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<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Physiol.</journal-id>
<journal-title>Frontiers in Physiology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Physiol.</abbrev-journal-title>
<issn pub-type="epub">1664-042X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fphys.2019.00471</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Physiology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Changes in VO<sub>2</sub> Kinetics After Elevated Baseline Do Not Necessarily Reflect Alterations in Muscle Force Production in Both Sexes</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name><surname>do Nascimento Salvador</surname> <given-names>Paulo Cesar</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>&#x002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/716731/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Sch&#x00E4;fer</surname> <given-names>Lisa</given-names></name>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Grassi</surname> <given-names>Bruno</given-names></name>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/635906/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Guglielmo</surname> <given-names>Luiz Guilherme Antonacci</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/591941/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Denadai</surname> <given-names>Benedito S&#x00E9;rgio</given-names></name>
<xref ref-type="aff" rid="aff5"><sup>5</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>&#x002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/210480/overview"/>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>Physical Effort Laboratory, Sports Center, Federal University of Santa Catarina</institution>, <addr-line>Florianopolis</addr-line>, <country>Brazil</country></aff>
<aff id="aff2"><sup>2</sup><institution>Leonardo da Vinci University/Uniasselvi</institution>, <addr-line>Indaial</addr-line>, <country>Brazil</country></aff>
<aff id="aff3"><sup>3</sup><institution>School of Sport and Service Management, University of Brighton</institution>, <addr-line>Eastbourne</addr-line>, <country>United Kingdom</country></aff>
<aff id="aff4"><sup>4</sup><institution>Exercise Physiology Laboratory, Department of Medicine, Universit&#x00E0; Degli Studi di Udine</institution>, <addr-line>Udine</addr-line>, <country>Italy</country></aff>
<aff id="aff5"><sup>5</sup><institution>Human Performance Laboratory, S&#x00E3;o Paulo State University</institution>, <addr-line>Rio Claro</addr-line>, <country>Brazil</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Kevin I. Watt, The University of Melbourne, Australia</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Stephan Van Der Zwaard, Leiden Institute of Advanced Computer Science, Netherlands; Antonio Longo, Universit&#x00E0; degli Studi di Catania, Italy</p></fn>
<corresp id="c001">&#x002A;Correspondence: Paulo Cesar do Nascimento Salvador, <email>nascimentosalvadorpc@gmail.com</email> <ext-link ext-link-type="uri" xlink:href="http://orcid.org/0000-0001-8228-5115">orcid.org/0000-0001-8228-5115</ext-link> Benedito S&#x00E9;rgio Denadai, <email>bdenadai@rc.unesp.br</email></corresp>
<fn fn-type="other" id="fn002"><p>This article was submitted to Integrative Physiology, a section of the journal Frontiers in Physiology</p></fn></author-notes>
<pub-date pub-type="epub">
<day>25</day>
<month>04</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="collection">
<year>2019</year>
</pub-date>
<volume>10</volume>
<elocation-id>471</elocation-id>
<history>
<date date-type="received">
<day>29</day>
<month>10</month>
<year>2018</year>
</date>
<date date-type="accepted">
<day>04</day>
<month>04</month>
<year>2019</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2019 do Nascimento Salvador, Sch&#x00E4;fer, Grassi, Guglielmo and Denadai.</copyright-statement>
<copyright-year>2019</copyright-year>
<copyright-holder>do Nascimento Salvador, Sch&#x00E4;fer, Grassi, Guglielmo and Denadai</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license>
</permissions>
<abstract>
<p>A link between muscle fatigue, decreased efficiency and the slow component of oxygen uptake (VO<sub>2</sub>sc) has been suggested. However, a cause-effect relationship remains to be elucidated. Although alterations in VO<sub>2</sub> kinetics after elevated baseline work rate have previously been reported, to date no study has observed the effect on muscle force production (MFP) behavior considering physiological differences between male and female subjects. This study investigated the effect of elevated baseline work rate on the VO<sub>2</sub> kinetics and MFP in 10 male and 10 female healthy subjects. Subjects performed 4 transitions of very-heavy (VH) intensity cycling in a randomized order after unloaded (U-VH) or moderate (M-VH) exercise. Maximal isokinetic efforts (MIE) were performed before and after each condition at two different cadences (60 or 120 rpm). Whereas baseline VO<sub>2</sub> and time constant (&#x03C4;) were significantly higher in M-VH compared to U-VH, the fundamental amplitude and the VO<sub>2</sub> slow component (VO<sub>2</sub>sc) were significantly lower in M-VH (<italic>p</italic> &#x003C; 0.05) in both sexes. Blood lactate concentration ([La]) and rate of perceived exertion (RPE) were not influenced by condition or sex (<italic>p</italic> > 0.05). The MFP post-exercise was not significantly influenced by condition in both sexes and cadences (&#x0394;torque for males: at 60 rpm in U-VH = 13 &#x00B1; 10 Nm, in M-VH = 13 &#x00B1; 9 Nm; at 120 rpm in U-VH = 22 &#x00B1; 14 Nm, in M-VH = 21 &#x00B1; 12 Nm; for females: at 120 rpm in U-VH = 10 &#x00B1; 9 Nm, in M-VH = 12 &#x00B1; 8 Nm; <italic>p</italic> > 0.05), with the exception that female subjects presented smaller decreases in M-UH at 60 rpm compared to U-VH (11 &#x00B1; 13 vs. 18 &#x00B1; 14 Nm, respectively, <italic>p</italic> &#x003C; 0.05). There was no correlation between the decrease in torque production and VO<sub>2</sub> kinetics parameters (<italic>p</italic> > 0.05). The alterations in VO<sub>2</sub> kinetics which have been suggested to be linked to changes in motor unit recruitment after elevated baseline work rate did not reflect alterations in MFP and fatigue in both sexes.</p>
</abstract>
<kwd-group>
<kwd>motor unit recruitment</kwd>
<kwd>muscle fatigue</kwd>
<kwd>O<sub>2</sub> delivery</kwd>
<kwd>oxidative phosphorylation</kwd>
<kwd>elevated baseline</kwd>
<kwd>VO<sub>2</sub> kinetics</kwd>
</kwd-group>
<counts>
<fig-count count="5"/>
<table-count count="3"/>
<equation-count count="2"/>
<ref-count count="50"/>
<page-count count="11"/>
<word-count count="0"/>
</counts>
</article-meta>
</front>
<body>
<sec><title>Introduction</title>
<p>Over the last decades, numerous studies have aimed to understand the physiological mechanisms underlying a loss of work efficiency or an increase in the O<sub>2</sub> cost per unit of work during constant-load exercise above the gas exchange threshold (GET), i.e., the slow component of O<sub>2</sub> uptake kinetics (VO<sub>2SC</sub>). Ever since, <xref ref-type="bibr" rid="B42">Poole et al. (1988</xref>, <xref ref-type="bibr" rid="B41">1991</xref>) demonstrated that the mechanism explaining the VO<sub>2</sub>sc is likely within the exercising muscle. Thereafter, previous literature investigated motor unit recruitment and/or muscle fatigue without taking the lactate metabolism or the O<sub>2</sub> consuming process outside the exercising limbs as a dominant mediator into consideration (<xref ref-type="bibr" rid="B27">Jones et al., 2011</xref>). <xref ref-type="bibr" rid="B8">Cannon et al. (2011)</xref> described muscle fatigue as an increased ATP cost of already recruited motor units, instead of the recruitment of less efficient muscle fibers, as the primary mechanisms explaining the VO<sub>2SC</sub>. Notwithstanding, <xref ref-type="bibr" rid="B29">Keir et al. (2016)</xref> showed a relationship between the VO<sub>2SC</sub> and the time course of peripheral muscle fatigue (muscle torque production in response to electrically stimulated contractions) during high-intensity exercise. Moreover, <xref ref-type="bibr" rid="B47">Temesi et al. (2017)</xref> suggested that subjects with slower VO<sub>2</sub> kinetics (i.e., higher &#x03C4;-values) experienced more peripheral fatigue during very-heavy (VH) cycling exercise. However, this relationship between VO<sub>2</sub> kinetics and muscle fatigue remains to be elucidated. <xref ref-type="bibr" rid="B24">Hopker et al. (2016)</xref> analyzed the effect of muscle damage on VO<sub>2</sub> kinetics and suggested that locomotor muscle fatigue does not influence the kinetic response, i.e., &#x03C4; or the VO<sub>2SC</sub>. Furthermore, <xref ref-type="bibr" rid="B13">de Souza et al. (2016)</xref> showed differences in the VO<sub>2SC</sub> and &#x03C4; despite a similar magnitude of muscle fatigue during VH cycling exercise. <xref ref-type="bibr" rid="B18">do Nascimento Salvador et al. (2018)</xref> demonstrated that prior cycling exercise decreased the VO<sub>2SC</sub> behavior, but did not modify the time-course of muscle torque production in a subsequent VH cycling bout.</p>
