Bicarbonate attenuates arterial desaturation during maximal exercise in humans

J Appl Physiol (1985). 2002 Aug;93(2):724-31. doi: 10.1152/japplphysiol.00398.2000.

Abstract

The contribution of pH to exercise-induced arterial O2 desaturation was evaluated by intravenous infusion of sodium bicarbonate (Bic, 1 M; 200-350 ml) or an equal volume of saline (Sal; 1 M) at a constant infusion rate during a "2,000-m" maximal ergometer row in five male oarsmen. Blood-gas variables were corrected to the increase in blood temperature from 36.5 +/- 0.3 to 38.9 +/- 0.1 degrees C (P < 0.05; means +/- SE), which was established in a pilot study. During Sal exercise, pH decreased from 7.42 +/- 0.01 at rest to 7.07 +/- 0.02 but only to 7.34 +/- 0.02 (P < 0.05) during the Bic trial. Arterial PO2 was reduced from 103.1 +/- 0.7 to 88.2 +/- 1.3 Torr during exercise with Sal, and this reduction was not significantly affected by Bic. Arterial O2 saturation was 97.5 +/- 0.2% at rest and decreased to 89.0 +/- 0.7% during Sal exercise but only to 94.1 +/- 1% with Bic (P < 0.05). Arterial PCO2 was not significantly changed from resting values in the last minute of Sal exercise, but in the Bic trial it increased from 40.5 +/- 0.5 to 45.9 +/- 2.0 Torr (P < 0.05). Pulmonary ventilation was lowered during exercise with Bic (155 +/- 14 vs. 142 +/- 13 l/min; P < 0.05), but the exercise-induced increase in the difference between the end-tidal O2 pressure and arterial PO2 was similar in the two trials. Also, pulmonary O2 uptake and changes in muscle oxygenation as determined by near-infrared spectrophotometry during exercise were similar. The enlarged blood-buffering capacity after infusion of Bic attenuated acidosis and in turn arterial desaturation during maximal exercise.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acidosis / drug therapy
  • Acidosis / physiopathology*
  • Adult
  • Carbon Dioxide / blood*
  • Heart Rate
  • Humans
  • Hydrogen-Ion Concentration
  • Lactic Acid / blood
  • Male
  • Muscle, Skeletal / physiology
  • Oxygen / blood*
  • Physical Exertion / physiology*
  • Pulmonary Gas Exchange / physiology
  • Respiration
  • Sodium Bicarbonate / administration & dosage*
  • Sodium Bicarbonate / blood
  • Spectroscopy, Near-Infrared

Substances

  • Carbon Dioxide
  • Lactic Acid
  • Sodium Bicarbonate
  • Oxygen