones AM, Poole DC. Oxygen uptake kinetics in sport, exercise and medicine. New York: Routledge; 2005.. However, reported slow component magnitudes for steady-state supra-GET intensity exercise demonstrated an issue of disparity, as most studies that elicit supra-GET intensity exercise have reported values for 1τ the V̇O2 response would not be complete within the exercise bout. Therefore, the reliability of the physiological inferences made, based on this model, are questionable1212 McNulty CR, Robergs RA. New Methods for Processing and Quantifying VO2 Kinetics to Steady State: VO2 Onset Kinetics. Front Physiol. 2017;8:740.. The widespread inferences made from the aforementioned exponential model are evident in the literature (see 1313 Carter H, Jones AM, Barstow TJ, Burnley M, Williams CA, Doust JH. Oxygen uptake kinetics in treadmill running and cycle ergometry: a comparison. J. Appl. Physiol. 2000;89(3):899-907.), (1414 Carter H, Pringle JS, Jones AM, Doust JH. Oxygen uptake kinetics during treadmill running across exercise intensity domains. Eur J Appl Physiol. 2002;86(4):347-354.), (1515 do Nascimento PC, de Lucas RD, de Souza KM, de Aguiar RA, Denadai BS, Guglielmo LG. The effect of prior exercise intensity on oxygen uptake kinetics during high-intensity running exercise in trained subjects. Eur J Appl Physiol. 2015;115(1):147-156.), (1616 Ingham S, Carter H, Whyte G, Doust J. Physiological and Performance Effects of Low- versus Mixed-Intensity Rowing Training. Med Sci Sports Exerc. 2008;40(3):579-584.), (1717 Ingham SA, Carter H, Whyte GP, Doust JH. Comparison of the oxygen uptake kinetics of club and olympic champion rowers. Med Sci Sports Exerc. 2007;39(5):865-871.), (1818 Goulding RP, Roche DM, Marwood S. Prior exercise speeds pulmonary oxygen uptake kinetics and increases critical power during supine but not upright cycling. Exp. Physiol. 2017;102(9):1158-1176.), (1919 Sousa A, Rodriguez FA, Machado L, Vilas-Boas JP, Fernandes RJ. Exercise modality effect on oxygen uptake off-transient kinetics at maximal oxygen uptake intensity. Exp. Physiol. 2015;100(6):719-729.), and although only an estimate, none of the V̇O2 responses would be complete within 5 x τ, thereby questioning the veracity and suitability of current modelling procedures to adequately describe the V̇O2 response.

Across all literature in the supra-GET intensity domain, we cannot find an instance where the exercise duration was sufficient to allow the full emergence a slow component (as described by the slow component τ; typically only 1 τ has elapsed), therefore, the aim of this study was to comprehensively examine oxygen uptake (V̇O2) kinetics during cycling through mathematical modeling of the breath-by-breath gas exchange responses at a range of exercise intensities.

Materials and method

Participants and settings

Eight male volunteers agreed to take part in the present study (mean±SD; Age 24±8y, Height 1.78±0.09m, Mass 76.7±10.1kg, V̇O2peak 3.89±0.72 L.min-1, V̇O2 at GET 2.16±0.49 L.min-1). Each subject was familiar with a laboratory setting and exercise protocols. Participants were instructed to arrive at the laboratory for testing rested, hydrated, having refrained from alcohol and caffeine intake 24 and 6 hours respectively prior to testing, a minimum of 3 hours post-prandial and to have avoided maximal intensity exercise 48 hours preceding a test session. Tests were administered at the same time of day (± 2 hours) for each participant to minimise the effect of diurnal variation on results 2020 Valdez P, Ramírez C, García A, Talamantes J, Cortez J. Circadian and homeostatic variation in sustained attention. Chronobiol Int. 2010;27(2):393-416.. This study was approved by the institutional Research Ethics Sub-Committee (REC:12/0903091) and conformed to the Declaration of Helsinki.

Instruments and procedures

The participants were required to visit the laboratory on nine occasions for testing. The first visit involved determination of GET and V̇O2peak with a progressive ramp exercise test. The following tests involved multiple laboratory visits, where participants performed a square-wave transition from seated rest to unloaded cycling, to one of eight exercise intensities; -20%∆ (GET minus 20% of the difference in V̇O2 between that at GET and VO2peak), -10%∆, GET, 10%∆, 20%∆, 30%∆, 40%∆ and 50%∆. No more than two transitions were completed in 1 day, with at least one-hour recovery between transitions. The square-wave transitions were performed in a counterbalanced design using an 8x8 Latin square algorithm 2121 Byers J. Basic algorithms for random sampling and treatment randomization. Comput Biol Med. 1991;21:69-77..

