ARTERIAL HYPOXEMIA AND PERFORMANCE DURING INTENSE EXERCISE

In order to determine the level of hypoxemia which is sufficient to impair maximal performance, seven well-trained male cyclists [maximum oxygen consumption (VO2max) greater than or equal to 51 min(-1) or 60 ml.kg(-1) min(-1)] performed a 5-min performance cycle test to exhaustion at maximal intensity as controlled by the subject, under three experimental conditions: normoxemia [percentage of arterial oxyhemoglobin saturation (% SaO2) > 94%], and artificially induced mild (% SaO2 = 90 +/- 1%) and moderate (% SaO2 = 87 +/- 1%) hypoxemia. Performance, evaluated as the total work output (Work(tot)) performed in the 5-min cycle test, progressively decreased with decreasing % SaO2 [mean (SE) Work(tot)=107.40 (4.5) kJ, 104.07 (5.6) kJ, and 102.52 (4.7) kJ, under normoxemia, mild, and moderate hypoxemia, respectively]. However, only performance in the moderate hypoxemia condition was significantly different than in normoxemia (P=0.02). Mean oxygen consumption and heart rate were similar in the three conditions (P=0.18 and P=0.95, respectively). End-tidal partial pressure of CO2 was significantly lower (P=0.005) during moderate hypoxemia compared with normoxemia, and ventilatory equivalent of CO2 was significantly higher (P=0.005) in both hypoxemic conditions when compared with normoxemia. It is concluded that maximal performance capacity is significantly impaired in highly trained cyclists working under an % SaO2 level of 87% but not under a milder desaturation level of 90%.