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Journal of

PHYSIOLOGICAL
ANTHROPOLOGY
and Applied Human Science

Review

Local Temperature Changes and Human Skeletal Muscle Metabolism

Tiziano Binzoni1) and David Delpy2)

1) Departments of Radiology and Physiology, Faculty of Medicine, University of Geneva, Geneva, Switzerland
2) Department of Medical Physics and Bioengineering, University College London, London, UK.

Abstract The aim of this review is to describe the effects voluntary contraction is not necessarily found at 37
induced by local temperature changes on human skeletal degrees (Ranatunga et al., 1987).
muscle metabolism. More specifically, we will consider The present review will focus on the effects of local T
t he inf luen ce of tem pe ra tur e o n the mec han ic al changes on skeletal muscle energy metabolism, where the
properties of muscle contraction, on aerobic metabolism, variations in the subjects core T may in principle be
anaerobic metabolism and on the Lohmann reaction. The neglected (e.g., cooling a hand, a forearm or the legs). This
text has been voluntarily organized on the basis of a should enable the highlighting as much as is possible,
simple bioenergetic model describing the different pure muscle T responses without the contribution of other
energy fluxes appearing in the muscle system. This systemic thermoregulatory mechanisms. In this context,
approach should better highlight some of the points that only results coming from experiments performed on
still need to be investigated. Although it was not always humans have been taken into account.
possible to restrict the discussion to human muscle, the The material has been organized using the viewpoint of
references report mainly data obtained directly on the bioenergetic approach (di Prampero, 1981). The
humans or on isolated human fibres. A short comment on reason for this choice was dictated by the wish to organize
skeletal muscle temperature measurement techniques, in a logical way, the large amount of data now accessible
on humans, is also included. J Physiol Anthropol 20 (3): via electronic data bases. This is of course only one of the
159-174, 2001 http://www.jstage.jst.go.jp/en/ many possible approaches. In undertaking a review, one
must be aware that experimental data is not always of the
Keywords: skeletal muscle, human, temperature, same quality because the techniques have changed over
metabolism the years. For example, some incorrect results may be
present, some measurements may not be comparable
because they are expressed in different units or they are
Introduction acquired under different conditions, etc. In this respect, to
make an analogy, the physiologist is like a meteorologist,
M us c l e f u n c t i o n a n d m e t a b o l i s m a r e s t r o n g l y trying to discover knowledge from e.g. incomplete low
influenced by local temperature (T) changes. At first quality or inhomogeneous data bases. Thus, to make the
sight, one might have the impression that a decrease or data usable, it is necessary to construct a data “warehouse”
an increase in intramuscular T would simply slow down by a careful choice of information extraction, data filtering
or speed up the metabolic processes. Variation in T cleansing, data preprocessing, etc. (Bramer, 1999). Of
however may influence physiological mechanisms in a course, the structure of the data “warehouse” depends on
very surprising manner, showing behaviours that are far the final use to which the data is put and on the
from the intuitive thermodynamical laws. This means mathematical model one want to apply to extract new
that, for a given T change, different biochemical patterns information. In the same manner, in the present review,
may be affected to different extents and that a decrease/ our choice of the bioenergetic model has dictated the
increase in intramuscular T does not necessarily result in structure of the “physiological” data “warehouse”,
a decreased/increased activity of the reactions (Binzoni presented in the following sections. In the end however,
et al., 2001). Moreover, the complexity of the relationship the model should help identify and generate specific
existing between biochemical reactions, the nervous results as well as identifying unanswered questions.
system and T also influences muscle function, leading to Some of the technical difficulties, usually encountered
situations where for example, the maximum isometric when making measurements on humans, will also be

159
160 Temperature Dependence of Muscle Metabolism

presented in the text, and we hope that this review will be principle with a second statement: The energy utilized
a stimulus for the development of new experimental during muscular activity (and rest) mainly comes from
protocols. three sources: aerobic glycolysis, anaerobic glycolysis and
the Lohmann reaction (di Prampero, 1981). The sum of
The Basic “Laws” of the Bioenergetic Model the energy produced by these three sources yields the
total energy expenditure of the system. Now, the first
The idea that muscle function and, in fact, the function principle (and experimental measurements) implies that
of all living tissues, may be described by physical laws the aerobic glycolysis, anaerobic glycolysis and the
appeared in the second half of the 19th century (for an Lohmann reaction must continuously replace the ATP
extended historical and scientific review on bioenergetics hydrolysed during the muscle contraction. Studies on
see di Prampero (1981)). During this period, Helmoltz bioenergetics (di Prampero, 1981; Kushmerick, 1983;
(1847) showed that the principle of energy conservation Kemp and Radda, 1994) have shown that to evaluate the
may be applied to living systems. Based on this principle, energy produced by these three sources, and to obtain an
many experimental studies trying to find which were the estimation of the number of ATP molecules hydrolysed
muscle “energy yielding molecules”, were performed. By for a given muscular activity, it is sufficient to measure
the beginning of the present century, these studies had the concentration changes of three key molecules. These
resulted in the theory of muscle contraction proposed by observations can be summarized in formal terms as:
Hill and Meyerhof (Hill, 1965). This theory and other • • • • •
E = [ATP] + α[PCr] + β[La] + γ[O2] [1]
work led to the basis of muscle bioenergetics. Today, one

can say that the main mechanisms of muscle function where E (the dot is, as usual, the time derivative)
have been clarified and, in particular, that the main represents the instantaneous energy consumption of the
energy sources have been identified. muscle per unit time (in ATP concentration units, mM s–1)
If one analyses Kushmerick’s (1983) review paper on and [ATP], [PCr], [La] and [O2] are the concentrations of
bioenergetics, it is easy to realize the complexity of the ATP, phosphocreatine (PCr), lactate (La) and oxygen
information contained in the experimental data. In fact, (O2), respectively. The first term on the right hand side,
to describe the metabolic processes occurring in the cell, contributes only in extreme conditions when the muscle
it is nec essary to take int o a cco unt hundreds o f cannot succeed in maintaining to maintain a constant
biochemical reactions. The practical consequence of this ATP concentration (e.g. fatigue). α, β and γ represent the
is that the results obtained in the last twenty years by the number of ATP molecules produced by one molecule of
scientists involved in the modelling of the metabolic [PCr], [La] and [O 2 ], respectively. Of course, α[PCr],
control (Fell, 1997) are extremely difficult to apply when β[La] and γ[O2] give the ATP produced by the Lohmann
dealing with human subjects or patients. Thus, to solve reaction, anaerobic glycolysis and aerobic glycolysis,
this problem, it is necessary to define a “meta-theory” that respectively. The essential point here, is that the
highlights only the essential characteristics of the muscle molecules appearing in equation [1] are all measurable,
function. Moreover, it is crucial that the parameters directly or indirectly, in humans.
appearing in the theory are measurable in vivo. The It is necessary at this point, to define the efficiency (η)
bioenergetic model, represents one of these possible of the ATP utilization to develop mechanical work:
“meta-theories”, embodying the behavio ur of the •
w
underlying biochemical reactions in a coherent way. η= • [2]
E
In this co ntext , t wo pr incip le s may intuitively

summarize the bioenergetic approach. The first can be where w represents the mechanical work (J s – 1 ).
expressed as follows: the energy utilised by the muscles Intuitively, η represents the number of ATP molecules
during work (and rest) is stored as ATP (Lundsgaard, necessary to produce a given amount of mechanical
1930). It is noteworthy, that this assertion does not energy w. Efficiency is also expressed as:
specify the way ATP is utilized, i.e. any theory is valuable •
w
in th is ca se . T h us, to qua nt if y th e t o ta l e ner g y η∆G = • [3]
E∆GATP
expenditure of the muscle (at rest or during exercise), it
would be enough to measure the ATP consumption. where ∆GATP is the free energy (J mol–1) of ATP. Note
Actually, the ATP concentration is maintained constant that ∆GATP changes with T. When dealing with isometric
by the muscle in the majority of situations thanks to a exercise, many authors prefer to use the term “cost”,
series of biochemical reactions that continuously defined as:
resynthesise ATP. As a consequence, in the majority of •
E
the cases, ATP measurements alone do not provide much ξ= [4]
PO
information regarding the normal or pathological muscle
state. For this reason it is necessary to refine the first where PO represents the isometric force (N m–2).
Binzoni, T and Delpy, D 161