<p>Previous literature showed alterations in VO<sub>2</sub> dynamic when high-intensity exercise was immediately preceded by an elevated baseline (elevated VO<sub>2</sub>-values and/or elevated work rate) (<xref ref-type="bibr" rid="B25">Hughson and Morrissey, 1982</xref>; <xref ref-type="bibr" rid="B49">Wilkerson and Jones, 2006</xref>; <xref ref-type="bibr" rid="B28">Jones et al., 2008</xref>; <xref ref-type="bibr" rid="B11">Da Boit et al., 2014</xref>; <xref ref-type="bibr" rid="B50">W&#x00FC;st et al., 2014</xref>). Lower amplitudes of the fundamental component and VO<sub>2</sub>sc and a slower time response (i.e., higher &#x03C4;-values) can be found during high-intensity exercise when preceded by an elevated baseline compared to unloaded pedaling. It has been suggested that these changes may represent adjustments in the muscle O<sub>2</sub> delivery and/or the muscle recruitment of motor units which are characterized by less mitochondrial content, lower metabolic efficiency and are positioned higher in the muscle recruitment hierarchy (i.e., type II fibers) (<xref ref-type="bibr" rid="B3">Bearden and Moffatt, 2001</xref>; <xref ref-type="bibr" rid="B49">Wilkerson and Jones, 2006</xref>). <xref ref-type="bibr" rid="B16">Dimenna et al. (2010)</xref> stated that it is not the elevated baseline VO<sub>2</sub> <italic>per se</italic> that explains a slower VO<sub>2</sub> kinetics, but the proportionally greater contribution of higher-order fibers to power production during transitions from an elevated baseline work rate. This greater contribution of type II fibers could alter the interaction between muscle efficiency and VO<sub>2</sub> kinetics. Notably, the effect of elevated baseline on muscle force production (MFP) and its association with VO<sub>2</sub> kinetics remains to be established.</p>
<p>To the best of our knowledge, no study investigated the relationship between VO<sub>2</sub> kinetics and muscle fatigue with respect to the differences in pulmonary and neuromuscular capacities between male and female subjects. Females present smaller lung volumes, lower resting lung diffusion capacities and differences in O<sub>2</sub> delivery, O<sub>2</sub> extraction and blood flow (<xref ref-type="bibr" rid="B35">Mitchell et al., 1992</xref>; <xref ref-type="bibr" rid="B22">Harms, 2006</xref>; <xref ref-type="bibr" rid="B37">Murias et al., 2013</xref>; <xref ref-type="bibr" rid="B19">Dominelli et al., 2015</xref>). Lower muscle mass in females could be accompanied by a lower oxygen delivery and utilization. <xref ref-type="bibr" rid="B43">Reis et al. (2017)</xref> stated that the lower cardiac and respiratory capacities during exercise could reduce O<sub>2</sub> delivery and utilization to the muscle, and consequently, lead to slower VO<sub>2</sub> kinetics in females. Up to date, surprisingly little is known about the gender differences in VO<sub>2</sub> kinetics (see <xref ref-type="bibr" rid="B43">Reis et al., 2017</xref>, for more details). <xref ref-type="bibr" rid="B26">Hunter ()</xref> indicated that females exhibit less fatigue (loss of maximal torque) than males for dynamic fatiguing contractions when the velocity of contraction was controlled. Moreover, there are differences between sexes in the neuromuscular activation pattern of the quadriceps muscle (<xref ref-type="bibr" rid="B9">Clark et al., 2005</xref>), in muscle mass activated (greater in males) (<xref ref-type="bibr" rid="B20">Enoka and Duchateau, 2008</xref>; <xref ref-type="bibr" rid="B26">Hunter, 2014</xref>), muscle fiber type (greater proportional of type II in men) and gene expression and interactions with sex-specific hormones (<xref ref-type="bibr" rid="B34">Maher et al., 2009</xref>; <xref ref-type="bibr" rid="B33">Liu et al., 2010</xref>). Thus, it is reasonable to state that differences in sex could influence the MFP behavior and consequently, VO<sub>2</sub> kinetics during cycling exercise. If the relationship between muscle fatigue and VO<sub>2</sub> kinetics is &#x201C;cause and effect,&#x201D; then this relation should be sex-specific. Regarding to these differences in muscle fiber type and fatigue in men and women, investigating muscle fatigue at different cadences might provide further mechanistic insight. It is already known that proportionally more type II fibers are activated at 120 rpm and therefore, isokinetic cycling at 120 rpm reflects predominantly type II fiber fatigue in contrast to cycling at 60 rpm which fatigues predominantly type I fibers (<xref ref-type="bibr" rid="B46">Sargeant, 2007</xref>; <xref ref-type="bibr" rid="B8">Cannon et al., 2011</xref>). Moreover, understanding the mechanistic bases of the VO<sub>2</sub>sc will be crucial when designing interventions to enhance performance (<xref ref-type="bibr" rid="B27">Jones et al., 2011</xref>). A better understanding of strategies to speed-up the phase II &#x03C4; or reduce the VO<sub>2</sub>sc and muscle inefficiency associated with it has the potential to increase exercise tolerance in both, male and female subjects.</p>
<p>Thus, the main aim of the present study was to investigate whether changes in VO<sub>2</sub> kinetics after elevated baseline work rate reflect alterations in MFP behavior during maximal isokinetic efforts at different cadences (60 and 120 rpm). Besides, to study whether differences between sexes could influence these changes. In a case of a cause-effect relationship between VO<sub>2</sub> kinetics and muscle fatigue it was expected a &#x201C;mirror image&#x201D; between MFP behavior and VO<sub>2</sub> kinetics. We hypothesized that (1) the work-to-work transitions lead to a lower VO<sub>2</sub>sc amplitude and a slower time constant in both sexes; (2) female subjects present a lower amplitude of fundamental and slow phases compared to male counterparts; (3) changes in VO<sub>2</sub>sc and &#x03C4; after elevated baseline work rate are accompanied by alterations in MFP, for both velocities and both sexes.</p>
</sec>
<sec id="s1" sec-type="materials|methods">
<title>Materials and Methods</title>
<sec><title>Ethics Statement</title>
<p>The present work was approved by the Research Ethics Committee of the Federal University of Santa Catarina and was conducted in accordance with the Declaration of Helsinki. After being fully informed of the risks and stresses associated with the study, the participants gave their written informed consent to participate.</p>
</sec>
<sec><title>Participants</title>
<p>Twenty healthy participants (10 females: age 28 &#x00B1; 6 years; mass 58 &#x00B1; 7 kg; height 161 &#x00B1; 5 cm; 10 males: age 26 &#x00B1; 5 years; mass 75 &#x00B1; 7 kg; height 177 &#x00B1; 5 cm) volunteered to participate in the study. Subjects undertook exercise at a recreational level (3&#x2013;4 sessions per week; 150&#x2013;300 min per week), and were familiar with laboratory exercise testing procedures. Women performed the constant work-rate tests in the follicular phase being performed 2&#x2013;4 days after the menses.</p>
</sec>
<sec><title>Overview of Study Design</title>
