Exercise-induced oxyhaemoglobin desaturation, ventilatory limitation and lung diffusing capacity in women during and after exercise

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Abstract
Arterial haemoglobin saturation during exercise in healthy young women [eight subjects mean (SEM) age 20.8 (1.8) years] was measured to confirm the theory that young women experience exercise-induced arterial hypoxaemia (EIAH) at a lower relative percentage of maximal oxygen uptake (VO2max) than has been documented in their male counterparts. To determine if flow limitation [the percentage of the tidal volume (V T) that met or exceeded the boundary established by multiple maximal expiratory manoeuvres] and/or post-exercise lung diffusing capacity are linked to EIAH in women, and to investigate the influence of exercise intensity and duration on post-exercise carbon monoxide lung diffusing capacity (D L, CO), these parameters were measured during and after three exercise tests (incremental test until exhaustion, 5 km run and 5 km run with sprint). All subjects experienced physiologically significant EIAH (a fall of more than 3% in oxygen saturation of arterial blood from levels at rest) and seven subjects experienced flow limitation during the VO2max protocol [mean (SD) 12.2 (8.8)% of V T]. Even though there was no significant relationship between aerobic capacity and the degree of flow limitation (r=0.33, P>0.05), the flow limitation was related to absolute ventilation in the subjects studied (r=0.82, P0.05), however there was a strong correlation between the extent of flow limitation (% of V T) and EIAH (r=0.71). Significant decreases in D L, CO lasted for up to 16 h after each of the exercise tests (PPD L, CO with the percentage of VO2max attained during the various tests being significantly related to the fall in D L, CO for 1, 2, 3, 16 and 24 h after exercise (P<0.05). As the appearance of flow limitation closely coincided with the appearance of EIAH, the results from the present study suggest that flow limitation is a contributing factor to EIAH in women although the exact mechanism remains unclear.