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Exercise Physiology -Chapter 11
Huang-Acid/Base Balance During Exercise
102
Physiology
Undergraduate 3
04/03/2014

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Term
what is CO2 made from energy metabolism called?
Definition
metabolic CO2
Term
Why do we consider CO2 an acid molecule?
Definition
can be converted to H+ through the buffering system
Term
what is CO2 called when it is not made by metabolism?
Definition
non-metabolic CO2
Term
How many carbons does Acetyl-CoA have?
Definition
2-carbons
Term
how many carbons does citrate have?
Definition
6-carbons
Term
what is an acid?
Definition
a molecule that can liberate H+
increase H+ concentration in solution
Term
what is an example of a strong acid?
Definition
Lactic Acid
Term
what is a base?
Definition
molecule that is capable of combining with H+
Term
what is an example of a strong base?
Definition
bicarbonate
Term
what does bicarbonate do briefly?
Definition
help to regulate H+ levels to extend time to muscle fatigue
Term
what would you expect a lactate supplement to do?
Definition
be converted to pyruvate and increase the turns of the krebs cycle
Term
the concentration of H+ is expressed in what?
Definition
pH
Term
what is the pH of blood?
Definition
7.4
Term
what is the pH of muscle compared to blood?
Definition
less
Term
what is the pH of pure water?
Definition
7
Term
T/F the higher the pH, the more acidic.
Definition
false
more basic
Term
what is the pH survival range?
Definition
6.8-7.8
Term
what is it called when the pH becomes more acidic?
Definition
acidosis
Term
what is it called when the pH becomes more basic?
Definition
alkalosis
Term
T/F abnormal pH can disrupt normal body function and affect performance.
Definition
true
Term
when its more acidic does the concentration of H+ increase or decrease?
Definition
increase
Term
during alkalosis, the H+ concentration increases or decreases?
Definition
decreases
Term
what happens to pH when the blood lactate concentration increases?
Definition
pH decreases
Term
what is the ventilation threshold?
Definition
increase in breathing when there is an increase in CO2 concentration
Term
T/F as H+ increases, bicarbonate decreases, then CO2 increases: eventually you'll reach the lactate threshold.
Definition
true
Term
what are the steps when there is an inadequate O2 delivery?
Definition
muscle tissue uses more anaerobic systems->
in turn generates more lactic acid->
buffer bicarbonate in blood and muscle->
nonlinear increase
Term
how does acidosis lead to diabetes?
Definition
if they don't receive hyperglycemia treatment, they will begin to break down fat, which will eventually lead to ketoacidosis
Term
what is metabolic acidosis?
Definition
gain in the amount of acid in the body
Term
what are the effects of long term starvation?
Definition
ketoacidosis from fat metabolism
Term
where does acid come from during fasting?
Definition
ketones from fat metabolism
Term
what is metabolic alkalosis?
Definition
loss of acids from the body
Term
what are the effects of metabolic alkalosis?
Definition
severe vomiting
kidney disease
Term
what organ regulates acid/base at rest?
Definition
kidney
Term
how much carbs can a normal individual store?
Definition
500g
Term
what happens when there are no carbs in your diet?
Definition
can only support 1/2 the day, increase glycogen breakdown, after 1/2 the day->
no glucose-> increase utilization of fat and muscle protein->
breakdown of fat leads to increase ketones->
increase water to the kidneys to dilute ketones->
increase water excretion->
increase dehydration
Term
how many fatty acids does one molecule of triglyceride offer?
Definition
3 fatty acids
Term
what happens to someone with type 1 diabetes if they do not receive treatment?
Definition
after 1/2 the day they may faint
Term
how does exercise help people with diabetes?
Definition
increase insulin sensitivity
Term
what is the main glucose transporter in skeletal muscle?
Definition
GLUT 4
Term
after an overnight fast, what percent of body energy requirements do ketones supply?
