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Exercise Physiology -Chapter 10
Huang-Respiration During Exercise
207
Physiology
Undergraduate 3
04/08/2014

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Term
what is the main role of respiration during exercise?
Definition
to get rid of CO2
Term
what is respiratory compensation?
Definition
increase in ventilation with an increase in exercise intensity
Term
what factors effect respiratory compensation?
Definition
decrease pH volume
decrease oxygen levels
increase carbon dioxide levels
Term
what receptors are activated with respiratory compensation?
Definition
chemoreceptors in the carotid bodies
Term
what are the two kinds of respiration?
Definition
pulmonary
cellular
Term
what is pulmonary respiration?
Definition
ventilation
exchange of oxygen and CO2 in the lungs
Term
what is cellular respiration?
Definition
oxygen utilization and CO2 production by the tissues
Term
what is the purpose of the respiratory system during exercise?
Definition
gas exchange between the environment and the body
regulation od acid-base balance during exercise
Term
what type of transport is pulmonary respiration?
Definition
simple diffusion
Term
how is oxygen brought into the body?
Definition
partial difference between the body and environment
(lower in the body)
Term
how is carbon dioxide brought out of the body?
Definition
partial difference between CO2 in the body compared to the environment
(lower in the environment)
Term
what does the body use oxygen for?
Definition
final electron acceptor to accept hydrogen
transport
Term
how do we produce CO2?
Definition
Krebs Cycle (metabolism)
buffering system
Term
what are the functions of the lungs?
Definition
means of gas exchange between the external environment and the body
ventilation
diffusion
Term
what are the means of gas exchange by the lungs?
Definition
replacing O2
removing CO2
regulation of acid-base balance
Term
what is ventilation?
Definition
moving air into and out of the lungs
Term
what is diffusion?
Definition
random movement of molecules from an area of high concentration to an area of lower concentration
Term
what are the four types of cross membrane transport?
Definition
passive diffusion
facilitated diffusion
active transport
endocytosis
Term
explain passive diffusion.
Definition
the movement of molecules through permeable cell membranes from high to low concentration
Term
explain facilitated diffusion.
Definition
a protein carrier is required to move substances across membranes dependent on substance concentration
Term
substances are carried across membranes, requiring energy, not dependent on their concentration. what transport is this?
Definition
active transport
Term
what is the main difference between passive and facilitated diffusion?
Definition
facilitated needs a protein carrier
Term
give an example of active transport.
Definition
Na/K pump
in order to pump K into the cell
Term
if you lose K due to leakage in the Na/K pump will the cell become more positive or negative?
what happens due to this?
Definition
negative

cannot maintain resting membrane potential
Term
what is endocytosis?
Definition
substances are encircled by the cell membrane and then internalized into the cell
Term
what cells use endocytosis?
Definition
marcophages - the first immune cell to fight infection
Term
what are the organs of the respiratory system?
Definition
nose and nasal cavities
pharynx
larynx
trachea
bronchial tree
lungs and alveoli
diaphragm
Term
what is the diaphragm?
Definition
major muscle of inspiration
when you inhale the diaphragm contracts
Term
what increase as the diaphragm contracts?
Definition
pressure in the abdomen, which increases venous return
Term
what is the conducting zone?
Definition
conducts air to respiratory zone
Term
what does the conducting zone do?
Definition
humidifies air, warms and filters air
Term
what are the parts of the conducting zone?
Definition
trachea
bronchial tree
terminal bronchioles
Term
what is the respiratory zone?
Definition
where exchange of gases between air and blood occur
Term
what are the components of the respiratory zone?
Definition
respiratory bronchioles
alveolar sacs
Term
what is a very important component of alveolar sacs?
Definition
surfactant
Term
what does surfactant do?
Definition
prevent alveolar collapse
reduces tension of alveoli cell membrane to conserve energy during inflation and deflation
Term
what cells synthesize and release surfactant?
Definition
type 2 alveolar cells
Term
how does surfactant reduce surface tension?
Definition
by surrounding the alveoli
Term
how many alveoli provide gas exchange?
Definition
about 300 million
Term
how does movement of air occur?
hint:type of flow
Definition
bulk flow
movement of molecules due to pressure difference
Term
explain inspiration.
what occurs?
Definition
diaphragm pushes downward (contracts)
ribs lift outward
volume of lungs increases
intrapulmonary pressure is lowered
Term
explain expiration.
what occurs?