Equation [1] may be considered as a metabolic maximal twitch tension was associated with an increase
constraint that should enable one to calculate the in control time-to-peak and half relaxation time from 110
“missing” terms, i.e. the terms that in some protocols ± 12 ms (at 36.5 ± 0.6°C) and 74 ± 12 ms to 179 ± 14 ms
cannot be measured experimentally. It must be noticed, and 145 ± 10 ms when the muscles were “cooled”
that equation [1] holds for one muscle fibre or for the (29.5°C), and 188 ± 16 ms and 146 ± 29 ms under “cold”
whole tissue because, in the latter case, it represents the conditions (24.3°C). Heating had the reverse effect on
total energy of the system (the sum of all the fibres). The the contraction time i.e., time-to-peak and half relaxation
validity and the limits of equation [1] are today well time decreased from 100 ± 19 ms and 78 ± 16 ms (at 36.5
established in normothermia and for different ± 0.6°C) to 80 ± 14 ms and 64 ± 13 ms (38.9 ± 0.1°C),
pathological conditions (see reviews mentioned above). respectively.
However, very little is known about the behaviour of the In a subsequent experiment on triceps surae (maximal
different terms in equation [1] and on the efficiency twitch tension) Davies and Young (1983) found time-to-
parameters (equations [2], [3] and [4]) during muscle peak values of 121 ± 18, 92 ± 15 and 167 ± 25 ms for 36.8
hypo- or hyperthermia in humans. ± 1.6, 39.7 ± 0.4 and 28.4 ± 1.2°C, respectively, while
Thus, to summarize one can combine equations [1] and relaxation times were 76 ± 6, 59 ± 6 and 147 ± 42 ms for
[2] and explicitly introduce the T dependence as follows: the same temperatures respectively. Maximal twitch
• • • tension was significantly different only for the lowest
w = η(T){[ATP(T)] + α(T)[PCr(T)]
• • temperature i.e., 137 ± 28, 126 ± 18 and 94 ± 26 N for 36.8
+ β(T)[La(T)] + γ(T)[O2(T)]} [5]
± 1.6, 39.7 ± 0.4 and 28.4 ± 1.2°C, respectively.

w represents the mechanical power developed by a Hopf and Maurer (1990) were able to calculate a Q10 for
subject. In the case of an isometric exercise it is the half relaxation times (maximal electric twitch,
advantageous to write equation [1] in combination with adductor pollicis) of 1.39 (T range 35–25°C) and 1.64 (T
equation [4] as: range 30–20°C) while the Q 10 for maximal isometric
1 • •
tension and time-to-peak were 1.2, 1.63 (T range 35–
PO = {[ATP(T)] + α(T)[PCr(T)] 25°C) and 1.09, 2.02 (T range 30–20°C), respectively.
ξ(T)
• • Time-to-peak values and half relaxation times increased
+ β(T)[La(T)] + γ(T)[O2(T)]} [6]
with cooling from 35 to 30°C by 2.5 ms/°C (3.87%) and
Equations [5] and [6] will dictate the structure of the 1.98/°C (3.24%), respectively. Isometric force increased
present review. by 3.1%. Time-to-peak value, half relaxation time and
isometric force at 20°C were 155.6 ± 12.8 ms, 116.3 ± 26.8
Mechanical Parameters and Temperature ms and 363.4 ± 239.4 g, respectively and at 35°C were
64.5 ± 5.8 ms, 61.2 ± 6.6 ms and 469.3 ± 120.8 g.
From a practical viewpoint, it is of course essential to Tornbergsen and Stålberg (1986) reported similar
show that a T induced metabolic change has a non findings (“dorsiflexors of the ankle”) for time-to-peak
negligible effect on muscle mechanical performance. (2.46 ms/°C) and isometric force (2.8%/°C) but a value of

Thus, in the following sections one will study the term w, 7.54 ms/°C for half relaxation time. Values for time-to-
appearing in the left hand side of equation [5], and some peak were 92 and 108 ms and for half relaxation time
mechanical parameters directly or indirectly related to it were 92 and 108 ms at 36 and 29.5°C, respectively.
(time-to-peak force, half relaxation time, etc.). Bigland-Ritchie et al., 1992 (first dorsal interosseus,
maximal twice tension) found a time- to-peak value and a
Isometric twitch half relaxation time of 58 and 68 ms at 30 ± 1°C. At ~25°C
Ranatunga et al. (1987) demonstrated that the maximal the same parameters were ~50% and ~65% lower.
(electrical stimulation) twitch tension developed by the In conclusion, it appears that time-to-peak values and
first dorsal interosseus muscle decreases by about 50% in half relaxation times decrease with decreasing T.
cooling intramuscular T from 35 to 12°C. The tension
decrease was more pronounced below 25°C. The Q 10 Isotonic twitch
values estimated for T values in the range 35–25°C were Ruiter and Haan (2000) observed (adductor pollicis) a
1.43 for time-to-peak (time from 0 force to peak force) and decline in maximal shortening velocity, for a maximal
1.7 for half time of relaxation. isotonic twitch, with decreasing T. Maximal shortening
Shorter contraction and relaxation times after an velocity Q10 values were 2.2, 1.6 and 1.6 in the T ranges
electrical twitch (in warm compared with cold muscles) 22.2–25.6, 25.6–31.4 and 31.4–37.1°C, respectively. As a
were also found by other authors for the triceps surae consequence, maximal power production at 22.2°C was
(Davies et al., 1982). In this case, the decrease in only 18.7 ± 0.9% of the maximal power produced at
maximal twitch tension for T going from 36.5 ± 0.6 to 24.3 37.1°C. Maximal power production Q 10 values in the
± 1.0°C was of the order of 52%. The depression in same T ranges were 6.9, 2.9 and 2.0. The velocity at
162 Temperature Dependence of Muscle Metabolism

Fig. 2 Force-time relationship of a non tetanic supramaximal


electrical stimulation (10 Hz) of the adductor pollicis at
estimated muscle temperatures of 22 (*) and 37°C (modified
from De Ruiter et al., 1999).

