Articles in PresS. J Appl Physiol (February 19, 2009). doi:10.1152/japplphysiol.00158.2009 Point: Counterpoint “The kinetics of oxygen uptake during muscular exercise do / do not manifest timedelayed phases.” Point: The kinetics of oxygen uptake during muscular exercise do manifest time-delayed phases Author: Brian J. Whipp Authors: James Robert Stirling & Maria Zakynthinaki Copyright © 2009 by the American Physiological Society. Downloaded from http://jap.physiology.org/ by 10.220.33.6 on June 14, 2017 Counterpoint: The kinetics of oxygen uptake during muscular exercise do not manifest time-delayed phases 2 "The kinetics of oxygen uptake during muscular exercise do manifest time-delayed phases" Brian J Whipp Human Bio-Energetics Research Centre, Crickhowell, Powys, NP8 1AT, U.K. Modeling a physiological system’s response to a stressor, such as characterization of its transient response profile: adequacy and appropriateness are not synonymous. The model constituents should be reflective of the system’s physiological features, with implications both for its control mechanisms and providing testable hypotheses for their confirmation or not. & O ) has been demonstrated to be As muscle oxygen consumption ( Q 2 under the dominant feedback control of enzymatic processes linked to high-energy phosphate utilization (6, 11, 27), exponentiality inheres in its response to a change in work rate (WR) (13), most simply for moderate-intensity exercise. And so it has been demonstrated to be, both inferentially by the intra-muscular phosphocreatine profile (19) and from & M ) and its arterio-venous O2 direct determination of muscle blood flow ( Q content difference (7) - despite the formidable difficulties of directly Downloaded from http://jap.physiology.org/ by 10.220.33.6 on June 14, 2017 muscular exercise, demands more than a mathematically-adequate 3 demonstrating this with precision, among which is the muscle-effluent & M changes (1) and the likely-small delay to the sampling site varying as Q quantitative consequence of the Fick equation not being rigorous in the non-steady state. But there is no such a priori expectation for the rate at which pulmonary & O ) increases during exercise. For the muscle, a flow oxygen uptake ( V 2 small storage effect as its PO2 increases - unless the muscle is already & P ) has a reduced O2 content flow-limited. In contrast, the lung inflow ( Q ( CvO2 ); this is raised to arterial level during the pulmonary-capillary & O 2 increase even if CvO2 transit, necessitating a flow-dependent V & O 2 profile during remains constant (10). This is clearly evident in the V the transient of a step-increase in WR, especially from rest (23; Fig 1, upper panel). Subsequently, however, the influence of the decreasing muscle-venous O2 content results in a decrease in CvO2 at a time dependent on the & O 2 response therefore vascular transit delay between the sites. The V & P and that of CvO2 into, what is termed, its conflates the influence of Q phase I and its subsequent and dominant first-order component (at all but very low WRs (21)) of the non-steady-state response (phase II) to the Downloaded from http://jap.physiology.org/ by 10.220.33.6 on June 14, 2017 & O except for the extremelyincrease alone will not, of itself, increase Q 2 4 steady state (phase III). It is therefore hard to see how the assertion that & O 2 kinetics has a delayed component during moderate exercise can be V seriously challenged. But the concern under consideration is more related to whether, for & O 2 response has a subsequent component higher-intensity exercise, the V of delayed origin superimposed upon a fundamental first-order kinetic not, is there compelling contradictory evidence? The presence of a slow phase of delayed onset is often evident even by inspection (4, 16; Fig. 1, middle panel). In other cases, its onset is most clearly established by a “simple” mono-exponential characterization of the entire transient being no longer justifiable. The ‘best-fit’ characterization of the response requires an additional component, the onset of which (its ‘delay’) merges onto the still-rising phase of the fundamental (5, 14) typically after oneand-a-half to two-and-a-half minutes (although see 12)) with an amplitude that correlates highly with the proportion of type 2 fibers (3, 9). & O 2 ‘slow’ component, as typically characterized (for discussion, see This V Whipp and Rossiter (22)), can be of considerable relative amplitude and large time constant (e.g. 5, 14, 25). One might expect the presence of a component of such magnitude throughout the transient to distort the phase II mono-exponentiality – it doesn’t seem to ((4, 14, 26)! And so, if the component is neither apparent nor discernible as a statistically- Downloaded from http://jap.physiology.org/ by 10.220.33.6 on June 14, 