<p>Subjects were required to visit the laboratory on 5 occasions. On the first visit, each subject performed a maximal ramp test for the determination of the GET, VO<sub>2peak</sub> and peak power output (P<sub>peak</sub>). On subsequent visits, subjects performed bouts of very heavy-intensity exercise immediately following unloaded (20 W &#x2013; U-VH) or moderate (95% GET &#x2013; M-VH) baseline to verify the effects of work-to-work transitions on VO<sub>2</sub> kinetics and muscle force behavior (<xref ref-type="fig" rid="F1">Figure 1</xref>). A maximal isokinetic effort (MIE; constant pedal cadence at 60 or 120 rpm) was performed following a standardized warm-up and immediately following the constant work-rate cycling bout to quantify reductions in peak torque. Subjects were instructed to avoid any intake of caffeine for 3 h, or alcohol and strenuous exercise in the 24 h preceding the test sessions and to arrive at the laboratory in a rested and fully hydrated state, at least 2 h post-prandial. All tests were performed at the same time of day in a controlled environmental laboratory condition (19&#x2013;22&#x00B0;C; 50&#x2013;60% RH) to minimize the effects of diurnal biological variation. Subjects performed only one test on any given day, and each test was separated by at least 48 h but completed within a period of 2 weeks.</p>
<fig id="F1" position="float">
<label>Figure 1</label>
<caption><p>Experimental design for a representative participant. Top control condition (unloaded to very-heavy intensity exercise &#x2013; U-VH); bottom experimental condition (moderate to very-heavy intensity exercise M-VH). Warm-up and active recovery were performed at 95% of the gas exchange threshold (GET). After a passive recovery period (15 min) participants started to cycling during 3 min of baseline (20 W) followed immediately by increases in the power output to 60% of the difference between the work-rate at the GET and VO<sub>2peak</sub> (60% &#x0394;; U-VH) or to 95%GET plus 60% &#x0394; (M-VH). MIE, maximal isokinetic effort. Please note that M-VH was 6 min longer than U-VH (moderate + VH exercise).</p></caption>
<graphic xlink:href="fphys-10-00471-g001.tif"/>
</fig>
</sec>
<sec><title>Equipment</title>
<p>All tests were performed on an electromagnetically braked cycle ergometer (Excalibur Sport PFM, Lode BV, Groningen, Netherlands). Respiratory and pulmonary gas exchange variables were measured using a breath-by-breath analyzer (Quark PFTergo, Cosmed, Rome, Italy). Before each test, the O<sub>2</sub> and CO<sub>2</sub> analysis systems were calibrated using ambient air (20.94% O<sub>2</sub> and 0.03% CO<sub>2</sub>) and a gas of a known O<sub>2</sub> and CO<sub>2</sub> concentration (16.00% O<sub>2</sub> and 5.00% CO<sub>2</sub>) according to the manufacturer&#x2019;s instructions. Likewise, the turbine flow meter was calibrated before each test using a 3 L syringe (Quark PFTergo, Cosmed, Rome, Italy). A monitor connected to the gas analyzer was used to measure heart rate (HR). Capillary blood samples (25 &#x03BC;l) were obtained from the earlobe of each subject and the blood lactate concentration ([La]) was measured using an electrochemical analyzer (YSI 2700 STAT, Yellow Springs, OH, United States). The cycle ergometer, the breath-by-breath analyzer and the electrochemical analyzer were calibrated in accordance with specific manufacturer&#x2019;s recommended procedures.</p>
</sec>
<sec><title>Determination of GET and VO<sub>2peak</sub></title>
<p>On the first laboratory visit, 15 min after the isokinetic sprint familiarization subjects performed an incremental ramp test for the determination of the GET, VO<sub>2peak</sub>, and P<sub>peak</sub>. After a 4 min period of cycling at 20 W (baseline), an incremental ramp test to exhaustion was undertaken with power output increasing by a rate of 30 W.min<sup>-1</sup> from the baseline. Subjects were instructed to maintain their preferred cadence (female 77 &#x00B1; 6 rpm; male 82 &#x00B1; 6 rpm) throughout the test. The preferred cadence along with saddle and handle bar height and configuration was recorded and replicated in subsequent tests. Each subject was verbally encouraged to undertake maximal effort. The test was terminated when the cadence fell by more than 10 rpm below the preferred cadence for more than 5 s despite strong verbal encouragement (<xref ref-type="bibr" rid="B6">Black et al., 2015</xref>). Breath-by-breath pulmonary gas exchange and HR data were measured continuously during the test and averaged over 15 s periods. VO<sub>2peak</sub> was defined as the highest value obtained in a 15 s interval, or if a VO<sub>2</sub> plateau observed, it was considered as the average of the final minute of exercise (<xref ref-type="bibr" rid="B12">Day et al., 2003</xref>). The attainment of VO<sub>2peak</sub> was defined using the criteria proposed by <xref ref-type="bibr" rid="B2">Bassett and Howley (2000)</xref>. The P<sub>peak</sub> was considered as the highest power output attained during the test. The GET was determined using a cluster of measurements as the V-slope method and the ventilatory equivalent method (<xref ref-type="bibr" rid="B4">Beaver et al., 1986</xref>). The data from the ramp test were used to calculate the work rate corresponding to 60% &#x0394; (i.e., GET plus 60% of the difference between the work-rate at the GET and VO<sub>2peak</sub>). The lag in VO<sub>2</sub> during incremental exercise taken into account by a deduction of two-thirds of the ramp rate from the work-rate at the GET (<xref ref-type="bibr" rid="B7">Burnley et al., 2011</xref>).</p>
</sec>
<sec><title>Maximal Isokinetic Effort Measurement</title>
<p>The cycle ergometer was instrumented with pedal force measurements (Lode PFM, Groningen, Netherlands) to quantify muscle fatigue during the MIE. A switch from the hyperbolic mode to the isokinetic mode happened instantaneously when required. This protocol was similar to previously used protocols (<xref ref-type="bibr" rid="B8">Cannon et al., 2011</xref>; <xref ref-type="bibr" rid="B13">de Souza et al., 2016</xref>; <xref ref-type="bibr" rid="B24">Hopker et al., 2016</xref>; <xref ref-type="bibr" rid="B18">do Nascimento Salvador et al., 2018</xref>) and considered as reliable (<xref ref-type="bibr" rid="B18">do Nascimento Salvador et al., 2018</xref>) (no differences were observed for both peak torque &#x2013; intraclass correlation coefficient = 0.99, typical error = 3.7% and, peak power output &#x2013; intraclass correlation coefficient = 0.99; typical error = 4.2% obtained during the pre-exercise assessments). Peak torque was assessed for each subject by a 5 s cycling sprint test in the isokinetic mode at 60 or 120 rpm. In the pre-exercise muscle function assessment, subjects performed a 5 min warm-up at 95% GET immediately followed by the 5 s MIE. After this, subjects performed 5 min of active recovery at 95% GET and a period of 15 min rest before the main exercise bouts. The MIE was repeated immediately after the exercise in U-VH and M-VH (see <xref ref-type="fig" rid="F1">Figure 1</xref>). Subjects were given an auditory cue to begin the all-out effort in the seated position and strong verbal encouragement was given throughout the 5 s. The torque and power data were recorded continuously during the MIE. As described by <xref ref-type="bibr" rid="B1">Altenburg et al. (2007)</xref>, the peak torque in each crank arm was determined as the average of the four consecutive highest torque values (2 s). Thus, the peak torque during the MIE was then considered as the average of the peak values of both left and right crank arms.</p>
</sec>
<sec><title>Data Analysis</title>