All tests were performed on an electromagnetically braked cycle ergometer (Lode, Excalibur Sport, Groningen, The Netherlands). The horizontal and vertical adjustments of the handlebars and saddle were measured using a tape measure and recorded and reproduced for all subsequent tests. Participants were instructed to cycle at a self-selected cadence and were encouraged to maintain this cadence throughout the entire test. If the self-selected cadence fell by more than 5 rev.min-1, verbal encouragement was given.

Throughout each test, and following standardised measurement of atmospheric pressure, the participants breathed through a low dead-space (90 ml), low resistance (5.5 cm H2O at 510 L.min-1) mouthpiece and turbine assembly, and the nose was occluded using a nose clip. Gases were drawn continuously from the mouthpiece through a 2 m sampling line (0.5mm internal diameter) to a mass spectrometer (Pulmolab EX671, Ferraris, Rainham, UK) where they were analysed for O2, CO2, and N2 (with a 200ms delay). Expired volumes were determined using a turbine volume transducer (Interface Associates, Alifovieja, US). The mass spectrometer was calibrated before each test using gas mixtures (Linde Gas, London, UK) for which the concentrations of O2, CO2 and N2 were known. The turbine was calibrated before each test using a 3 L calibration syringe (Hans Rudolf, Kansas, US). Oxygen uptake was calculated and displayed on a breath-by-breath basis. The volume and concentration signals were integrated by computer, following analogue-to-digital conversion, with account taken of the gas transit delay through the capillary and room temperature (which was maintained at 21°C).

Capillary blood samples (5μL) were drawn from the fingertip and assayed for lactate concentration using a single use test strip and an automated analyser (Lactate Pro, Arkay Inc., Kyoto, Japan). Body mass was determined using a calibrated set of digital scales (Seca, Birmingham, UK) and recorded to the nearest 0.1 kg. Height was measured using a wall-mounted stadiometer (Holtain Ltd., Crymych, UK) and recorded to the nearest 0.01 m.

The participants performed a progressive ramp exercise test to volitional exhaustion in order determine GET and V̇O2peak. During the progressive ramp test, the first two minutes were set at 0W to allow respiratory data to stabilise. The ramp rate was set at 20W.min-1, commencing at 60W (altered dependent upon fitness level of individual to elicit exhaustion in approximately 12 min). Volitional exhaustion was determined when the participant could not maintain a self-selected cadence, after three verbal encouragements. At test cessation, a five-minute recovery period at a power output of 50W commenced.

Gas exchange threshold was identified using the V-slope method 66 Beaver WL, Wasserman K, Whipp BJ. A New Method for Detecting Anaerobic Threshold by Gas-Exchange. J. Appl. Physiol. 1986;60(6):2020-2027.. This method consisted of plotting CO2 production over O2 utilization and identifying a breakpoint in the slope of the relationship between these two variables. The level of exercise intensity corresponding to this breakpoint was considered the GET 66 Beaver WL, Wasserman K, Whipp BJ. A New Method for Detecting Anaerobic Threshold by Gas-Exchange. J. Appl. Physiol. 1986;60(6):2020-2027.. In instances GET could not be identified using the V-slope method, the ventilatory equivalent method was used; which identified the oxygen uptake which caused the first rise in the ventilatory equivalent of oxygen (V̇E/V̇O2) without a simultaneous rise in the ventilatory equivalent of carbon dioxide (V̇E/V̇CO2) 77 Gaskill SE, Ruby BC, Walker AJ, Sanchez OA, Serfass RC, Leon AS. Validity and reliability of combining three methods to determine ventilatory threshold. Med Sci Sports Exerc. 2001;33(11):1841-1848..

Extrapolation of the relationship between V̇O2 and power (W) from the progressive ramp exercise test was used to calculate the power-requiring; -20%∆, -10%∆, GET, 10%∆, 20%∆, 30%∆, 40%∆ and 50%∆. Subsequently, participants performed a series of square wave transitions of eight minutes in duration at the eight exercise intensities on separate days. The exercise protocol began with subjects sitting on the cycle ergometer for five minutes, followed by two minutes unloaded (0 W) cycling, followed by the load being applied to attain the desired Watts for each exercise bout. Participants cycled at a self-selected cadence and this was reproduced for all tests. Fingertip capillary blood samples were drawn and assayed immediately pre and one-minute post the eight-minute exercise period. The difference between the end exercise [La-1] and the resting [La-1] was expressed as a delta value (∆[La-1]).

