RESPIRATORY SYSTEM Introduction The Respiratory System performs 3 main processes which are linked via the heart and vascular system 1. Pulmonary Ventilation – breathing air into and out of the lungs 2. External Respiration – exchange of O2 and CO2 between lungs and blood 3. Internal Respiration – exchange of O2 and CO2 between blood and muscle tissue Structure of the Respiratory System Lobes of the lungs (right lung has 3 lobe and left lung has 2 lobes) Air enters Oral Cavity and Nasal Cavity and travels down the Trachea, passing the Pharynx and Larynx Air reaches the left and right bronchus which branch into smaller bronchioles eventually reaching the alveoli ducts and into alveoli sacs which are surrounded by capillaries for gaseous exchange Alveoli increase the efficiency of gaseous exchange by: o Forming a vast surface area (about half the size of a Tennis court) o Having a single-layer of thin epithelial cells The lungs have a pulmonary pleura which is a double walled sacs consisting of two membranes filled with pleural fluid, to help reduce friction between the ribs and lungs during breathing. The outer layer attaches to the ribs and the inner layer to the lungs. This ensures the lungs move with the chest during breathing Respiration at Rest INSPIRATION Diaphragm contracts – active External intercostals contract – active Diaphragm flattens/pushed down Ribs/Sternum moves up and out Thoracic cavity volume increases Lung air pressure decreases below atmospheric air Air rushes into the lungs EXPIRATION Diaphragm relaxes – passive External intercostals relax – passive Diaphragm pushed upward Ribs/Sternum moves in and down Thoracic cavity volume decreases Lung air pressure increases above atmospheric air Air rushes out of the lungs Mechanics of Respiration during Exercise The rate and depth of breathing needs to increase during exercise to allow more O2 into the lungs to meet the demands of exercise Below is a table which shows the mechanics of respiration during exercise: 1 INSPIRATION Diaphragm contracts External intercostals contract Sternocleidomastoid contracts Scalenes contract Pectoralis minor contracts EXPIRATION Diaphragm relaxes External intercostals relax Internal intercostals contract (active) Rectus abdominus/Obliques contract (active) Diaphragm pushed up harder with more force Ribs/Sternum pulled in and down Greater decrease in thoracic cavity volume Higher air pressure in lungs More air pushed out of the lungs Diaphragm flattens with more force Increased lifting of ribs and sternum Increased thoracic cavity volume Lower air pressure in lungs More air rushes into lungs Respiratory Volumes at Rest Tidal Volume (TV) – The volume of air inspired or expired per breath (about 500ml at rest) Frequency (f) – The number of breaths per minute (about 12-15 at rest) Minute Ventilation (VE) – The volume of air inspired or expired in one minute (or TV x f = about 7500ml/min or 7.5 L/min) o VE = TV x f o = 500 ml x 15 o = 7500 ml/min o = 7.5 L/min Lung Volume Changes during Exercise LUNG VOLUME Tidal Volume Frequency Minute Ventilation NOTE: RESTING VOLUME 500ml 12-15 6-7.5 L/min CHANGE DUE TO EXERCISE Increases up to 3-4 L Increases between 40-60 Increases up to 120 L/min in smaller individuals and up to 180+ L/min in larger aerobic trained athletes f = rate of breathing TV = depth of breathing At lower intensities an increase in TV and f will increase VE However, during maximal work, it is an increase in the rate of breathing (f) which increases VE further This is due to the fact that it is not efficient to increase TV towards maximal values due to the time it takes 2 Gaseous Exchange This is the exchange of CO2 and O2 in the lungs (external respiration) and tissues (internal respiration) It relies on the process of diffusion. Which is the movement of gases from areas of high pressure to areas of low pressure The difference between high and low pressure is called the diffusion gradient. The bigger the gradient, the greater the diffusion Partial Pressure (PP) of a gas is the pressure it exerts within a mixture of gases Although you do not need to know the exact pressures; you are required to know where these PP are higher or lower (to understand which direction the gases are moving) during internal and external respiration External Respiration Movement Why O2? Why CO2? O2 in alveoli diffuses to blood CO2 in blood diffuses