<p>Breath-by-breath data for each test were initially examined to exclude outlier values caused by sighs, swallowing and coughs (<xref ref-type="bibr" rid="B32">Lamarra et al., 1987</xref>). After that, for each exercise transition, the breath-by-breath data was processed and analyzed as described previously (<xref ref-type="bibr" rid="B17">do Nascimento et al., 2015</xref>; <xref ref-type="bibr" rid="B13">de Souza et al., 2016</xref>; <xref ref-type="bibr" rid="B18">do Nascimento Salvador et al., 2018</xref>). Non-linear regression techniques were used to fit the data after the onset of a fundamental phase with an exponential function (OriginPro 8; OriginLab). An iterative process ensured that the sum of squared errors was minimized. Due to large inter-individual differences in the duration of the exponential region (<xref ref-type="bibr" rid="B36">Murgatroyd et al., 2011</xref>), the identification of the VO<sub>2</sub>sc during the VH intensity exercise was performed individually. The fundamental VO<sub>2</sub> kinetics (phase II) was isolated following the iterative method to identify the exponential region (<xref ref-type="bibr" rid="B44">Rossiter et al., 2001</xref>, <xref ref-type="bibr" rid="B45">2002</xref>; <xref ref-type="bibr" rid="B36">Murgatroyd et al., 2011</xref>). The identification at the end of the fundamental phase (i.e., TD<sub>s</sub>) was performed by fitting a window from the start of the fundamental phase (i.e., after 20 s cardio-dynamic phase) initially set at 60 s. The window was lengthened iteratively until the exponential model fit demonstrated a discernible and consistent departure from the measured VO<sub>2</sub>-values by considering the criteria proposed in literature (<xref ref-type="bibr" rid="B44">Rossiter et al., 2001</xref>, <xref ref-type="bibr" rid="B45">2002</xref>; <xref ref-type="bibr" rid="B36">Murgatroyd et al., 2011</xref>). Thus, the fitting window was constrained to this time point and a single-exponential fitting was performed only on the fundamental phase to identify the kinetics parameters. The model was constrained in VO<sub>2baseline</sub> to aid in the identification of the key parameters according to the following equation:</p>
<disp-formula id="E1"><label>(1)</label><mml:math id="M1"><mml:mrow><mml:msub><mml:mrow><mml:mtext>VO</mml:mtext></mml:mrow><mml:mtext>2</mml:mtext></mml:msub><mml:mi>&#x2009;</mml:mi><mml:mrow><mml:mo>(</mml:mo><mml:mi>t</mml:mi><mml:mo>)</mml:mo></mml:mrow><mml:mi>&#x2009;</mml:mi><mml:mi>=</mml:mi><mml:mi>&#x2009;</mml:mi><mml:msub><mml:mrow><mml:mtext>VO</mml:mtext></mml:mrow><mml:mrow><mml:mtext>2baseline</mml:mtext></mml:mrow></mml:msub><mml:mi>&#x2009;</mml:mi><mml:mi>+</mml:mi><mml:mi>&#x2009;</mml:mi><mml:mi>A</mml:mi><mml:mi>x</mml:mi><mml:mo stretchy='false'>[</mml:mo><mml:mtext>1</mml:mtext><mml:mi>&#x2009;</mml:mi><mml:mtext>-</mml:mtext><mml:mi>&#x2009;</mml:mi><mml:msup><mml:mi>e</mml:mi><mml:mrow><mml:mo>&#x2212;</mml:mo><mml:mrow><mml:mo>(</mml:mo><mml:mrow><mml:mfrac><mml:mrow><mml:mtext>t-TD</mml:mtext></mml:mrow><mml:mi>&#x03C4;</mml:mi></mml:mfrac></mml:mrow><mml:mo>)</mml:mo></mml:mrow></mml:mrow></mml:msup><mml:mo stretchy='false'>]</mml:mo></mml:mrow></mml:math></disp-formula>
<p>where: VO<sub>2</sub>(<italic>t</italic>) represents the value of VO<sub>2</sub> at a given time (<italic>t</italic>); VO<sub>2baseline</sub> is the average value over the last minute of baseline cycling; A is the asymptotic amplitude for the exponential term describing changes in VO<sub>2</sub> from baseline to its asymptote; &#x03C4; is the time constant; and the TD is the time delay. The VO<sub>2SC</sub> was calculated according to the Equation (2):</p>
<disp-formula id="E2"><label>(2)</label><mml:math id="M2"><mml:mrow><mml:msub><mml:mrow><mml:mtext>VO</mml:mtext></mml:mrow><mml:mtext>2</mml:mtext></mml:msub><mml:mtext>SC</mml:mtext><mml:mi>&#x2009;</mml:mi><mml:mi>=</mml:mi><mml:mi>&#x2009;</mml:mi><mml:msub><mml:mrow><mml:mtext>VO</mml:mtext></mml:mrow><mml:mrow><mml:mtext>2end</mml:mtext></mml:mrow></mml:msub><mml:mi>&#x2009;</mml:mi><mml:mtext>-</mml:mtext><mml:mi>&#x2009;</mml:mi><mml:mo stretchy='false'>(</mml:mo><mml:msub><mml:mrow><mml:mtext>VO</mml:mtext></mml:mrow><mml:mrow><mml:mtext>2baseline</mml:mtext></mml:mrow></mml:msub><mml:mi>&#x2009;</mml:mi><mml:mo>+</mml:mo><mml:mi>&#x2009;</mml:mi><mml:mi>A</mml:mi><mml:mo stretchy='false'>)</mml:mo></mml:mrow></mml:math></disp-formula>
<p>Where: VO<sub>2end</sub> is the average VO<sub>2</sub> value over the last 20 s of a 6 min exercise bout.</p>
</sec>
<sec><title>Statistical Analysis</title>
<p>Descriptive statistics are expressed as mean &#x00B1; standard deviation. The Shapiro&#x2013;Wilk test was applied to ensure a Gaussian distribution of the data (<italic>n</italic> &#x003C; 50). A two-way mixed-model ANOVA was used to analyze the interaction over time and condition. Assumptions of sphericity were assessed using the Mauchly test, and any violation was corrected using the Greenhouse-Geisser correction factor. The Shapiro&#x2013;Wilk test was used to verify the normality of residuals. When significant effects were observed the Bonferroni <italic>post hoc</italic> test was used for pairwise comparisons. Analyzes were performed using the Statistical Package for Social Sciences Windows (SPSS Inc. version 17.0; Chicago, IL, United States). The level of significance adopted was set at <italic>p</italic> &#x003C; 0.05.</p>
</sec>
</sec>
<sec><title>Results</title>
<p>HR<sub>max</sub>, VO<sub>2peak</sub>, and P<sub>peak</sub> were 183 &#x00B1; 10 bpm, 46.8 &#x00B1; 8.2 ml.kg<sup>-1</sup>.min<sup>-1</sup> and 351 &#x00B1; 51 W for males and; 181 &#x00B1; 7 bpm, 39.2 &#x00B1; 8.3 ml.kg<sup>-1</sup>.min<sup>-1</sup>, and 235 &#x00B1; 26 W for females, respectively (<xref ref-type="table" rid="T1">Table 1</xref>). The [La] at the beginning and at the end of the ramp test were 1.4 &#x00B1; 0.3 and 11.0 &#x00B1; 2.5 mmol.L<sup>-1</sup> for males and; 1.7 &#x00B1; 0.6 and 9.1 &#x00B1; 1.9 mmol.L<sup>-1</sup> for females, respectively. The 60% &#x0394; was performed at 240 &#x00B1; 33 W and 157 &#x00B1; 23 W and represented 82 &#x00B1; 3 and 85 &#x00B1; 3% of VO<sub>2peak</sub> for male and female subjects, respectively.</p>
<table-wrap position="float" id="T1">
<label>Table 1</label>
<caption><p>Anthropometric and maximal values during incremental test in male and female subjects.</p></caption>
<table cellspacing="5" cellpadding="5" frame="hsides" rules="groups">
<thead>
<tr>
<th valign="top" align="left">Parameters</th>
<th valign="top" align="left">Male (<italic>n</italic> = 10) Mean &#x00B1; SD (CI95%)</th>
<th valign="top" align="left">Female (<italic>n</italic> = 10) Mean &#x00B1; SD (CI95%)</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Age (years)</td>
<td valign="top" align="left">26.3 &#x00B1; 4.7 (23&#x2013;30)</td>
<td valign="top" align="left">28.4 &#x00B1; 6.1 (24&#x2013;33)</td>
</tr>
<tr>
<td valign="top" align="left">Body mass (kg)</td>
<td valign="top" align="left">75.1 &#x00B1; 7.0 (70&#x2013;80)</td>
<td valign="top" align="left">57.7 &#x00B1; 6.6 (53&#x2013;62)<sup>&#x2217;</sup></td>
</tr>
<tr>
<td valign="top" align="left">Height (cm)</td>
<td valign="top" align="left">176.5 &#x00B1; 4.8 (173&#x2013;180)</td>
<td valign="top" align="left">160.8 &#x00B1; 5.4 (157&#x2013;165)<sup>&#x2217;</sup></td>
</tr>
<tr>
<td valign="top" align="left">P<sub>peak</sub> (W)</td>
<td valign="top" align="left">350.8 &#x00B1; 50.7 (315&#x2013;387)</td>
<td valign="top" align="left">234.9 &#x00B1; 26.3 (216&#x2013;254)<sup>&#x2217;</sup></td>
</tr>
<tr>
<td valign="top" align="left">VO<sub>2peak</sub> (L.min<sup>-1</sup>)</td>
<td valign="top" align="left">3.5 &#x00B1; 0.6 (3.1&#x2013;3.95)</td>
<td valign="top" align="left">2.2 &#x00B1; 0.4 (1.95&#x2013;2.53)<sup>&#x2217;</sup></td>
</tr>
<tr>
<td valign="top" align="left">VO<sub>2peak</sub> (ml.kg.min<sup>-1</sup>)</td>
<td valign="top" align="left">46.8 &#x00B1; 8.2 (41&#x2013;53)</td>
<td valign="top" align="left">39.2 &#x00B1; 8.3 (33&#x2013;45)<sup>&#x2217;</sup></td>
</tr>
<tr>
<td valign="top" align="left">HR<sub>max</sub> (bpm)</td>
<td valign="top" align="left">183 &#x00B1; 10 (176&#x2013;190)</td>
<td valign="top" align="left">181 &#x00B1; 7 (176&#x2013;186)</td>
</tr>
<tr>
<td valign="top" align="left">VE<sub>max</sub> (L.min<sup>-1</sup>)</td>
<td valign="top" align="left">167.2 &#x00B1; 35.7 (142&#x2013;193)</td>
<td valign="top" align="left">94.4 &#x00B1; 20.5 (80&#x2013;109)<sup>&#x2217;</sup></td>
</tr>
<tr>
<td valign="top" align="left">GET (ml.kg.min<sup>-1</sup>)</td>
