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Basic Exercise Physiology
Chapter 1 Basic Exercise Physiology HOWA R D G . K NU T T G E N Introduction The performance of sport, as with all physical exercise, is dependent upon the coordinated activation of the athlete’s skeletal muscles. The muscles constitute the sources of the forces and power required for skilled movement. Unfortunately, the description and quantification of exercise is frequently made awkward, if not difficult, by a variety of terms, some of which are confusing or inaccurate. Through the years, terms have been regularly misused and units of measurement inappropriately applied. Exercise The term exercise, itself, has been defined in different ways by different sources in the literature. For the Encyclopaedia of Sports Medicine series of publications, the definition has been accepted as ‘any and all activity involving generation of force by activated skeletal muscle’ (Komi 1992). This would include activities of daily living, activities of labour, activities for physical conditioning and physical recreation, as well as participation in sport competition. In the Encyclopaedia of Sports Medicine series, a sport will be considered as any organized activity that involves exercise, rules governing the event and the element of competition. To bring about movement of the body parts and coordinate the skills of a sport, the central nervous system activates the striated, voluntary muscle cells which are the principal constituents of the various structures called skeletal muscles. The response of muscle cells to neural stimulation is to produce force. In order to develop force, skeletal muscle cells are activated by electrochemical impulses arriving via efferent neurones, the cell bodies of which are located in the anterior horn of the gray matter of the spinal cord. When the threshold of excitation of the muscle cells of a motor unit has been attained, electrochemical events within each muscle cell (fibre) result in the cylindrical fibre generating force along its longitudinal axis in order to draw the ends of the cylinder towards its midsection. In this way, the activated fibres develop force between the attachments of the muscle in which they are contained. It has been proposed that this process be referred to as a muscle ‘action’ (Cavanagh 1988) rather than ‘contraction’ due to the fact that any activated individual fibre and, indeed, an entire muscle may: (i) shorten the distance along its longitudinal axis, (ii) be held at the same length by an opposing force, or (iii) be forcibly stretched in length by an opposing force. The term action has the advantage of being independent of a change in length or of direction. By definition, contraction means shortening only. The terminology employed to identify the three actions thus deserves discussion and explanation. The interaction of muscle force development and the external forces will result in actions that produce static exercise (no movement about the related joints) or in dynamic exercise (resulting in a change in joint angles). Static exercise of 3 4 nutrition and exercise Table 1.1 Classification of exercise and muscle action types. Exercise Muscle action Muscle length Dynamic Dynamic Static Concentric Eccentric Isometric Decreases Increases No change activated muscle is traditionally referred to as isometric. Force is developed but, as there is no movement, no work is performed. All other muscle actions involve movement and are termed dynamic. The term concentric is traditionally used to identify a shortening action and the term eccentric is used to identify a lengthening action, although the origin of these terms is obscure (Table 1.1) (Knuttgen & Kraemer 1987). The International System Some years ago, the world of science adopted an International System of Measurement (Bureau International des Poids et Mésures 1977; Le Système International, abbreviated as SI) to quantify all physical entities and processes. The unit of force in the SI is the newton (N). One newton is quantified as the force which imparts to a mass of 1 kilogram an acceleration of 1 metre per second per second. To develop force, a muscle cell requires energy, and the SI unit for energy is the joule (J). When force is expressed through a displacement (i.e. movement of body parts is occurring), work is measured as force (N) multiplied by the distance (m) of the displacement, and work can be calculated as force ¥ distance: 1 N ¥ 1 m = 1 J. During movement, the performance of work involves conversion of one form of energy (J) to another. The SI unit for energy is the same unit used to quantify work. One joule is the energy of 1 newton acting through a distance of 1 metre. Any energy used by the muscle for force development that does not result in work becomes heat, the SI unit for heat also being the joule. Obviously, direct relationships exist among energy, work and heat and they are quantified with the same unit, the joule. Throughout this publication, the term energy will most often refer to metabolic energy. When time [SI unit, the second (s)] becomes a factor in quantifying energy release, the performance of work or the generation of heat, then the rate of energy release, work performance or heat generation is presented as power, the SI unit for which is the watt (W) (1 J ¥ 1 s–1 = 1 W). In exercise in which 150 W of external power is produced at a metabolic cost of 750 W, then the rate of heat production is 600 W. Attention should be called at this point to the fact that, when