L5. Control of breathing in exercise Flashcards

1
Q

What are the three primary control mechanisms for breathing during exercise?

A

Feedforward, feedback, and adaptive control

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2
Q

What is the role of feedforward control in exercise?

A

It anticipates exercise and adjusts ventilation accordingly

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3
Q

Why is there no error signal for chemical feedback during mild to moderate exercise?

A

Arterial PCO2, pH, and PO2 remain constant

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4
Q

What is the concept of ‘cortical irradiation’ proposed by Krogh and Lindhard?

A

It explains anticipatory hyperventilation prior to exercise

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5
Q

What is the significance of the ‘Douglas Bag’ in breathing studies?

A

It was used to collect expired air for analyzing respiratory patterns

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6
Q

What are the three phases of ventilation during steady-state exercise?

A

Phase 1: Immediate rise, Phase 2: Gradual increase, Phase 3: Plateau

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7
Q

How does central command influence breathing during exercise?

A

It sends signals to increase ventilation based on expected activity

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8
Q

What experiment showed central command’s role in breathing?

A

Eldridge’s fictive locomotion experiments in decerebrate animals

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9
Q

What evidence supports the role of muscle afferents in breathing?

A

Crosse-perfused dog experiments showed increased ventilation from muscle signals

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10
Q

What is cardiodynamic hyperpnoea?

A

The hypothesis that increased cardiac output drives ventilation

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11
Q

How did heart transplant studies challenge cardiodynamic hyperpnoea?

A

Ventilation increased during exercise without neural control of cardiac output

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12
Q

What is CO2 flux sensing?

A

The idea that ventilation adjusts to the rate of CO2 transport

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13
Q

What experiments questioned CO2 flux sensing?

A

Studies showing inconsistent results when venous CO2 was artificially increased

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14
Q

What is the role of the carotid bodies in exercise?

A

They provide load compensation for ventilatory control

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15
Q

How does adaptive control influence breathing?

A

It allows the ventilatory system to calibrate responses over time

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16
Q

What experiment demonstrated learned ventilatory responses?

A

Training animals to exercise with added dead space normalized CO2 levels

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17
Q

What did Helen Wood’s experiment show about humans adapting to CO2 loads?

A

Training improved ventilatory control even with additional CO2

18
Q

Why is redundancy important in respiratory control?

A

Multiple mechanisms ensure accurate ventilation even if one fails

19
Q

What happens to ventilation during high-intensity exercise?

A

Ventilation increases disproportionately due to anaerobic metabolism

20
Q

What role do feedforward mechanisms play in ventilatory control?

A

They dominate during mild to moderate exercise to prevent errors

21
Q

What is the evidence for central command in humans?

A

Increased ventilation even in paralyzed patients with exercise simulation

22
Q

What did studies on carotid body removal reveal?

A

Submaximal exercise ventilation is largely unaffected, but high-intensity responses are impaired

23
Q

How does hyperventilation before exercise occur?

A

Anticipatory signals from the brain increase ventilation before movement starts

24
Q

What is the significance of VCO2 in ventilation studies?

A

It represents the rate of CO2 production and helps analyze ventilatory efficiency

25
How does ventilation respond to changes in exercise intensity?
It increases linearly with CO2 production until the anaerobic threshold
26
What is the concept of 'load compensation' in carotid bodies?
They adjust their sensitivity to match the increased metabolic demands
27
What did experiments on patients with congenital chemoreceptor absence show?
Ventilatory control is partially innate but benefits from chemoreceptor feedback
28
What are the key stimuli for increased ventilation during exercise?
Central command, muscle afferents, and cardiac output
29
What happens to alveolar CO2 levels during exercise?
They show larger fluctuations but maintain a stable mean level
30
What did the artificial CO2 flux experiments conclude?
Inconsistent evidence for CO2 flux as a primary ventilatory driver
31
What is the role of perceived exertion in ventilation?
Higher perceived effort increases ventilatory drive
32
How does redundancy in control mechanisms benefit respiration?
Ensures stable ventilation despite individual mechanism failures
33
What did studies on ventilatory adaptation in goats reveal?
Animals can recalibrate their breathing to compensate for artificial changes
34
How does hyperventilation relate to unexplained breathlessness?
Some patients hyperventilate without clear physiological causes
35
What did Mitchell's experiments on ventilatory learning demonstrate?
Animals adapt their breathing patterns to external respiratory challenges
36
How do ventilation and metabolism synchronize during exercise?
Feedforward systems anticipate and match ventilation to metabolic needs
37
What is the significance of the phase 1 ventilatory response?
It provides immediate ventilation increase at exercise onset
38
What is the relationship between tidal volume and ventilation?
Increases in tidal volume contribute to higher overall ventilation
39
What did Krogh and Lindhard conclude about central command?
It is a primary driver of anticipatory hyperventilation during exercise
40
What is the impact of hypercapnia on ventilatory responses during exercise?
Hypercapnia increases ventilatory drive to expel excess CO2