Definition
2-6%
Term
T/F Ketones do not provide energy
Definition
false
Term
after a three day fast, what percent of body energy requirements do ketones supply?
Definition
30-40%
Term
during prolonged fasting, what percent of body energy requirements do ketones supply?
Definition
the percent is too high and therefore the individual will suffer ketoacidosis
Term
what are the symptoms of ketoacidosis?
Definition
weakness
difficulty breathing
coma
death
Term
during exercise, do muscle cells need insulin to take glucose into the cell?
Definition
no, they can activate glucose transporters within the cell
Term
is protein metabolism similar to fat metabolism when there are no carbs available?
Definition
yes
increase in urea concentration causes and increase in water to the kidney to dilute the urea->
increase dehydration
Term
what happens to CO2 levels during exercise?
Definition
increase in CO2 concentration
more CO2 is converted to H+
Term
what are volatile acids?
where do they come from?
Definition
carbon dioxide-end product of carb, fat and protein metabolism
Term
what are fixed acids?
where do they come from?
Definition
sulfuric acid-metabolism of certain amino acids
phosphoric acid-phosphlipid and nucleic acid metabolism
Term
what are organic acids?
where do they come from?
Definition
lactic acid-carb and fat metabolism
acetoacetic acid-carb and fat metabolism
Term
where does H+ come from?
Definition
mainly lactic acid during exercise
Term
what factors contribute to H+ production?
Definition
carbonic acid
lactic acid
sulfuric acid
acidic ketone bodies
phosphoric acid
Term
what sports contribute to H+ production?
Definition
sprinting
100-meter
400-meter
800-meter
Term
what does heavy exercise result in?
Definition
production of lactic acid
Term
increased H+ can impair performance: why?
Definition
inhibits enzymes in aerobic and anaerobic ATP production
hinders muscle contractile process by coppering with Ca2+ for binding sites on troponin
Term
T/F generate more H+-> less Ca to bind to troponin C-> less cross bridges-> less muscle contraction
Definition
true
Term
how is acid/base maintain by buffers?
Definition
release H+ ions when pH is high
accept H+ ions when pH is low
Term
what are intracellular buffers (in muscle)?
Definition
proteins
phosphate groups
bicarbonate
Term
what are extracellular buffers (in blood/plasma)?
Definition
blod proteins
hemoglobin
bicarbonate
Term
what are proteins?
Definition
made by amino acids
contain carbon, hydrogen, oxygen, nitrogen
Term
how much protein does an average-size adult have?
how much is located in the skeletal muscle?
Definition
10-12kg
6-8kg
Term
can we convert carbs to fat?
Definition
yes
Term
can we convert protein to carbs?
Definition
yes, gluconeogenesis
Term
what is deamination?
Definition
removing nitrogen
Term
what are the four features of amino acids?
what is the most unique?
Definition
Central Hydrocarbon Group
Amine Group
Acid Group
R Group***
Term
How many total amino acids?
are they the same?
Definition
20
each with a unique structure
Term
what is hemoglobin buffering used?
Definition
at rest
Term
Is oxygenated hemoglobin better for buffering than deoxygenated hemoglobin?
Definition
no
deoxygenated hemoglobin is a better buffer to bind H+ compared to oxygenated hemoglobin.
Term
how many times more capacity does hemoglobin buffering have over plasma protein?
Definition
6 times
Term
what does bicarbonate buffering consist of?
why is NaHCO3 used?
Definition
carbonic acid
sodium bicarbonate-strong base
Term
how does sodium bicarbonate work in buffering?
Definition
converts HCl to a weaker acid
Term
what is the carbonic acid dissociation equation?
Definition
CO2 + H2O <-> H2CO3 <-> H+ + HCO3-
Term
what happens to H+ with accelerated breathing?
Definition
can convert H+ back to CO2 to excrete by ventilation
Term
when pH decreases, H+ increases; explain this.
Definition
reaction moves to the left
CO2 is 'blown off' by the lungs, raising pH
Term
what are the 3 forms of CO2 transport in the blood?
what are the percentages?