2017 response. The simplest answer is that ‘there certainly seems to be’! And if 5 justifiable component throughout the entire phase II, at least by best-fit multi-exponential summing, then one seems compelled either to accept the conclusion that it is not there or the less-than-satisfying conclusion that it is there but can’t be seen! Furthermore, that the slow phase is a different component of the response is suggested by the demonstration that a sufficiently-recent bout of high-intensity priming exercise can reduce its magnitude with no discernible effect on the fundamental & O 2 response expressed without delay, including components of the V those of ventilatory and cardiac work. But the dominant component of the slow phase originates in the locomotor muscles (18, 22); it is this which is at issue. Considerations of superposition also prove to be instructive. If instead of & O 2 response to a constant WR one considers considering the profile of V its response to a constant rate-of-change of WR (an incremental ramp), then the expected lagged-linear response, with a slope equal to that of the steady-state requirement, is evident throughout the moderateintensity domain (24; Fig. 1, lower panel). However, for ramp durations of 8-12 minutes (and in some cases even longer), this behavior is also maintained throughout the heavy- and very heavy-intensity domains (Fig. 1, lower panel). It is as if the slow phase of the kinetics is not, or is not yet, contributory. The response to more-prolonged ramps (8) or small- Downloaded from http://jap.physiology.org/ by 10.220.33.6 on June 14, 2017 component (5, 17). Of course, there are additional non-locomotor 6 step increments (25, 29), however, remains consistent with first-order kinetics throughout the moderate-intensity range but one for which the response profile backs away from simple linearity at higher intensities as if a delayed component is now supplementing the underlying process only in the heavy- and very heavy-intensity domains. But, if we also consider the response to a decremental ramp, instituted immediately from a step to the highest WR achieved on the incremental ramp, then an & O 2 response increases to a value appreciably greater than “expected” for V the particular WR, based on the incremental ramp kinetics, and which subsequently decreases with a markedly steeper slope - as if the high WR fiber-type recruitment profile utilizes units with high energy-cost of force production. And so, the issue is not simply a mathematical quibble over fitting strategies but one with significant physiological implications. A & O 2 response kinetics that does not characterization of the high-intensity V consider a delay in the slow phase onset necessitates the process to be established from the onset rather than one subsequently resulting from the contractile-energetic consequence(s) of fatigue, mediated for example by mechanisms linked to a sufficient increase of intra-cellular inorganic & O 2 response profile, phosphate – a close kinetic correlate of the V including its slow phase (20). Maintaining force production would Downloaded from http://jap.physiology.org/ by 10.220.33.6 on June 14, 2017 entirely different response is evident (Fig 1, lower panel). In this case the 7 necessitate additional motor units to be recruited or/and a decrease in the contractile efficiency of the operational pool (1), i.e. that will not be manifest until this fatigue begins to be expressed, at some time after exercise onset. The current literature addressing this issue provides evidence that is both confirmatory and contradictory (e.g. (16, 28) and see also Poole and Jones for discussion (17)) – we await decisive resolution. shallow-contoured sigmoidal component, for example, operates throughout the high-intensity transient, there seems to be no sufficient justification to rule it in. But the debate under consideration is useful, as it is “…imperative to be absolutely clear that one’s equations make strict and accurate sense. However, it is equally important not to be insensitive to ‘things going on behind the scenes’ which may ultimately lead to deeper insights.” (15). Downloaded from http://jap.physiology.org/ by 10.220.33.6 on June 14, 2017 In conclusion, while we cannot definitively rule out the possibility that a 8 REFERENCES Bangsbo J, Krustrup P, Gonzalez-Alonso J, Boushel R, Saltin B. Muscle oxygen kinetics at onset of intense dynamic exercise in humans. Am J Physiol Regulatory Integrative Comp Physiol 279: R899-R906, 2000. 2. Bangsbo J, Krustrup P, Gonzalez-Alonso J, Saltin B. ATP production and efficiency of human skeletal muscle during intense exercise: effect of previous exercise. Am J Physiol Endocrinol Metab 280: E956-E964, 2001. 3. Barstow TJ, Jones AM, Nguyen PH, Casaburi R. Influence of muscle fibre type and pedal frequency on oxygen uptake kinetics of heavy exercise. J Appl Physiol, 81: 1642-1650, 1996. 