Fig. 1 Relationship between the frequency of electrical stimulation it is shown that at low T the muscle oscillates slower and
and isometric force production of the adductor pollicis muscle at thus it has less time to “relax” in between the electrical
different temperatures (modified from De Ruiter et al., 1999). twitches. In this context, De Ruiter et al. (1999) obtained
Closed square: 22°C; open square: 25°C; closed circle 31°C; open
Q 10 values for the maximal rate of force development
circle 37°C. Force is expressed as a percentage of the maximal
values obtained (100%).
during electrical isometric tetanic contraction (adductor
pollicis) of 4.0 (at 22–25°C), 1.8 (at 25–31°C) and 2.0 (at
31–37°C), the corresponding maximal relaxation rates
being 3.7 (22–25°C), 1.9 (25–31°C) and 2.2 (31–37°C).
which maximal power was obtained significantly Moreover, Q10 for rates for 100% to 50% force relaxation
decreased with a decrease of T. At 22.2°C, optimal were 3.8, 1.8 and 2.1 and for 50 to 25% force relaxation
velocity was 34.0 ± 3.5% of the initial value obtained at were 6.9, 2.2 and 2.1 for T ranges 22–25, 25-31 and 31–
37.1°C. Velocity for maximal power production Q 10 37°C, respectively. At low temperature and high
values were 3.2, 1.9 and 1.7 in the T ranges 22.2–25.6, stimulation frequency (the closed square point at 100 Hz
25.6–31.4 and 31.4–37.1°C, respectively. in F ig . 1) t he mus cle is no t a b le t o “fo l lo w” th e
stimulation, resulting in a lower developed force.
Isometric contractions In a subsequent paper work, De Ruiter and Haan (2000)
Isometric tetanic tension (Davies and Young, 1983; found (adductor pollicis) the following Q10 values for
triceps surae) was shown to depend on T and electrical maximal rate of force development: 4.4 1.6 and 1.5;
stimulation frequency. Thus, for a given T, the effect on maximal relaxation rate of 3.0, 2.2 and 1.9; rates for 100%
tension may be different depending on the chosen to 50% force relaxation 3.5, 2.0 and 1.7; rates for 50 to 25%
stimulation frequency. Davies and Young (1983) found force relaxation of 2.9, 2.9 and 2.0, calculated in the T
(triceps surae) tetanic tension values of 936 ± 162, 1456 ranges 22.2–25.6, 25.6–31.4 and 31.4–37.1°C,
± 164 and 1767 ± 246 N for 10, 20 and 40 Hz at 36.8 ± respectively. In their protocol, stimulation frequencies
1.6°C; 705 ± 162, 1349 ± 81 and 1716 ± 139 N for 10, 20 were adapted at each T to produce maximum rate of force
and 40 Hz at 38.5 ± 0.2°C, and 856 ± 187, 1300 ± 316 and development.
1594 ± 335 N for 10, 20 and 40 Hz at 28.6 ± 1.4°C. Similar It is interesting to notice from these data that in spinal
results were reported in Davies et al. (1982). cord injured individuals the natural reduction of T, may
The complexity of the behaviour of the tetanic tension lead to an underestimation of the changes in contractile
as a function of T and frequency of the electrical properties in term of relaxation rate or the degree of
stimulation is shown in Fig. 1 for the human adductor fusion with low-frequency stimulation during clinical
pollicis muscle (De Ruiter et al., 1999). Cooling the tests (Gerrits et al., 2000).
muscle increases the lowpass filtering effect, i.e. the The force developed during a maximal voluntary
amplitude of the force oscillations observed during a train contraction (MVC, “forearm”) was found to decrease as a
of subtetanic electrical stimulations is decreased (Rafolt function of T (Clarke et al., 1958). The subjects in this
et al., 1999; triceps surae). These observations were study were able to exert nearly the same tension after
explained by the T induced changes in the maximal rate that the forearm was immersed in water at 18°C for 30
of force development and maximal relaxation rate. This min (muscle temperature ~25–29°C) as at normal T, but
effect may also be seen in an elegant way in Fig. 2 where in water cooler than this the maximum tension fell
Binzoni, T and Delpy, D 163

eventually to a value only 40% of normal in water at 2°C


(muscle temperature ~15–20°C, from Fig. 5 in Clarke et
al., 1958).
Bergh and Ekblom (1979) found that muscle MVC
developed by the knee extensors is positively related to
intramuscular T (6.5 N m °C–1 or 2.1% °C–1 in the range
30–39°C), whilst Asmussen et al. (1976) observed a
decrease in maximal voluntary isometric tension of 8%
for a T going from 40 to 30°C, for the biceps brachii,
triceps surae and quadriceps femoris considered all
together.
Clarke and Royce (1962) measured an increase in the
rate of development of MVC (“hand” muscles) for cold T.
For normal and hot (bath T 40°C for 10 min) conditions, a
value of 95% of the force (44.53 kg and 45.87 kg,
respectively) was attained in 26.2 10–2 s and 25.5 10–2 s,
respectively. For cold conditions (bath T 10°C for 10
min), 95% of the force (40.11 kg) was attained in 41.4 10–2 Fig. 3 Mean for maximum voluntary contraction (first dorsal
s. The rate of relaxation was also slower in cold interosseus) for 5 subjects as a function of intramuscular
conditions. temperature (modified from Ranatunga et al., 1987). Vertical
Binkhorst et al. (1977) conversely found no correlation bars represent standard deviation.
at all between MVC and T for the “handgrip muscles” (T
range 22–38°C).
Fig. 3 shows the MVC developed by the first dorsal A study performed on elderly men (70.2 ± 5.4 years,
interosseus muscle as a function of T (from Ranatunga et triceps surae) has shown a decrease in the time-to-peak
al., 1987). It is noteworthy, that in this case the value induced by an electrical twitch and in the half
maximum tension appears to be around 27 and not 37°C. relaxation time (Davies and Young, 1985). Time-to-peak
A decrease of ~35% in the rate of maximal voluntary force values were 150 ± 21 and 114 ± 17 ms at 36.2 ± 0.2
tension development calculated from 5 to 90% MVC for and 39.6 ± 0.3°C respectively, the corresponding
the biceps brachii, triceps surae and quadriceps femoris relaxation times being 112 ± 21 and 81 ± 17 ms at 36.2 ±
considered all together, was found by Asmussen et al. 0.2 and 39.6 ± 0.3°C, respectively. In this instance,
(1976), for 10°C decrease (T range ~28–41°C). heating significa ntly reduced the time cour se o f
Relaxation rates (calculated from 90 to 5% MVC) contraction parameters towards that of young males
decreased by about 50% for the same 10°C decrease. under control conditions (121 ms ± 18 for time-to-peak
Wiles and Edwards (1982) have found a Q10 for the force and 76 ± 6 for relaxation time). The force-
relaxation rate of electrically stimulated isometric generating capacity of the elderly remained unaffected by
contractions (adductor pollicis) of 2.3 (T range 25– the increase in T except for a significant reduction in low-
37°C). frequency 10-Hz tetanic tension.
The MVC values (triceps surae) given by Davies and Maximal isometric tension in skinned human fibres
Young (1983) are 2109 ± 480, 2098 ± 523 and 1707 ± 545 increases almost 2-fold between 12 and 17°C, but
N at 36.8 ± 1.6, 39.7 ± 0.4 and 28.4 ± 1.2°C, respectively. increases very little between 17 and 30°C (Bottinelli et
Only the MVC value at the lowest T is significantly al., 1996; Stienen et al. 1996).
different. In another study on triceps surae, Davies et al. To summarise, it appears that dynamic parameters
(1982) found for the MVC: a) 1852 ± 352 (at 36.5 ± 0.6°C, such as time-to-peak value, half relaxation time, etc.
control), 1892 ± 270 (at 38.9 ± 0.1°C); b) 1793 ± 214 N (at decrease with decreasing T. Electrically stimulated
36.5 ± 0.6°C, control), 1562 ± 222 N (at 29.5 ± 0.5°C) and maximum isometric contraction values seem also to
c) 1816 ± 222 (at 36.5 ± 0.6°C, control), 1493 ± 254 N (at decrease with decreasing T. However, the evidence is
24.3 ± 1.0°C). Only c) was significantly different from more equivocal over whether the MVC displays in all
control. cases an optimum value of 37°C or at some lower value.
Q 10 values, found by De Ruiter and Haan (2000), for
electrical stimulated adductor pollicis maximal isometric Isotonic contractions
force were 1.3, 1.2 and 1.2 in the T range 22.2–25.6, 25.6– Bergh and Ekblom (1979) have found that muscle
31.4 and 31.4–37.1°C, respectively. This means that, at maximal force developed by the knee extensors, at fixed
22.2°C maximal isometric force was reduced to 79.3 ± angular velocities, is positively related to intramuscular T
2.9% of the force obtained at 37.1°C. (range 35.8–37.9°C). The changes in maximal force were
164 Temperature Dependence of Muscle Metabolism