<td valign="top" align="left">25.8 &#x00B1; 4.7 (22&#x2013;29)</td>
<td valign="top" align="left">24.3 &#x00B1; 4.7 (21&#x2013;28)</td>
</tr>
<tr>
<td valign="top" align="left">GET (W)</td>
<td valign="top" align="left">129 &#x00B1; 20 (114&#x2013;143)</td>
<td valign="top" align="left">95 &#x00B1; 14 (86&#x2013;105)<sup>&#x2217;</sup></td></tr>
</tbody>
</table>
<table-wrap-foot>
<attrib><italic><sup>&#x2217;</sup>Difference between sexes p &#x003C; 0.05. P<sub><italic>peak</italic></sub>, peak power; VO<sub><italic>2peak</italic></sub></italic>, <italic>VO<sub><italic>2</italic></sub> peak values; HR<sub><italic>max</italic></sub></italic>, <italic>maximal heart rate; VE<sub><italic>max</italic></sub></italic>, <italic>maximal minute ventilation; GET, gas exchange threshold.</italic></attrib>
</table-wrap-foot>
</table-wrap>
<sec><title>Square-Wave Exercise Bouts</title>
<p>During M-VH, the VO<sub>2baseline</sub> was significantly higher, A, TD, and VO<sub>2sc</sub> lower and &#x03C4; and TDs slower compared to U-VH for both sexes (<italic>p</italic> &#x003C; 0.05). There were no significant differences for Atotal (i.e., A + VO<sub>2baseline</sub>) and VO<sub>2end</sub> between conditions for both sexes (<italic>p</italic> > 0.05; <xref ref-type="table" rid="T2">Table 2</xref>). Female subjects presented lower amplitudes, VO<sub>2sc</sub> and VO<sub>2end</sub> than male counterparts (<italic>p</italic> > 0.05; <xref ref-type="fig" rid="F2">Figure 2</xref>). The [La] post-exercise was not significantly different between conditions or sexes (<italic>p</italic> > 0.05; <xref ref-type="fig" rid="F3">Figure 3</xref>). There was no difference between conditions (<italic>p</italic> = 0.23) in both sexes (<italic>p</italic> = 0.31) for rate of perceived exertion (RPE), thus, male and female subjects perceived the effort in a similar way after the exercise in both conditions (<xref ref-type="fig" rid="F4">Figure 4</xref>).</p>
<table-wrap position="float" id="T2">
<label>Table 2</label>
<caption><p>VO<sub>2</sub> kinetics responses during rest-to-work and work-to-work exercise in male and female subjects.</p></caption>
<table cellspacing="5" cellpadding="5" frame="hsides" rules="groups">
<thead>
<tr>
<td valign="top" align="left"></td>
<th valign="top" align="center" colspan="2">Male<hr/></th>
<th valign="top" align="center" colspan="2">Female<hr/></th>
</tr>
<tr>
<td valign="top" align="left"></td>
<th valign="top" align="center">U-VH</th>
<th valign="top" align="center">M-VH</th>
<th valign="top" align="center">U-VH</th>
<th valign="top" align="center">M-VH</th>
</tr>
<tr>
<th valign="top" align="left">Parameters</th>
<th valign="top" align="center" colspan="2">Mean &#x00B1; SD (CI95%)</th>
<th valign="top" align="center" colspan="2">Mean &#x00B1; SD (CI95%)</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">VO<sub>2baseline</sub> (L.min<sup>-1</sup>)</td>
<td valign="top" align="center">1.0 &#x00B1; 0.1 (1.0&#x2013;1.2)</td>
<td valign="top" align="center">2.1 &#x00B1; 0.2<sup>&#x2217;</sup> (1.9&#x2013;2.2)</td>
<td valign="top" align="center">0.9 &#x00B1; 0.1 (0.8&#x2013;1.0)</td>
<td valign="top" align="center">1.6 &#x00B1; 0.2<sup>&#x2217;</sup><sup><inline-graphic xlink:href="fphys-10-00471-e001.jpg"/></sup> (1.5&#x2013;1.7)</td>
</tr>
<tr>
<td valign="top" align="left">A (L.min<sup>-1</sup>)</td>
<td valign="top" align="center">2.0 &#x00B1; 0.4 (1.7&#x2013;2.2)</td>
<td valign="top" align="center">1.1 &#x00B1; 0.3<sup>&#x2217;</sup> (0.9&#x2013;1.3)</td>
<td valign="top" align="center">1.1 &#x00B1; 0.3bbb (0.9&#x2013;1.4)</td>
<td valign="top" align="center">0.5 &#x00B1; 0.2<sup>&#x2217;</sup><sup><inline-graphic xlink:href="fphys-10-00471-e001.jpg"/></sup> (0.4&#x2013;0.7)</td>
</tr>
<tr>
<td valign="top" align="left">A<sub>TOTAL</sub> (L.min<sup>-1</sup>)</td>
<td valign="top" align="center">3.1 &#x00B1; 0.4 (2.8&#x2013;3.4)</td>
<td valign="top" align="center">3.2 &#x00B1; 0.4 (2.9&#x2013;3.5)</td>
<td valign="top" align="center">2.0 &#x00B1; 0.3<sup><inline-graphic xlink:href="fphys-10-00471-e001.jpg"/></sup> (1.9&#x2013;2.2)</td>
<td valign="top" align="center">2.1 &#x00B1; 0.3<sup><inline-graphic xlink:href="fphys-10-00471-e001.jpg"/></sup> (1.9&#x2013;2.3)</td>
</tr>
<tr>
<td valign="top" align="left">VO<sub>2SC</sub> (L.min<sup>-1</sup>)</td>
<td valign="top" align="center">0.30 &#x00B1; 0.14 (0.20&#x2013;0.40)</td>
<td valign="top" align="center">0.18 &#x00B1; 0.14<sup>&#x2217;</sup> (0.08&#x2013;0.29)</td>
<td valign="top" align="center">0.18 &#x00B1; 0.10<sup><inline-graphic xlink:href="fphys-10-00471-e001.jpg"/></sup> (0.10&#x2013;0.25)</td>
<td valign="top" align="center">0.09 &#x00B1; 0.07<sup>&#x2217;</sup><sup><inline-graphic xlink:href="fphys-10-00471-e001.jpg"/></sup> (0.04&#x2013;0.14)</td>
</tr>
<tr>
<td valign="top" align="left">&#x03C4; (s)</td>
<td valign="top" align="center">28.8 &#x00B1; 8.5 (22.7&#x2013;34.9)</td>
<td valign="top" align="center">54.9 &#x00B1; 22.4<sup>&#x2217;</sup> (38.8&#x2013;71.0)</td>
<td valign="top" align="center">27.4 &#x00B1; 5.3 (23.6&#x2013;31.2)</td>
<td valign="top" align="center">48.3 &#x00B1; 19.0<sup>&#x2217;</sup> (34.8&#x2013;61.9)</td>
</tr>
<tr>
<td valign="top" align="left">TD (s)</td>
<td valign="top" align="center">13.9 &#x00B1; 4.2 (10.9&#x2013;16.9)</td>
<td valign="top" align="center">07.3 &#x00B1; 6.1<sup>&#x2217;</sup> (02.9&#x2013;11.7)</td>
<td valign="top" align="center">11.0 &#x00B1; 6.2 (6.6&#x2013;15.4)</td>
<td valign="top" align="center">04.8 &#x00B1; 8.1<sup>&#x2217;</sup> (00.0&#x2013;10.7)</td>
</tr>
<tr>
<td valign="top" align="left">TD<sub>S</sub> (s)</td>
<td valign="top" align="center">164 &#x00B1; 27 (144&#x2013;183)</td>
<td valign="top" align="center">195 &#x00B1; 44<sup>&#x2217;</sup> (164&#x2013;227)</td>
<td valign="top" align="center">154 &#x00B1; 27 (134&#x2013;173)</td>
<td valign="top" align="center">179 &#x00B1; 48<sup>&#x2217;</sup> (145&#x2013;214)</td>
</tr>
<tr>
<td valign="top" align="left">VO<sub>2END</sub> (L.min<sup>-1</sup>)</td>
<td valign="top" align="center">3.4 &#x00B1; 0.5 (3.0&#x2013;3.7)</td>
<td valign="top" align="center">3.4 &#x00B1; 0.5 (3.0&#x2013;3.8)</td>
<td valign="top" align="center">2.2 &#x00B1; 0.3<sup><inline-graphic xlink:href="fphys-10-00471-e001.jpg"/></sup> (2.0&#x2013;2.5)</td>
<td valign="top" align="center">2.2 &#x00B1; 0.3<sup><inline-graphic xlink:href="fphys-10-00471-e001.jpg"/></sup> (2.0&#x2013;2.4)</td></tr>
</tbody>
</table>
<table-wrap-foot>
<attrib><italic><sup>&#x2217;</sup>Differences between conditions p &#x003C; 0.05. <sup><inline-graphic xlink:href="fphys-10-00471-i001.jpg"/></sup>Differences between sex within condition p &#x003C; 0.05. U-VH, unloaded very-heavy; M-VH, moderate very-heavy</italic><bold><italic>;</italic></bold> <italic>A, amplitude; Atotal, amplitude + VO<sub>2baseline</sub>; VO<sub>2sc</sub></italic>, <italic>VO<sub>2</sub> slow component; &#x03C4;, time constant; TD, time delay, TDs, TD of slow component phase; VO<sub>2end</sub></italic>, <italic>VO<sub>2</sub> at the end of exercise bout.</italic></attrib>
</table-wrap-foot>
</table-wrap>
<fig id="F2" position="float">
<label>Figure 2</label>
<caption><p>Mean group values of oxygen uptake (VO<sub>2</sub>) kinetics for male (top) and female (bottom) subjects during transitions from unloading (left) or moderate (right) exercise. Non-linear least-squares regression modeling (continuous black line), with the fit extrapolated (dashed line) to the end of exercise were showed. Standard deviation values were shown just on the upper side of mean symbols for clarity.</p></caption>
<graphic xlink:href="fphys-10-00471-g002.tif"/>
</fig>
<fig id="F3" position="float">
<label>Figure 3</label>
<caption><p>[La] = blood lactate concentration. Circle symbols show the female values. Triangle symbols show male values. U-VH, unloaded to very heavy intensity exercise; M-VH, moderate to very heavy intensity exercise. Different letters showed significant differences <italic>p</italic> &#x003C; 0.05.</p></caption>
<graphic xlink:href="fphys-10-00471-g003.tif"/>
</fig>
<fig id="F4" position="float">