4. Barstow TJ, Molé PA. Linear and non-linear characteristics of oxygen uptake kinetics during heavy exercise. J Appl Physiol 71: 2099-2106, 1991. 5. Burnley M, Doust JH, Ball D, Jones AM. Effects of prior heavy & O 2 kinetics during heavy exercise are related to exercise on V changes in muscle activity. J Appl Physiol 93: 167–174, 2002. 6. Chance B, Williams CM. Respiratory enzymes in oxidative phosphorylation. I. Kinetics of oxygen utilisation. J Biol Chem 217: 383-393, 1955. 7. Grassi B, Poole DC, Richardson RS, Knight DR, Erickson BK, Wagner PD. Muscle O2 uptake kinetics in humans: implications for metabolic control. J Appl Physiol 80: 988-998, 1996 8. Hansen JE, Sue DY, Oren A, Wasserman K. Relation of oxygen uptake to work rate in normal men and men with circulatory disorders. Am J Cardiol 59: 669-674, 1987. 9. Jones A, Pringle JS, Carter H. Influence of muscle fibre type and & O 2 kinetics. In: Oxygen Uptake Kinetics motor unit recruitment on V in Health and Disease, edited by Jones AM, Poole DC. London: Routledge, 2005, p. 261-293. 10. Krogh A, Lindhard J. The regulation of respiration and circulation during the initial stages of muscular work. J Physiol 47: 112-136, 1913. Downloaded from http://jap.physiology.org/ by 10.220.33.6 on June 14, 2017 1. 9 11. Kushmerick MJ, Conley KE. Energetics of muscle contraction: the whole is less than the sum of its parts. Biochem Soc Trans 30: 227231, 2000. 12. Linnarsson D. Dynamics of pulmonary gas exchange and heart rate changes at the start and end of exercise. Acta Physiol Scand (suppl) 415: 1-68, 1974. 13. Mahler M. First order kinetics of muscle oxygen consumption, and & O and phosphorylcreatine level. equivalent proportionality between Q 2 Implications for the control of respiration. J Gen Physiol 86: 135-165, 1985. 15. Penrose R. The Road To Reality. London: Jonathan Cape, 2004, p. 79. 16. Perrey S, Betik A, Candau R, Rouillon JD, Hughson RL. Comparison of oxygen uptake kinetics during concentric and eccentric cycle exercise. J Appl Physiol 91:2135-2142, 2001. 17. Poole DC, Jones AM. Towards an understanding of the mechanistic & O 2 kinetics. In: Oxygen Uptake Kinetics in Health and bases of V Disease, edited by Jones AM, Poole DC. London: Routledge, 2005, p. 294-328. 18. Poole DC, Schaffartzik W, Knight DR, Derion T, Kennedy B, Guy HJ, Prediletto R, Wagner PD. Contribution of exercising legs to the slow component of oxygen uptake kinetics in humans. J Appl Physiol 71: 1245-1253, 1991. 19. Rossiter HB, Ward SA, Doyle VL, Howe FA, Griffiths JR, Whipp BJ. Inferences from O2 uptake with respect to intramuscular [PCr] kinetics during moderate exercise in humans. J Physiol 518: 921932, 1999. 20. Rossiter HB, Ward SA, Kowalchuk JM, Howe FA, Griffiths JR, Whipp BJ. Dynamic asymmetry of phosphocreatine concentration and O2 uptake between the on- and off-transients of moderate- and high-intensity exercise in humans. J Physiol 541: 991-1002, 2002. Downloaded from http://jap.physiology.org/ by 10.220.33.6 on June 14, 2017 14. Özyener F, Rossiter HB, Ward SA, Whipp BJ. Influence of exercise intensity on symmetry of the on- and off-transient kinetics of pulmonary oxygen uptake. J Physiol 533: 891-902, 2001 10 21. Sietsema KE, Daly JA, Wasserman K. Early dynamics of oxygen uptake and heart rate as affected by exercise work rate. J Appl Physiol 67: 2535-2541, 1989. 22. Whipp BJ, Rossiter HB. The kinetics of oxygen uptake: physiological inferences from the parameters. In: Oxygen Uptake Kinetics in Health and Disease, edited by Jones AM, Poole DC. London: Routledge, 2005, p. 64-94. 23. Whipp BJ, Ward SA, Lamarra N, Davis JA, Wasserman K. Parameters of ventilatory and gas exchange dynamics during exercise. J Appl Physiol 52: 1506-1513, 1982. 25. Whipp BJ, Mahler M. Dynamics of gas exchange during exercise In: Pulmonary Gas Exchange, vol. II. Edited by West JB. New York: Academic Press, p. 33-96, 1980. 26. Wilkerson DP, Koppo K, Barstow TJ, Jones AM. Effect of work rate on the functional 'gain' of Phase II pulmonary O2 uptake response to exercise. Respir Physiol Neurobiol 142: 211-223, 2004. 27. Wilson DF. Factors affecting the rate and energetics of mitochondrial oxidative phosphorylation. Med Sci Sports Exerc 26: 37-43, 1994. 28. Zoladz JA, Gladden B, Hogan MC, Niecarz Z, Grassi B. Progressive recruitment of muscle fibers is not necessary for the slow & O 2 kinetics. J Appl Phyiol 105: 575-580, 2007. component of V 29. Zoladz JA, Rademaker AC, Sargeant AJ. Non-linear relationship between O2 uptake and power output at high intensities of exercise in humans. J Physiol 488: 211-217, 1995. Downloaded from http://jap.physiology.org/ by 10.220.33.6 on June 14, 2017 24. Whipp, BJ, Ward SA, Paterson DA. Dynamic asymmetries of ventilation and pulmonary gas exchange during on- and offtransients of heavy exercise in humans. In: Control of Breathing and Its Modeling Perspective. Edited by Honda Y, Miyamoto Y, Konno K, Widdicombe JG. New York: Plenum Press, 1992, p. 237-243. 