describing exercise and sport, physiologists and nutritionists can be interested in the available energy content that can be metabolized from the food ingested (J), the total stored energy available for the muscle cells (J), the total energy utilized during a conditioning session or sports performance (J), or the rate at which muscle cells are called upon to produce power (W). The joule and the calorie As described above, the joule is the SI unit used to quantify energy, work and heat. This provides a simple and efficient basis for describing the relationship among nutrition, exercise performance, body heat generation and heat dissipation, both in terms of total amounts (in joules) or as power (in watts). Unfortunately, the calorie and its multiple, the kilocalorie (kcal), have been utilized for so long in nutritional circles that a change to the description of the energy content of foods in joules is being implemented very slowly. Instead of utilizing the convenient relationships among newtons, joules, seconds and watts, conversion factors need to be employed. For example, 1 cal = 4.186 J and 1 kcal = 4.186 kJ. When a mechanically braked cycle ergometer is used for an exercise bout, one method of obtaining the desired power production would be to have the subject cycle at a pace that would produce a ‘velocity’ of the flywheel rim of 5 m · s–1 and provide an opposing force (sometimes termed ‘resistance’) of 60 N. The simplest way of basic exercise physiology quantifying exercise is with SI units. The bout of exercise can be described as follows: Power developed on the ergometer: 300 W Duration of exercise: 600 s (10 min) Metabolic power (derived from oxygen uptake): 1500 W Total metabolic energy utilized = 1500 W ¥ 600 s = 900 000 J = 900 kJ Mechanical efficiency = 300 W/1500 W ¥ 100 = 20% If work is calculated by using a ‘kilogram of force’ (an improper unit of measurement!), a kilogram-metre can be utilized as an unsanctioned unit to quantify work. Conversion factors would be utilized to convert kilogram-metres per unit of time into the correct unit for power, the watt. If the calorie is used to quantify metabolic energy, conversion factors must be utilized to obtain a measurement of metabolic power that can be compared to the power transferred to the cycle ergometer. It is far easier to utilize SI units throughout all research activity and scientific writing: the newton, the metre, the second, the joule and the watt. (It is important to call attention to the fact that a kilogram-metre [kg-m] in the SI is actually the correct unit of measurement for torque.) There are an infinite number of configurations of force and velocity (determined by cadence on the ergometer) that can produce the desired external power produced and therefore metabolic power desired. In this volume, the editorial decision was made to acknowledge the continued and extensive use of the kilocalorie (kcal) in much of the scientific literature for the quantification of the energy content of foods and therefore to permit the use of this unit of measurement in the various chapters where considered expedient. Energy for muscle activity The mechanical and biochemical events associated with muscle cell force development are 5 described in detail in Chapter 2. However, it is worth making the following general comments and observations as related to nutrition for sport. The immediate source of energy for muscle force and power production is adenosine triphosphate (ATP). ATP is the final biochemical carrier of energy to the myofilaments for the generation of force. The breakdown of phosphocreatine (PCr) serves to reconstitute ATP when other sources contribute little or no energy. Each muscle cell then becomes dependent on fat (fatty acids), carbohydrate (glucose and glycogen) and, to a very limited extent, protein (amino acids) as the sources of energy to resynthesize ATP and PCr during exercise. All persons concerned with the nutrition of the athlete must consider the nutritional demands of the long-term conditioning programme, the preparation for competition and the competitive event itself, when planning individual meals as well as the weekly and monthly dietary programmes. It is generally accepted that the muscle cells obtain all the energy needed for short-term sport performance of a few seconds (as in the throwing and jumping events of track and field, weightlifting and springboard and platform diving) from ATP and PCr (Fig. 1.1). These compounds are then resynthesized during recovery. When a sport performance lasts approximately 10 s (e.g. the 100-m run), other energy sources, including especially anaerobic glycolysis (resulting in lactic acid formation in the muscle), must also contribute to the resynthesis of ATP. The lower the intensity and the longer the event, the better able is aerobic glycolysis to contribute energy. It is also assumed that, during events that are still considered ‘sprints’ but that last longer than a few seconds, aerobic metabolism begins to make a contribution to ATP resynthesis. As the duration of the exercise period increases still further, the energy from the oxidation of a combination of fat and carbohydrate becomes a significant source of energy. If exercise lasts 15 min or longer, such intensities demand a steady-state of aerobic metabolism (i.e. lower than maximum aerobic metabolism) except for any final effort that calls forth all the power the 6 nutrition and exercise Fig. 1.1 Olympic weightlifting is an example of a sport in which the competitive performance is