<label>Figure 4</label>
<caption><p>RPE = rating of perceived exertion. Circle symbols show female values. Triangle symbols show male values. U-VH, unloaded to very heavy intensity exercise; M-VH, moderate to very heavy intensity exercise.</p></caption>
<graphic xlink:href="fphys-10-00471-g004.tif"/>
</fig>
<sec><title>Torque Production Behavior</title>
<p>There were no significant differences in MFP between conditions (U-VH vs. M-VH) for men in both velocities (60 rpmml: main effect <italic>condition</italic> vs. <italic>time</italic>, <italic>F</italic> = 0.09; <italic>p</italic> = 0.77; 120 rpmml: main effect <italic>condition</italic> vs. <italic>time</italic>, <italic>F</italic> = 0.48; <italic>p</italic> = 0.50). Female subjects showed no significant differences in MFP between conditions at 120 rpm (main effect <italic>condition</italic> vs. <italic>time</italic>, <italic>F</italic> = 0.36; <italic>p</italic> = 0.56), but smaller decreases in torque production were observed following M-VH at 60 rpm compared to U-VH (main effect <italic>condition</italic> vs. <italic>time</italic>, <italic>F</italic> = 18.2; <italic>p</italic> = 0.01). The torque decrement at 120 rpm was lower for female than male subjects (<italic>p</italic> &#x003C; 0.05, <xref ref-type="table" rid="T3">Table 3</xref> and <xref ref-type="fig" rid="F5">Figure 5</xref>). There were no significant correlation between &#x0394; torque and VO<sub>2SC</sub> or &#x03C4; in the different conditions or velocities in both sexes.</p>
<table-wrap position="float" id="T3">
<label>Table 3</label>
<caption><p>Torque production (Nm) behavior before and after rest-to-work and work-to-work exercise in male and female subjects.</p></caption>
<table cellspacing="5" cellpadding="5" frame="hsides" rules="groups">
<thead>
<tr>
<td valign="top" align="left"></td>
<td valign="top" align="center"></td>
<th valign="top" align="left" colspan="2">Unloaded very-heavy Mean &#x00B1; SD (CI95%)<hr/></th>
<th valign="top" align="left" colspan="2">Moderate very-heavy Mean &#x00B1; SD (CI95%)<hr/></th>
</tr>
<tr>
<td valign="top" align="left"></td>
<td valign="top" align="center"></td>
<th valign="top" align="center">Initial</th>
<th valign="top" align="center">Final</th>
<th valign="top" align="center">Initial</th>
<th valign="top" align="center">Final</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Male</td>
<td valign="top" align="center">60 rpm</td>
<td valign="top" align="center">163 &#x00B1; 22</td>
<td valign="top" align="center">150 &#x00B1; 26<sup>&#x2217;</sup></td>
<td valign="top" align="center">164 &#x00B1; 22</td>
<td valign="top" align="center">151 &#x00B1; 27<sup>&#x2217;</sup></td>
</tr>
<tr>
<td valign="top" align="left"></td>
<td valign="top" align="center"></td>
<td valign="top" align="center">(147&#x2013;179)</td>
<td valign="top" align="center">(132&#x2013;169)</td>
<td valign="top" align="center">(148&#x2013;180)</td>
<td valign="top" align="center">(132&#x2013;170)</td>
</tr>
<tr>
<td valign="top" align="left"></td>
<td valign="top" align="center">120 rpm</td>
<td valign="top" align="center">118 &#x00B1; 20</td>
<td valign="top" align="center">96 &#x00B1; 23<sup>&#x2217;</sup></td>
<td valign="top" align="center">122 &#x00B1; 22</td>
<td valign="top" align="center">101 &#x00B1; 23<sup>&#x2217;</sup></td>
</tr>
<tr>
<td valign="top" align="left"></td>
<td valign="top" align="center"></td>
<td valign="top" align="center">(104&#x2013;132)</td>
<td valign="top" align="center">(80&#x2013;112)</td>
<td valign="top" align="center">(106&#x2013;137)</td>
<td valign="top" align="center">(84&#x2013;117)</td>
</tr>
<tr>
<td valign="top" align="left">Female</td>
<td valign="top" align="center">60 rpm</td>
<td valign="top" align="center">108 &#x00B1; 7</td>
<td valign="top" align="center">91 &#x00B1; 14<sup>&#x2217;</sup></td>
<td valign="top" align="center">108 &#x00B1; 10</td>
<td valign="top" align="center">97 &#x00B1; 14<sup>&#x2217;#</sup></td>
</tr>
<tr>
<td valign="top" align="left"></td>
<td valign="top" align="center"></td>
<td valign="top" align="center">(103&#x2013;114)</td>
<td valign="top" align="center">(81&#x2013;101)</td>
<td valign="top" align="center">(101&#x2013;115)</td>
<td valign="top" align="center">(87&#x2013;107)</td>
</tr>
<tr>
<td valign="top" align="left"></td>
<td valign="top" align="center">120 rpm</td>
<td valign="top" align="center">71 &#x00B1; 10</td>
<td valign="top" align="center">60 &#x00B1; 11<sup>&#x2217;</sup></td>
<td valign="top" align="center">72 &#x00B1; 9</td>
<td valign="top" align="center">60 &#x00B1; 11<sup>&#x2217;</sup></td>
</tr>
<tr>
<td valign="top" align="left"></td>
<td valign="top" align="center"></td>
<td valign="top" align="center">(64&#x2013;78)</td>
<td valign="top" align="center">(52&#x2013;69)</td>
<td valign="top" align="center">(65&#x2013;78)</td>
<td valign="top" align="center">(52&#x2013;68)</td></tr>
</tbody>
</table>
<table-wrap-foot>
<attrib><italic><sup><inline-graphic xlink:href="fphys-10-00471-e001.jpg"/></sup> Differences between sex within velocity p &#x003C; 0.05. <sup>&#x2217;</sup>Differences within condition p &#x003C; 0.05. <sup>#</sup>Differences between conditions p &#x003C; 0.05.</italic></attrib>
</table-wrap-foot>
</table-wrap>
<fig id="F5" position="float">
<label>Figure 5</label>
<caption><p>Torque production behavior during maximal isokinetic efforts at 60 (black circles) or 120 (open circles) rpm for males (top panels) or females (bottom panels) subjects. Right panels show &#x0394;torque values. U-VH, unloaded to very heavy intensity exercise; M-VH, moderate to very heavy intensity exercise. <sup>$</sup>Differences between sex within velocity <italic>p</italic> &#x003C; 0.05. <sup>&#x2217;</sup>Differences within condition <italic>p</italic> &#x003C; 0.05. <sup>#</sup>Differences between conditions <italic>p</italic> &#x003C; 0.05.</p></caption>
<graphic xlink:href="fphys-10-00471-g005.tif"/>
</fig>
</sec>
</sec></sec>
<sec><title>Discussion</title>
<p>The main finding of this study was that alterations in VO<sub>2</sub> kinetics induced by preceding elevated baseline work rate did not reflect alterations in MFP for both healthy males and females. Thus, this work has demonstrated experimentally that isolated decreases in VO<sub>2</sub>sc and fundamental phase amplitudes or changes in TDs and &#x03C4; are not linked to MFP during high-intensity cycling exercise in healthy male and female subjects despite the differences between sexes. Considering that there were no differences between conditions (U-VH vs. M-VH) or sexes in RPE and [La], it is suggested that the effects of work-to-work transitions on the VO<sub>2</sub> kinetics can be dissociated from differences in blood acidosis and the perception of effort. We hypothesized that elevated baseline work rate would lead to lower amplitudes of the VO<sub>2SC</sub> and slower values for &#x03C4; for both sexes despite of the differences between male and female counterparts. Our findings confirm these hypotheses. However, the hypothesis stating that changes in VO<sub>2</sub> kinetics would be accompanied by alterations in MFP for both velocities and both sexes was not confirmed.</p>
<sec><title>The Effects of Elevated Baseline Work Rate on VO<sub>2</sub> Kinetics</title>