11 Downloaded from http://jap.physiology.org/ by 10.220.33.6 on June 14, 2017 12 &O ) Fig 1. Upper panel: time course of the pulmonary O2 uptake ( V 2 response from rest to a constant moderate-intensity work rate demonstrating the phases of the response (from ref 23). Middle panel: as for upper panel, except the work rate is of heavy intensity (from ref 4) & O 2 response to an incremental (x) and Bottom panel: time course of the V a step-decremental (o) ramp, (modified, by the addition of the steadyDownloaded from http://jap.physiology.org/ by 10.220.33.6 on June 14, 2017 state relationship (solid symbols), from ref 24). 13 COUNTERPOINT: THE KINETICS OF OXYGEN UPTAKE DURING MUSCULAR EXERCISE DO NOT MANIFEST TIME-DELAYED PHASES Authors: Stirling James Robert1 Zakynthinaki Maria1,2 1- Faculty of physical activity and sport sciences. Technical University of Madrid 2- Instituto de Ciencias Matematicas, CSIC-UAM-UC3M-UCM (Spain) Contact information: James Robert Stirling: Faculty of physical activity and sport sciences. Technical University of Madrid, Avd. Martin Fierro s/n, 28040 Madrid, Spain. Email: [email protected] Zakynthinaki Maria: Instituto de Ciencias Matematicas, CSIC-UAM-UC3M-UCM, c/Serrano 121, 28006 Madrid, Spain. Email: [email protected] Downloaded from http://jap.physiology.org/ by 10.220.33.6 on June 14, 2017 (Spain) 14 The existence of time delayed phases (1) is not supported by oxygen uptake kinetics data. Despite many attempts for a number of years, no convincing physiological mechanism for such behavior has been proven to exist. The reason is that these time delayed phases are a figment of the incorrect treatment of the data and the overly simple curve fitting of the, usually, averaged data. The reported problems regarding high levels of uncertainty in TD2 or insufficient clarity in the drop in the pulmonary gas exchange ratio, R, defining TD1 are due to trying to fit time delayed phases to data with no such features. Due to the Breath-by-breath recordings exhibit spontaneous fluctuations (18). A number of different algorithms with different assumptions are therefore used to estimate the breath-by-breath V&O2 , resulting in notable differences observable throughout the whole on/off transient, most extremely so in the initial response (16). These algorithms can also effect the 3phase curve parameters estimates (9, 13). Breath-by-breath variability may have biological significance (5) as nonlinear systems such as those governing the respiratory and circulatory functions can produce signals which look like random noise but are in fact not stochastic (3, 11, 14, 15, 21). Therefore part of what is attributed to noise can contain inherent features and vital information (30). For example in both constant and free-paced 10,000 m runs the V&O2 (and HR) has a scaling exponent above 0.5, the value for white noise (4). Noise reduction is commonly achieved via ensemble averaging the responses of multiple supposedly identical exercise bouts (17). This is only justified when the noise is Gaussian Downloaded from http://jap.physiology.org/ by 10.220.33.6 on June 14, 2017 poor data handling and curve fitting the time constants are also physiologically irrelevant. 15 and stochastic (26) and the basic response pattern of each bout is identical, which in general is not the case (2, 20). To support this procedure (17, 20) are often quoted as showing that the noise is white. These papers however do not provide sufficient proof of the noise’s whiteness for the whole on/off transient at any intensity, as only the steady states at rest or during the last 2 minutes (120s is a very short sample size) of non-slow component data are analyzed. In contrast more modern studies show that some breath-bybreath algorithms produce data with non-white noise (4, 7, 9) hence averaging several values on repeated testing days it is debatable whether ensemble averaging is an accurate method (2). Parameter variability is also reported, especially in the time constants (19). Differences between bouts, when ensemble averaged, can produce features not found in the raw un-averaged time series for a single bout of exercise (30). Therefore a model which is fit to the features of averaged data is not necessarily a good model of the raw unaveraged data of a single exercise bout (in which features such as time delayed phases cannot be observed due to the high frequency signal oscillations (5, 23)). A curve without time delayed phases (22, 23, 24, 25, 28, 29, 30) can fit the data perfectly well. If the data for a single bout of exercise is instead filtered using a low-pass