9.8 (4.7% °C–1) and 8.3 (4.9% °C–1) N m °C–1 for angular T of 112.4 W °C –1 (range 28.5–39.5°C). Ferretti et al.
velocities of 90° and 180° s –1 , respectively. The peak (1992) found a change in the maximum instantaneous
power output was also positively related to T, the rates of power, for a typical “mean” subject of 70 kg, of 111.9 W
change being 28.5 (5.6% °C–1) and 15.8 (4.9% °C–1) W °C–1 °C–1. Davies and Young (1985) observed that in elderly
at the same angular velocities of 90° and 180° s–1. (70.2 ± 5.4 years, triceps surae) the maximal
In a study by Binkhorst et al. (1977) on force-velocity instantaneous power during a vertical is some 52% of that
curves as a function of T (“handgrip muscle”, voluntary produced by 22 years old males. Following heating (from
contractions) they found that the Q10 for the maximum 36.2 ± 0.2 to 39.6 ± 0.3°C) there was a 20% rise in power.
velocity of contraction (at zero load) was 1.2 (T range 22– At the microscopic level, the Q10 value for maximum
38°C), whilst the same T range, the Q10 for the maximal unloaded shortening velocity of isolated human skinned
power was 1.3. fibres is 5.0, in the T range 12–22°C (Bottinelli et al.,
Sargeant (1987) has studied the effects of changing T 1996). On the other side, He et al. (2000) found Q 10
on muscle force and power output during a maximal 20 s values (T values of 12 and 20°C) of 3.85 and 3.46 for slow
sprint effort performed at constant pedalling rates (95 and fast fibres, respectively. For the same T values, Q10
crank rev min–1) on an isokinetic cycle ergometer. The values for maximal power output were found to be 5.35
maximal peak force reached was 817 ± 107, 737 ± 111, and 5.41 for slow and fast skinned fibres, and it was
660 ± 107 and 594 ± 123 N for an intramuscular thigh T of estimated that, the average force per attached myosin
39.3 ± 0.4, 36.6 ± 0.5, 31.9 ± 0.7 and 29.0 ± 1.7°C, head (at any speed) is higher in fast than in slow fibres,
respectively. Maximal peak power was 1456 ± 196, 1325 and ~1.5 times higher at 20°C than at 12°C in both fibres.
± 201, 1172 ± 208 and 1047 ± 213 W for the same T. It is
interesting to notice, that maximum peak force and Muscle fatigue (isometric contractions)
power also depended on the pedalling rate (Sargeant, Muscle fatigue is modulated by T changes. In the 1940’,
1987). In fact, the optimum velocity for maximum power application of hot “fomentations” (hot moist dressing) on
increased (88, 95, 109 and 125 rev min–1) as a limb have been shown to reduce strength and duration
intramuscular temperature increased (29.0 ± 1.7, 31.9 ± of isometric contractions (Hall et al., 1944). Nukada
0 .7 , 36.6 ± 0.5 a nd 39 .3 ± 0 .4°C). The pr ac tic al (1955) showed that when a limb was immersed for a short
consequence being that the effect of warming increases period in water ranging from 20 to 40°C, the duration of
the power output by ~2% per °C at 54 rev min–1 and by voluntary isometric contraction to fatigue steadily
~10% per °C at 104 rev min–1. increased from the higher to the lower water
F er re tti e t a l. (199 5) fo und t hat the m in im um temperature.
mechanical power necessary to elicit maximal oxygen Edwards et al. (1970) have demonstrated that the time
consumption on a cycle ergometer is 21 W lower at 31.0 ± taken to reach fatigue (quadriceps femoris) during one
2.0°C than at 36.0 ± 1.4°C, whilst Davies and Young voluntary isometric contraction (70% of MVC) decreases
(1983) fo und that sho rt 10 s exercise on a cycle from 65.6 ± 6.8 (SEM) to 41.4 ± 4.4 (SEM) seconds for an
ergometer at a preselected optimal pedalling speed, gave intramuscular T of 31.6 and 38.6°C, respectively. If the
a peak power of 3059 ± 430, 3176 ± 458 and 2096 ± 243 same fatiguing protocol was repeated 7 times at 20 s
for 36.8 ± 1.6, 39.5 ± 0.1 and 28.5 ± 1.0°C, respectively. intervals, then the holding times for the 1st, 2nd and 7th
Only the peak power value at the lowest T was contraction were 65.6 ± 6.8 (SEM), 27.5 ± 1.9 (SEM), 16.5
significantly different. Bergh and Ekblom (1979) have ± 3.4 (SEM) s at 31.6°C and 41.5 ± 4.4 (SEM), 15.7 ± 1.9
also demonstrated that the shortest time in which 20 (SEM), 11.7 ± 2.6 (SEM) s at 38.6°C. No significant
revolutions could be performed on a mechanically braked differences were found between 22.5 and 31.6°C.
cycle ergometer (~8.5 kJ) is inversely related to This is in agreement with previously findings by Lind
intramuscular T (range 35.7–37.8°C). The work time and Samueloff (1957) where the fatiguing time of a single
increased from 10.72 s at 38.3°C to 15.27 s at 31.4°C. voluntary isometric contraction (arm muscles) was
The height of a vertical jump decreases with decreasing shown to decrease from ~264 to ~186 s when going from
T (Bergh and Ekblom, 1979; T range 35.8–37.8°C) at a a water T of 18 to 34°C. In the case of repeated
rate of 2.1 cm °C –1 (4.2% °C–1), while peak velocity was contractions, the fatiguing time was dependent on the
also positively related to T and changed by 0.51 m s–1 °C recovery time between contractions. At 18°C water
(4.4% °C–1). Asmussen and Boje (1945) and Asmussen et temperature, the fatiguing time of the 5th contraction
al. (1976) found a variation of 4.4% °C–1 for jumping from was ~193 and ~122 s for 20 and 7 min recovery,
a semisquatting position (in the T range 27–40°C) and respectively, and at 34°C, ~119 and ~107 for 20 and 7 min
5.3% °C–1 for sprinting velocity (in the T range 36–40°C). recovery. Thus, in contradiction to what was observed at
Davies and Young (1983) measured a change in the 18°C, when the water was at 34°C the 5th contraction
height of jump of 2.38 cm °C–1 and a decrease in the peak with 7 min recovery intervals was not significantly
power (maximum instantaneous power) as a function of different from that with 20 min recovery interval.
Binzoni, T and Delpy, D 165