Definition
diaphragm relaxes
ribs pulled downward
volume of lungs decreases
intrapulmonary pressure is raised
Term
T/F during inspiration-> increased chest pressure-> increased abdomen pressure
Definition
false
decreased chest pressure
Term
what is Boyle's Law?
Definition
with the temperature and number of molecules held constant: volume is inversely proportional to pressure
Term
what if the temperature is held constant in Boyle's Law?
Definition
there is a negative relationship between pressure and volume
Term
what is the formula for Boyle's Law?
p?
V?
n?
R?
T?
Definition
pV=nRT
p=pressure
V=volume
n=gas mass
R=gas constant
T=temperature
Term
T/F high volume = lower pressure according to Boyle's Law.
Definition
true
Term
According to Boyle's Law, as pressure increases what happens to volume?
Definition
decreases
Term
what is the intrapulmonic pressure at rest?
Definition
760 mmHg
Term
what is the intrapulmonic pressure during inhalation?
why does pressure decrease?
Definition
758 mmHg
volume of the lungs increases
Term
what is the intrapulmonic pressure during exhalation?
why does pressure increase?
Definition
763 mmHg
volume of the lungs decreases
Term
does exercise training effect the properties of respiratory muscles? What type of exercise?
Definition
yes they can become more oxidative during prolonged endurance and high intensity exercise
increase the number of mitochondria
Term
do respiratory muscle fatigue during exercise?
Definition
before believed not to, but recent studies show that they do during prolonged exercise greater than 120 minutes and high intensity exercise between 90 and 100% max VO2
Term
do respiratory muscles adapt to training?
Definition
yes
increased oxidative capacity improves respiratory muscle endurance, which means reduced work of breathing
Term
what is the formula for air flow?
Definition
air flow = P1-P2/Resistance
Term
what is resistance of airways determined by?
Definition
Poiseulle's Law
Term
what is the formula for Poiseulle's Law?
Definition
R=8nl/3.14r^4
n=viscosity of inspired air
l=length of airway
r=radius of airway
R=resistance
Term
what is the main factor effecting air flow?
Definition
radius of the bronchial tubes
Term
T/F PO2 in the lungs is never greater than the body.
Definition
false
always greater
Term
T/F PCO2 in the body is always greater than the lungs.
Definition
true
Term
what do alpha receptors do?
Definition
deal with inflammation
Term
How can we increase/decrease dilation and constriction of airways?
Definition
beta receptors
Term
what is the parasympathetic response in the lungs?
Definition
bronchioles constrict
Term
what is the sympathetic response in the lungs?
Definition
bronchioles dilate
Term
what is the cause of bronchiole dilation?
Definition
increase airway->decrease resistance to airflow
Term
what is the cause of bronchiole constriction?
Definition
decrease airway-> increase resistance to airflow
Term
what is pulmonary ventilation?
Definition
movement of gas into or out of the lungs
Term
what is the product of tidal volume times frequency?
Definition
pulmonary ventilation
Term
what can V (pulmonary ventilation) reach during exercise?
Definition
120-175 L/min
Term
T/F all air reaches gas exchange areas.
Definition
false
not all air reaches gas exchange areas
Term
what is it called when not all air reaches gas exchange areas?
Definition
dead-space ventilation (Vd)
Term
what is the air that reaches the alveoli called?
Definition
alveolar ventilation (Va)
Term
what does V equal?
Definition
Va+Vd
Vt*f
Term
give an example of V.
Definition
0.5L * 15 breaths/min = 7.5 L/min
Term
how do you measure V?
Definition
measuring lung capacity
Term
what is vital capacity (VC)?
Definition
maximum amount of gas that can be expired after a maximum inspiration
Term
what is residual volume (RV)?
Definition
volume of gas remaining in the lungs after maximum expiration
Term
what is total lung capacity (TLC)?
Definition
amount of gas in the lungs after maximum inspiration
Term
what is tidal volume (TV)?
Definition
amount of air per breath
Term
what is the typical value of TV?
Definition
500mL
0.5L
Term
what does a skin fold measurement and underwater weighing measure?
Definition
body density
Term
what is the typical value of VC?
Definition
4,700 mL
Term
what is the typical value of TLC?
Definition
6,000 mL
Term
what is the formula of TLC?
Definition
TLC = RV + VC
Term
what does spirometry measure?
what is used to measure?
Definition
measurement of pulmonary volumes and rate of expired air
spirometer
Term
what is spirometry useful for?