so short that all of the energy for the lift is provided by the high-energy phosphates, ATP and PCr. Photo © Allsport. athlete can generate. The final burst of power (or ‘kick’) results from a combination of high utilization of both anaerobic glycolysis and aerobic power. In the range of events that last between 30 s and 12 min, a combination of anaerobic glycolysis and oxidative metabolism provides most of the energy necessary to resynthesize ATP and permit the athlete to continue. The lower the demand for power, the better the oxidative metabolism can provide the energy for ATP resynthesis. Anaerobic glycolysis involves only carbohydrate and, at these high intensities, even aerobic metabolism draws upon carbohydrate in preference to fat. An athlete who performs to exhaustion in approximately 3–12 min challenges the cardiorespiratory and metabolic mechanisms so that aerobic metabolism eventually attains its highest level. When this occurs, the oxygen uptake is identified as either ‘maximum oxygen . uptake’ (Vo2max.) or ‘maximum aerobic power’. It is not uncommon to read and hear the term ‘maximum exercise’ used to refer to intensities that result in maximum oxygen uptake. The term is completely misleading, given the fact that the athlete can produce power anaerobically for short periods of time that is four to five times as great as that which can be developed utilizing maximum aerobic power. Fat is stored to a limited extent inside the muscle cells but can be mobilized during exercise from depots around the body for transport by the circulatory system to active muscle cells. Carbohydrate is stored inside the muscle cells as glycogen but can also be mobilized as glucose from glycogen stored in the liver. Power, energy and endurance The information presented in the three panels of Fig. 1.2 provides vivid examples of the relationships among human metabolic power production, the sources of energy and the ability to endure at specific exercise intensities. In panel A, the relationship between endurance (or time to exhaustion) is plotted vs. metabolic power. For the sample athlete, power production of about 5000 W can be assumed to come solely from energy stored in skeletal muscle ATP and PCr. In the range of 2000–4000 W, anaerobic glycolysis assumes major responsibility for the provision of energy. This results in the production of large amounts of lactic acid and lowered pH in the sarcoplasm, which are believed to eventually hinder force and power development by the muscle fibres. Lactic acid values in the blood rise commensurate with muscle concentrations. For the athlete in the example, oxidative metabolism begins to make a major contribution of energy for ATP and PCr resynthesis once the Endurance time to exhaustion (min) basic exercise physiology 40 7 * 30 20 * * 10 * * 0 0 *4000 * 2000 *6000 Metabolic power (W) (a) 1.0 % CHO 100 % Fat 0 75 25 50 50 25 75 0 100 0.9 2 RQ . V O2 (mmol.s–1) 3 0.8 1 M 0.7 Rest (b) 500 1000 1500 2000 6000 Metabolic power (W) Rest (c) 500 1000 1500 2000 6000 Metabolic power (W) Fig. 1.2 The relationships of (a) endurance time, (b) oxygen uptake in steady state, and (c) respiratory quotient (RQ) and percentage substrate utilization to human metabolic power production. Values presented for power are representative for an 80-kg athlete. power output falls to approximately 2000 W. It is at power productions of 1500–1800 W that . the maximum oxygen uptake (Vo2max. of 2.7 mmol · s–1) is elicited for this athlete during the final stage of an exercise bout. At 1500 W, the athlete could sustain exercise for approximately 8 min but at 1800 W, for less than 5 min. Below 1500 W (Fig. 1.2b), the athlete is able to sustain exercise for extended periods with completely or nearly completely aerobic metabolism, utilizing fat and carbohydrate to resynthesize ATP and PCr. The letter ‘M’ is placed on the abscissa to indicate the power production corre. sponding to about 75–80% Vo2max. that the athlete could sustain for a marathon (42.2 km). At any higher level, the athlete would enlist anaerobic glycolysis, accumulate lactate and lower pH values in the skeletal muscle cells, and be forced, eventually, to reduce power or stop. Note the relatively narrow range of power production that can be produced completely aerobically by comparing Fig. 1.2b with Fig. 1.2a. Marathon pace in this example would constitute approximately 24% of maximum power produc- 8 nutrition and exercise Fig. 1.3 Marathon pace for a runner requires approximately 75–80% of maximal aerobic power and approximately 24% of the anaerobic power the same muscles could produce for a strength exercise. Photo © NOPP / Larry Bessel. tion and the range for maximum aerobic power would constitute approximately 30% of maximum power production (Fig. 1.3). In Fig. 1.2c, the relationship of respiratory quotient (RQ) as determined from steady-state respiratory exchange ratio (RER) to metabolic power is presented. RER, which compares oxygen uptake to carbon dioxide removal in the lungs, attains steady state at lower levels of power production (in this example, less than 1500 W). The values for RQ vs. power production are modified from Åstrand and Rodahl (1986). A range is presented to accommodate different values that might be obtained during different days as a result of variations in the athlete’s diet. Utilizing both the left-side and the right-side ordinates, the observed RQs indicate a high utilization of carbohydrate from approximately 75% of maximum aerobic power and upwards. The higher the intensity, the