THE PHYSIOLOGY OF EXERCISE Melissa J Arkinstall (Exercise Physiologist) LECTURE OUTLINE I METABOLISM: Muscle Fuel Sources II ENERGY SYSTEMS: Sport Specific III STRATEGIES: Performance Enhancement I METABOLISM: Muscle Fuel Sources All physical activities require energy to be released to the muscles in order to fuel contraction and prevent fatigue. Important Questions 1. How is energy released? 2. What fuels sources exist in our body? 3. Where does ATP come from? 4. What pathways can we use to make ATP? 5. Why do we slow down? METABOLISM: Energy Release ATP or adenosine triphosphate is the energy currency used by our body everyday to perform a number of tasks: • Maintain body temperature • Repair damaged cells • Digestion of food • Mechanical work – movement ATP ↔ ADP + Energy METABOLISM: Our need for Energy Fact: Our muscles already contain ATP molecules Problem: There are not enough! Result: Find other ways to provide our body with ATP In order to maintain exercise we need to supply our muscles with an adequate amount of ATP or energy. Physiology Energy Principle: ATP Supply = ATP Demand METABOLISM: Sources of Energy Question: Where does the additional ATP come from? The chemical breakdown of the fuel sources in our body: a. b. c. d. Muscle Glycogen Blood Glucose (Liver) Fats (Adipose Tissue) Proteins (Amino Acids)* ATP ↔ ADP + Energy ADIPOSE TISSUE BLOOD PLASMA MUSCLE Intramuscular Triglyceride (350 grams) Triacylglycerol (5,000 grams) Glycogen (600 grams) Glycerol FFA FFA-Albumin FFA Fatty Acids Acetyl -CoA Mitochondria Krebs Cycle & Electron Transport LIVER Glycogen (100-120 grams) FFA Glucose (25 grams) ATP O2 METABOLISM: Sources of Energy Important: two factors determine the amount of ATP required to perform exercise and the types of fuel used: a. b. Exercise Intensity – rate of ATP production Exercise Duration – amount of ATP production In the next section we will learn to categorise sporting events using exercise intensity and duration to determine the energy systems that are being used to provide our bodies with ATP. ATP ↔ ADP + Energy Energy expenditure (J/kg/min) EFFECTS OF EXERCISE ON METABOLISM: Effects ofINTENSITY Exercise Intensity FUEL SELECTION DURING EXERCISE 1500 1200 900 Plasma glucose Plasma FFA IMTG Muscle glycogen 600 300 25 65 85 Relative exercise intensity (% of VO2max) Romijn et al. Am. J Phsyiol. Endocrin. Metab. 265: E380-E391, 1993. METABOLISM: ATP Production ATP is able to be produced by more than one system/ pathway A system can be categorised as either: 1. Anaerobic “O2 independent” O2 Does not require oxygen 2. Aerobic “O2 dependent” Requires oxygen O2 METABOLISM: Anaerobic Pathways Remember: these pathways generate energy without using O2 ATP is produced by these energy systems: 1. ATP-CP system • ATP ‘reservoir’ • Immediate energy system 2. Anaerobic Glycolysis system • Exclusively uses CHO • Short-term “lactic acid” system METABOLISM: Aerobic Pathways Remember: these pathways require O2 to generate energy ATP is produced by these energy systems: 3. Aerobic glycolytic (CHO) system • Moderate- to high-intensity exercise • Finite energy source (CHO →ATP) CHO O2 4. Aerobic lipolytic (Fat) system • Prolonged low-intensity exercise • Unlimited energy source (Fat →ATP) FAT A T P II ENERGY SYSTEMS: Athletic Events This section will enable you to identify the energy demands of a sporting event and the pathways used. Important Questions 1. How can we categorise sporting events? 2. What energy systems match these categories? 3. What systems provide energy for 800 m sprint? 