Definition
10% dissolved in the plasma
20% bound to hemoglobin
70% bicarbonate
Term
how is O2 transported in the blood?
Definition
oxygen from the lungs binds to hemoglobin in the RBCs, then carried to the cells and released
Term
what is the chloride shift?
Definition
HCO3- moves out of the RBC and Cl- moves in to maintain electrochemical balance
Term
how is CO2 transported in the blood?
Definition
CO2 generated in the muscle->
CO2 is converted to H+ and binds to Hb->
chloride shift->
Hb transports H+ to the capillaries->
converted back to CO2->
diffuse into he alveoli
Term
1 molecule of Hb can bind to how many molecules of oxygen?
Definition
4
Term
T/F kidneys play a role in acid/base balance during exercise.
Definition
fasle
do not
Term
how do the kidneys regulate blood bicarbonate concentration under normal conditions, when blood pH decreases?
Definition
reduced rate or bicarbonate excretion
Term
how do the kidneys regulate blood bicarbonate concentration under normal conditions, when blood pH increases?
Definition
increased rate of bicarbonate excretion
Term
what is lactic acid production dependent on?
Definition
exercise intensity
amount of muscle mass involved
duration of exercise
Term
what happens to blood pH during exercise?
Definition
declines with increasing intensity
Term
what happens to muscle pH during exercise?
why?
Definition
declines more dramatically than blood pH
muscle has lower buffering capacity
Term
explain the changes is arterial blood and muscle pH during exercise. Why?
Definition
both decreased pH primarily due to the increase in lactic acid
Term
why is muscle pH is always 0.4-0.6 pH unit lower than blood?
Definition
higher lactic acid concentration in muscles
lower buffering capacity in the muscles
Term
how is lactate removed?
Definition
70% oxidized by other tissues
20% converted to glycogen or glucose in the liver
10% converted to amino acids
Term
compare the arterial blood pH and muscle pH during exercise.
Definition
muscle pH will drop more quickly as there is an increase in work rate
Term
what is the name of the cycle where lactate is converted to glucose?
Definition
Cori Cycle
Term
what are the percentages of buffering of lactic acid in the muscle?
Definition
60% through intracellular proteins
20-30% by muscle bicarbonate
10-20% from intracellular phosphate groups
Term
what is the major buffer of lactic acid in the blood?
Definition
bicarbonate
Term
T/F increases in lactic acid are accompanied by increases in bicarbonate and blood pH.
Definition
false
decreases in bicarbonate and blood pH
Term
T/F Hb plays a major role in buffering of lactic acid in the blood during exercise, but not rest.
Definition
false
Hb plays a major role in buffering at rest
Term
Why does a pyruvate supplement not work?
could we modify the protocol to use pyruvate supplement more efficiently?
Definition
because there is an increase in blood pyruvate concentration and not muscle concentration

maybe
Term
As the lactic acid threshold is reached what happens to the concentration of bicarbonate in the blood?
Definition
decreases
Term
what is the first line of regulation of acid-base balance during exercise?
Definition
cellular buffers
blood buffers
Term
what is the second line of regulation of acid-base balance during exercise?
Definition
respiratory compensation
Term
what are carotid bodies?
Definition
a neurovascular structure in the capillaries at the carotid artery branches in the neck that contain chemoreceptors that detect O2, CO2 and pH of the blood to help regulate respiration
Term
how does respiratory compensation work?
Definition
during exercise
increase in blood H+->
stimulates chemoreceptors in carotid bodies->
send signals to respiratory control center->
increase alveolar ventilation->
increase CO2 "blown off" from the blood by accelerating recombination of H+ and HCO3->
decrease plasma H+ concentration
Term
when will you see an increase in ventilation?
Definition
during high intensity exercise
Term
does pH effect exercise performance?
Definition
yes
a decrease in pH will result in a decrease in force production
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