In a subsequent work, Clarke et al. (1958) showed that men (70.2 ± 5.4 years, triceps surae; Davies and Young,
for a voluntary isometric contraction (forearm, 1/3 of the 1985).
MVC) the fatiguing time has a maximum for a muscle
temperature near ~ 27°C (234 s). It is of note, that this T Muscle fatigue (isotonic contractions)
corresponds to the value were Ranatunga et al. (1987) Wade et al. (2000) have found that during voluntary
measured a maximum value for MVC. For 17–20°C and isotonic contractions (250 g weight-lifting exercise at a
35–38°C the durations were ~47.5 s and ~87.05 s, “as fast as possible” rate; first dorsal interosseus), the
respectively (these data are estimated from Fig. 6; Clarke time taken to reach fatigue (loss of the ability to lift the
et al., 1958). As in Lind and Samueloff (1957), 5 repeated weight) was 102.1 ± 10.7 (SD), 88 (n/a) and 130.4 ± 42.1
contractions, spaced by 20 min recovery, resulted in a (SD) s for a skin T of 21.5 ± 0.6 (SD), 25.2 ± 0.1 (SD) and
decreased force with different force values depending on 30.5 ± 0.3 (SD) °C, respectively. At local low T, this
muscle temperature. Similar preliminary data work was phenomenon might be explained in part by the fact that,
proposed by the same authors in Clark et al. (1957). the nervous system is unable to adapt the motoneuron
A maximum on the duration of one voluntary isometric firing rate and adjust to the slower properties of the
contraction to reach fatigue (2/3 MVC, quadriceps colder nerve/muscle, which may also increase the risk for
femoris, same protocol as in Edwards et al. (1970), see neuromuscular transmission failure (Bigland-Ritchie et
above) has also been found by Edwards et al. (1972). The al., 1992). In fact, Bigland-Ritchie et al. (1992) found that
duration times were ~65.6, ~51.8 and ~40.9 s in the after a 60 s MVC fatiguing protocol, (first dorsal
in ter va ls 3 0.3– 32 .6, 19 .4– 25 .8 an d 38 .2 –3 9.1 °C, interosseus) the motoneuron firing rate was dimished by
respectively. At the end of the 7th contraction the 30% of the control. The same fatiguing protocol after
duration times were ~15.9, ~15.9 and ~11.8 s in the cooling the muscle by 5°C produced no measurable
in ter va ls 3 0.3– 32 .6, 19 .4– 25 .8 an d 38 .2 –3 9.1 °C, change in the firing rate. For investigative purposes, this
respectively (all the data from Fig. 4, Edwards et al., problem may of course be bypassed by using electrical
1972). stimulation and adapting the stimulation rate to the
On the other hand, De Ruiter et al. (1999) have experimental T (De Ruiter and Haan, 2000).
demonstrated that cooling of the adductor pollicis Sargeant (1987) showed the effects induced by
significantly reduces the fatiguing effect on developed changing T upon muscle fatigue, during a maximal 20 s
muscle tension of 24 repetitive isometric tetanic sprint effort performed at constant pedalling rates (95
electrical stimulations (90% MVC, 1.5 s interval between crank rev min – 1 ) on an isokinetic cycle ergometer.
contractions, 1 s duration each). The measurements were Associated with the concomitant increase in maximal
performed in this case during arterial cuff occlusion. The power with muscle temperature (see above) was a faster
decline in isometric force (to 73.0 ± 2.9%) following rate of fatigue over 20 s exercise. Hence, the maximal
repetitive stimulations at 37°C, was not significantly power declined by ~33, ~27, ~22 and ~19 Ws –1 for an
different from that at 31°C (to 79.9 ± 1.3%) but it was intramuscular T of 39.3 ± 0.4 (SD), 36.6 ± 0.5 (SD), 31.9 ±
significantly greater than the decrease at 25°C (to 81.4 ± 0.7 (SD) and 29.0 ± 1.7 (SD) °C (data from Fig. 3;
0.8%) and 22°C (to 82.6 ± 1.4%). Thus, most of the Sargeant, 1987).
temperature-dependent differences found in non fatigued
muscle become smaller or even disappeared following Conclusions
fatigue. The same authors found again (De Ruiter and It seems to be clear at this point that the effect of a T
Haan, 2000; same protocol as in De Ruiter et al., 1999) for change on muscle mechanical properties strongly
the isometric force: 83.5 ± 1.1% at 37.1°C and 87.8 ± 0.9% depends on the chosen type of exercise or electrical
at 22.2°C (first contraction 100%). stimulation protocol. Electrically stimulated or voluntary
Similar results were presented by Davies et al. (1982) contractions may lead to a different T-dependent muscle
for the triceps surae. The fatigue test consisted of a behaviour. Moreover, in the case of isotonic exercise, the
series of supramaximal 20 Hz stimuli given for 300 ms velocity of contraction seems also to define the amplitude
each second for two minutes. A fatigue index was of the T induced changes on the force developed.
calculated as the tension ratio of the 120th to the 1st Probably, other passive mechanical properties, e.g. T
response. The respective fatigue index for 36.5 ± 0.6, changes in viscoelasticity (Asmussen et al., 1976; Price
38.9 ± 0.1, 29.5 ± 0.5 and 24.3 ± 1.0°C were 0.63 ± 0.09, and Lehman, 1990), may also influence muscle activity.
0.64 ± 0.05, 0.81 ± 0.05 and 0.79 ± 0.06. No significant Thus, it is reasonable to expect that the metabolic
differences were observed between heating (38.9°C) and energy yielding reactions and the efficiency parameters,
control (36.5°C). The resistance to fatigue (trains of 50 represented by the right hand side of equation [5], may
µ s stimuli at 20 Hz, lasting 330 ms, repeated every also depend on the exercise protocol. This might be the

second, for 2 min) also remains unaltered when heating case even if the developed power, w, remains the same.
(from 36.2 ± 0.2 to 39.6 ± 0.3°C) in the muscles of elderly The link existing between the mechanical properties (in
166 Temperature Dependence of Muscle Metabolism

• •
this case w) and the energy metabolism is given by the remaining energy sources represented by α(T)[PCr(T)]

efficiency parameter η appearing in equation [5]. This is and β(T)[La(T)].
the subject of the next section.
ATP and PCr Concentrations
ATP Consumption Rate and Efficiency
Equation [5] describes the constraint existing between
As explained above, equation [1] describes the the fluxes of ATP, PCr, La, O 2 and the developed

contribution of the main energy yielding reaction during mechanical work, w. In this context, even if equation [5]
rest or exercise. It must be noticed that, for a fixed describes molecular fluxes, a knowledge of the ATP and

mechanical work load, E may have different values, PCr concentrations may be important for at least three
depending on the type of exercise performed by the reasons: 1) It was hypothesised that, at the maximal
subject. For example, concentric and eccentric (negative instantaneous power, the ATP consumption imposed by
work) exercises have different η at the same absolute the work load is proportional to [ATP] (Ferretti et al.,
mechanical power (Ryschon et al., 1997). In other words, 1992), where the proportionality factor represents the
the ATP consumption rate is higher during concentric velocity constant of ATP hydrolysis; 2) PCr is present in a

than during eccentric exercise. Thus, care must be taken fixed amount in the cell concentration at rest thus, [PCr]
when trying to generalize the results concerning the may remain non zero only until exhaustion of the PCr
effects of T on different kind of exercises. To our stocks (PCr is resynthetised only at the end of exercise);
knowledge, the only studies trying to determine by 3) The chemical equilibrium between [ATP] and [PCr]
“direct” measurements the effects of T on the efficiency of may determine [ADP], a powerful stimulator of the

