Powers, Chapter 13 The Physiology of Training Effect on VO2max, Performance, Homeostasis, and Strength Principles of Training • Overload 足夠的負荷 – Training effect occurs when a system is exercised at a level beyond which it is normally accustomed • Specificity 專一性 – Training effect is specific to the muscle fibers involved – Type of exercise • Reversibility 回復性 – Gains are lost when overload is removed Endurance Training and VO2max • Training to increase VO2max – Large muscle groups, dynamic activity – 20-60 min, 3-5 times/week, 50-85% VO2max • Expected increases in VO2max – 15% (average) - 40% (strenuous or prolonged training) – Greater increase in highly deconditioned or diseased subjects • Genetic predisposition – Accounts for 40%-66% VO2max Calculation of VO2max • Product of maximal cardiac output (Q) and arteriovenous difference (a-vO2) VO2max = HRmax x SVmax x (a-vO2)max • Improvements in VO2max – 50% due to SV – 50% due to a-vO2 • Differences in VO2max in normal subjects – Due to differences in SVmax Stroke Volume and Increased VO2max • Increased SVmax – Preload (EDV, end diastolic volume) • Plasma volume • Venous return • Ventricular volume – Afterload (TPR, total peripheral resistance) • Arterial constriction • Maximal muscle blood flow with no change in mean arterial pressure – Contractility 收縮能力 Figure 12-11 6 Factors Increasing Stroke Volume a-vO2 Difference and Increased VO2max • Improved ability of the muscle to extract oxygen from the blood – Muscle blood flow – Capillary density – Mitochondial number • Increased a-vO2 difference accounts for 50% of increased VO2max Summary of Factors Causing Increased VO2max Detraining and VO2max • Decrease in VO2max with cessation of training – SVmax , maximal a-vO2 difference • Opposite of training effect Endurance Training: Effects on Performance • Improved performance following endurance training • Structural and biochemical changes in muscle – Mitochondrial number, Enzyme activity – Capillary density Structural and Biochemical Adaptations to Endurance Training • Mitochondrial number • Oxidative enzymes – Krebs cycle (citrate synthase) – Fatty acid (-oxidation) cycle – Electron transport chain • NADH shuttling system • Change in type of LDH • Adaptations quickly lost with detraining Detraining: Time Course of Changes in Mitochondrial Number • About 50% of the increase in mitochondrial content was lost after one week of detraining • All of the adaptations were lost after five weeks of detraining • It took four weeks of retraining to regain the adaptations lost in the first week of detraining Time-course of Training/Detraining Mitochondrial Changes Effect of Exercise Intensity and Duration on Mitochondrial Enzymes • Citrate synthase (CS) – Marker of mitochondrial oxidative capacity • Light to moderate exercise training – Increased CS in high oxidative fibers (Type I and IIa) • Strenuous exercise training – Increased CS in low oxidative fibers (Type IIb) Changes in CS Activity Due to Different Training Programs Influence of Mitochondrial Number on ADP Concentration and VO2 • [ADP] stimulates mitochondrial ATP production • Increased mitochondrial number following training – Lower [ADP] needed to increase ATP production and VO2 Biochemical Adaptations and Oxygen Deficit • Oxygen deficit is lower following training – Same VO2 at lower [ADP] – Energy requirement can be met by oxidative ATP production at the onset of exercise • Results in less lactic acid formation and less PC depletion Endurance Training Reduces the O2 Deficit at the Onset of Work Biochemical Changes and FFA Oxidation • Increased mitochondrial number and capillary density – Increased capacity to transport FFA from plasma to cytoplasm to mitochondria • Increased enzymes of -oxidation – Increased rate of acetyl CoA formation • Increased FFA oxidation – Spares muscle glycogen and blood glucose Biochemical Changes, FFA Oxidation, and Glucose-Sparing Blood Lactate Concentration • Balance between lactate production and removal • Lactate production during exercise – NADH, pyruvate, and LDH in the cytoplasm pyruvate + NADH LDH lactate + NAD • Blood pH affected by blood lactate concentration Mitochondrial and Biochemical Adaptations and Blood pH Biochemical Adaptations and Lactate Removal Links Between Muscle and Systemic Physiology • Biochemical adaptations to training influence the physiological response to exercise – Sympathetic nervous system ( E/NE) – Cardiorespiratory system ( HR, ventilation) • Due to: – Reduction in “feedback” from muscle chemoreceptors – Reduced number of motor units recruited • Demonstrated in one leg training studies Link Between Muscle and Systemic Physiology: One Leg Training Study Peripheral Control of Cardiorespiratory Responses to Exercise Central Control of Cardiorespiratory Responses to Exercise Physiological Effects of Strength Training • Strength training results in increased muscle size and strength • Neural factors – Increased ability to activate motor units – Strength gains in initial 8-20 weeks • Muscular enlargement – Mainly due enlargement of fibers (hypertrophy) – Long-term strength training Neural and Muscular Adaptations to Resistance Training