MVS 110 Exercise Physiology Page 1 READING #6 EVALUATING ENERGY-GENERATING CAPACITIES Introduction We all possess the capability for anaerobic and aerobic energy metabolism, although the capacity for each varies considerably among individuals. These differences underlie the concept of individual differences. A person’s capacity for energy transfer depends largely on the exercise mode used for training and evaluation. A high aerobic power in running does not assure a similar aerobic power when activating different muscle groups as in swimming and rowing. This disparity represents an example of specificity of metabolic capacity. On the other hand, some individuals with high aerobic power in one form of exercise also possess an above average aerobic power in other diverse activities. This illustrates the generality of metabolic capacity. For the most part, more specificity exists than generality in metabolic and physiologic function. Lecture Objectives Explain specificity as it applies to exercise. Describe procedures to administer two practical “field tests” to evaluate power output capacity of the high-energy intramuscular phosphates (immediate energy system). Describe a commonly used test to evaluate the power output capacity of the short-term energy system. Define maximal oxygen uptake (VO2max), including the physiological significance of this measure. Describe a graded exercise test. List criteria that indicate when a person reaches a “true” VO2max during a graded exercise test. Explain how each of the following affect maximal oxygen uptake: (1) mode of exercise, (2) heredity, (3) state of training, (4) gender, (5) body composition, and (6) age. Overview of Energy Transfer Capacity During Exercise The immediate and short-term energy systems mainly power all-out exercise for up to 2-minutes duration. Both systems operate anaerobically because their transfer of chemical energy does not require oxygen (refer to lecture 6.) Generally, fast movements at a given speed place great reliance on anaerobic energy transfer. Figure 1 shows the involvement of anaerobic and aerobic energy transfer systems for different durations of all-out exercise. At the initiation of either high- or lowspeed movements, intramuscular ATP, phosphagens, and PCr provide nonaerobic energy for muscle action. After the first few seconds of movement, the glycolytic energy system provides an increasingly greater proportion of the Figure 1. Three energy systems and their percentage contribution (Yaxis) to total energy output during all-out exercise of different durations (X-axis). MVS 110 Exercise Physiology Page 2 total energy. For exercise to continue (at a lower intensity), a progressively greater demand is placed on the aerobic metabolic pathways of ATP resynthesis. Some activities require the capacity of more than one energy transfer system, whereas other activities rely predominately on a single system. However, all activities activate each energy system to some degree, depending on exercise intensity and duration. Of course, the greater demand for anaerobic energy transfer occurs for higher intensity, shorter duration activities. Anaerobic Energy: The Immediate and Short-Term Energy Systems Evaluation of the Immediate Energy System Performance tests that rely on maximal activation of the intramuscular ATP-PCr energy reserves have been developed as “field tests” to evaluate the immediate energy transfer system. These maximal effort performances, generally referred to as power tests, evaluate the time-rate of doing work (i.e., work accomplished per unit time). The following formula (where, F equals force generated, D equals distance through which the force moves, and T equals exercise duration) computes power output: Watts represents a common expression of power One watt equals 0.73756 ft-lb•sec–1 or 6.12 kg-m•min–1 STAIR-SPRINTING POWER TESTS Researchers have measured short-term power by sprinting up a flight of stairs. Figure 2 shows a subject running up a staircase as fast as possible taking three steps at a time. The external work performed equals the total vertical distance the body rises up the stairs; for six stairs this distance usually equals about 1.05 meters. Figure 2. Stair-sprinting power test. The subject begins at point A and runs as fast as possible up a flight of stairs, taking 3 steps at a time. Electric switch mats placed on the steps record the time to cover the distance between stair 3 and 9 to the nearest 0.01 s. Power output equals the product of the subject’s mass (F) and vertical distance covered (D), divided by the time (T). The power output for a 65-kg woman who traverses six steps in 0.52 seconds computes as follows: MVS 110 Exercise Physiology Page 3 F = 65 kg; D = 1.05 m; T = 0.52 s Power = [65 kg x 1.05 m] ÷ 52 s Power = 131.3 kg-m•s-1 (1287 watts) Because body mass greatly influences the power-output score in stair sprinting, a heavier person necessarily generates greater power at the same speed as a lighter person who