4. What system has the greatest capacity? 5. What systems fuel an Hawaii Ironman triathlon? ENERGY SYSTEMS: Athletic Events • Sporting events can be classified into 4 main categories listed below: 1. Power Events 2. Speed Events 3. Endurance Events 4. Ultra-Endurance Events ENERGY SYSTEMS: Pathways The body has 4 distinct systems it can use to supply energy for these different types of events: Event Energy System 1. Power (Jump) ATP-CP system (phosphagen) 2. Speed (Sprint) Anaerobic system (O2 independent) 3. Endurance (Run) Aerobic glycolytic (CHO) system 4. Ultra-Endurance Aerobic lipolytic (Fat) system ENERGY SYSTEMS: ATP-CP (Phosphagen) Event Type: Maximal strength & speed Event Duration: 0 - 6 sec (Dominant System) Energy Sources 1. ATP ↔ ADP + Pi + H+ 2. CP + ADP + H+ ↔ ATP + Cr Availability: Immediate- stored in muscle Anaerobic Power: Large Anaerobic Capacity: Small ENERGY SYSTEMS: Anaerobic (O2 independent) Event Type: Maximal speed or high-intensity efforts Event Duration: 6 - 60 sec (Dominant System) Energy Sources Muscle Glycogen ↔ 2 ATP + 2 Lactate + 2H+ Availability: Rapid- via glycogen breakdown (glycolysis) Anaerobic Power: Moderate Anaerobic Capacity: Larger than ATP-CP ENERGY SYSTEMS: Aerobic Glycolytic (CHO) Event Type: Moderate and High-intensity exercise Event Duration: 2 min – 1.5 hours (Dominant System) Energy Sources Carbohydrates + O2 ↔ 38 ATP + by-products Availability: Fast- via breakdown CHO Aerobic Power: Large Aerobic Capacity: Large but limited ENERGY SYSTEMS: Aerobic Lipolytic (Fat) Event Type: Low-intensity exercise Event Duration: 4 hours+ (Dominant System) Energy Sources Fats + O2 ↔ 456 ATP + by-products Availability: Slow- via fat breakdown (lipolysis) Aerobic Power: Low Aerobic Capacity: Unlimited So we can see that the contribution of these systems ENERGY Effects Exercise to energySYSTEMS: production will depend on theof event type: 6.3% Duration 8% 40% 44.1% 50% 50% 65% 92% 60% 49.6% 6 sec ATP 30 sec CP 50% 60 sec Anaerobic Glycolytic 50% 35% 2 min 1 hour 4 hours Aerobic Glycolytic Peak Performance, Hawley & Burke (1998) Aerobic Lipolytic III STRATEGIES: Performance Enhancement Athletes and coaches are constantly searching for new ways to improve training and competition performance. Sports science has been very successful in identifying many strategies that are currently used by athletes and coaches. STRATEGIES: To increase fat availability 1. Fasting 2. Caffeine ingestion • (6-9 mg/kg BM) 3. Fat ingestion • • Medium-chain fatty acids (MCFA) Long-chain fatty acids (LCFA) 4. Intralipid (& heparin) infusion 5. Short-term fat-adaptation ADIPOSE TISSUE BLOOD PLASMA MUSCLE Intramuscular Triglyceride (350 grams) Triacylglycerol (5,000 grams) Glycogen (600 grams) Glycerol FFA FFA-Albumin FFA Fatty Acids Acetyl -CoA Mitochondria Krebs Cycle & Electron Transport LIVER Glycogen (100-120 grams) FFA Glucose (25 grams) ATP O2 Time to exhaustion (min) STRATEGIES: Effect of 3-d diet on capacity 250 200 150 100 50 HIGH-CHO HIGH-FAT Christensen EH & E Hansen. Scand. Arch. Physiol. 81: 161-171, 1939. STRATEGIES: Effect of 3-d diet on capacity “There is clear evidence that shortterm (1-3 days) “fat loading” is detrimental to endurance capacity and the performance of prolonged exercise. Such impairment is likely to result from a combination of the premature depletion of (lowered) muscle glycogen stores and the absence of any worthwhile increase in the capacity for fat utilization during exercise to compensate for the reduction in available carbohydrate fuel.” Burke LM & JA Hawley. Med. Sci. Sports & Exerc. (in press 2002) Ratings of perceived exertion Ratings of Perceived Exertion during intense exercise 18 16 High-CHO High-fat * 14 12 10 D-1 D-1 D-4 D-4 Stepto NK et al. Med. Sci Sports Exerc. 