Definition
diagnosing lung diseases such as COPD
Term
what does a spirometer test?
what is the formula?
Definition
VC
forced expiatory volume
FEV/VC
Term
what is forced expiatory air?
Definition
volume of air expired in the first second during maximum expiration
Term
what is a normal FEV/VC ratio?
Definition
greater than or equal to 80%
less than this is considered abnormal
Term
what is asthma?
Definition
a chronic disease and an inflammatory reaction
increase in bronchiole dilation
Term
which receptors increase bronchiole dilation?
Definition
beta receptors
Term
what is a reversible narrowing of the airways called?
Definition
bronchospasm
Term
what does a bronchospasm mean for asthma?
Definition
it can come and go, its not constant
Term
what causes a bronchospasm?
Definition
the sudden attack by the release of substance from mast cells
causes the reduction of airway diabetes-> increase work of breathing and short of breath
Term
what will induce asthma?
Definition
air pollution
smoke
virus
allergens
air temperature
humidity
Term
what will induce exercise induced asthma?
Definition
air temperature
humidity
Term
what do mast cells release?
Definition
histamine
Term
how does exercise cause asthma?
Definition
increase body temp->
warmer air in the lungs and colder air in the environment->
the colder, dry air comes into your lungs and trigger asthma->
causing a bronchospasm and secrete large amounts of mucus->
block your airways->
make air difficult to get out of lungs
Term
what is the most common time to see exercise induced asthma?
Definition
during or immediately after exercise
Term
what is COPD?
Definition
a constant narrowing of airways
Term
T/F because of COPD, increase airway resistance-> decrease expiratory airflow
Definition
true
Term
COPD is a combination of what two factors that deal with smoking and family history?
Definition
chronic bronchitis
emphysema
Term
what is the difference between asthma and COPD?
Definition
COPD is constant narrowing where asthma comes and goes
Term
what is chronic bronchitis?
Definition
a constant swelling of the breathing tubes and a constant production of mucus within airways
Term
chronic bronchitis causes
Definition
the airways to be blocked, which decreases normal amount of air into the lungs and decrease expiratory airflow
Term
what is a symptom that helps diagnose chronic bronchitis?
Definition
continuous cough with mucus
Term
what is emphysema?
Definition
a disease that involves the alveoli of the lungs, where there is a decrease in elasticity of the airway, which causes the airway to collapse and increase airway resistance
Term
what is a symptom of emphysema that helps diagnose it?
Definition
shortness of breath
Term
if alveoli collapse there is a increase in airway resistance but also a decrease in what?
Definition
surfactant
Term
what is the treatment for COPD?
Definition
no cure
stop smoking
oxygen-replacement therapy
Term
what does a percent less than 80 indicate in spirometric tests?
Definition
COPD
Term
who has normal lung function someone with a FEV/VC ratio of 93% or 33%?
Definition
93%
Term
what is Fick's Law of Diffusion?
it says the the rate of gas transfer is proportional to the:
Definition
1)tissue area
2)diffusion coefficient of gas
3) the difference in the parietal pressure of the gas on the two sides of the tissue
4) and inversely proportional to the thickness
Term
what is the formula of Fick's Law of Diffusion?
V gas?
A?
T?
D?
P1-P2?
Definition
V gas = A/T * D * (P1-P2)

Vgas= rate of diffusion
A=tissue area
T=tissue thickness
D=diffusion of coefficient of gas
P1-P2=difference between partial pressure of two sides of the tissue
Term
T/F according to Fick's Law of Diffusion, greater tissue area = less gas exchange.
Definition
false
greater tissue area=more gas exchange
Term
T/F according to Fick's Law of Diffusion, thicker the tissue the more difficult it is to diffuse.
Definition
true
Term
what is Dalton's Law?
Definition
the total pressure of a gas mixture is equal to the sum of the pressure that each gas would exert independently
Term
what is the formula for Dalton's Law?
Definition
Pair = PO2 + PCO2 + PN2
Term
when in the mountains does partial pressure increase or decrease?
Definition
decrease
Term
when in the mountains does the percent of O2, CO2, and N2 increase or decrease?
Definition
it will remain the same
Term
how do you calculate partial pressure?
Definition
% in air * 760 mmHg = partial pressure
Term
what happens to the ambient air when it is inhaled?
what happens to oxygen?
