Cardiac output and
blood pressure increase, and arterioles in the exercising
muscles undergo vasodilation. However, once the contracting
muscles exceed 10-15% of their maximal force, the blood flow to
the muscle is greatly reduced because the muscles are physically
compressing the blood vessels that run through them; the
arteriolar vasodilation is completely overcome by
the physical compression of the blood vessels.
Therefore, isometric contractions may be
maintained only briefly before fatigue sets in. In addition, because of
blood vessels compression, total peripheral resistance may go up
considerably, contributing to a large increase in mean arterial blood
pressure.
Maximal oxygen
consumption (VO2max)
AfterVO2max is reached, work can be sustained only
very briefly by anaerobic metabolism in the exercising muscle.
Theoretically, VO2max can be limited by:
the cardiac
output.
the respiratory
system ability to deliver oxygen to the blood.
the exercising
muscle ability to use oxygen.
In
normal people, except highly trained athletes, cardiac output is
the factor that determines VO2max. With
increasing work load, heart rate increases progressively until
it reaches a maximum. Stroke volume increases less and tends to
level off when 75% of VO2 max has been
reached.
The major factors limiting the rise in stroke volume:
the very rapid heart rate, which decreases diastolic filling
time.
inability of peripheral factors favoring venous return
(respiratory pump, skeletal muscle pump, venous
vasoconstriction, arteriolar vasodilatation) to increase
ventricular filling further during the very short time
available.
At
rest, a trained individual has an increased stroke volume and
decreased heart rate with no change in cardiac output. At VO2max,
cardiac output increases mostly due to increase in stroke
volume; maximal heart rate is not altered by exercise.
Increase in stroke volume is due to:
effects of training on the heart: possibly greater ventricular
contractility and thicker myocardium.
peripheral effects: increased blood volume, increased number
of blood vessels in skeletal muscles. Training also increases
the concentrations of oxidative enzymes and mitochondria in
the exercised muscle. These changes increase the speed and
efficiency of metabolic reactions in the muscles and permit
larger increases-200 to 300%- in exercise endurance, but they
do not increase VO2max because they were not
limiting it in the untrained individual.
Note
A sudden and
exhausting exercise can sometimes trigger heart attack. In
individuals who perform regular physical activity the risk is
significantly reduced. In general, the more a person exercises,
the better is the protective effect. The protective effect of
exercise against heart attacks operates via a number of
mechanisms:
decreases heart
rate and blood pressure, twomajor
determinants of myocardial oxygen demand.
increases diameter
of coronary arteries.
decreases
hypertension and diabetes; two major risk factors for
atherosclerosis.
decreases total
plasma cholesterol concentration with simultaneous increase in
the plasma concentration of cholesterol-carrying lipoprotein
(HDL-“good” cholesterol).
decreases tendency
of blood to clotand improvesthe ability of the body to dissolve
blood clots.