to alveoli PP of O2 in alveoli higher than the PP of O2 in the blood so O2 diffuses into the blood PP of CO2 in blood higher than the PP of CO2 in alveoli so CO2 diffuses into alveoli Internal Respiration O2 in blood diffuses into tissues CO2 in tissues diffuses into blood PP of O2 in blood is higher than PP of O2 in tissues so O2 diffuses into the Myoglobin within tissues PP of CO2 in tissues is higher than PP of CO2 in blood so CO2 diffuses into the capillary blood External (Alveoli) Respiration – Air entering lungs has a high PP of O2 and low PP of CO2 compared with deoxygenated blood in capillaries which has a low PP of O2 and high PP of CO2. This causes two pressure gradients and cause diffusion o O2 from alveoli diffuses into the blood in the capillaries o CO2 from the blood in the capillaries diffuses into the alveoli Internal (Tissue) Respiration – Capillary blood (around muscle cells) has a high PP of O2 and low PP of CO2 compared with muscle/tissue cells which has a low PP of O2 and high PP of CO2 (due to O2 being used for energy production and giving CO2 off as a by-product). Again this causes two pressure gradients and cause diffusion o O2 is diffused from the haemoglobin (in the red blood cells) in the capillary blood to the myoglobin within the muscle tissue. Which both stores and transports the O2 to the mitochondria where it is used for energy production o CO2 diffuses from the muscle cells into the capillary blood Exercise Changes to Gaseous Exchange Both internal and external respiration increases during exercise in order to increase the supply of O2 to the working muscles Oxygen-Haemoglobin Dissociation Curve informs us of the amount of Haemoglobin saturated with O2. Haemoglobin fully loaded with O2 is termed saturated or associated O2 unloading from haemoglobin is called dissociation Below is the oxygen-haemoglobin dissociation curve at rest 3 100 Volume of O2 Unloaded to 80_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Tissue % O2 Saturation of Haemoglobin 60 10 40 5 ml O2/ 100ml blood 20 0 0 0 20 40 60 80 Muscle Tissue PPO2 (mmHg) 100 Lungs The higher the PPO2 , the higher the % of O2 saturation to haemoglobin (Hb) The higher PPO2 in lungs results in almost 100% saturation, compared with a lower PPO2 in the tissues which results in only about 75% saturation 25% of the O2 has dissociated from Hb into the tissues/muscles The association of O2 and Hb takes place in the lungs to maintain efficient supply of O2 to working muscles during exercise Blood then carries O2 to the muscle capillaries where it can dissociate and unload O2 to the muscle tissue to provide energy for work Therefore, during exercise, the oxygen-haemoglobin dissociation curve shifts to the right which represents a greater dissociation of O2. Which means more O2 is unloading from the Hb in the blood to the muscle tissue (see graph below of the curve shifting to the right) 100 Volume of O2 Unloaded to 80_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Tissue % O2 Saturation of Haemoglobin 60 Body temperature 37/38° pH 7.4 10 40 5 20 CURVE SHIFTING RIGHT 0 0 0 20 40 60 Muscle Tissue PPO2 (mmHg) 4 80 100 Lungs ml O2/ 100ml blood External Respiration. During exercise, skeletal muscles are using more O2 to provide energy, which means more CO2 is produced Venous blood returning to the lungs from the right ventricle has a higher PPCO2 and lower PPO2. Alveolar air has a high PPO2 and a low PPCO2 This increases the diffusion gradient between alveoli-capillary membrane which increases speed and amount of gaseous exchange The high PPO2 in alveoli and low PPO2 in capillaries ensures haemoglobin is almost fully saturated with O2 (see table below) O2 and CO2 will diffuse across until the PP are equal Partial Pressure Alveolar Air O2 CO2 100 (high) 40 (low) Capillary Blood (around alveoli) 40 (low) 46 (high) Diffusion Gradient 60 6 Internal Respiration. Greater O2 dissociation in muscle tissue during exercise is needed in order to increase the supply of O2 to the working muscles Four factors all have the effect of shifting the dissociation curve to the right (increase the dissociation of O2 from Hb in blood capillaries to the muscle tissue): o Increase in blood and muscle temperature o Decrease in PPO2 within muscles, increasing O2 diffusion gradient o Increase in PPCO2, increasing CO2 diffusion gradient o BOHR EFFECT – increase in