greater is the contribution of carbohydrate. An athlete maintaining a diet high in carbohydrate will maintain a higher RQ at all levels of aerobic exercise, whereas the RQ of an athlete with a low intake of carbohydrate will remain remarkably lower. During long-lasting events and training bouts, the RQ will become lower at any chosen intensity the longer the exercise lasts, as it is related to increasing free fatty acid avail- ability and falling levels of glycogen in the active muscles. RQ can also be affected by the ingestion of a substance such as caffeine which results in an enhanced utilization of fatty acids for the energy demands of exercise. Skeletal muscle A skeletal muscle is made up predominantly of extrafusal skeletal muscle fibres, long cylindrical cells which run the length of the muscle, be it short or long (e.g. 1–300 mm). Intrafusal fibres are the small skeletal muscle cells found in the muscle spindles which assist in controlling the body’s coordinated movement. The muscle also includes connective tissue which provides some organization to the muscle’s internal structure (white connective tissue) and elasticity (yellow connective tissue). Arteries, veins and capillaries made up of smooth muscle, connective tissue and epithelial cells are found throughout each muscle, serving as the combination delivery/ removal system. Afferent and efferent neurones connect each muscle to the central nervous system to provide the muscle with motor control and send sensory information to the central nervous system. Fat is found within and between muscle cells in quantities that become reflected in the person’s total body composition and percent- basic exercise physiology age body fat. Therefore, each muscle is made up of cells representing the four basic tissue groups: muscle, connective, nervous and epithelial. Extrafusal fibres can be further divided among groups based upon the interrelated twitch characteristics and metabolic capabilities. Fibres of a particular motor unit (defined as a motor neurone together with the extrafusal fibres it innervates) that attain peak force development relatively slowly are routinely termed ‘slow twitch’ or type I fibres. Fibres that attain peak force relatively more rapidly are termed ‘fast twitch’ or type II fibres and further subdivided into type IIa, type IIab and type IIb groups, as based on myosin ATPase staining (Fig. 1.4). Type I fibres are characterized by high mitochondrial density, high myoglobin content, high aerobic metabolism and modest glycolytic capacity. Early anatomists described muscles with what we now identify as high type I fibre population as ‘red muscle’ because of the darker colour caused by the high myoglobin content. Type II fibres have high glycolytic capability, low mitochondrial density and low capacity for aerobic metabolism. Types IIa, IIab and IIb fibres are low in myoglobin content, the reason for their being identified many decades ago as white muscle fibres. The total number of muscle fibres in a particu- Fig. 1.4 Cross-section of human muscle showing the mosaic pattern of fibres: darkest stain = type I; lightest stain = type IIa; medium light stain = type IIab; medium dark stain = type IIb. Photo courtesy of William J. Kraemer. 9 lar muscle and the proportion identified as type I and type II appear to be genetically dominated, with small changes occurring through conditioning, injury, ageing, etc. It should also be mentioned that, while type II motor units are termed fast twitch and type I motor units are termed slow twitch, the comparison is on relative terms and all extrafusal muscle fibres attain peak force and shorten extremely fast. The differences among them are great, however, and the shortening velocity is generally considered to be 4–10 times faster for the type II fibres than for type I fibres. The maximum force that can be developed by an activated muscle is directly related to the physiological cross-section of the muscle, a term that describes the collective cross-sectional area of the muscle cells, excluding the connective tissue (including fat), nervous tissue and blood vessels. The larger the physiological crosssection of muscle, the greater is the muscle’s ability to generate peak force (strength). Considerable evidence exists to confirm the importance of the type II fibre population of a muscle to its ability to develop high force and power. A high type I fibre population and the accompanying increased capillarization to supply oxygen has been shown to be important for sustained, rhythmic exercise which depends on 10 nutrition and exercise aerobic metabolism. For example, a marathon runner can utilize over 12 000 repeated muscle actions of each leg in completing the 42.2-km course. The characteristics and capabilities of the muscle fibres can be substantially modified by specific training programmes. Athletes engaging in sports which involve wide ranges of power and continuously varying amounts of aerobic and anaerobic metabolism must utilize a programme of conditioning that raises both the anaerobic and aerobic capabilities of the three fibre types. Examples of such sports are soccer, basketball and tennis. Physiological support systems While muscle cells may obtain energy for force and power production from both anaerobic sources (the breakdown of ATP and PCr; anaerobic glycolysis) and aerobic sources (aerobic glycolysis and b-oxidation of fatty acids, both leading to the provision of electrons to the electron transport system in the mitochondria), the entire human organism