ATP utilization in humans were performed on isolated mitochondrial activity and thus, of O2.
muscle fibres. He et al. (2000) measured a peak efficiency, Again in this area, very little data on humans can be
η∆G, increase for isotonic contraction from 0.21–0.27 to found in the literature. To summarize, with increasing T
~0.4 when the T was raised from 12 to 20°C. When we (interval 28–37°C), [ATP], [PCr] and pH decrease by –0.17
consider that the ATP free energy was taken as constant ± 0.05, –0.54 ± 0.05 mM °C–1 and –0.016 ± 0.001 pH °C–1,
for any T, η ∆ G is in this case proportional η. No respectively (Binzoni et al., 2000). The data are in
differences were observed between fast or slow twitch agreement with previous findings in animals
fibres. Surprisingly, as observed by Bottinelli and (Kushmerick, 1983). Febbraio et al. (1996) have found,
Reggiani (2000), in isometric conditions, an increase of T performing biochemical analysis on bioptic samples, that
(from 12 to 20°C) increases the cost of force production [ATP] and [PCr] are unaffected by T changes. This result
(ξ, see equation [4]) from 0.56 to 0.65 pmol mN–1 mm–1 s–1 might be explained by the fact that their measurements
for type I fibres and from ~1.51 to ~3.04 pmol mN–1 mm–1 were performed at 37.3 ± 1.4 and 35.4 ± 0.1°C. For this
s–1 for type II fibres (calculated from: Stienen et al., 1996). small change in T, [ATP] and [PCr] would in principle
It is clear from the reduced amount of data on humans, only increase from ~8.2 to 8.52 and from ~32 to 33.02
that this domain need to be further investigated. mM, respectively. These variations were probably below
A na lysin g t he abo ve r esult s a t t he light o f t he the sensitivity of the method. Wade et al. (2000) also
bioenergetic model (equation [6]) has a direct found no changes in [ATP] and [PCr] for the first dorsal
consequence on the efficiency value parameter (γ) of the interosseus as a function of T (T measured at the skin
aerobic glycolysis. In fact, if one hypothesize that the level, cooling the hand during 10 min). Unfortunately,
results obtained on isolated human fibres (Bottinelli and the authors did not clamp or measure T during the 31P-
Reggiani, 2000) may be compared with those obtained in NMR measurements thus, it is difficult in this case to
vivo (Binzoni et al., 2001 and Fig. 4) it follows that, for a obtain an estimation of the concentrations.
constant pure aerobic isometric exercise, equation [6] To evaluate if there is any influence of the above
can be simplified to: concentration changes on the mechanical and metabolic
activity one can consider the relationship existing
1 •
PO = {γ(T)[O2(T)]}. [7] between the maximal instantaneous power and T. In
ξ(T)
humans, the maximal instantaneous power may be
Thus, at constant PO (i.e. the force developed during the estimated for example during a maximal vertical jump on

i so m e tr ic co n t r a c t io n) , t he de c r e a se in O2 w it h a force platform (Davies and Rennie, 1968). In this case,
decreasing T (Binzoni et al., 2001 and Fig. 4) seems to the power developed by the subject last a few
balance in a coherent way the decrease in the cost ξ milliseconds and all the energy comes directly from the
(Bottinelli and Reggiani, 2000). In this case, the aerobic ATP stores (Ferretti et al., 1992). Thus, equation [5] can
glycolysis efficiency parameter γ might also remain be written as:
constant. This has never been proved experimentally. A • •
w = η(T)[ATP(T)] [8]
similar argument might also be considered for the
Binzoni, T and Delpy, D 167

all the remaining terms being nil during the jump. mediating the substrate response (Febbraio, 2000; Doubt,
Ferretti et al. (1992), found the following relationship 1991).
• •
between w and T (experimental range 24–37°C): One of the first measurements of human muscle O2 at
• rest (“forearm”) as a function of local T were performed
w = (0.031T–0.12) × 51.6 [9] •
by Abramson et al. (1957). The authors found O2 values
where 51.6 W Kg–1 is the maximal power at 35.8°C (mean of 0.332, 0.173 and 0.071 ml min–1 (100 ml)–1 limb volume
of 6 subjects, see also section: “isotonic contractions”). To at a mean T of 39.9, 34.5 and 24.0°C, respectively. The
• • •
explain the results, the same authors proposed that [ATP Q 10 for O2 was found to have a mean value of 2.5. O2
] should be expressed as a pseudo first order reaction: values were calculated using the Fick principle on data
• obtained from blood samples extracted from a forearm
[ATP(T)] = k(T)[ATP(T)] [10]
vein. Blood flow was measured by plethysmography.
where k repr esents the velocity constant o f ATP In another series of measurements Abramson et al.

hydrolysis, and thus equation [8] becomes: (1958a) demonstrated that the calculated rest O2 values
• (“forearm”) are slightly different if the blood samples are
w = k(T)η(T)[ATP(T)] [11]
taken from a deep vein or a superficial vein. The authors
This means that, for a change from 37 to 27°C, [ATP] explained that this difference is probably due to the
changes from 8.2 (Harris et al., 1974) to 9.9 mM (see different tissue compartments drained by the veins when
results above; Binzoni et al., 2000). It follows, that the changing T. At high T, this results in a underestimation of

effect of the concentration alone should increases the O2 when based on blood from superficial vein and an
• •
maximum ATP flux and, as a consequence w, from 100 to overestimation of O2 reading when based on blood from

108.3%, a non-negligible quantity. On the other hand, deep vein. For “deep vein” measurements O2 values were
from equation [9], which is based on the real 0.369 ± 0.051, 0.199 ± 0.023 and 0.071 ± 0.006 ml min–1
experimental measurements, one would expect a (100 ml vol)–1 at 38.6, 35.8 and 28.3°C, respectively. For
• •
decrease of w from 100 to 69.8% for 37 and 27°C, “superficial vein” measurements O2 values were 0.261,
respectively. This means that, if equation [11] is 0.165 and 0.070 ml min–1 (100 ml vol)–1 at 38.6, 35.8 and
considered a good model, then the product k(T)η(T) must 28.3°C, respectively.

