Oxygen Consumption (VO2)
Oxygen Consumption (VO2) | Maximal Oxygen Consumption (VO2max)
Oxygen Deficit (O2D) and Excess Post-Exercise Oxygen Consumption (EPOC)
One characteristic of living animals is that
they all give off heat. As a result of cellular respiration and cellular work,
heat is produced. An operational definition of metabolism is the rate of heat
production which describes the metabolic rate.
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respiration |
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work |
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foodstuffs + O2 |
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heat + ATP |
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heat |
The direct measure of heat production, called
direct calorimetry, is a technically difficult problem so an alternative method
is to measure the volume of oxygen consumed or utilized by the body for ATP
production. The determination of the metabolic rate from the measure of oxygen
consumption is called indirect calorimetry.
Measuring oxygen consumption (VO2)
under submaximal and steady-state exercise allows for estimate of the energy
cost, and indirect calorimetry is the method most frequently used. This method
assumes all of the energy expended for the exercise is reflected by the
magnitude of VO2.
Indirect Calorimetry

Maximal Oxygen Consumption (VO2max)
Oxygen consumption (VO2) is
linearly related to the workload and as exercise intensity increases, VO2
increases proportionally. However, there comes a point at which the VO2
ceases to rise even though the exercise intensity continues to rise. This point
is referred to as the maximal oxygen consumption (VO2max) and is
considered to be the benchmark of maximal aerobic power. It represents that
maximal amount of ATP that the aerobic system can produce.
The VO2max assesses the maximal
ability of the body to deliver and utilize oxygen and is related to the ability
to perform prolonged exercise. Genetic factors and training regulate the
various physiological factors that contribute to the body's ability to
transport oxygen.
By far, the best method to assess aerobic
capacity is to measure VO2 directly in the laboratory while
maximally exercising the subject. Various protocols can be used which usually
yield similar results. However, treadmill tests generally give higher values
than cycle protocols. This is probably due to the fact that most individuals
are accustomed to walking or running but not to cycling. While laboratory
testing using indirect calorimetry is the most accurate method to determine
maximal aerobic capacity, the procedure is expensive and time-consuming. Field
tests were developed in order to test large numbers of subjects more quickly
and easily and were based on their correlation with laboratory data. Cooper's
12-minute and 1.5-mile runs are two of the most widely known and used field
tests. However, these tests also require a highly motivated subject exercising
to voluntary exhaustion in order to maximize their predication ability. Not all
individuals have the motivation to perform a maximal test and certain
contraindications prohibit maximal testing of an individual. Consequently,
tests to estimate VO2max were devised based on the heart rate (HR)
response at a submaximal workload. These methods commonly utilize bench
stepping, cycle ergometry, and walking/running protocols, and are able to
quickly test large groups of individuals. Some of the more well-known prediction
tests include the Harvard Step Test and the Εstrand-Rhyming nomogram.
Oxygen Deficit (O2D) and Excess
Post-Exercise Oxygen Consumption (EPOC)
Knowledge that PCr and anaerobic glycolysis
also contribute ATP to muscles without using oxygen makes the above statement
confusing. Oxygen can be viewed as the "currency" the body uses in
order to purchase ATP. In other words, oxygen must be used in order for ATP to
be produced. The aerobic energy system operates on a "pay-as-you-go"
principle as it must always have oxygen when it forms ATP.
However, even though the other two systems
don't use oxygen, they should not be viewed as producing "free" ATP.
After PCr rephosphorylates ADP, it requires energy (ATP) in order for it to be
rephosphorylated back to PCr. Also, lactate must be metabolized, and while some
of it is converted to glycogen, most of it during exercise is converted back to
pyruvate which then enters the aerobic pathway and produces ATP. Moreover,
these processes occur during exercise which ultimately uses oxygen and
contribute to the total amount of oxygen consumed. Thus, these two energy
systems only "borrow oxygen on credit" and must eventually pay back
the deficit.
An individual beginning to exercise needs
sufficient ATP immediately in order to perform the movement. However,
the aerobic energy system is slow to increase its ATP production and unable to
provide the all necessary ATP for up to several minutes. This can be observed
by the gradual increase of VO2 until it reaches a steady state. That
portion of the exercise in which the aerobic system is unable to provide
sufficient ATP is termed the O2 deficit. Studies of this
phenomenon led to the conclusion that the body increases reliance on its energy
reserves (i.e., ATP-PCr and anaerobic glycolytic systems) during this period in
order to meet the energy demands of the muscles.