Data analysis

Respiratory data were calculated and displayed on a breath-by-breath basis. Graphical plots of the ventilatory equivalents (V̇E/ V̇O2 and V̇E/ V̇CO2) were plotted to allow identification, using a least squares approach, and removal of data past the respiratory compensation point (RCP) 2222 Whipp BJ, Ward SA, Wasserman K. Respiratory markers of the anaerobic threshold. Advances in cardiology. 1986;35:47-64.. For all tests, breath-by-breath data had any values that were three or more standard error of the estimate (SEE) removed 2323 Lamarra N, Whipp BJ, Ward SA, Wasserman K. Effect of interbreath fluctuations on characterizing exercise gas exchange kinetics. J Appl Physiol. 1987;62(5):2003-2012..Non-linear least squares regression techniques were used to fit the square-wave data after the onset of exercise with an exponential function. An iterative process ensured the sum of squared error was minimised. The mathematical models used were unconstrained and are detailed below (equation 1 33 Whipp BJ, Ward SA, Lamarra N, Davis JA, Wasserman K. Parameters of ventilatory and gas exchange dynamics during exercise. J Appl Physiol Respir Environ Exerc Physiol. 1982;52(6):1506-1513. and equation 2 1010 Barstow TJ, Mole PA. Linear and nonlinear characteristics of oxygen uptake kinetics during heavy exercise. J. Appl. Physiol. 1991;71(6):2099-2106.). In accordance with 2323 Lamarra N, Whipp BJ, Ward SA, Wasserman K. Effect of interbreath fluctuations on characterizing exercise gas exchange kinetics. J Appl Physiol. 1987;62(5):2003-2012., the cardio-dynamic phase (the first 15-s) was removed prior to modelling.

V ˙ O 2 t = A 0 + A 1 ( 1 - e - t - δ 1 / τ 1

Equation 1. Mono-exponential model.

V ˙ O 2 t = A 0 + A 1 ( 1 - e - t - δ 1 / τ 1 + A 2 ( 1 - e - t - δ 2 / τ 2

Equation 2. Bi-exponential model.

Where A0 is the resting baseline value, A1 and A2 are the amplitudes for the two components, τ1 and τ2 are the time constants for the two components, and t - δ1 and t - δ2 are the time delays from the onset of exercise for the two components. Residual data for both model fits was also reported.

The Standard Error of the Estimate (SEE) for both mono and bi exponential models (Equation 3 and 4, respectively) was calculated using the following process;

S E E m o n o = S S E N C A S E S - 3

Equation 3. Standard error of the estimate for mono-exponential modelling.

S E E b i = S S E N C A S E S - 6

Equation 4. Standard error of the estimate for bi-exponential modelling.

Where SEEmono is the standard error of the estimate for the mono-exponential model, SEEbi is the standard error of the estimate for the bi-exponential model, SSE is the sum of squared errors and NCASES are the number of data sets (three in mono-exponential: A1, δ1 and τ1. Six in bi-exponential:A111, A22 and τ2).

Statistical analysis

All statistical analyses were performed using IBM Statistical Package for the Social Sciences (SPSS) for Windows (Version 24.0). The difference in the SEE for the mono- and bi-exponential models, and the slope of V̇O2 vs time (for the final minute of exercise), were analysed using paired and one-sample t-tests, respectively. The data were reported as mean ± SD unless otherwise stated. The alpha level was set equal to 0.05, a priori.

Results

The modelled parameters from both models are contained in Table 1, together with the evaluation of the goodness of fit (SEE). This demonstrated that the bi-exponential model apparently fits better (p<0.05) at all exercise intensities including those at or below GET (moderate).

Table 1
Parameters of the oxygen uptake response as a function of exercise intensity for the mono- and bi-exponential model, V̇O2 vs time slopes and standard error of the estimates.

The V̇O2 vs time slope analyses are displayed in Table 1, highlighting that a steady-state V̇O2 was achieved (p<0.05) at all exercise intensities including those at or below GET. Contradictorily, the mathematically modelled parameters (slow component time constant), which were typical of literature reported values, indicated that the full V̇O2 kinetic response would not be achieved within the duration of the ascribed exercise bouts (Table 1).

Table 2 displays the average blood Lactate responses as a function of exercise intensity, and demonstrates that there was no significant change in blood Lactate concentration sub-GET from pre-exercise values, with significant changes only being noted in supra-GET exercise intensities (Table 2). The V̇O2 kinetic response of a typical participant to the eight different exercise intensities is represented in Figure 1.

Table. 2
Average blood lactate responses as a function of exercise intensity.

Figure 1
The breath-by-breath oxygen uptake response, mono and bi exponential model fits and residuals across exercise intensity domains in one typical participant. Data from the exercise performed at -20%∆ and -10%∆ are displayed. The V̇O2 at GET (solid line) and V̇O2peak (dashed line).