acidity (lower pH) All of these factors increase the dissociation of O2 with Hb, which increases the supply of O2 to the working muscles and therefore delays fatigue and increases the possible intensity/duration of performance Partial Pressure Alveolar Air O2 resting O2 during exercise CO2 resting CO2 during exercise Direction of Diffusion (High to Low PP) → ← Capillary Blood (around alveoli) 40 <5 Diffusion Gradient 100 100 Direction of Diffusion (High to Low PP) → → 40 40 ← ← 46 80 6 40 60 95 Below is a comparison of dissociation curve at rest (a), and during exercise (b) with specific values 5 (a) 100 % O2 80_ _ _ _ _ _ _ _ _ Saturation of Haemoglobin 60 40 Body temperature 37/38° pH 7.4 PPCO2 40mmHg 20 0 0 20 40 60 80 100 Muscle Tissue PPO2 (mmHg) (b) 100 % O2 80 Saturation of Haemoglobin 60 Body temperature 39° pH 7.2 (Bohr effect) PPCO2 40-50mmHg 40 ---------------20 0 0 20 40 60 80 100 Muscle Tissue PPO2 5–40 (mmHg) e.g. showing 30mmHg = approx 30% saturation Ventilatory Response to Light, Moderate and Heavy Exercise The diagram below shows the Pulmonary Ventilation (or Minute Ventilation = VE) response from resting to sub-maximal and maximal exercise intensities Ventilatory response to exercise mirrors that of the heart (except that it is the Respiratory Control Centre = RCC that controls the respiratory muscles that increase or decrease breathing) 6 Start Exercise 4 1200 Stop 600 Pulmonary Ventilation (L/min) 500 5 80 60 40 2 3 c 1 6 b a 20 0 -2 -1 0 1 2 Time (mins) 3 4 5 6 7 a b c = = = Light Exercise Moderate Exercise Heavy Exercise 1 = 2 = 3 = 4 = 5 = 6 = Anticipatory Rise prior to exercise as Adrenalin is released which stimulates the RCC Rapid rise in VE at start of exercise due to neural stimulation of RCC by muscle/joint proprioreceptors Slow increase – in sub-maximal exercise due to continued stimulation of the RCC by proprioreceptors and chemoreceptors. OR Plateau which represents a steady state where the demands of O2 by working muscles are being met by O2 supply Continued but slower increase in VE towards maximal values during maximal work, as chemoreceptors detect an increase in CO2 and lactic acid accumulation Rapid decrease in VE once exercise stops due to decrease in chemoreceptor stimulation and decrease in proprioreceptor detection Slower decrease towards resting VE values. The harder the intensity, the longer it will take to return to resting levels (due to removing by-products like lactic acid) 7 Control of Breathing The Respiratory Control Centre (RCC) regulates pulmonary respiration (breathing) and is found in the medulla oblongata and responds in conjunction with the CCC and VCC Nervous/Neural Control. Respiratory muscles are under involuntary neural control The RCC has two areas; the inspiratory and expiratory centres, which are responsible for stimulation of the respiratory muscles at rest and during exercise AT REST The inspiratory centre is responsible for the rhythmic cycle of breathing to produce a rate of 12-15 breaths a minute o The inspiratory centre sends impulses to the respiratory muscles via: Phrenic Nerves to the diaphragm Intercostal Nerves to the external intercostals o When stimulated, these muscles contract and increase the volume of the thoracic cavity, causing inspiration (active) o When their stimulation stops, muscles relax and decreases the volume of the thoracic cavity, causing expiration (passive) The expiratory centre is inactive during resting breathing as expiration is passive DURING EXERCISE The inspiratory centre: o Increases stimulation of the diaphragm and external intercostals o Stimulates additional inspiratory muscles for inspiration (the sternocleidomastoids, scalenes and pectoralis minor), which increase the force of contraction and depth of inspiration The expiratory centre: o Stimulates the expiratory muscles (internal intercostals, rectus abdominus and obliques), causing a forced expiration which reduces the duration of inspiration The inspiratory centre immediately stimulates the inspiratory muscles to inspire. The net effect of the above is that as exercise intensity increases, the depth of breathing decreases and the rate of breathing increases 8 Factors Influencing the Neural Control of Breathing The main receptors that send information to the RCC during exercise are: o Chemoreceptors within the medulla and carotid arteries send information to the