filter or a moving average with sufficient high n (30) or a more sophisticated nonlinear curve smoothing techniques (15) then the curve obtained will provide the basic response pattern for that bout of exercise. The basic response pattern is what should be modeled, not the average, which in general is a different curve (30). Downloaded from http://jap.physiology.org/ by 10.220.33.6 on June 14, 2017 repetitions can be methodologically unjustified (9). Also due to variation in parameter 16 The phase 1/2 components are intertwined complicating the TD1 interpretation (26). In theory the start of phase 2 (i.e. TD1) should be triggered by a fall in the pulmonary gas exchange ratio (R= V&CO2 / V&O2 ) however “this decrease is often not sufficiently clear for this purpose and a value of at least 20s is commonly used” (26). Many researchers try to improve the phase-2 fit by constraining the fitting window to start some time after the exercise onset (26). As there exists a high degree of interdependency in the parameters (16), arbitrarily cutting data affects all the parameter values. As a result tau2 will be the phase-1 and slow component, the best fit to the data can result in un-physiologically large values of the amplitude and/or time constant (16). It is debatable therefore whether the exponential is a good model for these phases (8, 12, 26). The determination of both the phase-2 asymptote and TD2 is highly uncertain and via dependency, this can dramatically effect the parameters values and confidence, possibly causing an unacceptable reduction in the tau2 confidence (26). Slow kinetics can easily be observed to exist by inspection, what is not certain however is the existence of a time delayed slow component, nor has a physiological mechanisms been proven (26). Slow kinetics emerge from the background noise after a time period however crucially this does not imply the existence of a time delayed phase (26). The slow phase gain profile and time constant(s?) also remain to be determined (26). A stepwise increment in oxygen demand after a time delay TD2 has recently been recognized to be unrealistic and an n-phase curve has been proposed instead (2, 26 , 27). In a more powerful approach however (28) numerically estimate the time dependency of the Downloaded from http://jap.physiology.org/ by 10.220.33.6 on June 14, 2017 dependent on the amount of data removed, making it of limited use physiologically. For 17 oxygen demand from the on/off transient kinetics. Mathematically speaking the n-phase curve (2, 27) refers to the way a smooth function is approximated using first principles of infinitesimal calculus (30). A more rigorous model therefore would consist of a smooth function (23, 25). A single exponential rise for phase-2 has been argued against as almost identical curves can be produced using very different assumptions based on numerous compartments with amplitudes (6, 27). Hence doubts exist regarding the phase-2 parameters physiological relevance. Regarding all the 3/n phase curves the number of parameters used is large as their values depend on the exercise intensity. Ideally in a good model these parameters should be far fewer and remain constant for all exercise intensities, hence characterizing the individual (23, 25). In conclusion, just because a curve has good statistical fit it doesn’t mean that this is significant if the curve is not constructed from physiologically proven principles. For example fitting straight lines point to point would result in a perfect fit having no physiological significance. Marginal statistical improvement in the fit (i.e. by adding time delays) of an arbitrary curve also have no significance, baring in mind the spread of the raw data in a single bout of exercise. Finally as time delays cannot be seen with any sort of clarity in raw data from a single response, and bearing in mind all of the methodological problems previously discussed and the lack of a proven physiological mechanism, we have no reason to believe such features exist. To quote (10) (see also (9)) Downloaded from http://jap.physiology.org/ by 10.220.33.6 on June 14, 2017 either a range of tau values and the same amplitudes or the same tau but different 18 “data reporting modifications of the gas exchange parameters in several conditions and after different experimental manipulations, should be taken with a pinch of salt.” GRANTS Supported by the programs Ramon-y-Cajal 2004 and I3 2006, MICINN, Spain. 1) Barstow TJ, Mole PA. Linear and nonlinear characteristics of oxygen uptake kinetics during heavy exercise. J Appl Physiol 71 (6): 2099–2106, 1991. 2) Bearden SE, Henning PC, Bearden TA, Moffatt RJ. The slow component of ˙V O2 kinetics in very heavy and fatiguing square-wave exercise. Eur J Appl Physiol 91: 586-594, 2004. 