<p>The putative mechanism likely explaining the alterations in VO<sub>2</sub> dynamics preceded by elevated baseline VO<sub>2</sub> may be represented by the balance between the parasympathetic and sympathetic control of the HR. Elevated work rates seem to alter parasympathetic withdrawal leaving the slower sympathetic control to mediate increases in HR (<xref ref-type="bibr" rid="B25">Hughson and Morrissey, 1982</xref>; <xref ref-type="bibr" rid="B3">Bearden and Moffatt, 2001</xref>; <xref ref-type="bibr" rid="B15">DiMenna et al., 2010</xref>). It has been suggested that a slowing of the HR kinetics may limit the O<sub>2</sub> delivery to cellular respiration (<xref ref-type="bibr" rid="B25">Hughson and Morrissey, 1982</xref>; <xref ref-type="bibr" rid="B15">DiMenna et al., 2010</xref>). Alternatively, cellular respiration might adjust more slowly in muscle fibers that are already active and/or recruitment of motor units that are believed to possess slower VO<sub>2</sub> kinetics and a higher VO<sub>2</sub> cost of tension (<xref ref-type="bibr" rid="B40">Poole et al., 2008</xref>). Likewise, the fundamental PCr &#x03C4; is lengthened and the fall in PCr is greater compared to U-VH transitions (<xref ref-type="bibr" rid="B28">Jones et al., 2008</xref>). These mechanisms are consistent with a greater proportional involvement of muscle fibers that are positioned higher in the recruitment hierarchy (e.g., type II muscle fibers) (<xref ref-type="bibr" rid="B23">Henneman et al., 1965</xref>; <xref ref-type="bibr" rid="B28">Jones et al., 2008</xref>; <xref ref-type="bibr" rid="B16">Dimenna et al., 2010</xref>). Although the present study does not allow to distinguish between the effect of elevated VO<sub>2</sub> and elevated work-rate (Please, see the <xref ref-type="supplementary-material" rid="SM1">Supplementary Material</xref> about this discussion), our results extend the effects of elevated baseline work rate from previous literature for female subjects (<xref ref-type="bibr" rid="B25">Hughson and Morrissey, 1982</xref>; <xref ref-type="bibr" rid="B49">Wilkerson and Jones, 2006</xref>; <xref ref-type="bibr" rid="B28">Jones et al., 2008</xref>; <xref ref-type="bibr" rid="B16">Dimenna et al., 2010</xref>; <xref ref-type="bibr" rid="B11">Da Boit et al., 2014</xref>; <xref ref-type="bibr" rid="B50">W&#x00FC;st et al., 2014</xref>).</p>
<p>It is important to acknowledge that training status largely influences <inline-graphic xlink:href="fphys-10-00471-i001.jpg"/>O<sub>2</sub> kinetics, presenting higher phase II &#x03C4;-values in untrained vs. trained subjects (<xref ref-type="bibr" rid="B30">Koppo et al., 2004</xref>). Our phase II &#x03C4;-values are similar compared with participants from similar training status (recreationally active) at similar intensities (60% &#x0394;) (<xref ref-type="bibr" rid="B15">DiMenna et al., 2010</xref>; <xref ref-type="bibr" rid="B8">Cannon et al., 2011</xref>; <xref ref-type="bibr" rid="B11">Da Boit et al., 2014</xref>; <xref ref-type="bibr" rid="B29">Keir et al., 2016</xref>). Despite the differences in the amplitudes of the fundamental and slow phases between sexes in both U-VH and M-VH, &#x03C4; was not significantly different between sexes despite an elevated baseline. These results are in contrast to previous findings reported for &#x03C4; in adolescents (<xref ref-type="bibr" rid="B21">Fawkner and Armstrong, 2003</xref>; <xref ref-type="bibr" rid="B31">Lai et al., 2016</xref>), but in agreement in relation to VO<sub>2SC</sub>. Besides, we extend these results to a healthy population during cycling compared to the results of <xref ref-type="bibr" rid="B43">Reis et al. (2017)</xref> which showed no differences in &#x03C4; between women and men trained swimmers during heavy-intensity swimming. Moreover, our results are in accordance to findings reported for middle aged subjects during moderate cycling (<xref ref-type="bibr" rid="B38">O&#x2019;Connor et al., 2012</xref>). To date, no study has investigated the effect of work-to-work transition on the VO<sub>2</sub> kinetics and MFP comparing sexes. Although males present higher fundamental amplitudes and similar &#x03C4;-values compared to females, the gross rate of increase of oxygen uptake per second is higher in men, suggesting a quicker onset (<xref ref-type="bibr" rid="B43">Reis et al., 2017</xref>). According to <xref ref-type="bibr" rid="B43">Reis et al. (2017)</xref> this could be due to the higher VO<sub>2peak</sub> and anatomic differences (e.g., muscle mass) presented by males. It has been reported that females could present lower O<sub>2</sub> delivery, O<sub>2</sub> extraction and blood flow due to smaller hearts, smaller lung volumes and lower diffusion capacities and cardiac outputs (<xref ref-type="bibr" rid="B22">Harms, 2006</xref>; <xref ref-type="bibr" rid="B19">Dominelli et al., 2015</xref>). The present study found significant lower values for VO<sub>2peak</sub>, power at GET and VE for females compared to their male counterparts. This could be a result of the anatomic differences in the cardiorespiratory system. According to <xref ref-type="bibr" rid="B37">Murias et al. (2013)</xref> females were less effective in matching O<sub>2</sub> delivery and O<sub>2</sub> utilization, which may be due to a lower tonic sympathetic activity in women leading to systemic differences in blood flow distribution. However, a lower oxygen delivery to the muscles seems not to influence the VO<sub>2</sub> kinetics in high-intensity exercise (<xref ref-type="bibr" rid="B43">Reis et al., 2017</xref>). <xref ref-type="bibr" rid="B39">Olfert et al. (2004)</xref> affirmed that female subjects did not experience greater O<sub>2</sub> diffusion limitations during exercise, which may emphasize the importance of absolute lung size or aerobic fitness in determining susceptibility to gas exchange impairment rather than sex <italic>per se</italic>.</p>
</sec>
<sec><title>VO<sub>2</sub> Kinetics vs. Muscle Force Production</title>
<p>Previous literature demonstrated a relation between VO<sub>2</sub> kinetics parameters (i.e., VO<sub>2SC</sub>, &#x03C4;) and the loss in torque/force production during high-intensity exercise (<xref ref-type="bibr" rid="B8">Cannon et al., 2011</xref>; <xref ref-type="bibr" rid="B29">Keir et al., 2016</xref>; <xref ref-type="bibr" rid="B47">Temesi et al., 2017</xref>). <xref ref-type="bibr" rid="B8">Cannon et al. (2011)</xref> proposed that greater levels of muscle fatigue are reflected by a larger amplitude of the VO<sub>2SC</sub> or vice-versa. The mechanisms contributing to peripheral muscle fatigue has been suggested to contribute to an increased O<sub>2</sub> cost of exercise (<xref ref-type="bibr" rid="B29">Keir et al., 2016</xref>). Moreover, <xref ref-type="bibr" rid="B47">Temesi et al. (2017)</xref> suggested that subjects with slower VO<sub>2</sub> kinetics (higher &#x03C4;-values) experience a greater level of peripheral muscle fatigue, specifically, more excitation-contraction coupling failure. Thus, it was expected that alterations of MFP behavior would be displayed in the VO<sub>2</sub> kinetics. In a case of cause-effect relationship, it was expected that higher &#x03C4;-values would be related with a greater muscle force loss. Or in other hand, lower VO<sub>2SC</sub> would be related with a lower muscle force decrement. However, we could not confirm this hypothesis. The decrease in torque production in both conditions and for both sexes were not related or linked with the VO<sub>2SC</sub> or &#x03C4;. Our results are in accordance with <xref ref-type="bibr" rid="B24">Hopker et al. (2016)</xref> who showed that exercise-induced muscle damage led to significant locomotor muscle fatigue, but did not alter the VO<sub>2SC</sub> or &#x03C4; during subsequent high-intensity cycling. <xref ref-type="bibr" rid="B24">Hopker et al. (2016)</xref> also affirmed that the results from <xref ref-type="bibr" rid="B8">Cannon et al. (2011)</xref> could be misleading because the relationship presented by these authors was considering different intensity domains. <xref ref-type="bibr" rid="B14">Deley et al. (2006)</xref> demonstrated an inverse relation between the level of muscle fatigue in type II muscle fibers induced by an electromyostimulation protocol and the VO<sub>2SC</sub> during subsequent high-intensity cycling. Additionally, &#x03C4; was not altered by this intervention. Moreover, <xref ref-type="bibr" rid="B48">Thistlethwaite et al. (2008)</xref> investigated two types of prior exercise (knee extension vs. cycling) which caused different activation patterns/levels of additional motor units (&#x223C;38% in knee extension vs. 21% in cycling) and found similar VO<sub>2</sub> responses (VO<sub>2SC</sub> or &#x03C4;) during the subsequent bout of heavy cycling exercise. The authors concluded that muscle fatigue is neither the primary determinant of the VO<sub>2SC</sub> nor does it affect the &#x03C4; of the fundamental phase. Recently, <xref ref-type="bibr" rid="B18">do Nascimento Salvador et al. (2018)</xref> showed that prior VH cycling changed the VO<sub>2SC</sub> and the trajectory of the VO<sub>2SC</sub> in a subsequent VH cycling exercise, but did not alter MFP behavior. The present study is in line with these findings and challenges a &#x201C;cause-effect&#x201D; relationship between VO<sub>2SC</sub> and muscle fatigue.</p>