inspiratory centre on: Increase in PPCO2 Decrease in PPO2 Decrease in pH (increase in acidity) o Proprio-receptors located in the muscles and joints send information to the inspiratory centre on motor movement of the working muscles o Thermoreceptors send information to the inspiratory centre on increase in blood temperature o Baroreceptors or stretch receptors in the lungs send information to the expiratory centre on the extent of lung inflation during inspiration Only the Baroreceptors stimulate the expiratory centre to actively expire. This reduces the duration of inspiration and therefore increases the rate of breathing Effects of Altitude on the Respiratory System Exposure to high altitude has a significant effect upon the performance by affecting the normal process of respiration At high altitude (above 1500m) the PPO2 in the atmospheric air is significantly reduced (Hypoxic), which decreases the efficiency of the respiratory process The following table shows the changes in PP with changes in altitude ALTITUDE (m) 9000 4000 3000 2000 1000 0 (Sea Level) BAROMETRIC PRESSURE (mmHg) 231 462 526 596 674 760 PPO2 59 97 110 125 141 159 Altitude Training can be used as an Ergogenic (anything that improves performance) Training Aid Primary Effects of Altitude on the Respiratory System Decreased PPO2 in alveoli = Hypoxia due to decrease in PPO2 in atmospheric air Decreased PPO2 causes a reduction in the diffusion gradient Decrease in O2 and Hb association during external respiration Resulting in decreased O2 transport in the blood 9 Causing a reduction in O2 available to muscles – due to a reduction in diffusion gradient and O2 exchanged during internal respiration Net effect – decreases VO2 max/aerobic capacity which decreases aerobic performance and increases the onset of muscular fatigue Other Effects of Altitude on the Respiratory System Colder air increases water loss as air warms/moistens in the lungs leading to dehydration Decrease in muscles O2 chemoreceptors stimulating respiratory centre to increase breathing rate = hyperventilation Long-term effect – decreased PPO2 increases Hb and RBC production which increases external respiration and O2 transport Altitude Training The main reason for Altitude Training is that due to the Hypoxic conditions the body adapts by increasing the release of Erythropoietin (EPO) which stimulates an increase in RBC production and an increase in capillarisation Therefore, when returning to sea level, O2 carrying capacity (VO2 max) is increased and will subsequently increase aerobic-based performance Most research suggests that there is no significant benefit for training at altitude than at sea level High altitudes prevent athletes from training at the same intensity as they can at sea level due to the Hypoxic air Any adaptations that do occur are not significant and are short lived; so there is only an advantage for a few days after returning to sea level Respiratory Adaptations to Physical Activity The overall effect of training on the Respiratory System is an increase in its efficiency to supply O2 to the working muscles during higher intensities of physical activity Below are the specific respiratory adaptations that improve this efficiency (for Respiratory Structures, Breathing Mechanisms, Respiratory Volumes and Diffusion): Respiratory Structures Increased alveoli, increasing the surface area for diffusion Increased elasticity of respiratory structures (lungs, alveoli, pleura) Increased longevity (prolonged existence) of respiratory structure efficiency Breathing Mechanisms Increased efficiency/economy of respiratory muscles reduces the O2 costs of the respiratory muscles, reducing respiratory fatigue Increase in strength, power and endurance of respiratory muscles 10 Respiratory Volumes In general the lung volumes and capacities change little with training, at rest and during sub-maximal activity However, TV can increase during maximal exercise Respiratory frequency decreases at rest/sub-maximal activity but can increase during maximal work Maximal VE can significantly increase from around 120 L/min in an untrained athlete to 150L/min following training 180-200+ in elite athletes, due to an increase in TV and f at maximal exercise Diffusion Diffusion unchanged at rest and sub-maximal exercise Increase in pulmonary diffusion during maximal exercise Increased VO2 difference (arterial-venous