3) Belair J., Glass L. Introduction to dynamics in nonlinear difference and differential equations, In Nonlinear Dynamics in Physiology and Medicine, edited by Beuter A, Glass L, Mackey MC, Titcombe MS. New York: Springer, 2003. 4) Billat VL, Wesfreid E, Kapfer C, Koralsztein JP, Meyer Y. Nonlinear Dynamics of Heart Rate and Oxygen Uptake in Exhaustive 10,000 m Runs: Influence of Constant vs. Freely Paced. J Physiol Sci 56: 103-111, 2006. 5) Borrani F, Canadau R, Millet GY, Perrey S, Fuchslocher J, Rouillon JD. Is the V˙O2 slow component dependent upon progressive recruitment of fast-twitch fibers in trained runners. J Appl Physiol 90: 2212–2220, 2001. Downloaded from http://jap.physiology.org/ by 10.220.33.6 on June 14, 2017 REFERENCES 19 6) Brittain CJ, Rossiter HB, Kowalchuk JM, Whipp BJ. Effect of prior metabolic rate on the kinetics of oxygen uptake during moderate-intensity exercise. Eur J Appl Physiol. 86(2): 125-134, 2001. 7) Capelli C, Cautero M, di Prampero PE. New perspectives in breath-by-breath determination of alveolar gas exchange in humans. Pflugers Arch 441(4): 566-577, 2001. 8) Casaburi R, Barstow TJ, Robinson T, Wasserman K. Influence of work rate on ventilatory and gas exchange kinetics. J Appl Phsiol 67: 547-555, 1998. Cauterro M, Beltram AP, di Prampero PE, Capelli C. Breath-by-Breath alveolar oxygen uptake transfer at the onset of step exercise in humans: methodological implications. Eur J Appl Phyiol 88: 205-213, 2002. 10) Cauterro M, di Prampero PE, Capelli C. New acquisitions in the assessment of breath-by-breath alveolar gas transfer in humans. Eur J Appl Phyiol 90: 231-241, 2003. 11) Ellner SP, Guckenheimer J. Dynamic Models in Biology, Princeton: Princeton University Press, 2006, p. 135-181. 12) Engelen M, Porszasz J, Riley M, Wasserman K, Maehara K, Barstow TJ. Effects of hypoxic hypoxia on O2 uptake and heart rate kinetics during severe exercise. J Appl Physiol 81(6): 2500–2508, 1996. 13) Giménez P, Busso T. Implications of breath-by-breath oxygen uptake determination on kinetics assessment during exercise. Resp Phys Neurobiol 162: 238-241, 2008. 14) Kantz H, Kurths J. Introduction. In: Nonlinear Analysis of Physiological Data, edited by Kantz H, Kurths J, Mayer-Kress G. New York: Springer, 1998. Downloaded from http://jap.physiology.org/ by 10.220.33.6 on June 14, 2017 9) 20 15) Kantz H, Schreiber T. Nonlinear Time Series Analysis (2nd edition), Cambridge: Cambridge University Press, 2004, p. 174-193. 16) Koga S, Shiojiri T, Kondo N. Measuring V&O2 kinetics. In: Oxygen uptake kinetics in sport, exercise and medicine, edited by Jones AM, Poole DC. Oxon: Routledge, 2005. 17) Lamarra N, Whipp BJ, Ward SA, Wasserman K. Effect of interbreath fluctuations on characterizing exercise gas exchange kinetics. J Appl Physiol 62(5): 20032012, 1987. and end of exercise. Acta Physiol Scand Suppl 415: 1-68, 1974. 19) Ozyener, F, Rossiter HB, Ward SA, Whipp BJ. Influence of exercise intensity on the on- and off- transient kinetics of pulmonary oxygen uptake in humans. J Appl Physiol 53(3): 891-902, 2001. 20) Rossiter HB, Howe FA, Ward SA, Kowalchuk JM, Griffiths JR, Whipp BJ. Intersample fluctuations in phosphocreatine concentration determined by 31P-magnetic resonance spectroscopy and parameter estimation of metabolic responses to exercise in humans. J Physiol 15(2): 359-369, 2000. 21) Shelhamer M. Nonlinear Dynamics in Physiology: A State-Space Approach. New Jersey: World Scientific, 2007, p. 276-291. 22) Stirling JR, Zakynthinaki MS. The point of maximum curvature as a marker for physiological time series. J Nonlinear Math Phys 15(3): 396-406, 2008. 23) Stirling JR, Zakynthinaki MS, Billat VL. Modeling and Analysis of the Effect of Training on V&O2 Kinetics and Anaerobic Capacity. Bull Math Biol 70(5): 1348-70, 2008. Downloaded from http://jap.physiology.org/ by 10.220.33.6 on June 14, 2017 18) Linnarsson D. Dynamics of pulmonary gas exchange and heart rate changes at start 21 24) Stirling JR, Zakynthinaki MS, Refoyo I, Sampedro J. A model of heart rate kinetics in response to exercise. J Nonlinear Math Phys, 15( 3): 426-436, 2008. 25) Stirling JR, Zakynthinaki MS, Saltin B. A model of oxygen uptake kinetics in response to exercise: Including a means of calculating oxygen demand/deficit/debt. Bull Math Biol 67(5): 989-1015, 2005. 26) Whipp BJ, Rossiter HB. The kinetics of oxygen uptake, Physiological inferences from the parameters. In: Oxygen uptake kinetics in sport, exercise and medicine, edited 27) Whipp BJ, Rossiter HB, Ward SA. Exertional oxygen uptake kinetics: a stamen of stamina? Biochem. Soc. Trans. 30(2), 237-47, 2002. 28) Zakynthinaki MS, Stirling JR. Stochastic optimization for the calculation of the time dependency of the physiological demand during exercise and recovery. Comp Phys Commun 179(12): 888-894, 2008. 