and all of its component cells are fundamentally aerobic. Exercise performed at low enough intensities can be performed entirely with energy from aerobic metabolism. The provision of significant amounts of energy for muscular activity by the anaerobic mechanisms, however, is limited in amount and therefore in time. Most importantly, the return to the pre-exercise or resting state following any amount of anaerobic energy release is accomplished exclusively by aerobic metabolism. Therefore, the essential features in the provision of oxygen for metabolism during aerobic exercise and recovery following anaerobic exercise become pulmonary ventilation (air movement into and out of the lungs), external respiration (exchange of O2 and CO2 between alveoli and pulmonary capillary blood), blood circulation and internal respiration (exchange of O2 and CO2 between systemic capillary blood and interstitial fluid). The essential elements as regards these processes are cardiac output, blood volume, blood composition and skeletal muscle capillarization. Pulmonary ventilation and external respiration Movement of air into and out of the lungs is accomplished by the diaphragm and various muscles of the neck and trunk. Pulmonary ventilation is usually accomplished as a subconscious activity under the influence of chemical stimuli provided by the systemic arterial blood to a nervous centre in the brain stem. While this centre serves the sole function of controlling the minute volume of pulmonary ventilation (by interaction of frequency of ventilation and magnitude of tidal volume), it is interesting to note that it is identified anatomically and physiologically as the ‘respiratory centre.’ For continuous aerobic activity that would involve attainment of a ‘steady state’ of oxygen uptake (and carbon dioxide elimination) via the lungs, pulmonary ventilation corresponds directly to oxygen uptake by an approximate 20 : 1 ratio (litres per minute are used in the presentation of both variables). Starting at rest, an 80-kg athlete would expect the values presented in Table 1.2 for oxygen uptake and pulmonary ventilation. The increase in the ratio for the highest level of activity reflects the increased acidity of the blood due to the production in the muscle and appear- Table 1.2 Representative data for steady-state oxygen uptake and ventilatory minute volume at rest and during various intensities of constant-intensity exercise (for an 80-kg athlete). The maximum aerobic power is 4.5 l · min-1. Rest ---Intense aerobic exercise Intense aerobic exercise with anaerobic contribution . V o2 (l · min-1) . VE (l · min-1) 0.25 1.00 2.00 3.00 3.50 4.00 5 20 40 60 70 100 basic exercise physiology ance in the blood of lactic acid, as related to the anaerobic metabolism. For the athlete performing aerobic exercise under most conditions, it is considered that the individual’s capacity for ventilation is adequate to provide O2 from the atmosphere to the alveoli and to carry CO2 from the alveoli to the atmosphere. In elite endurance athletes who are highly conditioned for aerobic metabolism and are performing near their capacities for aerobic power production, it can be frequently observed that blood leaving the lungs via the pulmonary veins is not as saturated with oxygen as it is under the conditions of rest and submaximal aerobic exercise. It can thus be concluded that, under the very special conditions where a very highly conditioned athlete is performing high-intensity aerobic exercise, pulmonary ventilation serves as a limiting factor for external respiration and therefore oxygen uptake. Circulation For the delivery of oxygen, the removal of carbon dioxide and the transport of anabolites and catabolites to and from the body cells, the organism is dependent upon the circulation of the blood. With regard to the aerobic metabolism related to exercise and recovery, the most important factors are: the oxygen-carrying capacity of the blood, the blood volume available, the ability of the heart to pump blood (cardiac output) and the capillarization of the skeletal muscles. 11 The term cardiac output can actually refer to the amount of blood ejected through the aorta or the pulmonary arteries per minute (‘minute volume’ . or Q) or the amount of blood ejected per systole (‘stroke volume’ or SV). The relationship between minute volume and stroke volume includes the contraction frequency of the heart . (fH) as follows: Q = fH · SV. The relationship of these variables with oxygen uptake includes the unloading factor of oxygen in the tissues as determined from the content of oxygen in systemic arterial blood (Cao2) and the content in systemic mixed venous blood (Cvo2). It is: . Vo2 = fH · SV · a-vo2diff. Representative values for an 80-kg athlete are presented in Table 1.3. It can be observed that the relationship between aerobic power (oxygen uptake) and heart rate is essentially rectilinear. Stroke volume increases from a resting value of 104 ml to near maximum values even during low-intensity aerobic exercise. The increase in cardiac minute volume as higher levels of oxygen uptake are attained is accounted for by the increase in heart rate. Meanwhile, the arteriovenous oxygen difference continues to increase due solely to the lowered concentration of oxygen in systemic mixed venous blood leaving the active tissues. The arterial concentration remains constant at a value of approximately 20 ml · l–1 blood, indicating that pulmonary capillary blood becomes Table 1.3 Representative data for steady-state oxygen uptake and