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what 3 things stimulate glycolysis?
energy starvation, sympathetic nervous system, hypoxia
what turns phosphorylase B to A?
calcium, epinephrine
what can inhibit PFK?
ATP, citrate, low pH, glucagon
why is a cell interested in alanine?
pyruvate kinase
Krebs cycle is not good at creating energy itself but why is it important?
give NADH and FADH2 for ETC
what do you use for fuel from rest to light exercise?
glycogen
what is the benefit of a catalyst?
speeds reaction up
what is the bottleneck of glycolysis?
PFK
primary method of active phosphorylation
calcium
what increased alanine?
glutamate and pyruvate
4 sources of ATP
cytoplasm, phosphocreatine, anaerobic glycolysis, oxidative metabolism
two advantages for using glucose?
speed of reaction, can occur without oxygen
3 catalyst for glycolysis
PFK, hexokinase, phosphorylase, pyruvate kinase
how does epinephrine prepare fuel for the bodying the face of danger?
phosphorylase a and b, hormone sensitive lipase
what is the source of CO2 from glucose metabolism?
from an oxidative source, Krebs cycle
rest to light exercise after four minutes, what fuel are you using?
glycogen, could change with fitness level
what is the transition point from aerobic metabolism to anaerobic metabolism at VO2 max?
lactate/anaerobic threshold
what is an observable surrogate to know someone switched to anaerobic?
minute ventilation
two organs that utilize lactic acid for energy?
heart, liver (not the best), slow oxidative fibers, brain (does like lactic but likes acetic)
if more and more CH2O is used what is happening to serum lactate levels?
production goes up (serum lactate increases)
3 indicators for high aerobic activity
VO2 max,lactate threshold, cross over point (goes up to the right in higher level athletes)
what is used for energy when RER equals 1? less than 1?
equals is only carbohydrates, less than is lipids
why are the values of kcal and O2/g higher for fats?
fats have more stored energy
what organelle metabolizes lipids?
mitochondria
three measures of aerobic capacity?
VO2 max, lactate threshold, crossover point
4 explanations or theories about lactate threshold
lactate removal, hypoxic theory, mainly running on glycolysis, fat twitch muscle that are glycolytic
we go to a steady stat- we bring in as much oxygen as we use and the actual level will increase. what causes this?
dehydration (sweat), chemical means are increasing, heat
why do we measure anaerobic threshold?
lactate levels in the blood, minute ventilation
what is the MCT?
pyruvate and lactate transporter, in the heart and slow oxidative fibers
why we store glycogen so efficiently?
increase glycogen stored and increased consumption, we will last longer because of that
can we increase glycogen storage?
YES
RER
respiratory exchange ration, using fats or glucose more
why is RER important?
VO2 max levels, crossover point
lose a few pounds? chew on fat or glucose?
consume fat
RER 1
carbs
ventilation is just mechanically moving air in and out of lungs
can have respiratory problems that can cause heart problems, ventilation is mechanical
3 ways we report oxygen expenditure
VO2 max, crossover point, minute ventilation, lactate threshold
we look at acids for minute ventilation. what others do we look at?
carbonic acid, lactic acid, keto acids
what is EPOC?
excess post exercise oxygen consumption
is slow component a good thing if you want to decrease weight?
yeah
why is the arterial O2 increase with exercise?
increase gradient
how do we decrease the influence of anatomical dead space?
breathe deeper, decrease frequency
three factors that influence the diffusion of O2 through the alveolar walls into capillaries then RBCs
surface area, gradient, transit time
importance of capillary expansion
they diffuse better due to more surface area
what portion of a normal resting lung has the highest ventilation perfusion ratio?
apexes
what portion of the normal resting lung has the lowest ventilation perfusion ration?
bases of lung
systemic hypertension is hypertension in the arterial system. why?
bc left heart failure
pulmonary hypertension is hypertension from lungs to heart. why?
bc right heart failure
two forces to overcome
elastic and resistive forces
how to decrease anatomical dead space?
slow down the breathing rate
where is the increase in air during normal inspiration in an upright person?
top of lung, apex
where is increased blood flow in upright person in lungs?
base of lungs, watch for pulmonary edema
pt with increased number of shunts in lungs, potential consequences?
massive vasoconstriction, pulmonary hypertension
how would you detect massive vasoconstriction and pulmonary hypertension?
decreased oxygenation, look at O2%, exercise tolerance vs intolerance, genetics from parents
how to increase alveolar dead space and is it always a good thing?
disease states such as emphysema and its not a good thing. makes alveoli worthless (will add to dead space)
what ar the two forces to overcome to have good ventilation>
elastic forces, flow restrictive forces
in a normal person what is the sensor that detects we need to increase ventilation?
pH levels in the carotid body (carotid sinus would detect blood pressure)
how will excess CO2 leave in the blood stream?
increase minute ventilation, would be detected by carotid body, which detects pH
what are 3 factors that facilitate the offloading of O2 at skeletal muscle?
temperature, pH, 2,3 DPG / active metabolism
3 ways CO@ is carried in the bloodstream?
plasma, hemoglobin, bicarbonate
two factors that limit HR during exercise?
reduced ventricular filling, tachyarrhythmies
what is one adaptation to increase Q in an athlete>
increase SV due to HR limitation, CO = SV x HR
equation for stroke volume
EDSV - ESV,
ejection fraction equation
EF = (SV / EDV) x 100
cardiac output equation
CO = SV x HR