29) Zakynthinaki MS, Stirling JR. Stochastic optimization for modeling physiological time series: application to the heart rate response to exercise. Comp Phys Commun 176(2): 98-108, 2007. 30) Zakynthinaki MS, Stirling JR, Sillero M, Sampedro J, Refoyo I. Obtaining the basic response pattern of physiological time series data: a comparison of methods [Online]. Mat2, Universitat Autonoma de Barcelona. http://mat.uab.cat/matmat/PDFv2007/v2007n08.pdf [2007]. Downloaded from http://jap.physiology.org/ by 10.220.33.6 on June 14, 2017 by Jones AM, Poole DC. Oxon: Routledge, 2005. 22 Rebuttal to: “Counterpoint: The kinetics of oxygen uptake during muscular exercise do not manifest time-delayed phases” Brian J Whipp Human Bio-Energetics Research Centre, Crickhowell, Powys, NP8 1AT, U.K. I expected the Stirling-Zakinthinaki “Counterpoint” (2) to provide alternative physiological explanations for the discernibly-different oxygen Some of their points seem warranted: the lack of justification for an exponential phase (φ) 1 fit, and the “slow-phase” exponential fit reflecting a process with a single time-constant (τ) and gain. But so many of their assertions demand challenge. For example, they state that the problems regarding the decrease of ‘R’ as an indicator of, what they term TD2, “are due to trying to fit time delayed phases with no such features”. Well, there are such features! The φ1-φ2 transition often coincides with a time-delayed transient R decrease (4); where not, it is not that the delayed component is not there but that it is “smeared” by increased perfusion from other regions and/or transient hyperventilation. Its presence is physiologically justified: the transient alkalosis (1, 3), resulting from proton trapping as [phosphocreatine] decreases, retains CO2 intramuscularly. When the φ1-φ2 transition cannot be clearly Downloaded from http://jap.physiology.org/ by 10.220.33.6 on June 14, 2017 & O ) kinetics at different exercise intensities. uptake ( V 2 23 determined from R, a portion of the φ1 response should not be allowed to influence the φ2-τ estimation: this is a physiological control parameter not a parameter of convenience (6), as are the φ1 and slow-component τ’s. Deleting a portion of the early response slightly greater than the real delay may influence the confidence of the φ2-τ estimation; deleting too little will affect its value – a greater concern. individual response, i.e. including breath-by-breath variability, will necessarily yield “a different curve” (2) from that after appropriate ensemble-averaging (c.f. 5, Figs 1, 2). We do not dispute that such “noise” contains physiologically-relevant features, including those consequent to pleural pressure variations associated with tidal volume & O response changes. This yields a “cardio-dynamically mediated” V 2 superimposed upon the underlying kinetics; there is no equivalent in the muscle kinetics! We, among others, have proposed physiological equivalents to the estimated intensity-dependent response parameters. That these should “remain constant for all exercise intensities” (2) seems unjustified – the physiology doesn’t! Furthermore, the authors neglect to note that our suggested alternative (6) to the common slow-phase characterization was cited as just one of the alternate means of producing such a response. Downloaded from http://jap.physiology.org/ by 10.220.33.6 on June 14, 2017 Also, we disagree with their assertion that parameter estimation from an 24 That its physiological mechanism(s) have not been elucidated does not justify assertions that it is not there. Would that Stirling and Zakinthinaki had informed us how their nodelay(s) model might be mediated physiologically. REFERENCES Rossiter HB, Ward SA, Kowalchuk JM, Howe FA, Griffiths JR, Whipp BJ. Dynamic asymmetry of phosphocreatine concentration and O2 uptake between the on- and off-transients of moderate- and highintensity exercise in humans. J Physiol 541: 991-1002, 2002. 2. Stirling JS, Zakinthinaki M. Counterpoint: the kinetics of oxygen uptake during muscular exercise do not manifest time-delayed phases. J Appl Physiol (in press). 3. Wasserman K, Stringer W, Casaburi R, Zhang YY. Mechanism of exercise hyperkalemia: an alternate hypothesis. J Appl Physiol 83: 631– 643, 1997. 4. Whipp BJ, Ward SA. Cardiopulmonary coupling during exercise. J Exp Biol 100: 175-193, 1982. 5. Whipp BJ, Ward SA, Lamarra N, Davis JA, Wasserman K. Parameters of ventilatory and gas exchange dynamics during exercise. J Appl Physiol 52: 1506-1513, 1982. Downloaded from http://jap.physiology.org/ by 10.220.33.6 on June 14, 2017 1. 