covers the same vertical distance. Because of the influence of body mass, use caution in interpreting differences in stair-sprinting power scores and making inferences about individual differences in ATP-PCr energy capacity. The test may be better suited for evaluating individuals of similar body mass, or the same people before and after a specific training regimen. FOR YOUR INFORMATION INTERCHANGEABLE EXPRESSIONS FOR ENERGY AND WORK 1 foot-pound (ft-lb) = 0.13825 kilogram-meters (kg-m) 1 kg-m = 7.233 ft-lb = 9.8066 joules 1 kilocalorie (kcal) = 3.0874 ft-lb = 426.85 kg-m = 4.186 kilojoules (kJ) 1 Joule (J) = 1 Newton-meter (Nm) 1 kilojoule (kJ) = 1000 J = 0.23889 kcal Jumping-Power Tests For years, physical fitness test batteries have included jumping tests such as the jump-and-reach test or a standing broad jump. The jump-and-reach test score equals the difference between a person’s standing reach and the maximum jump-and-touch height. For the broad jump, the score represents the horizontal distance covered in a leap from a semicrouched position. Although both tests purport to measure leg power, they probably fail to achieve this goal. For one thing, with jump tests, power generated in propelling the body from the crouched position occurs only in the time the feet contact the floor's surface. This brief period cannot sufficiently evaluate a person’s ATP and PCr power capacity. OTHER POWER TESTS A 6 to 8-second performance involving all-out exercise measures the person’s capacity for immediate power from the intramuscular high-energy phosphates (refer to Figure 1). Examples of other such tests include sprint running or cycling, shuttle runs and more localized movements such as arm cranking or simulated stair climbing, rowing, or skiing. In the popular Quebec 10-second test of leg cycling power, the subject performs two all-out 10-second rides at a frictional resistance equal to 0.09 kg per kg of body mass, with 10- minutes rest between exercise bouts. Exercise begins by pedaling as fast as possible as the friction load is applied and continues all-out for 10 seconds. Performance represents the average of the two tests reported in peak joules per kg of body weight, and total joules per kg of body weight. Power tests may be used to show changes in an athlete’s performance with specific training. Such tests also serve as an excellent means for self-testing and motivation, and provide the actual movement-specific exercise for training the immediate energy system. Many football teams, for example, routinely use the 40-yard dash as a criterion to evaluate a player’s speed. Although many types of “speed” need to be evaluated in football, the 40-yard scores may provide useful information for player evaluation. It should be emphasized that research needs to establish how 40-yard speed in a straight line relates to overall football ability for players at MVS 110 Exercise Physiology Page 4 similar positions. A run test of shorter duration (up to 20 yd), or one with frequent changes in direction may be an equal or more suitable performance measure. Several physiologic and biochemical measures, in addition to exercise performance, can estimate the energy-generating capacity of the immediate energy system. These include: Size of the intramuscular ATP-PCr pool ATP and PCr depletion rates from all-out exercise of short duration Magnitude of the oxygen deficit calculated from the oxygen uptake curve Magnitude of the alactic (fast component) portion of recovery oxygen uptake Evaluation of the Short-Term Energy System As displayed in Figure 1, the anaerobic reactions of glycolysis (short-term energy system) generate increasingly greater energy for ATP resynthesis when all-out exercise continues longer than a few seconds. This does not mean that aerobic metabolism remains unimportant at this stage of exercise, or that the oxygenconsuming reactions have not been “switched-on.” To the contrary, Figure 2 reveals an increase occurs in aerobic energy contribution very early in exercise. However, the energy requirement in all-out exercise significantly exceeds energy generated by hydrogen's oxidation in the respiratory chain. This means that the anaerobic reactions of glycolysis predominate, with large quantities of lactic acid accumulating within the active muscle and ultimately appearing in the blood. Unlike tests for maximal oxygen uptake, no specific criteria exist to indicate that a person has reached a maximal anaerobic effort. In fact, one's level of self-motivation, including external factors in the test environment, likely influences the test score. Researchers most commonly use the level of blood lactate to indicate the degree of activation of the short-term energy system. Performance Tests of Glycolytic Power Activities requiring substantial activation of the short-term energy system demand maximal work for up to three minutes. All-out runs and cycling exercise have usually been used, although weight lifting of a certain percentage of