Discussion

The aim of this study was to comprehensively examine V̇O2 kinetics during cycling through mathematical modeling of the breath-by-breath gas exchange responses at a range of exercise intensities. In accord with the aforementioned aim, the key findings of this investigation were:

  1. Steady-state V̇O2 was achieved across all exercise intensities (V̇O2 vs. time slopes; p>0.05);

  2. The bi-exponential model SEE was lower than the mono-exponential model across all exercise intensities (p<0.05), indicating a better model fit, and;

  3. The modelled slow component time constants suggested that the V̇O2 kinetic response could not be completed within the duration of the exercise.

Modelling the response

This present study utilised a mono- and bi-exponential modelling process for all exercise intensities, per literature norms, sub and supra-GET. Despite the convention that has emerged regarding the modelling of V̇O2 data, i.e. mono-exponential below and bi-exponential above GET, respectively, the SEE was measured in this study comparing the bi-exponential to mono-exponential models. As highlighted in Table 1, the bi exponential model produced SEE values that were significantly lower than the mono exponential model. The standard error of the estimate is a measure of the accuracy of predictions, and in this context, the SEE is a measure of variance between the raw data and the modelled function, so this may be an indication that the bi-exponential model predictions were more accurate than the mono-exponential model. This was evident across exercise intensities, below and above GET. Furthermore, when modelling using the bi-exponential model, a small slow component was also evident below GET (Table. 1).

Although SEE values indicated that the bi-exponential model fit the data better, it should be appreciated that by making a mathematical model more complex (i.e. by adding further parameters), a closer fit to the data will, almost, always be obtained 2424 Motulsky H, Ransnas L. Fitting curves to data using nonlinear regression: a practical and nonmathematical review. FASEB J. 1987;1:365-374.. Motulsky, Ransnas 2424 Motulsky H, Ransnas L. Fitting curves to data using nonlinear regression: a practical and nonmathematical review. FASEB J. 1987;1:365-374. asserted that comparing two models with the same number of parameters is simple: the fit with the lower sum of squares is superior, for its curve lies closer to the points. Whereas comparing two models with a different number of parameters is appreciably less straightforward because increasing the number of parameters gives more flexibility to the curve-fitting procedure, and almost always leads to a curve that is closer to the points; however, when the number of parameters in a mathematical model is increased, the degrees of freedom are decreased 2424 Motulsky H, Ransnas L. Fitting curves to data using nonlinear regression: a practical and nonmathematical review. FASEB J. 1987;1:365-374.), (2525 Marquardt DW. An Algorithm for Least-Squares Estimation of Nonlinear Parameters. SIAM J Appl Math. 1963;11(2):431-441.), (2626 Ratkowsky D. Nonlinear regression modelling: a unified and practical approach. New York: Marcel Dekker; 1983.. In either case, this presents an issue when deciding if one model is more suitable than another, and is fallacious to assume because one model appears to fit the data better, it is the most appropriate choice. The improved fit may be entirely due to the larger number of parameters within the model. A further consideration is the residual plots of the data; where residuals should not be systematically related to the x-axis values and the residual plot will have a random arrangement of positive and negative residuals. However, when residual data appear to cluster, then the equation may be inappropriate or that the data points differ systematically (not just randomly) from the predictions of the curve 2424 Motulsky H, Ransnas L. Fitting curves to data using nonlinear regression: a practical and nonmathematical review. FASEB J. 1987;1:365-374.. Accordingly, visual inspection of the residual plots (Figures 1-4) indicated a clustering of data points when using the mono-exponential model in exercise intensities above GET.

Figure 2
The breath-by-breath oxygen uptake response, mono and bi exponential model fits and residuals across exercise intensity domains in one typical participant. Data from the exercise performed at GET and +10%∆ are displayed. The V̇O2 at GET (solid line) and V̇O2peak (dashed line).

Figure 3
The breath-by-breath oxygen uptake response, mono and bi exponential model fits and residuals across exercise intensity domains in one typical participant. Data from the exercise performed at +20%∆ and +30%∆ are displayed. The V̇O2 at GET (solid line) and V̇O2peak (dashed line).

Figure 4
The breath-by-breath oxygen uptake response, mono and bi exponential model fits and residuals across exercise intensity domains in one typical participant. Data from the exercise performed at +40%∆ and +50%∆ are displayed. The V̇O2 at GET (solid line) and V̇O2peak (dashed line).