Definition
when we breath in ambient air, we warm it up and add water vapor
the causes the partial pressure of oxygen to decrease because it is diluted by water vapor
Term
what is the parietal pressure of oxygen in ambient air?
Definition
159 mmHg
Term
what is the parietal pressure of oxygen in alveolar?
Definition
105 mmHg
Term
what is the parietal pressure of oxygen in arterial blood?
Definition
100 mmHg
Term
T/F when you warm ambient air and add water vapor the partial pressure will decrease.
Definition
true
Term
What are the major factors that induce exercise induced asthma?
Definition
temperature and humidity
Term
what is the average FEV/VC?
Definition
80% or greater
Term
what is the pulmonary circuit rate of flow?
Definition
same rate as systemic circuit
Term
T/F pulmonary circuit has lower pressure than the systemic circuit.
Definition
true
Term
when standing, most of the blood flow is to the base of the lung, why?
Definition
gravitational force
Term
where does more blood flow to in the lung during exercise?
why?
Definition
to the apex
bronchioles are at the top of the lungs
Term
what molecule carries oxygen in the muscle?
Definition
myoglobin
Term
what are the two forms of oxygen carried in?
Definition
dissolved
bound to hemoglobin
Term
what is the only form of oxygen that produces a partial pressure?
Definition
dissolved
Term
T/F oxygen bound to hemoglobin contributes to its partial pressure in the blood.
Definition
false
Term
how many molecules of oxygen can be transported with one molecule of hemoglobin?
Definition
4
Term
does oxygen combined with hemoglobin produce partial pressure?
Definition
no
Term
what percent of oxygen is dissolved and bound to hemoglobin?
Definition
1% dissoved
99% bound to hemoglobin
Term
what is oxyhemoglobin?
Definition
Hb bound to oxygen
Term
what is deoxyhemoglobin?
Definition
Hb not bound to oxygen
Term
how many mL of oxygen does 1 g of Hb transport?
Definition
1.34mL
Term
T/F the amount of oxygen that can be transported per unit volume of blood is dependent on the Hb concentration
Definition
true
Term
what is the average oxygen content in males?
Definition
150g per liter of blood
Term
what is the average oxygen content in females?
Definition
130g per liter of blood
Term
a female with 130g per liter of blood what is that in mL of oxygen per liter of blood?
Definition
174 mL
Term
T/F females have more Hb.
Definition
false
males have more
Term
what is the percent difference between males and females?
Definition
7-8%
Term
what vessels have greater PO2?
Definition
arteries
Term
the direction of deoxyhemoglobin plus oxygen to oxyhemoglobin reaction is dependent on what?
Definition
partial pressure of oxygen in the blood
affinity of oxygen to Hb
Term
is PO2 at the lung high or low? why?
Definition
high = formation of oxyhemoglobin
Term
is PO2 at the tissues high or low? why?
Definition
low = release of O2 to the tissues
Term
during exercise increase exercise intensity and duration more oxygen is required this causes what to happen to the saturation?
Definition
decrease in saturation
more oxygen will more to working muscle tissue
Term
what is the percent saturation at rest?
Definition
100%
Term
what Hb brings oxygen to the tissue what does the percentage decrease too?
Definition
75%
Term
T/F the high the partial pressure of oxygen the more oxygen binds to Hb.
Definition
true
Term
what factors effect the amount of oxygen to be released from Hb?
Definition
pH
temperature
2-3 DPG
Term
T/F an increased pH lowers Hb-O2 affinity
Definition
false
decreased
Term
a lower pH volume will cause the curve to shift to the right is this good or bad? why?
Definition
good
try to enhance oxygen
Term
can exercise training delay curve shifting to the right?
Definition
yes
Term
why does an increase in exercise intensity cause a decrease in partial pressure of O2?
Definition
because there is less oxygen in the blood
Term
what we increase temperature what happens to the dissociation curve?
Definition
shifts to the right which is good for exercise performance
Term
how does temperature affect Hb-O2 affinity?
Definition
lowers with increased temperature
Term
what factors effect enzyme activity?
Definition
pH
temperature
Term
RBCs only use what nutrient as energy fuel?
Definition
glucose
Term
what is 2-3 DPG?
Definition
a by product of RBC glycolysis
Term
how does 2-3 DPG effect the dissociation curve?
Definition
result in a rightward shift
Term
when comparing trained and untrained individuals with 2-3 DPG what happens with the dissociation curve?
Definition
delayed shift to the right
Term
how does myoglobin work?