maximum and shuttle runs are also used. Because age, sex, skill, motivation, and body size affect maximal performance, Figure 3. Contribution of each of the energy systems to the total work accomplished difficulty exists selecting a in three tests of short-duration. suitable criterion test for developing standards for glycolytic energy capacity. A test that maximally uses only leg muscles cannot adequately assess short-term anaerobic capacity for upper-body exercise like rowing. Thus, the performance test must be similar to the activity for which the energy capacity is being evaluated. Thus, the actual activity serves as the test. Figure 3 presents the percent contribution of each metabolic pathway during three different all-out cycle ergometer tests. The results are shown as a 10 sec 30 sec Short-duration tests 90 sec MVS 110 Exercise Physiology Page 5 percent of the total work output. Note the progressive change in the percent contribution of each of the energy systems to the total work output as duration increases. Blood Lactate Levels Blood lactate levels remain relatively low during steady-rate exercise up to about 55% of the VO2max. Thereafter, blood lactate begins to accumulate, with a precipitous increase noted in the region of the VO2max. Glycogen Depletion Because the short-term energy system largely depends on glycogen stored in the specific muscles activated by exercise, these muscles' pattern of glycogen depletion provides an indication of the contribution of glycolysis to exercise. With steady-rate exercise at about 30% of VO2max, a considerable reserve of muscle glycogen remains, even after cycling for 180 minutes. Because relatively light exercise relies mainly on a low level of aerobic metabolism, large quantities of fatty acids provide energy with only moderate use of stored glycogen. The most rapid and pronounced glycogen depletion occurs at the two heaviest workloads. This makes sense from a metabolic standpoint because glycogen provides the only stored nutrient for anaerobic ATP resynthesis. Thus, glycogen has high priority in the “metabolic mill” during strenuous exercise. Changes in total muscle glycogen may not give a precise indication of the degree of glycogen breakdown in specific muscle fibers, however. Depending on exercise intensity, glycogen depletion occurs selectively in either fast- or slow-twitch fibers. For example, during all-out one-minute sprints on a bicycle ergometer, activation of the fast-twitch fibers provides the predominant power for the exercise. Glycogen content in these fibers becomes almost totally depleted because of the sprint's anaerobic nature. In contrast, slow-twitch fibers become glycogen-depleted early during moderate to heavy prolonged aerobic exercise. Glycogen utilization (and depletion) mainly in specific muscle type fibers makes it difficult to evaluate the degree of glycolytic activation from changes in a muscle’s total glycogen content before and after exercise. Anaerobic Energy Transfer Capacity Differences in training level, capacity to buffer acid metabolites produced in heavy exercise, and motivation contribute to individual differences in capacity to generate short-term anaerobic energy. Effects of Training Short-term supermaximal exercise on a bicycle ergometer in trained subjects always produces higher levels of blood and muscle lactic acid, and greater muscle glycogen depletion. For all subjects, better performances usually associate with higher blood lactate levels. These results support the belief that training for brief, all-out exercise enhances the glycolytic system's capacity to generate energy. Buffering of Acid Metabolites Lactic acid accumulates when anaerobic energy transfer predominates. This causes an increase in the muscle's acidity, negatively affecting the intracellular environment. The deleterious intracellular alterations during anaerobic exercise have caused speculation that anaerobic training might enhance short-term energy capacity by increasing the body’s buffering reserve to enable greater lactic acid production through more effective buffering. MVS 110 Exercise Physiology Page 6 Motivation Individuals with greater “pain tolerance,” “toughness,” or ability to “push” beyond the discomforts of fatiguing exercise definitely accomplish more anaerobic work. These people usually generate greater levels of blood lactate and glycogen depletion; they also score higher on tests of short-term energy capacity. Although difficult to categorize and quantify, motivation plays a key role in superior performance at all levels of competition. Aerobic Energy: The Long-Term Energy System The data in Figure 4 illustrate that persons who engage in sports that require sustained, high-intensity exercise (i.e., endurance) generally possess a large aerobic energy transfer capacity. Men and women who compete in distance running, swimming, bicycling, and cross-country skiing generally record the highest maximal oxygen uptakes. These athletes have almost