34: 449-455, 2002. STRATEGIES: Effect of 3-d diet on metabolism “Optimal performance in endurance and ultra-endurance events might be obtained if an athlete trains for most of the year on a high-CHO diet, then undergoes a short-term period of fatadaptation followed by the traditional CHO-loading regimen in the final days before an event. Nutritional periodisation for ultra-endurance events should aim to enhance the contribution from fat to oxidative energy metabolism, thus potentially sparing endogenous carbohydrate stores.” Hawley JA et al. Sports Med. 25: 241-257, 1998 Overview of Experimental Protocol: Burke et al. 2000 Day 1 LAB HIT Day 2 Day 3 Day 4 Day 5 Day 6 Easy ride Hills 3-4 h 2-3 h HIT Easy ride LAB Day 7 EXP 3-4 h High-CHO or High-Fat diet LAB 20 min @ 70% VO2max High-CHO diet (11 g/kg BM) HIT 8 x 5 min @ 85% VO2max Experimental trial (2 h @ 70% VO2max then 7 kJ/kg BM time-trial) Energy expenditure (%) Fuel metabolism during 2 h cycling at 70% VO 2max 100 Glucose Glucose 80 60 Muscle glycogen Muscle glycogen * Fat * 40 20 Fat HIGH-CHO HIGH-FAT Burke LM et al. J. Appl. Physiol. 89: 2413-2421, 2000. Time to complete 7 kJ/kg BM (min) TIME-TRIAL PERFORMANCE AFTER Time trial performance after 2 h cycling at 70% VO 2max 2 HR CYCLING AT 70% VO2max 50 40 30 20 34:10 ±2:37 30:44 ±1:07 HIGH-CHO HIGH-FAT 10 Burke LM et al. J. Appl. Physiol. 89: 2413-2421, 2000. FAT/CD36 (Arbitrary units) Effect of fat adaptation (6-d) on gene expression 50 * 40 30 20 10 PRE HIGH-CHO HIGH-FAT Conclusions: Burke et al. 2000 1. Five days exposure to a high-fat, low-CHO diet caused marked changes in fuel substrate oxidation during 2 h of submaximal exercise at 70% of VO2max Conclusions: Burke et al. 2000 1. Five days exposure to a high-fat, low-CHO diet caused marked changes in fuel substrate oxidation during 2 h of submaximal exercise at 70% of VO2max 2. These changes were independent of CHO availability because enhanced rates of fat oxidation persisted despite the restoration of muscle glycogen stores Conclusions: Burke et al. 2000 1. Five days exposure to a high-fat, low-CHO diet caused marked changes in fuel substrate oxidation during 2 h of submaximal exercise at 70% of VO2max 2. These changes were independent of CHO availability because enhanced rates of fat oxidation persisted despite the restoration of muscle glycogen stores 3. Despite promoting “glycogen sparing” during submaximal exercise, fat-adaptation strategies did not provide a clear benefit to the performance of a 30 min time-trial undertaken after 2 h of continuous cycling at 70% of VO2max Conclusions: Burke et al. 2000 1. Five days exposure to a high-fat, low-CHO diet caused marked changes in fuel substrate oxidation during 2 h of submaximal exercise at 70% of VO2max 2. These changes were independent of CHO availability because enhanced rates of fat oxidation persisted despite the restoration of muscle glycogen stores 3. Despite promoting “glycogen sparing” during submaximal exercise, fat-adaptation strategies did not provide a clear benefit to the performance of a 30 min time-trial undertaken after 2 h of continuous cycling at 70% of VO2max 4. The results of this study do not support the use of fat-adaptation strategies by endurance athletes competing in events lasting 2-3 h in duration QUESTIONS • THANK YOU