circulatory variables at rest and during various intensities of constant-intensity exercise (for an 80-kg athlete). The maximum aerobic power for the athlete is 4.5 l · min-1 and maximum fH is 195. Rest ---Intense aerobic exercise Intense aerobic exercise with anaerobic contribution . V o2 (l · min-1) . Q (l · min-1) fH (beats · min-1) SV (ml) a-vo2diff. (ml O2 · l-1) 0.25 1.00 2.00 3.00 3.50 4.00 6.4 12.3 14.8 17.2 19.7 22.1 60 100 120 140 160 180 104 123 123 123 123 123 40 81 136 174 178 180 12 nutrition and exercise completely saturated with O2 obtained from the alveoli. It should be noted that, at the highest levels of oxygen uptake, highly trained endurance athletes (e.g. distance runners and cross-country skiers) show a lowered oxygen saturation in arterial blood. This is taken to indicate that the blood flow through the lungs during such intense aerobic exercise for these athletes exceeds the capacity of the ventilatory system to provide oxygen to the lungs. As will be discussed, maximum aerobic power . (Vo2max.) can be increased mainly by increasing the stroke volume capability of the heart, which increases the minute volume capability. Maximum heart rate does not increase with aerobic conditioning but, actually, it either remains the same or decreases. . The Vo2max. of 4.5 l · min–1 corresponds to a metabolic power production of 1500 W. As the athlete in the example is capable of power production for short periods (e.g. 1–20 s) in the range of 3000–6000 W, the question could be raised as to what values for the circulatory variables would be expected during such exercise performance. The answer is that these values, if measured, would be irrelevant. The athlete would be performing in the range of power production where oxidative (aerobic) metabolism contributes little or no energy and the muscles will rely on ATP, PCr and anaerobic glycolysis. 1.5). For events lasting between 1 and 3 min, aerobic conditioning is important but anaerobic sources of energy for the power demands become more important the higher the exercise intensity and the shorter the accompanying performance time. It also makes a great difference whether or not the athlete performs to exhaustion (such as in the 10-km run) or is involved in one half of a soccer match (45 min) which involves a wide range of aerobic/anaerobic intensities and intermittent activity. Also, skill may be more important than any other performance consideration. If an increase in aerobic power is required, the athlete must follow a programme designed to increase the cardiac output capability (SV and Adaptations to conditioning The adaptations of the human organism to programmes of exercise conditioning are highly specific to the exercise programme (i.e. the stimulus) provided. Adaptations to resistance training for strength, to anaerobic training (as in sprinting) and to endurance (aerobic) training are very different and, if used inappropriately, can actually serve to be counterproductive. Aerobic conditioning For athletes engaged in events lasting approximately 3 min or longer, aerobic conditioning is a crucial factor in preparing for competition (Fig. Fig. 1.5 A sport such as road cycling depends predominantly upon aerobic metabolism. Photo © Allsport / M. Powell. basic exercise physiology . Q), the total circulating haemoglobin and the capillarization of the skeletal muscles that are involved. Such conditioning also serves to enhance the aerobic metabolic capacities of the skeletal muscle cells including both type I and type II fibres. The programme would consist of a combination of interval training and some extended bouts of exercise (e.g. 10–60 min) consistent with the particular competitive event. Depending upon the individual athlete and the point in time relative to the competitive season, the athlete will train vigorously three to seven times per week. It is important to note that such aerobic conditioning can adversely affect the particular skeletal muscles involved as regards the ability for the generation of high power and the explosive effort involved in activities such as jumping and throwing. The adaptation of the systems of the body and, in particular, the skeletal muscles will be specific to the conditioning stimulus or, in other words, the conditioning programme. Anaerobic conditioning For events lasting less than 10 min, energy obtained from anaerobic glycolysis is an important factor; the shorter the event the greater is the contribution of this source. There is an obvious overlapping with oxidative metabolism the longer the duration of the activity. With a programme of conditioning that combines a considerable amount of strength training with very high but continuous exercise intensity that mimics the event (e.g. the 100-m run, the 100-m swim, wrestling), the emphasis is on an appropriate increase in the size of type II muscle cells, enhancing the capability of the cells for anaerobic glycolysis, and increasing the concentrations of ATP and PCr. Most, if not all, type IIb fibres that exist at the initiation of such conditioning convert to type IIa. Except for the shortest lasting performances (weightlifting, high jump, pole vault, discus, shot-put, javelin), maintenance of high concentrations of glycogen in the muscle cells through proper nutrition is important. 