With the onset of a submaximal exercise, VO2
increases gradually, as shown above, and reflects ATP contribution by the
aerobic system, indicated by the red area. Within 3-5 min, the VO2
reaches a steady state indicating that the aerobic system is supplying all the
energy required by the muscles. However, at the onset of exercise, muscles
require more energy than can be provided by the aerobic system. Thus, the
immediate and anaerobic systems contribute ATP to the muscles, but their
contribution isn't reflected by VO2. The area indicated by O2D
in the above figure is defined as the oxygen deficit and reflects energy
supplied to the muscles by non-aerobic systems.
Thus, after VO2 has reached
steady-state, the aerobic system is providing all of the ATP even though
anaerobic glycolysis and the immediate energy systems are operating. Lactate, a
metabolic product of anaerobic glycolysis is largely converted back into
pyruvate in ST fibers which then enters the aerobic system. Also, by this time,
the immediate energy system is providing essentially no ATP.
Furthermore, after cessation of exercise, VO2
doesn't immediately return to resting levels, rather, VO2 makes a
gradual decrease even though energy demands are only at resting levels. Oxygen
consumption during the exercise recovery is above what is needed to maintain
the resting metabolic rate. The term excess postexercise oxygen consumption,
or EPOC, is used to describe the elevated VO2 during exercise
recovery, and the amount of EPOC is usually greater than the amount of the O2
deficit (compare the areas of the O2 deficit and EPOC in Figure
5.12). After exercise, the body is thought to "pay back" the "O2
debt" along with some "interest." The decrease in VO2
is alinear and includes both a rapid and slow component.
Causes of the EPOC are numerous. The rapid
component is thought to reflect energy needed to resynthesize depleted ATP and
PCr stores. Also occurring during this phase is the replenishment of oxygen to
the myoglobin. The role of myoglobin in the muscle is similar to that of
hemoglobin in the blood. Myoglobin transports O2 from the hemoglobin
to the mitochondria as well as serving as a small oxygen storage site.
Mechanisms of the slow EPOC component are
more complex. Some of the components responsible for the slow phase include
elevated temperature, catecholamines, and replenishment of muscle glycogen.
Another interesting hypothesis is that the mitochondria sequesters some of the
Ca2+ released during contraction which causes an interference with,
or uncoupling of, the oxidation phosphorylation process. This decreases the
efficiency of the aerobic system in that more O2 is required to
produce ATP. All of these mechanisms serve to further increase the recovery VO2.

Data from the above figure was collected
during Fall 1998 on a pilot study that investigated the effects of creatine
supplementation on the O2D and EPOC. Cyclists worked at a
"supramaximal" intensity, one that had energy requirements greater
than what could be supplied by the aerobic system. Needless to say, subjects
were working extremely hard as reflected by the high blood lactate concentrations
we measured. The dotted line was an estimate of the total energy required at
this cycling intensity and O2D is the difference between the
estimated total energy expenditure and VO2 (blue line). The O2D
represents energy contributed solely by anaerobic glycolysis and the immediate
energy systems. The tan area is the amount of energy subjects required for the
resting metabolic rate determined by measuring VO2 at rest. After
cessation of exercise, subjects' energy requirements return back to resting
levels, yet VO2 remained elevated because of the various metabolic
"disturbances" to homeostasis. EPOC represents the excess amount of
oxygen consumed above that needed for rest.