oxygen difference) at maximal activity (less O2 in venous blood representing increased delivery and extraction of O2 to active muscles) Outcomes of Altitude Training The overall effect of all the above efficiency improvements is that VO2 max (maximal oxygen consumption) and the lactate threshold (the start of anaerobic work) increase, both of which will improve performance. The main performance benefits are: o Aerobic performance during higher/maximal work rates is both increased and prolonged o More effect with aerobic endurance activity that is dependent upon O2, although it will delay the anaerobic threshold and therefore delay fatigue during anaerobic activity o Reduces the effort of sub-maximal work, therefore increasing duration of performance o A more efficient and healthy respiratory system encourages and promotes a lifelong involvement in an active/healthy lifestyle Respiratory System and an Active Lifestyle Asthma and an Active Lifestyle You need to be able to evaluate critically the following factors in relation to asthma: o Awareness of symptoms to be able to detect its presence o Awareness of tests to measure its severity o Understand what conditions trigger its symptoms o Understand its effects on physical activity/performance o Understand the treatments to help its management 11 Symptoms Asthma is characterised by a reversible narrowing of airways; with common symptoms of: o Hyperirritability of airways, coughing, wheezing, breathlessness or mucus production Asthma occurs in response to a trigger or allergen Measurement Asthma is measured by breathing into a spirometer and measuring the exhaled volume of air If the individual improves their expiratory volumes after inhaling bronchodilator treatments, they are considered to have asthma The International Olympic Committee (IOC) now requires medical evidence of asthma and accepts a 15% improvement in forced expiration in 1 second, within 10 minutes of using a bronchodilator treatment There are challenges to this rule due to variations in triggers. E.g. exercising above 85% intensity for 6 minutes to allow airways to dry, hyperventilating for 6 minutes, and inhalation of triggers to induce the asthmatic response Triggers The main trigger is the drying of the respiratory airways, normally due to water loss from the airway surfaces. This causes an inflammatory response, and triggers the constriction/narrowing of airways termed bronchoconstriction Bronchoconstriction is often brought on shortly after exercise or some hours after The link between exercise and asthmatic symptoms is termed exercise induced asthma (EIA) Other common allergens inducing asthma are: o Exhaust fumes, air pollutants, dust, hair and pollens EIA is more common in cold weather sports, as cold air is dryer than warm air and therefore is more likely in winter when the respiratory airways are processing ice-cold air Ice surface sports like ice hockey and skating act as triggers due to the ice resurfacing machine pollutants and chlorine in water triggers swimming-related asthma Performance Effects Asthma and related respiratory problems are increasingly common in athletes, particularly elite aerobic athletes However, the respiratory system can limit performance in people with asthma 12 Management of Asthma Medical Treatments o Normally treated by inhaled medications (bronchodilators) – which are ‘reliever’ (coded blue) medication which relax muscles around the airways, and are normally taken before exercise or in response to symptoms o Corticosteroids are ‘preventer’ (non-blue) medication which suppress the chronic inflammation and improve the pre-exercise lung function and reduce the sensitivity of the airway structures. A daily dose for mild asthma is the normal treatment Non-Medical Treatments o A warm-up, at least 10-30 mins at 50-60% max HR provides a ‘refractory period’ for up to 2 hours, after which exercise is possible without triggering EIA o Dietary modification of reducing salt and increasing fish oils and (antioxidant) vitamins C and E have also shown to help reduce the inflammatory response to EIA o Caffeine is also a bronchodilator, but the IOC limit on caffeine is 12mg/ml Inspiratory Muscle Training (IMT) Increased respiratory effort is a major principle symptom of breathlessness; hence, there is a strong relationship between the strength of the respiratory muscle and the