Definition
shuttles O2 from the cell membrane to the mitochondria
Term
what is myoglobin most abundant?
Definition
in slow twitch muscle fibers
Term
T/F Mb has a high affinity to oxygen than Hb.
Definition
true
Term
T/F Mb and Hb do not hold the same amount of oxygen molecules.
Definition
false
Term
What is a special difference between Mb and Hb?
Definition
Mb is able to store oxygen because of the difference structure and low PO2.
Term
what factors cause the dissociation curve to shift to the left?
Definition
decrease PO2
increase pH
decrease temperature
decrease 2-3 DPG
Term
what factors cause the dissociation curve to shift to the right?
Definition
increase PO2
decrease in pH
increase in temperature
increase 2-3 DPG
Term
what enzyme changes CO2 into bicarbonate?
Definition
carbonic anhydrase
Term
what are the three forms of CO2 in the blood? what are the percentages?
Definition
10% dissolved in plasma
20% bound to hemoglobin
70% bicarbonate
Term
T/F increased ventilation causes and increase in CO2 exhalation.
Definition
true
Term
decreased ventilation causes an build up of what?
Definition
CO2
Term
when we increase air to the alveoli we will increase arteriole PO2. Most likely more O2 will be diffused at the same time causing what?
Definition
a decrease in arteriole PO2
Term
what is the ratio of ventilation to perfusion at rest (under normal circumstances)?
Definition
4/5 = 0.8
80%
Term
will lung disease effect the 80% ratio?
Definition
yes
Term
what is the average L/min for ventilation?
Definition
4
Term
what is the average L/min for perfusion?
Definition
5
Term
what is ventilation (V)?
Definition
the amount of air that reaches the alveoli
Term
what is perfusion (Q)?
Definition
pulmonary blood flow
Term
what happens when we increase the amount of blood to the pulmonary capillaries?
Definition
increase cardiac output
increase the exchange of O2 and CO2
Term
what is the average cardiac output at rest?
Definition
5L/min
Term
what is the ideal ventilation/perfusion ratio?
Definition
0.8
Term
what does the ventilation/perfusion ratio indicate?
Definition
matching blood flow to ventilation
Term
in terms of perfusion, what is the apex of the lung?
Definition
underperfused
Term
in terms of perfusion, what is the base of the lung?
Definition
overperfused
Term
what happens to the V/Q ratio during light and heavy exercise?
Definition
light=improves ratio
heavy=ratio inequality
Term
what happens to ventilation at the onset of constant-load submaxiaml exercise in the PaO2 and PaCO2 in the artery?
Definition
initially increases rapidly
then a slower rate towards steady state
Term
what happens to PaO2 and PaCO2 at the of constant-load submaxiaml exercise?
Definition
slight decrease in PaO2 and increase in PaCO2
Term
what happens to venous PvCO2 during exercise??
Definition
incrase CO2 mainly generated during energy metabolism
Term
during exercise what changes in arterial blood?
PaO2?
PaCO2?
pH?
Definition
PaO2=no change
PaCO2=no change
pH- no change or decrease
Term
during exercise what changes in venous blood?
Definition
increase in PaCO2
Term
during exercise pulmonary blood flow?
cardiac output?
pulmonary blood flow?
V/Q?
Definition
cardiac output=increase
pulmonary blood flow=increase
V/Q more in lungs
Term
what happens to the dissociation curve during exercise?
Definition
shifts to the right
decreased affinity of O2
Term
what happens to ventilation during prolonged sub maximal exercise in a hot/humid environment?
Definition
ventilation tends to drift upward
Term
what happens in an untrained individual during incremental exercise?
ventilation?
PO2?
Definition
ventilation:
linear increase to 50-75% VO2 max, the exponential increase
ventilatory threshold at about 50% VO2 max

PO2:
maintained within 10-12mmHg of resting value
Term
when the lactate threshold is reached what other threshold is reached?
Definition
ventilatory threshold
Term
what does the ventilatory threshold cause?
Definition
increase in CO2
respiratory compensation
Term
when does ventilation threshold occur in the trained athlete?
Definition
at a higher VO2 max
Term
what happens to PO2 in a trained individual? why?
Definition
decrease of 30-40 mmHg at near maximal work
V/Q mismatch
short RBC transit time in pulmonary capillary at high cardiac output
Term
what is hypoxemia?
Definition
decrease of PO2 at near maximal work
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