<p>The present study observed no differences in &#x0394;torque at 60 and 120 rpm following M-VH and U-VH for males and at 120 rpm (<xref ref-type="fig" rid="F5">Figure 5</xref>) for females despite the differences in the VO<sub>2</sub> kinetics. The differences in VO<sub>2</sub> fundamental and slow amplitudes as well as in muscle torque production in absolute values could indicate a possible link between muscle force and VO<sub>2</sub> kinetics and this hypothesis was not discarded. However, no correlation between &#x0394;torque and VO<sub>2SC</sub> or &#x03C4; was found in any condition or velocity in both sexes. These results do not support previous literature proposing a causative relation between muscle fatigue and VO<sub>2</sub> kinetics (<xref ref-type="bibr" rid="B8">Cannon et al., 2011</xref>; <xref ref-type="bibr" rid="B29">Keir et al., 2016</xref>; <xref ref-type="bibr" rid="B47">Temesi et al., 2017</xref>). However, female participants showed a smaller decrement in torque production in M-VH at MIE 60 rpm. This may be explained by a smaller percentage of type II fibers and a greater fatigue resistance in females compared to males (<xref ref-type="bibr" rid="B34">Maher et al., 2009</xref>; <xref ref-type="bibr" rid="B33">Liu et al., 2010</xref>; <xref ref-type="bibr" rid="B26">Hunter, 2014</xref>). Further, a reduced proportion of type II muscle fibers may explain the smaller decrements in torque production by females observed at 120 rpm at which the reliance on type II muscle fibers increases. Considering the higher percentage of type II muscle fibers in men (<xref ref-type="bibr" rid="B34">Maher et al., 2009</xref>), it may be suggested that proportionally more type II fibers were activated at 120 rpm (<xref ref-type="bibr" rid="B46">Sargeant, 2007</xref>) and consequently, led to a greater level of muscle fatigue compared to 60 rpm and compared to women. When exercise is preceded by an elevated baseline work rate, it may be suggested that the recruitment of additional motor units which are characterized by a smaller mitochondrial content and a higher VO<sub>2</sub> cost per unit of force (i.e., type II fibers) becomes inevitable in order to maintain the exercise intensity (<xref ref-type="bibr" rid="B50">W&#x00FC;st et al., 2014</xref>). Thus, female subjects may have shown a lower &#x0394;torque in M-VH at 60 rpm because of a lesser reliance on type II fibers.</p>
<p>It is noteworthy that <xref ref-type="bibr" rid="B47">Temesi et al. (2017)</xref> did not find a relationship between changes in maximal voluntary activation and &#x03C4;-values. They stated a lack of relationship between &#x03C4;-values and central fatigue. According to <xref ref-type="bibr" rid="B24">Hopker et al. (2016)</xref>, the RPE measured indirectly supports the assumption that a level of central motor command was required in order to produce the power output. This study found that RPE immediately post-exercise was neither different between conditions (U-VH vs. M-VH) nor sexes. Based on these considerations, a dissociation between the changes in VO<sub>2</sub> kinetics (i.e., slower &#x03C4; and the lower VO<sub>2SC</sub>) and a decrease in central motor drive may be suggested. The performance of a maximal isokinetic cycling effort taken immediately post-exercise is a &#x201C;global&#x201D; but ecologically valid protocol to quantify the decrease in MFP in cycling. However, the identification of the origin of fatigue (i.e., central or peripheral) is not possible. <xref ref-type="bibr" rid="B5">Beelen et al. (1995)</xref> suggest that fatigue in this type of dynamic isokinetic exercise may be due to changes in the muscle itself and not due to failure of central drive. Considering that muscle fatigue measured by MIE recovers back to baseline values within 1&#x2013;3 min (<xref ref-type="bibr" rid="B5">Beelen et al., 1995</xref>; <xref ref-type="bibr" rid="B10">Coelho et al., 2015</xref>; <xref ref-type="bibr" rid="B18">do Nascimento Salvador et al., 2018</xref>), it represents a tendency to indicate more the peripheral fatigue.</p>
</sec>
</sec>
<sec><title>Conclusion</title>
<p>In summary, this investigation has demonstrated that the fundamental and the VO<sub>2SC</sub> amplitude were smaller and the time constant and time delay of the slow phase were longer during high-intensity cycling exercise from elevated baseline work rate despite of the differences in both sexes. These alterations were dissociated from the changes in blood lactate concentration and from the perception of exertion. The same RPE for both sexes in both conditions may indicate a similar level of fatigue in central motor drive. Further, MFP decreased following exercise to a similar magnitude for both conditions (U-VH and M-VH) in males and females, with the exception that females demonstrated a smaller decrease following M-VH during isokinetic efforts at 60 rpm compared to U-VH. This pattern in torque production could be related to the activation pattern and distribution of muscle fiber type in men and women. The decrease in muscle force was not associated with VO<sub>2</sub> kinetics parameters. Thus, isolated alterations in VO<sub>2</sub> kinetics after work-to-work transitions, which may be linked to changes in motor unit recruitment, do not reflect alterations in MFP and fatigue in healthy male and female subjects. These results challenge a &#x201C;cause-effect&#x201D; relationship between VO<sub>2</sub>sc or &#x03C4; and muscle fatigue.</p>
</sec>
<sec><title>Ethics Statement</title>
<p>The present work was approved by the Research Ethics Committee of the Federal University of Santa Catarina and was conducted in accordance with the Declaration of Helsinki. After being fully informed of the risks and stresses associated with the study, the participants gave their written informed consent to participate.</p>
</sec>
<sec><title>Author Contributions</title>
<p>BD and PdNS conceived and designed the work. PdNS, BG, and BD acquired, analyzed, and interpreted the data for the work. PdNS, LS, BG, LG, and BD drafted the work or revised it critically for important intellectual content. All authors have approved the final version of the manuscript and agreed to be accountable for all aspects of the work. All persons designated as authors qualify for authorship, and all those who qualify for authorship are listed.</p>
</sec>
<sec><title>Conflict of Interest Statement</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
</body>
<back>
<fn-group>
<fn fn-type="financial-disclosure">
<p><bold>Funding.</bold> This study was supported by grants from Coordenac&#x00E3;o de Aperfei&#x00E7;oamento de Pessoal de N&#x00ED;vel Superior (CAPES) and CNPq, Conselho Nacional de Desenvolvimento Cient&#x00ED;fico e Tecnol&#x00F3;gico &#x2013; Brasil (154191/2018-3).</p>
</fn>
</fn-group>
<ack>
<p>We express our gratitude to all participants involved in this study, as well as, all the laboratory staff (LAEF &#x2013; UFSC) whom participated in data collection. We also acknowledge Angela Sabrine do Nascimento Salvador for their help in proof reading the manuscript.</p>
</ack>
<sec sec-type="supplementary material">
<title>Supplementary Material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fphys.2019.00471/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fphys.2019.00471/full#supplementary-material</ext-link></p>
<supplementary-material xlink:href="Table_1.docx" id="SM1" mimetype="application/vnd.openxmlformats-officedocument.wordprocessingml.document" xmlns:xlink="http://www.w3.org/1999/xlink"/>
<supplementary-material xlink:href="Image_1.JPEG" id="SM2" mimetype="image/jpeg" xmlns:xlink="http://www.w3.org/1999/xlink"/>
</sec>
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