twice the aerobic capacity as sedentary individuals. This does not mean that only VO2max determines endurance exercise capacity. Other factors, especially those at the muscle level such as capillary density, enzymes, and fiber type, strongly influence the capacity to sustain a high percentage of VO2max. However, the VO2max does provide useful information about the capacity of the long-term energy system. Attainment of VO2max requires integration of ventilatory, cardiovascular, and neuromuscular systems; this gives significant physiologic “meaning” to this metabolic measure. For these reasons, VO2max represents a fundamental measure in exercise physiology and often serves as the standard against which to compare performance estimates of aerobic capacity and endurance fitness. Measurement of Maximal Oxygen Uptake Tests for VO2max use exercise tasks that activate large muscle groups with sufficient intensity and duration to engage maximal aerobic energy transfer. Exercise includes treadmill walking or running, bench stepping, or cycling. VO2max has also been measured during free, tethered, and flume swimming and swimbench ergometry, and simulated rowing, skiing, stair climbing, as well as ice skating and arm-crank exercise. Considerable research effort has been directed toward (1) development and standardization of tests for VO2max, and (2) establishment of Figure 4. Maximal oxygen uptake of male and female Olympic-caliber athletes in different sport categories compared to healthy sedentary subjects. MVS 110 Exercise Physiology Page 7 norms related to age, sex, state of training, and body composition. Criteria for VO2max A leveling-off, or peaking-over, in oxygen uptake during increasing exercise intensity signifies attainment of maximum capacity for aerobic metabolism (i.e., a “true” VO2max). When this generally accepted criterion is not met, or local muscle fatigue in the arms or legs rather than central circulatory dynamics limits test performance, the term “peak oxygen uptake” (VO2peak) usually describes the highest oxygen uptake value during the test. Tests of Aerobic Power Numerous tests have been devised and standardized to measure VO2max. These test performances should be independent of muscle strength, speed, body size, and skill, with the exception of specialized swimming, rowing, and ice skating tests. The VO2max test may require a continuous 3- to 5-minute “supermaximal” effort, but it usually consists of increments in exercise intensity (referred to as a graded exercise test or GXT) until the subject stops. Some researchers have imprecisely termed this end point “exhaustion,” but it should be kept in mind that the subject terminates the test (for whatever reason). A variety of psychological or motivational factors can influence this decision, and it may not reflect true physiologic exhaustion. It can take considerable urging and prodding to get subjects to the point of acceptable criteria for VO2max, particularly individuals unaccustomed to producing maximal exercise. Children and adults encounter particular difficulty if they have had little prior experience performing strenuous exercise. Practical experience has shown that attaining a plateau in oxygen uptake during the VO2max test requires high motivation and a relatively large anaerobic component. Factors That Affect Maximal Oxygen Uptake Of the many factors influencing VO2max, the most important include mode of exercise and the person’s heredity, training state, sex, body composition, and age. Mode of Exercise Variations in VO2max during different modes of exercise reflect the quantity of muscle mass activated during the performance. In experiments that determined VO2max on the same subjects during exercise, treadmill exercise produced the highest values. Bench stepping, however, has generated VO2max scores identical to treadmill values and significantly higher than values on a bicycle ergometer. With arm-crank exercise, aerobic capacity reaches only about 70% of one’s treadmill VO2max. The treadmill represents the laboratory apparatus of choice for determining VO2max in healthy subjects. The treadmill provides easy quantification and regulation of exercise intensity. Compared with other forms of exercise, subjects achieve one or more of the criteria for establishing VO2max more easily on the treadmill. Bench stepping or bicycle exercise is suitable alternatives under non-laboratory “field” conditions. Heredity A question frequently raised concerns the relative contribution of natural endowment to physiologic function and exercise performance. For example, to what extent does heredity determine extremely high aerobic capacities of the endurance athletes? Do these exceptionally high levels of functional capacity reflect more than the training effect? Although the answer remains incomplete, some researchers have focused on the question of how genetic variability accounts for differences between individuals in physiologic and metabolic capacity. MVS 110 Exercise