13 Strength conditioning Increases in maximum force production (strength) and maximal power of the muscles are brought about through exercise programmes of very high opposing force (routinely termed ‘resistance’) that limits repetitions to approximately 20 or fewer and therefore a duration of less than 30 s. Exercise programmes based on higher repetitions (e.g. 30–50 repetitions leading to exhaustion) develop local muscular endurance but are not conducive to strength development. Exercise involving many repetitions in a bout (e.g. 400–1000 repetitions) brings about physiological adaptations that result in enhanced aerobic performance that can be especially counterproductive to power development and, to a lesser extent, on the performance of strength tests. ‘Resistance training’ is performed with a variety of exercise machines, free weights or even the use of gravity acting upon the athlete’s body mass. Most resistance training (strength) programmes are based on a system of exercise to a repetition maximum (RM) as presented in the mid-1940s by DeLorme (1945). Every time the athlete performs a particular exercise, the bout is performed for the maximum number of repetitions, or RM, possible and this number is recorded along with the mass lifted or opposing force imposed by an exercise machine. Repeated testing at increasingly higher opposing force will eventually lead to the determination of a 1RM, in which the athlete can perform the movement but once and not repeat it. In this system, the mass lifted or opposing force is described as the athlete’s strength at that particular point in time and for the particular movement. Bouts of strength exercise and the daily programme can be based on percentages of a 1 RM, preferably, within heavy (3–5), medium (9–10) and light (15–18) RM zones (Fleck & Kraemer 1997). The number of bouts performed in a set, the number of sets performed per day and the number of daily workouts per week are then prescribed for each movement or muscle group as based on the point in time in the competitive 14 nutrition and exercise season, the physical condition of the athlete, programme variation for both physiological and psychological considerations and programme objectives. The principal adaptation of the athlete’s body is the increase in size (commonly termed hypertrophy) of type II muscle cells. It is generally held that no interchange takes place between type I and type II fibres as the result of specific conditioning programmes. As the force development capability of a muscle is directly related to its physiological cross-section, the increase in size of the muscle cells is the principal reason for increased force development. The energy requirement for performance of a 1 RM is quite small, as is the performance of any bout of exercise from the 1 RM to a 20 RM. However, the total energy requirement of performing multiple bouts of exercise for each of a number of movements or exercises (e.g. 10) in a daily workout is large. This deserves careful consideration from the standpoint of the athlete’s nutrition, both in terms of quantity and content. In addition to the total energy balance and accompanying maintenance of appropriate body mass, consideration must be given to suitable protein intake. Adaptations of skeletal muscle Muscle cells and the structure of an individual muscle, in general, respond in very different ways to the unique exercise stimulus that is provided. The muscles respond to the acute stimulus by providing the forces and power demanded by such widely diverse performances as weightlifting, high jumping, 100-m sprinting and running at marathon pace. Following a single bout of exercise or a single day’s conditioning session, however, the individual muscle fibres and the total muscle recover to a physiological state with little or no measurable change. Repeated workouts over weeks and months elicit adaptations, and these structural and functional changes are highly specific to the conditioning programme (i.e. the stimulus) as appropriate to the competitive event for which the athlete is preparing (Fig. 1.6). A highresistance (strength) programme which results in significant muscle hypertrophy could be detrimental to distance running performance. A conditioning programme for distance running would definitely be detrimental to weightlifting, high jumping and sprint performance. Strength training results in an increase in size (girth and therefore cross-sectional area) of type II muscle fibres and the muscles themselves. Capillarization can evidence either no change or a ‘dilution effect’, where the hypertrophy of muscle cells spreads out the existing capillaries, with the result that an individual capillary serves a larger cross-sectional area of muscle. Fig. 1.6 Many team sports such as international football (soccer) require combinations of aerobic power, anaerobic power and strength, as well as a wide variety of skills. Photo © Allsport / S. Bruty. basic exercise physiology A combination of strength and anaerobic conditioning, as appropriate to sprinters, results in some hypertrophy and an increase in the anaerobic metabolic capabilities of type II fibres. The resting concentrations of ATP and PCr increase as well as the capability of the cells to produce force and power with energy from anaerobic glycolysis. In both strength conditioning and combination strength/anaerobic conditioning, there is little or no adaptation of the cardiovascular system in terms of stroke volume, minute volume or blood composition. Highly aerobic training involving a large number of movement repetitions (e.g. 500–2000) results in adaptations to both muscle cells and to the cardiovascular system. The aerobic metabolic capacities of type I fibres is greatly enhanced, as is, to a lesser