Leg Blood Flow during Exercise in Man

1971 ◽  
Vol 41 (5) ◽  
pp. 459-473 ◽  
Author(s):  
L. Jorfeldt ◽  
J. Wahren

1. An indicator-dilution technique was used to determine human leg blood flow at rest and during exercise. The method is based on the infusion of Indocyanine Green into the femoral artery with blood sampling from the femoral vein at the level of the inguinal ligament. Evidence for mixing of dye and blood is presented, based on the finding of equal dye concentrations at two different sampling levels in the femoral vein. The minimum time of infusion required for equilibration at rest is 3 min and during exercise 1 min 20 s. 2. Leg blood flow was measured in eight healthy athletic subjects at rest and during upright exercise on a bicycle ergometer at 400, 800 and 1200 kpm/min. Linear relationships were found between blood flow on the one hand and work intensity and pulmonary oxygen uptake on the other. 3. Leg oxygen uptake was measured as the product of blood flow and femoral arterio-venous oxygen difference. Linear regressions were found for leg oxygen uptake in relation to both work intensity and pulmonary oxygen uptake. Leg mechanical efficiency during exercise averaged 34%. 4. A formula for the approximate calculation of leg blood flow is suggested, based on the pulmonary oxygen uptake and the femoral arterio-venous oxygen difference.

1975 ◽  
Vol 49 (3) ◽  
pp. 265-275 ◽  
Author(s):  
B. Pernow ◽  
B. Saltin ◽  
J. Wahren ◽  
R. Cronestrand ◽  
S. Ekeström

1. Leg blood flow, uptake of oxygen and glucose and release of lactate by the leg and changes in intramuscular concentrations of metabolites were studied at rest and during exercise of increasing work loads in thirteen patients with occlusive disease of the iliac or superficial femoral arteries. 2. Leg blood flow (dye-dilution technique) and oxygen uptake during exercise were low and levelled with increasing work load. Considerable increases were noted in muscle lactate concentration and in the net release of lactate from the exercising leg. Muscle content (needle-biopsy technique) of ATP and creatine phosphate decreased during exercise, with an almost complete depletion of creatine phosphate in three patients. The decrease in muscle glycogen during work did not differ significantly from that of control subjects. 3. Repeated exercise after reconstructive surgery showed a considerable improvement in physical working capacity. Leg blood flow and oxygen uptake during exercise were significantly higher than before surgery and increased linearly in relation to work intensity. The decrease in creatine phosphate and lactate concentration of the thigh muscle during exercise was less pronounced and the release of lactate was lower than before vascular reconstruction. 4. It is suggested that the onset of the severe muscle symptoms during exercise in patients with occlusive arterial disease of the leg may be related to a low concentration of ATP and creatine phosphate in the affected muscles.


1999 ◽  
Vol 78 (1) ◽  
pp. 67-74 ◽  
Author(s):  
Maureen J MacDonald ◽  
Mark A Tarnopolsky ◽  
Richard L Hughson

The purpose of this study was to examine the interactions of adaptations in O2 transport and utilization under conditions of altered arterial O2 content (CaO2), during rest to exercise transitions. Simultaneous measures of alveolar ([Formula: see text]O2alv) and leg ([Formula: see text]O2mus) oxygen uptake and leg blood flow (LBF) responses were obtained in normoxic (FiO2 (inspired fraction of O2) = 0.21), hypoxic (FiO2 = 0.14), and hyperoxic (FiO2 = 0.70) gas breathing conditions. Six healthy subjects performed transitions in leg kicking exercise from rest to 48 ± 3 W. LBF was measured continuously with pulsed and echo Doppler ultrasound methods, [Formula: see text]O2alv was measured breath-by-breath at the mouth and [Formula: see text]O2mus was determined from LBF and radial artery and femoral vein blood samples. Even though hypoxia reduced CaO2 to 175.9 ± 5.0 from 193.2 ± 5.0 mL/L in normoxia, and hyperoxia increased CaO2 to 205.5 ± 4.1 mL/L, there were no differences in the absolute values of [Formula: see text]O2alv or [Formula: see text]O2mus across gas conditions at any of the rest or exercise time points. A reduction in leg O2 delivery in hypoxia at the onset of exercise was compensated by a nonsignificant increase in O2 extraction and later by small increases in LBF to maintain [Formula: see text]O2mus. The dynamic response of [Formula: see text]O2alv was slower in the hypoxic condition; however, hyperoxia did not affect the responses of oxygen delivery or uptake at the onset of moderate intensity leg kicking exercise. The finding of similar [Formula: see text]O2mus responses at the onset of exercise for all gas conditions demonstrated that physiological adaptations in LBF and O2 extraction were possible, to counter significant alterations in CaO2. These results show the importance of the interplay between O2 supply and O2 utilization mechanisms in meeting the challenge provided by small alterations in O2 content at the onset of this submaximal exercise task.


