Abstract
This study focuses on the influence of the arterial oxygen saturation level at exhaustion
on peak heart rate under acute moderate hypoxia, in endurance-trained subjects. Nineteen
competing male cyclists performed exhaustive ramp exercise (cycle ergometer) under
normoxia and normobaric hypoxia (15 % O2). After the normoxic trial, the subjects were divided into those demonstrating exercise-induced
arterial hypoxemia during exercise (> 5 % decrease in SaO2 between rest and the end of exercise, n = 10) and those who did not (n = 9). O2 uptake, heart rate and arterial O2 saturation (ear-oximeter) levels were measured. Under hypoxia, peak heart rate decreased
for both groups (p < 0.001) and to a greater extent for hypoxemic subjects (p < 0.01).
Arterial O2 saturation under hypoxia was lower for the hypoxemic than for the non-hypoxemic subjects
(p < 0.001) and it was correlated to the fall in peak heart rate between normoxia
and hypoxia for all subjects (p < 0.01; r = 0.65). Hypoxemic subjects presented greater
decrease in maximal O2 uptake than non-hypoxemic ones (19.6 vs. 15.6 %; p < 0.05). The results confirm the
greater decrement in arterial O2 saturation under hypoxia in hypoxemic subjects and demonstrates a more pronounced
reduction in peak heart rate in those subjects compared with non-hypoxemic ones. These
data confirm the possible influence of arterial oxygenation on the decrease in peak
heart rate in acute hypoxia.
Key words
Altitude - performance - arterial oxygen saturation - endurance-trained subjects
References
- 1
Barthelemy J C, Geyssant A, Riffat J, Antoniadis A, Berruyer J, Lacour J R.
Accuracy of pulse oximetry during moderate exercise: a comparative study.
Scand J Clin Lab Invest.
1990;
50
533-539
- 2
Benoit H, Busso T, Castells J, Denis C, Geyssant A.
Influence of hypoxic ventilatory response on arterial O2 saturation during maximal exercise in acute hypoxia.
Eur J Appl Physiol.
1995;
72
101-105
- 3
Benoit H, Busso T, Castells J, Geyssant A, Denis C.
Decrease in peak heart rate with acute hypoxia in relation to sea level V·O2max.
Eur J Appl Physiol.
2003;
90
514-519
- 4
Benoit H, Costes F, Feasson L, Lacour J R, Roche F, Denis C, Geyssant A, Barthelemy J C.
Accuracy of pulse oximetry during intense exercise under severe hypoxic conditions.
Eur J Appl Physiol.
1997;
76
260-263
- 5
Bogaard H J, Hopkins S R, Yamaya Y, Niizeki K, Ziegler M G, Wagner P D.
Role of the autonomic nervous system in the reduced maximal cardiac output at altitude.
J Appl Physiol.
2002;
93
271-279
- 6
Boushel R, Calbet J A, Radegran G, Sondergaard H, Wagner P D, Saltin B.
Parasympathetic neural activity accounts for the lowering of exercise heart rate at
high altitude.
Circul.
2001;
104
1785-1791
- 7
Boutellier U, Koller E A.
Propranolol and the respiratory, circulatory, and ECG responses to high altitude.
Eur J Appl Physiol.
1981;
46
105-119
- 8
Calbet J A, Boushel R, Radegran G, Sondergaard H, Wagner P D, Saltin B.
Determinants of maximal oxygen uptake in severe acute hypoxia.
Am J Physiol.
2003;
284
R291-R303
- 9 Cerretelli (ed) P. Gas exchange at high altitude. Pulmonary Gas Exchange. New York;
Academic Press 1980: 97-147
- 10
Gore C J, Hahn A G, Scroop G C, Watson D B, Norton K I, Wood R J, Campbell D P, Emonson D L.
Increased arterial desaturation in trained cyclists during maximal exercise at 580
m altitude.
J Appl Physiol.
1996;
80
2204-2210
- 11
Grataloup O, Prieur F, Busso T, Castells J, Favier F B, Denis C, Benoit H.
Effect of hyperoxia on maximal O2 uptake in exercise-induced arterial hypoxaemic subjects.
Eur J Appl Physiol.
2005;
94
641-645
- 12
Hartley L H, Vogel J A, Cruz J C.
