Document Detail


Arterio-venous differences of blood acid-base status and plasma sodium caused by intense bicycling.
MedLine Citation:
PMID:  10712569     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
After intense exercise muscle may give off hydrogen ions independently of lactate, perhaps by a mechanism involving sodium ions. To examine this possibility further five healthy young men cycled for 2 min to exhaustion. Blood was drawn from catheters in the femoral artery and vein during exercise and at 1-h intervals after exercise. The blood samples were analysed for pH, blood gases, lactate, haemoglobin, and plasma proteins and electrolytes. Base deficit was calculated directly without using common approximations. The leg blood flow was also measured, thus allowing calculations of the leg's exchange of metabolites. The arterial blood lactate concentration rose to 14.2 +/- 1.0 mmol L-1, the plasma pH fell to 7. 18 +/- 0.02, and the base deficit rose 22% more than the blood lactate concentration did. The femoral-venous minus arterial differences peaked at 1.8 +/- 0.2 mmol L-1 (lactate), -0.24 +/- 0.01 (pH), and 4.5 +/- 0.4 mmol L-1 (base deficit), and -2.5 +/- 0.7 mmol L-1 (plasma sodium concentration corrected for volume changes). Thus, near the end of the exercise and for the first 10 min of the recovery period the leg gave off more hydrogen ions than lactate ions to the blood, and sodium left plasma in proportion to the extra hydrogen ions appearing. The leg's integrated excess release of hydrogen ions of 0.88 +/- 0.45 mmol kg-1 body mass was 67% of the integrated lactate release. Base deficit calculated by the traditional approximate equations underestimated the true value, but the error was less than 10%. We conclude that intense exercise and lactic acidosis may lead to a muscle release of hydrogen ions independent of lactate release, possibly by a Na+,H+ exchange. Hydrogen ions were largely buffered in the red blood cells.
Authors:
J I Medbø; S Hanem; H Noddeland; E Jebens
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta physiologica Scandinavica     Volume:  168     ISSN:  0001-6772     ISO Abbreviation:  Acta Physiol. Scand.     Publication Date:  2000 Feb 
Date Detail:
Created Date:  2000-04-21     Completed Date:  2000-04-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370362     Medline TA:  Acta Physiol Scand     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  311-26     Citation Subset:  IM    
Affiliation:
National Institute of Occupational Health, POB 8149 dep., Oslo, Norway.
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MeSH Terms
Descriptor/Qualifier:
Acid-Base Equilibrium*
Adult
Arteries
Bicycling / physiology*
Blood / metabolism
Erythrocytes / metabolism
Exercise / physiology
Humans
Hydrogen-Ion Concentration
Kinetics
Lactic Acid / blood
Leg
Male
Models, Biological
Sodium / blood*
Veins
Chemical
Reg. No./Substance:
50-21-5/Lactic Acid; 7440-23-5/Sodium

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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