1990 ◽  
Vol 69 (5) ◽  
pp. 1804-1809 ◽  
Author(s):  
W. H. Martin ◽  
W. M. Kohrt ◽  
M. T. Malley ◽  
E. Korte ◽  
S. Stoltz

To determine whether extremity vasodilatory capacity may be augmented in older persons by endurance exercise training, lower leg blood flow and conductance were characterized plethysmographically at rest and during maximal hyperemia in 9 men and 10 women aged 64 +/- 3 (SD) yr before and after 31 +/- 6 wk of walking and jogging at 70-90% of maximal oxygen uptake for 45 min 3-5 days/wk. Maximal oxygen uptake expressed as milliliters per kilogram per minute improved 25% in men and 21% in women (P less than 0.01). Maximal leg blood flow and conductance increased in all nine men by an average of 39 +/- 33 (P less than 0.001) and 42 +/- 44% (P less than 0.004), respectively. Results were more variable in women and achieved unequivocal statistical significance only for maximal blood flow (+33 +/- 54% for blood flow and +29 +/- 55% for conductance; P less than 0.02 and P = 0.05, respectively). Body weight and skinfold adiposity declined in both sexes (P less than 0.05). Enhancement of vasodilatory capacity was related to weight loss in men and adipose tissue loss in women (r = 0.61 and 0.51, respectively; P less than 0.05). There were no significant changes in exercise capacity, body weight, or maximal blood flow in four male and three female controls aged 66 +/- 4 yr. Thus adaptability of the lower limb circulation to endurance exercise training is retained to at least age 65 yr.


1956 ◽  
Vol 184 (3) ◽  
pp. 613-623 ◽  
Author(s):  
A. C. Barger ◽  
V. Richards ◽  
J. Metcalfe ◽  
B. Günther

Oxygen consumption and cardiac output (direct Fick) have been measured in normal dogs at rest and during graded exercise on the treadmill up to a work intensity of 5 mph and 10°. Systemic and pulmonary artery pressures have also been recorded. The changes in cardiac output produced ‘at rest’ by excitement were frequently as large as those induced by moderate exercise. A short bout of exercise followed by a rest period was far more efficacious in producing lower and more uniform results during rest and subsequent exercise than a prolonged rest period alone. Under such conditions the ‘steady state’ was reached in 3 minutes or less of exercise. The linear relation between oxygen consumption and cardiac output during exercise in the dog is similar to that observed in man, and in the horse. The possible significance of this similarity is discussed and it is suggested that the data are consistent with the hypothesis that the increase in blood flow during exercise is largely the increase in muscle flow with a constant arteriovenous oxygen difference of approximately 14 vol. %.


1981 ◽  
Vol 241 (6) ◽  
pp. G469-G477 ◽  
Author(s):  
P. R. Kvietys ◽  
J. M. McLendon ◽  
D. N. Granger

In an autoperfused dog ileum preparation, artificial pressure, venous outflow pressure, blood flow, and arteriovenous oxygen difference were measured while bile and bile salt solutions, at physiological concentrations, were placed in the lumen. Intraluminal placement of endogenous bile, synthetic bile, or bile salt solutions increased ileal blood flow (99 +/- 10, 94 +/- 20, and 104 +/- 17%, respectively) and oxygen uptake (30 +/- 5, 36 +/- 9, and 28 +/- 5%, respectively). Endogenous bile pretreated with cholestyramine, a bile salt-sequestering resin, did not alter ileal blood flow, yet increased ileal oxygen uptake by 11 +/- 3%, a response similar to that observed while Tyrode's solution (the vehicle) was in the lumen. Intra-arterial infusion of bile salts increased ileal blood flow in a dose-dependent manner, while not significantly altering ileal oxygen uptake. The results of the present study indicate that bile salts play an important role in the functional (postprandial) hyperemia in the ileum by 1) directly dilating the ileal vasculature and 2) enhancing ileal metabolism during their active absorption.


