PMID- 3921518 OWN - NLM STAT- MEDLINE DCOM- 19850619 LR - 20171213 IS - 8750-7587 (Print) IS - 0161-7567 (Linking) VI - 58 IP - 4 DP - 1985 Apr TI - Exercise performance following a carbohydrate load in chronic airflow obstruction. PG - 1340-6 AB - We evaluated the effects of a large (920 cal) liquid carbohydrate (CHO) load on the maximum exercise capacity of 18 patients with chronic airflow obstruction [forced expiratory volume at at 1 s (FEV1) = 1.27 +/- 0.48 liters; FEV1/forced vital capacity = 0.41 +/- 0.11]. Patients underwent duplicate incremental cycle ergometer exercise tests to a symptom-limited maximum following CHO and a liquid placebo in single-blind fashion. Expired gas measurements were obtained during each power output. In 12 patients arterial blood gases were measured, and in six patients venous blood was obtained for measurement of glucose, electrolytes, and osmolality. With CHO, the maximum power output decreased from 86 +/- 30 to 76 +/- 31 W (P less than 0.001), whereas the ventilation at exhaustion was nearly identical (47.6 +/- 13.2 and 46.8 +/- 12.5 l/min). Arterial partial pressure of CO2 (PaCO2) at exhaustion decreased (P less than 0.025), arterial partial pressure of O2 (PaO2) increased (P less than 0.01), and the ventilatory equivalent for CO2 (VE/VCO2) increased (P less than 0.005) with CHO. At equivalent power outputs, CHO resulted in significant increases in VE (P less than 0.001) and VCO2 (P less than 0.001); PaCO2 was unchanged, whereas PaO2 increased (P less than 0.01). CHO increased the serum glucose at rest and during exercise. No changes in serum osmolality or electrolytes occurred during exercise following CHO. After CHO loading, the majority of patients appeared to reach their limiting level of ventilation at a lower power output. In contrast, there was no significant difference in the mean maximum power output with CHO in six normal control subjects.(ABSTRACT TRUNCATED AT 250 WORDS) FAU - Brown, S E AU - Brown SE FAU - Wiener, S AU - Wiener S FAU - Brown, R A AU - Brown RA FAU - Marcarelli, P A AU - Marcarelli PA FAU - Light, R W AU - Light RW LA - eng PT - Clinical Trial PT - Controlled Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. PL - United States TA - J Appl Physiol (1985) JT - Journal of applied physiology (Bethesda, Md. : 1985) JID - 8502536 RN - 0 (Blood Glucose) RN - 0 (Carbohydrates) RN - 142M471B3J (Carbon Dioxide) RN - S88TT14065 (Oxygen) SB - IM MH - Aged MH - Arteries MH - Blood Glucose/analysis MH - Carbohydrates/*pharmacology MH - Carbon Dioxide/blood MH - Humans MH - Lung Diseases, Obstructive/*physiopathology MH - Middle Aged MH - Oxygen/blood MH - Partial Pressure MH - *Physical Exertion MH - Reference Values MH - Respiration MH - Veins OID - NASA: 85182422 EDAT- 1985/04/01 00:00 MHDA- 1985/04/01 00:01 CRDT- 1985/04/01 00:00 PHST- 1985/04/01 00:00 [pubmed] PHST- 1985/04/01 00:01 [medline] PHST- 1985/04/01 00:00 [entrez] AID - 10.1152/jappl.1985.58.4.1340 [doi] PST - ppublish SO - J Appl Physiol (1985). 1985 Apr;58(4):1340-6. doi: 10.1152/jappl.1985.58.4.1340.