25 6. Whipp BJ, Ward SA, Rossiter HB. Pulmonary O2 uptake during exercise: conflating muscular and cardiovascular responses. Med Sci Sports Exerc 37: 1574-1585, 2005. Rebuttal to: “Point: The kinetics of oxygen uptake during muscular exercise do manifest time-delayed phases” Authors: Zakynthinaki Maria1,2 3- Faculty of physical activity and sport sciences. Technical University of Madrid (Spain) 4- Instituto de Ciencias Matematicas, CSIC-UAM-UC3M-UCM (Spain) This is not a “mathematical quibble over fitting strategies” (8), it is a description of serious errors in the 3/n phase approach with major physiological implications, as a search for non-existent error induced features, will obviously be fruitless (10). The delayed component during moderate exercise and the evidence for a time delayed slow component have been seriously challenged (5). That a “mono-exponential characterization of the entire transient is no longer justifiable”(8) is insufficient proof of the need for an additional time delayed phase. It is incorrect that not implementing a delayed slow component “necessitates the process to be established from the onset” as is the expectance of a distortion to “the phase-2 monoexponentially”(8) by a substantial slow component. These problems are all due to the 3/nphase curve fitting procedure, other physiologically relevant functions (7, 6) have been perfectly fit. Downloaded from http://jap.physiology.org/ by 10.220.33.6 on June 14, 2017 Stirling James Robert1 26 That a “priming exercise can reduce the slow components magnitude with no discernible effect on the fundamental component” (8) doesn’t suggest a different component’s existence. It only shows the effect on the subsequent kinetics of a change in the initial conditions of the human system. Figure 1 top/middle panel (8) doesn’t present raw un-averaged data and hence is unsuitable for drawing physiological implications (5). The phase-1 is misleading due to the superposition of the model curve; the spread and amount of raw-un-averaged data points in this region cannot be seen (numerous counter examples exist 2, 4, 6). Slow connection between a delayed slow component and the “backing away from the simple linearity at higher intensities” (8) is not trivial or obvious, physiologically or mathematically, as the effect of forcing a system with a square wave or a ramp is different. These physiological processes are obviously time dependent (1, 3) with certain features becoming apparent or emerging from the high frequency oscillations with time. However to use time delayed phases is an extremely strong condition to impose, as the nonexistence of a phase before the time delay and its sudden switching on needs a concrete proof. Such features need to be clearly observable in raw un-averaged data from a single bout of exercise (which is not the case) and suitable physiological mechanisms needs to be found which are true time delayed phases and not just processes becoming apparent after a period of time (which has not been done). Downloaded from http://jap.physiology.org/ by 10.220.33.6 on June 14, 2017 kinetics are easily observable, however a time delayed phase is not apparent (9). The 27 REFERENCES 1) Glass L, Mackey MC. From Clocks to Chaos. The Rhythms of Life. New Jersey: Princeton University Press 1988, p.1-34. 2) Giménez P, Busso T. Implications of breath-by-breath oxygen uptake determination on kinetics assessment during exercise. Resp Phys Neurobiol 162: 238-241, 2008. 3) Kaplan D, Glass L. Understanding Nonlinear Dynamics. New York: Springer 4) Koga S, Shiojiri T, Kondo N. Measuring V&O2 kinetics. In: Oxygen uptake kinetics in sport, exercise and medicine, edited by Jones AM, Poole DC. Oxon: Routledge, 2005. 5) Stirling JR, Zakynthinaki MS. CounterPoint: The kinetics of oxygen uptake during muscular exercise do not manifest time-delayed phases. J Appl Physiol. 6) Stirling JR, Zakynthinaki MS, Billat VL. Modeling and Analysis of the Effect of Training on V&O2 Kinetics and Anaerobic Capacity. Bull Math Biol 70(5): 134870, 2008. 7) Stirling JR, Zakynthinaki MS, Saltin B. A model of oxygen uptake kinetics in response to exercise: Including a means of calculating oxygen demand/deficit/debt. Bull Math Biol 67(5): 989-1015, 2005. 8) Whipp BJ. Point: The kinetics of oxygen uptake during muscular exercise do manifest time-delayed phases. J Appl Physiol. Downloaded from http://jap.physiology.org/ by 10.220.33.6 on June 14, 2017 1995, p.147-278. 28 9) Whipp BJ, Rossiter HB. The kinetics of oxygen uptake, Physiological inferences from the parameters. In: Oxygen uptake kinetics in sport, exercise and medicine, edited by Jones AM, Poole DC. Oxon: Routledge, 2005. 10) Zakynthinaki MS, Stirling JR, Sillero M, Sampedro J, Refoyo I. Obtaining the basic response pattern of physiological time series data: a comparison of methods [Online]. Mat2, Universitat Autonoma de Barcelona. http://mat.uab.cat/matmat/PDFv2007/v2007n08.pdf [2007]. Downloaded from http://jap.physiology.org/ by 10.220.33.6 on June 14, 2017 Downloaded from http://jap.physiology.org/ by 10.220.33.6 on June 14, 2017
© Copyright 2025 Paperzz