Eight tetraplegic and 13 paraplegic subjects performed a continuous progressive loading exercise test to exhaustion on a wheelchair ergometer. Their cardiorespiratory responses at maximal O2 uptake were analyzed after initially grouping subjects according to the international system for classification of wheelchair athletes. Analysis of variance provided a basis for regrouping the subjects into tetraplegic (T), high-lesion paraplegic (HLP), and low-lesion paraplegic (LLP) groups and indicated significant differences (P less than 0.05) in maximal power output (24, 47, and 80 W) and O2 uptake (0.97, 1.62, and 2.42 l/min) for T, HLP, and LLP, respectively. T had a significantly lower maximal heart rate (110) compared with the paraplegic values (175 and 190), whereas the HLP, in contrast to the LLP, had a lower maximum ventilation (66 vs. 101 l/min) and a lower O2 pulse (9.3 vs. 12.7 ml/beat). The ventilatory equivalent for O2 was similar in all groups to values for able-bodied subjects in maximal arm crank ergometry, however, suggesting a lack of any respiratory limit to maximal O2 delivery. No differences were noted in respiratory exchange ratio or net efficiency between the groups. In addition to limitations of functional muscle mass, the data suggested that the reduced cardiac capacity of T and HLP may also be linked to their lower maximal exercise capacity and O2 uptake.

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The maximal aerobic power (VO2max) and maximal anaerobic capacity (AODmax) of 16 female rowers were compared to their peak aerobic power (VO2peak) and peak anaerobic capacity (AODpeak, respectively) during a simulated 2-km race on a rowing ergometer. Each subject completed three tests, which included a 2-min maximal effort bout to determine the AODmax, a series of four, 4-min submaximal stages with subsequent progression to VO2max and a simulated 2-km race. Aerobic power was determined using an open-circuit system, and the accumulated oxygen deficit method was used to calculate anaerobic capacities from recorded mechanical power on a rowing ergometer. The average VO2peak (3.58 l min(-1)), which usually occurred during the last minute of the race simulation, was not significantly different (P > 0.05) from the VO2max (3.55 l min(-1)). In addition, the rowers' AODmax (3.40 l) was not significantly different (P > 0.05) from their AODpeak (3.50 1). The average time taken for the rowers to complete the 2-km race simulation was 7.5 min, and the anaerobic system (AODpeak) accounted for 12% of the rowers' total energy production during the race.

These observations question the meaning of post exercise measurements of pulmonary diffusion capacity, and its components, relative to pulmonary gas exchange and pulmonary fluid accumulation during exercise. The fact that there was no further change in %SaO2 after the second test suggests that if any interstitial edema developed, it was of no clinical significance; alternatively, the changes in DL(CO) may be related more to redistribution of blood than the development of pulmonary edema.

In order to determine the influence of two artificially induced alkalotic states on the ability to perform maximal exercise, six male subjects (mean age, 22.0 years; mean height, 176.8 cm; mean weight, 69.1 kg; mean VO2 max, 3.83 l min-1) were studied during three experimental trials. The subjects performed six 60-s cycling bouts, at a work rate corresponding to 125% VO2 max, with 60 s recovery between work bouts; these regimens were performed 1 h after the ingestion of a solution containing either; I, placebo; II, NaHCO3 in a dosage of 0.15 g per kg body weight; or III, NaHCO3 0.30 g per kg body weight. The sixth work bout was continued until the pedal velocity dropped below 50 rev min-1. Total work done for the entire work period was calculated. Blood samples were taken from a forearm vein prior to the exercise bouts for analysis of pH and HCO3. The results showed a significant pre-exercise difference in pH and HCO3 for all conditions (P less than 0.01). In conditions where artificial alkalosis had been achieved prior to exercise there was significant increase in the work produced: I, 121.6 kJ; II, 133.1 kJ; III, 133.5 kJ (P less than 0.05). The time to fatigue in the six bout was also significantly increased; I, 74.7 s; II, 111.0 s; III, 106.0 p (P less than 0.05). There were no significant differences between conditions II and III. Thus augmentation of the bicarbonate reserves has a significant positive effect on the energy metabolism in interval-type exercise, leading to an increase in the work done and in the time to fatigue.(ABSTRACT TRUNCATED AT 250 WORDS)