Reduction of maximal exercise heart rate at altitude and its reversal with atropine.
J Appl Physiol.
1974;
36
362-365
- 13
Kacimi R, Richalet J P, Corsin A, Abousahl I, Crozatier B.
Hypoxia-induced downregulation of beta-adrenergic receptors in rat heart.
J Appl Physiol.
1992;
73
1377-1382
- 14
Kacimi R, Richalet J P, Crozatier B.
Hypoxia-induced differential modulation of adenosinergic and muscarinic receptors
in rat heart.
J Appl Physiol.
1993;
75
1123-1128
- 15
Lawler J, Powers S K, Thompson D.
Linear relationship between V·O2max and V·O2max decrement during exposure to acute hypoxia.
J Appl Physiol.
1988;
64
1486-1492
- 16
Lundby C, Araoz M, van Hall G.
Peak heart rate decreases with increasing severity of acute hypoxia.
High Alt Med Biol.
2001;
2
369-376
- 17
Martin D, O'Kroy J.
Effects of acute hypoxia on the V·O2max of trained and untrained subjects.
J Sports Sci.
1993;
11
37-42
- 18
Mucci P, Blondel N, Fabre C, Nourry C, Berthoin S.
Evidence of exercise-induced O2 arterial desaturation in non-elite sportsmen and sportswomen following high intensity
interval-training.
Int J Sports Med.
2004;
25
6-13
- 19
Mucci P, Prioux J, Hayot M, Ramonatxo M, Prefaut C.
Ventilation response to CO2 and exercise-induced hypoxaemia in master athletes.
Eur J Appl Physiol.
1998;
77
343-351
- 20
Prefaut C, Durand F, Mucci P, Caillaud C.
Exercise-induced arterial hypoxaemia in athletes: a review.
Sports Med.
2000;
30
47-61
- 21
Roach R C.
Cardiovascular regulation during hypoxia.
Exerc Circul Health Dis.
2000;
1
177-194
- 22
Robergs R A, Quintana R, Parker D L, Frankel C C.
Multiple variables explain the variability in the decrement in V·O2max during acute hypobaric hypoxia.
Med Sci Sports Exerc.
1998;
30
869-879
- 23
Roche F, Reynaud C, Pichot V, Duverney D, Costes F, Garet M, Gaspoz J M, Barthelemy J C.
Effect of acute hypoxia on QT rate dependence and corrected QT interval in healthy
subjects.
Am J Cardiol.
2003;
91
916-919
- 24
Saurenmann P, Koller E A.
The ECG changes due to altitude and to catecholamines.
Eur J Appl Physiol.
1984;
53
35-42
- 25
Savard G K, Areskog N H, Saltin B.
Cardiovascular response to exercise in humans following acclimatization to extreme
altitude.
Acta Physiol Scand.
1995;
154
499-509
- 26
Shephard R J, Bouhlel E, Vandewalle H, Monod H.
Peak oxygen intake and hypoxia: influence of physical fitness.
Int J Sports Med.
1988;
9
279-283
- 27
Wagner J A, Miles D S, Horvath S M, Reyburn J A.
Maximal work capacity of women during acute hypoxia.
J Appl Physiol.
1979;
47
1223-1227
- 28
Wagner P D.
Reduced maximal cardiac output at altitude-mechanisms and significance.
Respir Physiol.
2000;
120
1-11
- 29
Werle E O, Strobel G, Weicker H.
Decrease in rat cardiac beta 1- and beta 2-adrenoceptors by training and endurance
exercise.
Life Sci.
1990;
46
9-17
- 30
Woorons X, Mollard P, Lamberto C, Letournel M.
Effect of acute hypoxia on maximal exercise in trained and sedentary women.
Med Sci Sports Exerc.
2005;
37
147-154
- 31
Zavorsky G S.
Evidence and possible mechanisms of altered maximum heart rate with endurance training
and tapering.
Sports Med.
2000;
29
13-26
Olivier Grataloup
Médecine du Sport et Myologie
CHU Bellevue
Boulevard Pasteur
42055 Saint Etienne cedex 2
France
Phone: + 33 4 77 12 79 85
Fax: + 33 4 77 12 72 29
Email: olivier.grataloup@gmail.com