There are well-established reports of using the bi-exponential model above GET, but no reported empirical data below GET. Furthermore, when the kinetics below the GET are explored, the relative exercise intensity tends to be well below the threshold (i.e. 80%GET), and the occurrence of a slow component below GET is not reported 1313 Carter H, Jones AM, Barstow TJ, Burnley M, Williams CA, Doust JH. Oxygen uptake kinetics in treadmill running and cycle ergometry: a comparison. J. Appl. Physiol. 2000;89(3):899-907.)-(1919 Sousa A, Rodriguez FA, Machado L, Vilas-Boas JP, Fernandes RJ. Exercise modality effect on oxygen uptake off-transient kinetics at maximal oxygen uptake intensity. Exp. Physiol. 2015;100(6):719-729.. To the authors’ knowledge, there have been no attempts made to fit the bi-exponential model below the threshold based on the assumption a mono-exponential function must be applied sub-GET.

It is evident amongst the literature that research groups only tend to use relative exercise intensities either well below and/or well above GET, and in instances where studies do utilise an exercise intensity close to the threshold; it is universally assumed that the V̇O2 response should be modelled mono-exponentially 1313 Carter H, Jones AM, Barstow TJ, Burnley M, Williams CA, Doust JH. Oxygen uptake kinetics in treadmill running and cycle ergometry: a comparison. J. Appl. Physiol. 2000;89(3):899-907.)-(1919 Sousa A, Rodriguez FA, Machado L, Vilas-Boas JP, Fernandes RJ. Exercise modality effect on oxygen uptake off-transient kinetics at maximal oxygen uptake intensity. Exp. Physiol. 2015;100(6):719-729., yet there is a surprising lack of empirical evidence from which this assumption was originally proposed and since accepted 1313 Carter H, Jones AM, Barstow TJ, Burnley M, Williams CA, Doust JH. Oxygen uptake kinetics in treadmill running and cycle ergometry: a comparison. J. Appl. Physiol. 2000;89(3):899-907.)-(1919 Sousa A, Rodriguez FA, Machado L, Vilas-Boas JP, Fernandes RJ. Exercise modality effect on oxygen uptake off-transient kinetics at maximal oxygen uptake intensity. Exp. Physiol. 2015;100(6):719-729., with some researchers challenging this development. Concerning which model to use, Perrey 2727 Perrey S. Comments on point: counterpoint: the kinetics of oxygen uptake during muscular exercise do/do not manifest time-delayed phase. On the physiological issue of td determination with empirical modeling. J Appl Physiol. 2009;107(5):1672-1673. asserted that within a single exercise test, it is not clear that a mono-exponential response pattern for moderate exercise intensity is the appropriate model choice. Given the evidence that blood flow adapts with two very distinct mechanisms, the muscle pump and the regulatory feedback, it may not be surprising that availability of O2 as an important regulatory substrate could have a clearly different impact on metabolism at different times in the adaptive process 2828 Tschakovsky ME, Hughson RL. Interaction of factors determining oxygen uptake at the onset of exercise. J Appl Physiol. 1999;86(4):1101-1113..

Virtually all previous literature that has studied across exercise transitions (sub- and supra-GET) have shown concurrent increases in both (primary and slow) amplitudes 1313 Carter H, Jones AM, Barstow TJ, Burnley M, Williams CA, Doust JH. Oxygen uptake kinetics in treadmill running and cycle ergometry: a comparison. J. Appl. Physiol. 2000;89(3):899-907.),(1414 Carter H, Pringle JS, Jones AM, Doust JH. Oxygen uptake kinetics during treadmill running across exercise intensity domains. Eur J Appl Physiol. 2002;86(4):347-354.),(2929 Wilkerson DP, Koppo K, Barstow TJ, Jones AM. Effect of work rate on the functional 'gain' of Phase II pulmonary O2 uptake response to exercise. Respir Physiol Neurobiol. 2004;142(2-3):211-223.),(3030 Pringle JS. The oxygen uptake slow component in human locomotion. United Kingdom, Manchester Metropolitan University; 2002.. This is as a result of the increasing energy demand resulting in an increased oxygen uptake, with V̇O2 believed to increase linearly with work rate at ~10 ml.min-1.W-1 during moderate intensity exercise, whilst increasing to ~13 ml.min-1.W-1 towards supra-GET exercise; increasing exercise intensity involves an increase in motor unit recruitment, and an augmented metabolic heterogeneity of such recruitment, with the collective increase causing increases in the mass of the contracting muscle (1111 Jones AM, Poole DC. Oxygen uptake kinetics in sport, exercise and medicine. New York: Routledge; 2005.),(2828 Tschakovsky ME, Hughson RL. Interaction of factors determining oxygen uptake at the onset of exercise. J Appl Physiol. 1999;86(4):1101-1113.),(3131 Whipp BJ, Wasserman K. Oxygen uptake kinetics for various intensities of constant-load work. J Appl Physiol. 1972;33(3):351-356.),(3232 Pearce DH, Milhorn HT, Jr. Dynamic and steady-state respiratory responses to bicycle exercise. Journal of applied physiology: respiratory, environmental and exercise physiology. 1977;42(6):959-967.. A comparable change in V̇O2 gain was demonstrated in this research (Table 1).