2007 ◽  
Vol 39 (Supplement) ◽  
pp. S359
Author(s):  
Liza Stathokostas ◽  
John M. Kowalchuk ◽  
Donald H. Paterson

1965 ◽  
Vol 20 (6) ◽  
pp. 1294-1298 ◽  
Author(s):  
Gunnar Grimby

Clearance of inulin (CIn) and para-aminohippuric acid (CPAH), cardiac output, oxygen uptake, and arterial blood pressure were measured in 15 healthy male subjects at rest and during supine exercise of 45 min duration on a bicycle ergometer. Work loads between 150 and 900 kpm/min were chosen. CPAH decreased with increasing work intensity (heart rate). At an oxygen uptake corresponding to half of the aerobic work capacity it was about 70% and at heavy work 35–45% of the value at rest. The renal fraction of the cardiac output averaged, at rest, 17% and decreased with increasing work loads to 2.5–5% as a minimum. CIn did not change significantly until heavy exercise was performed. The filtration fraction increased during exercise. clearances of inulin and para-aminohippuric acid; cardiac output Submitted on May 28, 1965


1963 ◽  
Vol 204 (2) ◽  
pp. 309-313 ◽  
Author(s):  
Mauricio Russek ◽  
Adolfo Fernandez F. ◽  
Cordelia Vega

In cats and rabbits lightly anesthetized with pentobarbital or immobilized with Flaxedil and in encéphale isolé cats, the intravenous injection of NaCN in doses of 0.05 to 0.5 mg/kg produced a great increase in blood flow from the head (jugular vein) without any significant change in the blood flow from a hind limb (femoral vein). This would indicate that the increase in blood flow from the head was probably due to the brain and not to the nonnervous structures. This assumption was further supported by the large increase in the blood flow through the sagittal sinus. The greatest increase in jugular flow, threefold, was produced by 0.2–0.3 mg/kg of cyanide. This dose did not produce any significant change in the arterial, jugular, and femoral vein oxygen concentration, and hence in the A-V oxygen difference of head and limb. The results would indicate that the consumption of the brain is augmented by these dosages of cyanide.


2001 ◽  
Vol 26 (2) ◽  
pp. 143-156 ◽  
Author(s):  
Maureen J. Macdonald ◽  
Howard J. Green ◽  
Heather L. Naylor ◽  
Christian Otto ◽  
Richard L. Hughson

We investigated the effect of a 21-day climbing expedition to 6,194 m on the oxygen uptake [Formula: see text] and leg blood flow (LBF) responses to submaximal exercise in five healthy, fit men during two-leg kicking exercise at 0-W and 50-W. Tests were completed 1 week before and 3 days after altitude acclimatization. The adaptation of [Formula: see text] at exercise onset was described by the time to 63% of the new steady state. Steady state [Formula: see text] during 50-W exercise was less post-climb (1290 ± 29 mL/min, mean ± SE) than pre-climb (1413 + 63 mL/min, P < .05). [Formula: see text] adapted more slowly at the onset of 50-W exercise post-climb. There were no differences in the steady state LBF during 50-W exercise, the increase above baseline, or the adaptation post-climb. Respiratory exchange ratio was greater at 50-W post-climb compared to pre-climb. Reduced steady state [Formula: see text] during exercise after exposure to high altitude is consistent with an increase in metabolic efficiency. Key words: work efficiency, leg blood flow, altitude, hypoxia, Doppler ultrasound


1973 ◽  
Vol 45 (2) ◽  
pp. 135-146 ◽  
Author(s):  
J. Wahren ◽  
L. Jorfeldt

1. A dye-dilution method has been developed for the determination of leg blood flow in man. The method is based on the infusion of indicator into the distal part of the femoral vein with blood sampling from the same vein at the level of the inguinal ligament. Catheterization of the femoral artery is not required. Evidence of adequate mixing of dye and blood is presented, based on the finding of the same dye concentration in samples from two different levels in the femoral vein. 2. Leg blood flow measured by this technique at rest and during exercise in six healthy subjects was found to agree closely with simultaneous determinations with an intra-arterial indicator-dilution technique. The reproducibility of the blood-flow measurements, expressed as the coefficient of variation for a single determination, was 9·8%. 3. A routine procedure is suggested for leg blood-flow determination based on femoral venous dye infusion. Using this procedure, leg blood flow was measured in twelve healthy subjects at rest and during exercise at work loads of 100, 200, 400 and 600 kpm/min. A linear relationship was found between leg blood flow and pulmonary oxygen uptake. 4. The applicability of this method to the study of patients with occlusive arterial disease of the leg is illustrated by findings in two patients before and after vascular reconstruction.


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