sense of respiratory effort IMT cannot cure asthma, but it has shown to increase airflow and alleviate (ease) breathlessness. Therefore, the benefit to asthmatic athletes may be greater in terms of performance as well as control of the symptoms For competitive athletes, when asthma is short of the IOC criteria for pharmacological treatments, non-pharmacological approaches may be the only way of minimising the negative impact of EIA on an athlete’s ability to fulfil their potential IMT therefore, reduces the use of medication and improves quality of life ‘POWERbreathe’ is now available on prescription and show that IMT is now a well established drug-free method of managing asthma The more obvious management strategies are simply to stop the conditions that act as triggers in the first place. For example: o Refrain from endurance training when suffering respiratory infections o Avoid exercise in cold/dry air conditions o Or if unavoidable, minimise the effects by wearing a mask to cover the nose and mouth to enable exhaled air to help raise the temperature of the air inhaled 13 Smoking and an Active Lifestyle You need to be able to evaluate critically the effects of smoking on the respiratory system with reference to a lifelong involvement in an active/healthy lifestyle Health Effects Impairs natural development in teenagers Impairs lung function and diffusion rates Increased damage and likelihood of respiratory diseases, infections and symptoms outlined below o Asthma o Irritates/damages respiratory structures (cilia, alveoli, bronchioles, trachea and larynx) o Narrows/constricts respiratory airways o Emphysema (diseased elasticity of respiratory structures) o COPD (Chronic Obstructive Pulmonary Disease) o Cancers of respiratory structures o Shortness of breathe, coughing and wheezing, mucus/phlegm in the lungs Performance Effects Smoking decreases the efficiency of the respiratory system to take in (VO2 max) and supply oxygen to our working muscles It also works against the positive long-term adaptations made from being involved in physical activity Smoking therefore, impairs performance at all levels Smoking mostly affects endurance-based exercise, especially high intensity maximal activity like triathlon It also reduces respiratory health in general, so even something as simple as walking will be impaired 14 EXAM QUESTIONS JANUARY 2002 2 b) At rest and during physical activity the performer varies the volume of gas exchanged in the lungs. (i) Give typical minute ventilation values in either L/min or ml/min for a 20 year old fit athlete at rest and during maximal exercise. Rest …………………………………………………………………… Maximal ……………………………………………………………… (ii) Describe how neural control enables the athlete to increase lung volumes. Why is this beneficial to performance? MAY 2002 1 b) Explain how the structure of the lungs enables efficient exchange of gases. (3 marks) 2 b) During a marathon the performer must increase the volume of gas exchanged in the lungs and at the muscles. (i) Describe the changes in the mechanics of breathing (inspiration and expiration) which allow the performer to exchange larger volumes of gas. (3 marks) (ii) Explain how gas is exchanged between the blood and the muscle tissues during exercise. Why is this beneficial to performance? (5 marks) JANUARY 2003 2 a) During prolonged physical activity the performer needs to take in more oxygen and remove carbon dioxide. (i) Explain how oxygen is exchanged at the alveoli during exercise. Why is this beneficial to performance? (4 marks) MAY 2003 1 b) Identify the changes you would expect to see in the following three lung volumes, from resting to exercise conditions, e.g. during aerobic activity. Tidal Volume Inspiratory Reserve Volume Expiratory Reserve Volume (3 marks) 15 c) Why would endurance performance decrease when performing at altitude? (2 marks) JANUARY 2004 2 a) During prolonged aerobic activity a performer needs to exchange greater amounts of oxygen and carbon dioxide. (i) Describe how the mechanics of breathing change to allow more oxygen to be inspired during exercise. (3 marks) (ii) Explain how the performer is able to exchange greater volumes of oxygen and carbon dioxide between the lungs and the blood during exercise. (4 marks) MAY 2004 2 a) Exercise results in an increase in the volume of gas exchanged in the lungs. Define Tidal Volume and describe how