A mono-exponential function has been widely accepted to model the phase-II V̇O2 kinetics as a first-order linear system 3333 Whipp BJ. Rate constant for the kinetics of oxygen uptake during light exercise. J Appl Physiol. 1971;30(2):261-263.),(3434 Linnarsson D. Dynamics of pulmonary gas exchange and heart rate changes at start and end of exercise. Acta Physiol Scand Suppl. 1974;415:1-68.. However, this belief has come under inquiry, as its basis of predicting phase-II kinetic behaviour has been shown to be inaccurate in some empirical experimentation 3535 Brittain CJ, Rossiter HB, Kowalchuk JM, Whipp BJ. Effect of prior metabolic rate on the kinetics of oxygen uptake during moderate-intensity exercise. Eur J Appl Physiol. 2001;86(2):125-134.), (3636 Koppo K, Bouckaert J, Jones AM. Effects of training status and exercise intensity on phase II VO2 kinetics. Med Sci Sports Exerc. 2004;36(2):225-232.), (3737 McNulty CR, Robergs RA, Morris D. Influence of increment magnitude and exercise intensity on VO2 kinetics, time to steady state, and muscle oxygenation. J Exerc Physiol Online. 2015;18:37-58.. In addition to the use of a potentially over-simplistic model, which combines numerous contributing responses into a single parameter estimate, which is likely not attributable to distinct physiological systems 3838 Bakker HK, Struikenkamp RS, De Vries GA. Dynamics of ventilation, heart rate, and gas exchange: sinusoidal and impulse work loads in man. J Appl Physiol Respir Environ Exerc Physiol. 1980;48(2):289-301.. Recently, McNulty, Robergs 1212 McNulty CR, Robergs RA. New Methods for Processing and Quantifying VO2 Kinetics to Steady State: VO2 Onset Kinetics. Front Physiol. 2017;8:740. stated that the V̇O2 response to exercise transitions to steady state is more complex than a mono-exponential function. Asserting that there is still much research to be completed concerning the physiological processes, and appropriate modelling, of the V̇O2 kinetic response to exercise transitions to a steady state. McNulty, Robergs 1212 McNulty CR, Robergs RA. New Methods for Processing and Quantifying VO2 Kinetics to Steady State: VO2 Onset Kinetics. Front Physiol. 2017;8:740. conclude, and aptly question, how can a mathematical model of V̇O2 kinetics be unquestionably followed, when there is still ongoing debate regarding the underlying physiology itself 3939 Stirling JR, Zakynthinaki MS, Saltin B. A model of oxygen uptake kinetics in response to exercise: including a means of calculating oxygen demand/deficit/debt. Bull Math Biol. 2005;67(5):989-1015.), (4040 Stirling JR, Zakynthinaki MS, Billat V. Modeling and analysis of the effect of training on V O2 kinetics and anaerobic capacity. Bull Math Biol. 2008;70(5):1348-1370.), (4141 Stirling JR, Zakynthinaki M. Last word on point:counterpoint: the kinetics of oxygen uptake during muscular exercise do/do not manifest time-delayed phases. J Appl Physiol. 2009;107(5):1676.), (4242 Stirling JR, Zakynthinaki M. Counterpoint: the kinetics of oxygen uptake during muscular exercise do not manifest time-delayed phases. J Appl Physiol. 2009;107(5):1665-1667; discussion 1667-1668..