extent, the aerobic capacity of type II fibres. This includes increases in mitochondrial count, myoglobin content and glycogen storage. An increase in capillarization provides enhanced capability for oxygen and substrate delivery and for carbon dioxide and catabolite removal. The abilities of the muscle for high force and power development diminish. Nutrition of an athlete All of the factors involving muscle, ventilation/ respiration and circulation are important in determining the success of a particular individual in competing in a particular sport. Additional factors involve coordination (skilled movement), body size and motivation. However, energy is needed for the performance of short-term explosive events, long-term endurance events and the many sport activities that involve the development of varying amounts of power during the course of a contest. Therefore, proper nutrition must be considered to be a key element to success in a wide variety of competitive sports. Frequently overlooked by athletes when considering the nutrition of sport is the tremendous time and energy involved in the conditioning programme between competitions and/or leading up to a competitive season. Performance 15 of a throwing event in track and field or of Olympic weightlifting events takes but a few seconds of time, but preparation involves many hours of skill practice and conditioning. The nutrition of an athlete is a 12-months-ofthe-year consideration. Too often, the focus of attention is placed on the days or even hours leading up to a competitive event. While preevent food ingestion is of great importance, optimal health and optimal performance are dependent on year-around planning. Under certain circumstances, nutrition during an event and/or immediately following an event also carry great importance. Each athlete must perform at an appropriate body weight. In addition to the total mass involved, the relative contribution to total mass by muscle, fat and bone is of importance. Optimal values for the various constituents are best developed through a combination of proper diet and appropriate conditioning that is continuous. The moment a competitive event begins, the athlete should be at appropriate body mass, sufficiently hydrated, possess proper amounts of vitamins and minerals, and be nourished with sufficient carbohydrate that an appropriate balance of carbohydrate and fat metabolism will provide the energy for the ensuing muscular activity. Nutritional and energetic limits to performance It can be generally accepted that each athlete enters his/her event with fat stores in excess of what will be utilized during the course of a competition. It is well known, however, that the higher the intensity of the muscular activity, the greater the proportion of energy that the muscles will obtain from carbohydrate (glucose and glycogen) compared with that obtained from fat (fatty acids). Herein lies a major challenge to athletes competing in a wide range of sports involving moderate intensity and long duration, that of ensuring that the carbohydrate stores in the 16 nutrition and exercise skeletal muscles and liver are optimal as the event starts. Skeletal muscle cells will depend both on endogenous glycogen stores as well as carbohydrate delivered by the blood as glucose. The nervous system depends totally on glucose obtained from the blood for its completely aerobic metabolism. Insufficient glucose for the nervous system results in loss of control and coordination of the muscles and the movements. There is a small amount of glucose circulating in the blood as an event starts, but the blood glucose level must be maintained from glycogen stored in the liver. Low glycogen concentrations in the skeletal muscle cells reduce an athlete’s capacity for power production. Low blood glucose can therefore adversely affect both nervous system function and muscle function. The athlete’s conditioning programme must be planned with great care and appreciation for the specific demands of each event or sport activity. The force, power, metabolic and associated nutritional demands of both competition and the conditioning programmes involve great differences among such varied activities as Olympic weightlifting, high jumping, 100-m running, 400-m swimming, tennis, field hockey, basketball, road cycling, cross-country skiing and marathon running. References Åstrand, P.-O. & Rodahl, K. (1986) Textbook of Work Physiology. McGraw-Hill, New York. Bureau International des Poids et Mésures (1977) Le Système International d’Unités (SI), 3rd edn. Sèvres, France. Cavanagh, P.R. (1988) On ‘muscle action’ vs. ‘muscle contraction.’ Journal of Biomechanics 22, 69. DeLorme, T.L. (1945) Restoration of muscle power by heavy resistance exercises. Journal of Bone and Joint Surgery 27, 645–667. Fleck, S.J. & Kraemer, W.J. (1997) Designing Resistance Training Programs. Human Kinetics, Champaign, IL. Knuttgen, H.G. & Kraemer, W.J. (1987) Terminology and measurement in exercise performance. Journal of Applied Sports Science Research 1, 1–10. Komi, P.V. (ed.) (1992) Strength and Power in Sport. Blackwell Scientific Publications, Oxford. Further reading Dirix, A., Knuttgen, H.G. & Tittel, K. (eds) (1992) The Olympic Book of Sports Medicine. Blackwell Scientific Publications, Oxford. Komi, P.V. & Knuttgen, H.G. (1996) Sport science and modern training. In Sports Science Studies, Vol. 8, pp. 44–62. Verlag Karl Hofmann, Schorndorf. Shephard, R.J. & Åstrand, P.-O. (eds) (1992) Endurance in Sport. Blackwell Scientific Publications, Oxford.