Chapter 10 Respiration During Exercise The Respiratory System • Provides a means of gas exchange b/n the env’t & the body • Plays a role in the regulation of acid-base balance during exercise Objectives • Explain the principle physiological function of the pulmonary system • Outline the major anatomical components of the respiratory system • List major muscles involved in inspiration & expiration at rest & during exercise • Discuss the importance of matching blood flow to alveolar ventilation in the lung • Explain how gases are transported across the blood-gas interface in the lung 1 Objectives • Discuss the major transportation modes of O2 & CO2 in the blood • Discuss the effects of ↑ temp, ↓ pH, & ↑ levels of 2,3 DPG on the oxygenhemoglobin dissociation curve • Describe the ventilatory response to constant load, steady-state exercise Objectives • Describe the ventilatory response to incremental exercise • Identify the location & function of chemoreceptors and mechanoreceptors that are thought to play a role in the regulation of breathing • Discuss the neural-humoral theory of respiratory control during exercise Respiration 1. Pulmonary respiration – Ventilation (breathing) and the exchange of gases (O2 & CO2) in the lungs 2. Cellular respiration – Relates to O2 utilization and CO2 production by the tissues • This chapter is concerned with pulmonary respiration, and “respiration” will be used to mean such 2 Respiration Function of the Lungs • 1° purpose is to provide a means of gas exchange b/n the external env’t & the body Major Organs of the Respiratory System 3 Position of the Lungs, Diaphragm & Pleura Conducting & Respiratory Zones Conducting zone Respiratory zone Conducting & Respiratory Zones 4 Pathway of Air to Alveoli Mechanics of Breathing • Ventilation • Inspiration • Expiration • Resistance to airflow The Mechanics of Inspiration & Expiration 5 Muscles of Respiration Pulmonary Ventilation (VE) Pulmonary Ventilation (VE) • Dead-space ventilation (VD) – “unused” ventilation – Does not participate in gas exchange – Anatomical dead space: conducting zone – Physiological dead space: disease • Alveolar ventilation (VA) – Volume of inspired gas that reaches the respiratory zone V = VA + V D 6 Pulmonary Volumes & Capacities • Measured by spirometry • Vital capacity (VC) – Maximum amount of air that can be expired following a maximum inspiration • Residual volume (RV) – Air remaining in the lungs after a maximum expiration • Total lung capacity (TLC) – Sum of VC & RV A Spirogram Showing Pulmonary Volumes & Capacities Partial Pressure (PP) of Gases Dalton’s Law • The total pressure of a gas mixture is equal to the sum of the pressure that each gas would exert independently • The PP of O2 (PO2) – Air is 20.93% oxygen • Expressed as a fraction: 0.2093 – Total pressure of air = 760 mmHg PO2 = 0.2093 x 760 = 159 mmHg 7 Diffusion of Gases Fick’s law of diffusion • The rate of gas transfer ( V gas) is proportional to the tissue area, the diffusion coefficient of the gas, and the difference in the partial pressure of the gas on the two sides of the tissue, and inversely proportional the the thickness. V gas = A x D x (P1-P2) T V gas = rate of diffusion A = tissue area T = tissue thickness D = diffusion coefficient of gas P1-P2 = difference in partial pressure Diffusion of Gases PP & Gas Exchange 8 Blood Flow to the Lung • Pulmonary circuit Blood Flow to the Lung • When standing, most of the blood flow is to the base of the lung Ventilation-Perfusion Relationships • Ventilation/perfusion ratio – Indicates matching of blood flow to ventilation – Ideal: ~1.0 • Base – Overperfused (ratio <1.0) • Apex – Underperfused (ratio >1.0) 9 Ventilation/Perfusion Ratios O2 Transport in the Bld O2Hb Dissociation Curve 10 O2-Hb Dissociation Curve: Effect of pH O2-Hb Dissociation Curve: Effect of T O2-Hb Dissociation Curve: 2-3 DPG 11 O2 Transport in Muscle Dissociation Curves for Mb & Hb CO2 Transport in Bld 12 CO2 Transport in Bld Release of CO2 From Bld Rest-to-Work Transitions 13 Exercise in a Hot Env’t Incremental Exercise Ventilatory Reponse to Exercise: Trained vs. Untrained • In the trained runner 14 Ventilatory Reponse to Exercise: Trained vs. Untrained Control of Ventilation • Respiratory control center – Receives neural and humoral input Input to the Respiratory Control Centers • Humoral chemoreceptors – Central chemoreceptors – Peripheral chemoreceptors • Neural input 15 Effect of Arterial PCO2 on VE Effect of Arterial PO2 on VE Ventilatory Control During Exercise • Submaximal exercise 16 Ventilatory Control During Submaximal Exercise Effect of Training on VE • VE is lower at same work rate following training Effects of Endurance Training on VE During Exercise 17 Do the Lungs Limit Exercise Performance? • Submaximal exercise • Maximal exercise 18
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