by definition decrease. Unfortunately, insufficient Abramson et al. (1958b) measured an increase of O2
measurements of k and η exist in the literature to allow (“forearm”) immediately after 5 minutes arterial
relevant comparison of the experimental data with the occlusion, compared to the control condition with no

theoretical prediction. The only observation in this arterial occlusion. The increase of O2 values during
instance, was the η decrease measured in isolated muscle reactive hyperhemia were 1.340 and 0.769 ml min–1 (100

fibres (isotonic contraction) for decreasing T (He et al., ml limb vol)–1 at 38.9 and 28.3°C, respectively. The O2
2000; see “ATP consumption rate and efficiency”). curves at both T decreased exponentially as a function of
The last interesting observation is that it has been time towards the resting value levels. It is of note that, at

calculated (Binzoni et al., 2000) that the T-dependence of high T, O2 debt calculated multiplying O2 at rest times 5
[ATP], [PCr] and pH produces a decrease of ~0.83 µM °C–1 min ischemia, was different from the measured value (the
in [ADP] (at rest) with decreasing T. Considering that integral under the O2-time curves). In fact O2 debt values
[ADP] modulates the mitochondrial activity, this at 38.9°C were 2.021 and 0.804 ml (100 ml limb vol)–1 for

phenomenon might contribute to the reduced O2 observed predicted and measured values, respectively. O2 debt
at low T (at rest). This will be the subject of the next values at 28.3°C were 0.348 and 0.410 ml (100 ml limb
section. vol) – 1 which are not significantly different. This
observation was explained with the hypothesis that at
Oxygen Consumption high T, when the arterial occlusion is applied, a large
complement of blood is trapped in the vascular tree due
Oxygen consumption at rest to the resulting vasodilation. Thus, some of this blood is
It is well known that at normothermia the efficiency, γ, available as a O2 source during the occlusion, decreasing
of the aerobic glycolysis (moles of ATP produced per O2 in this case the O2 debt. This observation seems to be in
mole) depends on the substrate utilized by the muscle. In a g r e e m e n t w it h ne a r i n f r a r e d m e a s ur e m e nt s o f
vivo, γ can range between ~5.6 and ~6.2 for free fatty acid haemoglobin saturation, were it was demonstrated that,
and glycogen, respectively (di Prampero, 1981). Hot for 4–5 min arterial occlusion at normothermia, the
(Febbraio, 2000) or cold (Doubt, 1991) environments metabolism of the forearm (Hamaoka et al., 1996) or calf
may change in some cases the fractional contribution of (Binzoni et al., 1998) may remain reasonably aerobic. At
the different substrates, modulating for example the level low temperature, due to vasoconstriction, blood stores
of circulating catecholamines. In addition to the effects should be reduced and thus the measured O2 debt values
of catecholamines, T per se seems to play a role in should be near the theoretical values (Abramson et al.,
168 Temperature Dependence of Muscle Metabolism

1958b). It appears from the above examples that to study



Binzoni et al. (1999) and Binzoni et al. (2001) found, by human muscle O2 over a large T range, it is essential to

near infrared spectroscopy, a Q 10 value of ~2 for the develop techniques to enable local O2 measurements. In
• • •
human “forearm” muscle O2 at rest. Typical O2 values fact, VO2 measured at the lung level implies the heating/
were ~2 and ~4 µ mol 100–1 g –1 min–1 at ~26 and ~36°C cooling of large muscle mass to improve signal to noise
respectively. ratio. This may change core T, introducing in this
• •
Koga et al. (1997) measured rest VO2 values (O2 manner confounding factors induced by

measured at the lung level, VO2) 355 ± 71, 343 ± 134, 285 thermoregulation (Beelen and Sargeant, 1991).
± 38 and 381 ± 102 ml min–1 at 35.3 ± 0.4, 35.4 ± 0.4, 38.9
± 0.1 and 38.6 ± 0.3°C (vastus lateralis), respectively. No Oxygen consumption during exercise •

significant differences were observed between the data. Koga et al. (1997) measured VO2 as a function of T
This is in contrast with measurements obtained on the during rest to work transitions on a cycle ergometer. The

forearm at rest were a Q 10 of 2–2.5 was found for O2 measurements were performed during two different
(Abramson et al., 1957; Abramson et al., 1958; Binzoni et protocols: “moderate work” (50 W) and “heavy work”
al., 1999; Binzoni et al., 2001). A possible explanation of defined as 50% of the difference between lactate
• • •
this discrepancy, is that in Koga et al. (1997) VO2 take threshold and peak VO2. VO2 time constants for the on-

into account the whole body O2. One can estimate that, transient response during “moderate work” were 28.1 ±

the lower body utilize ~20% of the VO2 (Janssen et al., 10.4 and 28.8 ± 5.3 s at 35.3 ± 0.4 and 38.6 ± 0.3°C (vastus
2000). In this case, only (355/100) * 20=71 ml min–1 at lateralis), respectively. For “heavy work”, the time
35.3°C are needed for the legs. If only the legs are heated, constants were 31.2 ± 5.1 and 29.3 ± 3.2 s at 35.4 ± 0.4
with a T increase of 38.6– 35.3=3.3°C and a Q10 of ~2.5, and 38.9 ± 0.1°C, respectively. Off-transient time
one obtains ~96 ml min–1 at 38.6°C. Thus, from 35.3 to constant at the same T values for “moderate work” and

38.6°C VO2 will increase by 96– 71=25 ml min –1 . This “heavy work” were 34.9 ± 9.6, 35.4 ± 7.3, 30.8 ± 3.4 and
variation is within the experimental error estimated and 31.7 ± 5.7 s respectively, so no significant effect of T on
thus not measurable. Shiojiri at al. (1997) found also not exercise was observed on either the on and off transients
• •
significant differences for resting VO2 (vastus lateralis) time constant for VO2. No significant differences were

with values of 357 ± 51 and 378 ± 22 ml min–1 at 36.8 ± 0.4 also found between hot and cold for the fast VO2

and 30.2 ± 1.0°C, respectively. The same conclusions component (first phase) at the onset of exercise. The VO2

were drown by Beelen and Sargeant (1991) were VO2 at amplitudes were in this case: 703 ± 170 and 728 ± 102 ml
rest was 370 ± 60 and 350 ± 40 ml min–1 after cooling the min –1 at 35.3 ± 0.4, 38.6 ± 0.3°C (“moderate work”),
legs from 37.1 ± 0.3 to 33.0 ± 1.3°C (T measured at 4 cm respectively; 1960 ± 343 and 2025 ± 335 ml min–1 at 35.4
depth in the vastus lateralis). Finally, Blomstrand et al. ± 0.4 and 38.9 ± 0.1°C (“heavy work”), respectively. The
• •
(1984) measured a VO2 of 380 ± 0.06, 350 ± 0.08 and 380 increment in VO2 between the 3rd and 6th min of “heavy
± 0.06 ml min–1 at 29.2 ± 1.1, 34.6 ± 1.2 and 34.3 ± 0.6°C exercise” was significantly smaller for “hot” than for
(vastus lateralis), respectively. Esophageal T remained “control” conditions 138 ± 66 and 205 ± 70 ml min –1 ,

constant and no VO2 differences were observed. In a respectively. It is worth to note that the change in T (due
subsequent study, Bloomstrand et al. (1986) found rest to the natural heating during exercise) observed during
VO2 values (vastus lateralis) of 460 ± 120 and 400 ± 50 “control” conditions was larger than during “hot”

ml min–1 at 29 ± 2.8 and 35 ± 0.9°C, respectively. conditions. This might explain in part the greater VO2
On the other hand, Ishii et al. (1992) found significantly increase in “control” conditions.
• •
different VO2 of 440 ± 90 and 340 ± 60 ml min–1 at 35.5 ± Shiojiri et al. (1997) found similar VO2 values at the
0.5 and 37.1 ± 0.3°C, respectively (T measured at 3 cm end of a rest-to-work transition on a cycle ergometer (50
depth in the vastus lateralis). It is interesting to notice W, vastus lateralis) i.e., 981 ± 110 and 865 ± 71 ml min–1
• •
that in this case, o ne o bta ins a VO2 increase for at 36.8 ± 0.4 and 30.2 ± 1.0°C, respectively. VO2 time
decreasing T. This is probably due to the fact that the constants for the on-transient response were significantly
authors measured a significant decrease in rectal (~core) greater at 30.2 ± 1.0°C (36.0 ± 7.7 s) than at 36.8 ± 0.4°C

