Influence of exercise intensity on skeletal muscle blood flow, O2 extraction and O2 uptake on-kinetics

Key points Following the start of low-intensity exercise in healthy humans, it has been established that the kinetics of muscle O2 delivery is faster than, and does not limit, the kinetics of muscle O2 uptake. Direct data are lacking, however, on the question of whether O2 delivery might limit O2 uptake kinetics during high-intensity exercise. In this study, we made frequent measurements of muscle blood flow, arterial-to-venous O2 difference (adifference) and O2 uptake following the onset of multiple transitions of both low-intensity and high-intensity knee-extension exercise in the same subjects. We show that although blood flow kinetics is slower for high-intensity compared with low-intensity exercise, this does not result in slower O2 uptake kinetics. These results indicate that muscle O2 delivery does not limit O2 uptake during knee-extension exercise in healthy humans. Abstract Following the start of low-intensity exercise in healthy humans, it has been established that the kinetics of skeletal muscle O2 delivery is faster than, and does not limit, the kinetics of muscle O2 uptake (). Direct data are lacking, however, on the question of whether O2 delivery might limit kinetics during high-intensity exercise. Using multiple exercise transitions to enhance confidence in parameter estimation, we therefore investigated the kinetics of, and inter-relationships between, muscle blood flow (), a difference and following the onset of low-intensity (LI) and high-intensity (HI) exercise. Seven healthy males completed four 6 min bouts of LI and four 6 min bouts of HI single-legged knee-extension exercise. Blood was frequently drawn from the femoral artery and vein during exercise and , a difference and were calculated and subsequently modelled using non-linear regression techniques. For LI, the fundamental component mean response time (MRTp) for kinetics was significantly shorter than kinetics (mean +/- SEM, 18 +/- 4 vs. 30 +/- 4 s; P < 0.05), whereas for HI, the MRTp for and was not significantly different (27 +/- 5 vs. 29 +/- 4 s, respectively). There was no difference in the MRTp for either or between the two exercise intensities; however, the MRTp for a difference was significantly shorter for HI compared with LI (17 +/- 3 vs. 28 +/- 4 s; P < 0.05). Excess O2, i.e. oxygen not taken up (x), was significantly elevated within the first 5 s of exercise and remained unaltered thereafter, with no differences between LI and HI. These results indicate that bulk O2 delivery does not limit kinetics following the onset of LI or HI knee-extension exercise.