Transitions to More Intense Exercise

Mean slope analysis of V̇O2 vs. time for the final minute of exercise in the present study demonstrated that during exercise performed above GET, V̇O2 did stabilise and reach a steady state (Table 1; Figure 1b-d), where V̇O2 did not significantly differ from zero. The characteristics of the on-transient V̇O2 kinetic response to supra-GET exercise is described as more complex than the simple mono-exponential model 4343 Linnarsson D. Dynamics of pulmonary gas exchange and heart rate changes at start and end of exercise. Acta Physiol Scand. 1974;S415:1-68.. A typical V̇O2 and metabolite response to supra-GET intensity exercise has been well established and previous research has recognised that during supra-GET exercise the V̇O2 response becomes appreciably more complex with both time and amplitude nonlinearities of response 4444 Whipp BJ. The slow component of O2 uptake kinetics during heavy exercise. Med Sci Sports Exerc. 1994;26(11):1319-1326.. However, it was clarified by Whipp 4444 Whipp BJ. The slow component of O2 uptake kinetics during heavy exercise. Med Sci Sports Exerc. 1994;26(11):1319-1326. that during transitions to supra-GET exercise intensities V̇O2 will reach a steady state. Therefore, based on previous literature, it would be expected that all exercise intensities used in this study would result in a steady state. Generally, 50%∆ is classified as supra-GET intensity exercise; however there have been reports of the boundary between the supra-GET and severe exercise intensities being ~40%∆ 1414 Carter H, Pringle JS, Jones AM, Doust JH. Oxygen uptake kinetics during treadmill running across exercise intensity domains. Eur J Appl Physiol. 2002;86(4):347-354., this was not conclusively demonstrated in the present study. Were a boundary at 40%∆ evident, both V̇O2 and [BLa-] would rise inexorably until fatigue ensued, at which point maximum values of V̇O2 would have been attained 4545 Gaesser GA, Poole DC. The slow component of oxygen uptake kinetics in humans. EXERC SPORT SCI REV. 1996;24:35-71.. Although mean final minute slopes were not significantly different from zero (Table 1; Figure 1b-d), large standard deviations were present and, it would, therefore, be pragmatic for authors to report whether the steady state was attained in subsequent empirical investigations.

One issue with the modelling of the slow component is that, generally, the mathematical modelling process results in constraining the data to fit within a predetermined timeframe i.e. the test duration (typically 6 or 8 minutes; Table 1). Based on the resultant parameter values reported in the present study (Table.1), it was evident that the V̇O2 response is incomplete (based upon the slow component time constant). After 1τ has elapsed the response will have attained 63% of its final value, and after 5 x τ the response will essentially be complete 1111 Jones AM, Poole DC. Oxygen uptake kinetics in sport, exercise and medicine. New York: Routledge; 2005.. Furthermore, reported slow component values for steady-state supra-GET intensity exercise, universally, demonstrate this. The shortest slow component time constant reported in this study was 121s, meaning that the V̇O2 response would not be complete until 605s, well beyond the 480s test duration, whilst the longest was 240s resulting in a complete V̇O2 response, not before 1200s. There are numerous cases of this contradiction of the exponential modelling process in the literature. Carter, Pringle, Jones, Doust 1414 Carter H, Pringle JS, Jones AM, Doust JH. Oxygen uptake kinetics during treadmill running across exercise intensity domains. Eur J Appl Physiol. 2002;86(4):347-354. utilised a 360-second test protocol, at exercise intensities 20%∆, 40%∆, 60%∆, 80%∆ and 100%∆ they reported time constants of 221.7, 289.4, 247.1, 255.3 and 224s, respectively. Based on these reported time constants, the earliest response would be complete is 1108.5s (for 20%∆), well beyond the 360s test duration. Pringle 3030 Pringle JS. The oxygen uptake slow component in human locomotion. United Kingdom, Manchester Metropolitan University; 2002., similarly, reported at 50%∆ and 70%∆, time constants were 242.3 and 269.4s respectively for a 360s test protocol meaning the V̇O2 response would not be complete until 1211.5s (for 50%∆) (at the earliest), again, long after test cessation. Burnley 4646 Burnley M. Effects of prior exercise on the on-transient oxygen uptake kinetics of constant-load exercise. United Kingdom, University of Brighton; 2002. reported slow component time constants of 269.2, 250.3, and 216.6s, all for 50%∆ (360s test duration), demonstrating the response would not be complete until 1083s at the earliest. Ingham, Carter, Whyte, Doust 1717 Ingham SA, Carter H, Whyte GP, Doust JH. Comparison of the oxygen uptake kinetics of club and olympic champion rowers. Med Sci Sports Exerc. 2007;39(5):865-871. and Ingham, Carter, Whyte, Doust 1616 Ingham S, Carter H, Whyte G, Doust J. Physiological and Performance Effects of Low- versus Mixed-Intensity Rowing Training. Med Sci Sports Exerc. 2008;40(3):579-584. reported time constants of 242 and 258.6s, respectively, for 50%∆, meaning it would take until the 1210s had elapsed (at the earliest) for the V̇O2 response to be complete. The reported time constants in these studies, and across the literature, clearly demonstrate that none of the V̇O2 responses would be complete within the test duration. Additionally, in all of these studies, no attempt was made to fit a two-component model below threshold.

