Classic studies of the factors that limit exercise revealedthat exercise capacity is reduced at high altitudes1 and inpersons with cardiopulmonary disorders.2 Because animal muscledeprived of oxygen rapidly fatigues and produces lactic acid,3these findings suggested that inadequate oxygen delivery limitsexercise. Maximal oxygen consumption (O2max) became the primarymeasure of exercise capacity, and mechanisms related to thedelivery of oxygen to the muscles were considered the main factorsdetermining exercise capacity. These principles dominate theconventional interpretation of clinical exercise tests.4,5
Physiology
Normal Exercise Performance
Exercise can be categorized as follows: short-term maximal exercise,such as sprinting or climbing stairs; . . . [Full Text of this Article]
Biochemistry of Exercise
Cardiovascular Responses to the Demands of Exercise
Respiratory Responses to the Demands of Exercise
Neurophysiology of Exercise and Fatigue
Sensory Aspects of Exercise
Neurophysiologic Aspects of Sensation during Exercise
Sensory Measurements during Exercise
Limitation of Exercise in Cardiovascular Disorders
Physiologic Limits to Exercise in Heart Disease
Symptoms during Exercise in Patients with Cardiac Disease
Limitation of Exercise in Respiratory Disorders
Physiologic Limits to Exercise in Respiratory Disorders
Symptoms during Exercise in Patients with Respiratory Disease
Conclusions
Source Information
From the Department of Medicine, McMaster University Health Sciences Centre, Hamilton, Ont., Canada.
Address reprint requests to Dr. Jones at Rm. 3U26, McMaster University Health Sciences Centre, 1200 Main St. W., Hamilton, ON L8S 3Z5, Canada, or at jonesn@fhs.mcmaster.ca.
References
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