a performer is able to increase lung volumes during exercise using neural control. (4 marks) b) (iii) Describe how more oxygen is diffused into the muscles during exercise. (4 marks) JANUARY 2005 2 a) During aerobic performance a large amount of carbon dioxide is produced at the muscles. (i) How is carbon dioxide diffused from the muscle tissue into the blood during exercise? (3 marks) (v) Describe how the mechanics of breathing alter during exercise to expire greater volumes of carbon dioxide. (3 marks) MAY 2005 1 d) During endurance activities at altitude there may be a reduction in performance. Why do the changes in air pressure at altitude reduce performance? (4 marks) 16 2 d) Minute ventilation is defined as the volume of air inspired or expired in one minute. Sketch a graph below to show the minute ventilation of a swimmer completing a 20 minute sub maximal swim. Show minute ventilation: Prior to the swim During the swim For a 10 minute recovery period (4 marks) 120 100 80 Minute Ventilation (L/min) 60 40 20 0 Rest Swim Time (minutes) 17 Recovery JANUARY 2006 1 d) Figure 2 shows a spirometer trace of lung volumes of a performer at rest. Inspiratory Reserve Volume Lung Volumes (litres) Vital Capacity 3.4 A 3.0 Expiratory Reserve Volume 1.5 Functional Residual Capacity Residual Volume Figure 2 2 b) (i) Name and define the lung volume labelled A. (2 marks) (ii) What change would you expect in lung volume A as the performer starts to exercise? (1 mark) Figure 3 shows oxygen diffusing into the blood stream and being transported in the blood to the working muscles. Alveoli of lung Capillary O² O² O² O² O² Figure 3 18 to working muscles via heart (i) Explain how gas exchange is increased at the lungs to ensure that a greater amount of oxygen is diffused into the blood during exercise. (4 marks) (ii) How is oxygen transported in the blood to the working muscles? (2 marks) (iv) Describe the mechanisms of breathing which allow a long distance runner to breathe in (inspiration) greater volumes of oxygen during a sub-maximal training run. (3 marks) (v) Explain how the respiratory centre uses neural control to produce changes in the mechanics of breathing. (2 marks) MAY 2006 1 a) JANUARY 2007 1 c) Stroke volume is an important factor during aerobic performance. Define stroke volume and give a maximal value for an aerobic athlete. (2 marks) d) 2 a) Lung volumes can be a good indicator of aerobic fitness. (i) Define minute ventilation and give an average value during maximal exercise. (2 marks) (ii) What happens to the inspiratory reserve volume as an athlete moves from rest to exercise? (1 mark) (iii) How is oxygen exchange increased at the muscle tissues (gas diffusion) during a five mile training run? Why is this beneficial to performance? (5 marks) (iv) Identify two mechanisms of venous return which enable the athlete to deliver deoxygenated blood back to the heart during a five mile training run. (2 marks) (v) Describe how the mechanics of breathing ensure carbon dioxide is expired during the training run. (3 marks) 19 MAY 2007 2 a) With reference to the mechanics of breathing, describe how a cyclist is able to inspire greater amounts of oxygen during a 10 mile training ride. (2 marks) d) Describe how carbon dioxide is diffused from the blood into the alveoli during the training ride. (3 marks) e) Give reasons why the cyclist’s performance would decrease when performing at altitude. (2 marks) JANUARY 2008 2 a) Fig. 2 shows the lung volumes of a performer at rest. Total Lung Volume (dm³) A Tidal Volume B Residual Volume 0 Time Fig. 2 b) (i) Name the two lung volumes marked A and B. (2 marks) (ii) Describe tidal volume. What would you expect to happen to tidal volume during exercise? (2 marks) Fig. 3 shows the dissociation curve. During exercise this curve moves to the right. 20 100 90 % 80 Saturation of 70 Haemoglobin With 60 Oxygen 50 40 30 20 10 0 0 20 40 60 80 100 Oxygen Partial Pressure (mm Hg) 120 Fig. 3 Explain what physiological factors cause the curve in Fig. 3 to move. (4 marks) MAY 2008 2 c) During exercise minute ventilation increases. Identify the neural factors which influence the depth of inspiration of the performer. (4 marks) d) During exercise a performer requires large amounts of oxygen to be transported to the muscles. (ii) Explain the process of carbon dioxide diffusion at the muscle tissue. (3 marks) 21