It has previously been asserted that the use of a predetermined timeframe for estimation of the slow component amplitude is not appropriate 4747 Bearden SE, Moffatt RJ. VO(2) slow component: to model or not to model? Med Sci Sports Exerc. 2001;33(4):677-680.. Mathematical modelling whilst the V̇O2 response is incomplete, when the kinetics beyond end-exercise are assumed to follow the pattern of the recorded data, likewise, if a steady state has not been reached, any estimation procedures over a rigid period cannot accurately determine the slow component magnitude 4747 Bearden SE, Moffatt RJ. VO(2) slow component: to model or not to model? Med Sci Sports Exerc. 2001;33(4):677-680.. Given the evidence surrounding an incomplete exponential process, in addition to the results of the present study, the ability of the current modelling process to accurately and adequately describe the delayed V̇O2 response should be strongly questioned.

Practical application

The slow component is an appreciably important physiological phenomenon, however, demonstrable and fundamental issues in its’ modelling may obfuscate our understanding of determinants of exercise tolerance and limitations to, in particular, endurance sports performance. It has been shown that exercise priming may significantly change the metabolic and gas exchange responses to subsequent supra-threshold exercise. An initial performance of heavy-intensity exercise, but not moderate intensity exercise, has been shown to speed overall V̇O2 kinetics during subsequent heavy intensity exercise (4848 Gerbino A, Ward SA, Whipp, BJ. Effects of prior exercise on pulmonary gas-exchange kinetics during high-intensity exercise in humans. J Appl Physiol. 1996;80:99-107.),(4949 Burnley M, Jones AM, Carter H, Doust, JH. Effects of prior heavy exercise on phase II pulmonary oxygen uptake kinetics during heavy exercise. J Appl Physiol. 2000;89:1387-1396.. Furthermore, longer-term training studies have demonstrated diminution of the V̇O2 slow component with training 5050 Burnley M, Jones AM. Oxygen uptake kinetics as a determinant of sports performance. Eur J Sport Sci. 2007;7:63-79.),(5151 Krustrup P, Christensen J, Randers M, Pederson H, Sundstrup, E, Jakobson, M, Krustrup, B, Nielson, J, Suetta, C, Nybo, L, Bangsbo, J. Muscle adaptations and performance enhancements of soccer training for untrained men. Eur J Appl Physiol. 2010;108(6): 1247-1258.. It is evident that studying the slow component of V̇O2 further is important for its application to an applied setting. For higher exercise intensities (i.e. above critical power), steady states’ in blood acid-base status and pulmonary gas exchange are not attainable, and V̇O2 will increase with time until V̇O2max is reached. It is the interaction of the V̇O2 slow component, V̇O2max, and the anaerobic capacity that is believed to determine the exercise tolerance 5050 Burnley M, Jones AM. Oxygen uptake kinetics as a determinant of sports performance. Eur J Sport Sci. 2007;7:63-79.. It has been noted that an appreciation of the various exercise intensity domains and their characteristic effects on V̇O2 dynamics could be helpful in improving our understanding of the determinants of exercise tolerance and the limitations to endurance (and other) sports performance. This suggests that more needs to be known about its appearance and, furthermore, the most appropriate method of determination through modelling.

Limitations

The present study used cycling as the exercise modality to comprehensively describe the relationship between exercise intensity and the slow component of V̇O2. Carter, Jones, Barstow, Burnley, Williams, Doust 1313 Carter H, Jones AM, Barstow TJ, Burnley M, Williams CA, Doust JH. Oxygen uptake kinetics in treadmill running and cycle ergometry: a comparison. J. Appl. Physiol. 2000;89(3):899-907. demonstrated that the V̇O2 kinetics were similar for running and cycling, with the exception of the primary (higher in running) and slow component amplitudes (lower in running). Notwithstanding, there is a need to evaluate the effect of the differences in the modelling of the V̇O2 kinetic response in different exercise modalities. Whilst threshold-based demarcations are limited, this study attempted to ameliorate this limitation by including blood lactate measures pre- and post-exercise, so that GET values could be corroborated. A further limitation that must be considered is the incorporation of a single square-wave transition, which therefore necessitates that this work is corroborated across multiple, repeated and extended square-wave transitions.

Conclusion

Whilst the use of best fit has been used as evidence to support two-component modelling, this also demonstrates that a bi-exponential model fit is better, even when a mono-exponential model may be more appropriate.

Steady-state V̇O2 was achieved across all exercise intensities; yet, paradoxically, modelled slow component time constants suggested that the V̇O2 kinetic response could not be completed within the duration of the exercise; questioning the appropriateness of the bi-exponential model.

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Publication Dates

  • Publication in this collection
    29 Apr 2019
  • Date of issue
    2019

History

  • Received
    11 July 2018
  • Accepted
    18 Oct 2018
Universidade Estadual Paulista Universidade Estadual Paulista, Av. 24-A, 1515, 13506-900 Rio Claro, SP/Brasil, Tel.: (55 19) 3526-4330 - Rio Claro - SP - Brazil
E-mail: motriz.rc@unesp.br