Physiology Page 8 Studies were made of 15 pairs of identical twins (with the same heredity since they came from the same fertilized egg) and 15 pairs of fraternal twins (who do not differ from ordinary siblings because they result from separate fertilization of two eggs) raised in the same city by parents with similar socioeconomic backgrounds. The researchers concluded that heredity alone accounted for up to 93% of the observed differences in aerobic capacity as measured by the VO2max. In addition, genetic determination accounted for 81% of the capacity of the short-term glycolytic energy system and 86% of maximum heart rate. Subsequent investigations of larger groups of brothers, fraternal twins, and identical twins indicate a significant but much smaller effect (20–30% for VO2max, 50% for maximum heart rate, and 70% for physical working capacity) of inherited factors on aerobic capacity and endurance performance. Genetic makeup plays such a prominent role in determining training response that it is nearly impossible to predict a specific individual’s response to a given training stimulus. Training State VO2max scores must be evaluated relative to the person’s state of training at the time of measurement. Improvements in aerobic capacity with training generally range between 6 and 20%, although increases have been reported as high as 50% above pretraining levels. Gender VO2max values (mL•kg-1•min-1) for women typically average 15 to 30% below scores for men. Even among trained athletes, this difference ranges between 15 and 20%. Such differences increase considerably when expressing the VO2max as an absolute value (L•min–1) rather than relative to body mass (mL•kg-1•min-1). Between world-class male and female cross-country skiers, for example, a 43% lower VO2max value for women (6.54 vs. 3.75 L•min–1) decreased to 15% (83.8 v 71.2 mL•kg -1•min-1) using the athletes' body mass in the ratio expression of VO2max. Sex difference in VO2max has generally been attributed to differences in body composition and hemoglobin content. Untrained young adult women generally possess about 25% body fat, whereas the corresponding value for men averages 15%. Although trained athletes have a lower percentage of fat, trained women still possess significantly more body fat than male counterparts. Thus, the male generally generates more total aerobic energy simply because he possesses a relatively large muscle mass and less fat than the female. Probably due to their higher level of testosterone, men show a 10 to 14% greater concentration of hemoglobin. This difference in the blood's oxygen-carrying capacity potentially enables males to circulate more oxygen during exercise and gives them a slight edge in aerobic capacity. Although lower body fat and higher hemoglobin provide the male with some advantage in aerobic power, we must look for other factors to fully explain the disparity between the sexes. Differences in normal physical activity level between an “average” male and “average” female provide a possible explanation. Perhaps considerably less opportunities exist for women to become as physically active as men due to social structure and constraints. In fact, even among prepubertal children, boys become more active in daily life than their female counterparts. Age Changes in VO2max relate to chronological age. Although limitations exist in drawing inferences form cross-sectional studies of different people at different ages, the available data provide insight into the possible effects of aging on physiologic function. Figure 5 shows the VO2max as a function of age. Note the dramatic increases Figure 5. General trend for maximal oxygen uptake with age and level of activity in males and females. MVS 110 Exercise Physiology Page 9 during the growth years. Longitudinal studies (measuring the same people over a prolonged period) of children’s aerobic capacity show that absolute VO2max increases from about 1.0 L•min-1 at age 6 years to 3.2 L•min-1 at age 16 years. VO2max in girls peaks at about age 14 and declines thereafter. At age 14, the differences in VO2max between boys and girls approximate 25%, with the spread reaching 50% by age 16. Note also the decline in VO2max with increasing age. Beyond age 25, VO2max declines steadily at about 1% per year, so that by age 55 it averages 27% below values reported for 20 year olds. One’s habitual level of physical activity through middle age determines changes in aerobic capacity to a greater extent than chronological age. Body Composition Differences in body mass explain roughly 70% of the differences in VO2max scores among individuals. Thus, meaningful comparisons of exercise performance or the absolute value (L•min-1) for VO2max become difficult among individuals who differ in body size or body composition. This has led to the common practice of expressing oxygen uptake in terms of these components – either related to body surface area (BSA), body mass, fat-free body mass (FFM), or limb volume.