- The onset of exercise is accompanied by an immediate increase in
ventilation. (anticipatory response) mediated by respiratory control centers in the brain (central command). - The more gradual second phase of the respiratory increase shown during heavy exercise is controlled primarily by changes in the chemical status of the arterial blood. As exercise progresses, increased metabolism in the muscles generates more CO2 and H+ . causing shift the oxyhemoglobin saturation curve leftward, enhancing oxygen unloading in the muscles, which increases the (a-v¯)O2 difference. - Increased CO2 and H+ are sensed by chemoreceptors primarily located in the brain, carotid bodies, and lungs, which in turn stimulate the inspiratory center, increasing rate and depth of respiration. Chemoreceptors in the muscles themselves might also be involved. - In addition, receptors in the right ventricle of the heart send information to the inspiratory center so that increases in cardiac output can stimulate breathing during the early minutes of exercise. The influences of CO2 and H+ concentrations in the blood on breathing rate and pattern serve to fine-tune the neutrally mediated respiratory response to exercise in order to precisely match oxygen delivery with aerobic demands without overtaxing respiratory muscles.