T (from 37.1 ± 0.3 to 35.5 ± 0.5°C). The decrease in rectal (27.5 ± 4.4 s). Phase 1 amplitude for VO2 at 30.2 ± 1.0°C
T may have induced a thermoregulatory response mixing (156 ± 34 ml min–1) was significantly lower than at 36.8 ±
in this case with “pure muscle” response. Significant 0.4°C (240 ± 53 ml min–1).

differences in VO2 as a function of T were also reported in On the other hand, Ishii et al. (1992) observed no

Ferretti et al. (1995) with the same cooling protocol as in significant differences in VO2 time constants for the on-

Ishii et al. (1992). In this case, VO2 values were 360 ± 50 transient response on the cycle ergometer. The values at
and 520 ± 60 ml min –1 at 37.1 ± 0.3 and 35.5 ± 0.5°C, 75 W were 36.2 ± 6.7 and 41.4 ± 10.0 s at 35.4 ± 0.9 and
respectively (T measured at 3 cm depth in the vastus 27.5 ± 1.7°C (vastus lateralis), respectively. At 125 W
lateralis). the values were 41.6 ± 8.6 and 43.8 ± 14.0 s at 35.6 ± 1.1
Binzoni, T and Delpy, D 169

and 28.4 ± 1.5°C, respectively. Even if not significant, it


must be noticed that the changes are on the order of that
observed in Shiojiri et al. (1997). In fact, in Shiojiri et al.
(1997) the measurements were repeated 4 times on each
subject to decrease the error on the measurements. This
might explain the difference between the two studies.
Ferretti et al. (1995) found the same values for the

maximal VO2 on cycle ergometer at 31.0 ± 2.0°C (3.44 ±
0.82 l min –1 ) and 36.0 ± 1.4°C (3.55 ± 0.75 l min –1 ).

H o w e v e r , s i n c e V O2 w a s d i f f e r e n t a t r e s t , t h e

corresponding net VO2 turned out to be significantly
lower at 31°C than at 36°C i.e., 2.92 ± 0.85 and 3.19 ± 0.78

l min –1 , respectively. VO2 time constants for the on-

transient response at minimum power for maximal VO2
(289 ± 51 W) was 30.2 ± 6.2 s at 36.0 ± 1.4°C. No
significant differences were observed for the same
temperature at 260 ± 55 W (33.3 ± 5.0 s). By contrast, at
31.0 ± 2.0°C and 260 ± 55 W the time constant value was Fig. 4 Oxygen consumption curve as a function
significantly different (43.4 ± 8.6 s). This result is of intramuscular (“forearm”) temperature
explained by a greater oxygen deficit (more lactate (from Binzoni et al., 2001) of a subject
during rest (dashed-line) and 4% of the
production during the transient, see below). Thus, in this
maximum isometric contraction (closed-
case the change in the time constant are not completely circles).
explained by the modulation of the speed of the oxidative
reactions but also by the fact that another (anaerobic)
energy source participate to the energy production
during the transient phase (see equation [5]). Donald, 1998) might mask “pure muscle” responses,
Blomstrand et al. (1984) measured no differences in maintaining an unchanged core T. This is the reason

VO2 values after 1 min exercise (vastus lateralis) at 350 why, in the present review, experiments using hole body

W. VO2 were 2.39 ± 0.50, 2.39 ± 0.54 and 2.46 ± 0.49 l cooling have been discarded.

m in – 1 a t 29.2 ± 1.1 , 34.6 ± 1.2 a nd 34.3 ± 0.6°C, It is also the case that, an increase in O2 may also mean
respectively. In a later study at 370 ± 34 W, Bloomstrand a change in the efficiency of the biochemical reactions. A

et al. (1986) found VO2 at the end of the first 60 s of 2.3 ± decrease in efficiency during cooling might help to
0.44 and 2.3 ± 0.43 l min–1 at ~29 and ~35°C, respectively. produce more heat and maintain tissue temperature.
At the end of ~1.5 min exercise, the same authors found a However, it seems not to be always the case. In fact, it

VO2 value of 3.5 ± 0.39 and 3.5 ± 0.40 l min–1 at 33 ± 1.9 appears that during an isometric contraction (on small
and 36 ± 0.9°C, respectively. muscle mass or human fibres) the efficiency of the

Binzoni et al. (2001) found a decrease in O2 with aerobic metabolism and/or ATP utilization seems to
decreasing T, during 4% MVC (“forearm”). Fig. 4 shows a increase (see section: “ATP consumption rate and
typical subject. It is interesting to notice that the efficiency”).

difference of the two curves, for a given T, gives the O2 for The choice of the type of exercise, e.g. isometric versus
the isometric work (without rest). Another curious isotonic, may also be a possible explanation of the
• •
observation is the O2 peak observed at low T (Fig. 4). In different behaviours observed on the O2 -T curves.
• •
fact, a methodical O2 increase was detected for all the Unfortunately, to our knowledge, no O2-T measurements
subjects (although sometimes slightly shifted toward have been performed on small muscle mass during
lower T). isotonic exercise allowing to test if, even in this case, the
It is clear at this point that the size of the muscle chosen efficiency of the aerobic metabolism and/or ATP
to be cooled or heated seems to play a major role in the utilization is improved.

determination of the muscle O2 -T curves. In fact, the
choice of a large or a small muscle mass may result in an La Production
increase, decrease or leave unchanged the evaluated

muscle O2 . The explanation for this probably, is the In the previous section we have considered situations
difficulty in maintaining the experimental criteria of a were the workload was not purely aerobic. This means
constant core T during the cooling of a muscle and hence that other energy sources, other than those represented

obtain “pure muscle” responses to T changes. by the O2 term in equation [5], were involved in the ATP
Nonshivering thermoregulation (Florez-Duquet and Mc resynthesis (e.g. during exercise on a cycle ergometer). A
170 Temperature Dependence of Muscle Metabolism

knowledge of these energy sources is of course essential if mM at 33.0 ± 1.3 and 37.1 ± 0.3°C.

one want to estimate the efficiency of the aerobic Thus, as for O2, there seems to exist a difference in La
reactions. Neglecting the anaerobic sources would, for production depending on the chosen muscle size and type
example, lead to an overestimation of γ. of exercise. Again, this discrepancy has been not yet
Edwards et al. (1972) have measured by biopsy a rest explicitly explained through suitably designed
[La] (quadriceps femoris) of 4.3 ± 1.6 (SEM), 7.0 ± 3.1 experiments.
(SEM) and 8.6 ± 1.9 (SEM) µmoles g–1 dry muscle in the One more technical point should be taken into account
intervals 19.4–25.8, 30.3–32.6, and 38.2–39.1°C, concerning [La] measurements. It is often the case in
respectively. The same authors also demonstrated that at experiments that [La] is measured in the blood and not
the end of the 1st, 2nd and 7th contraction, of a series of directly in the muscle tissue. In these cases, one must
voluntary isometric contractions maintained each to take into account the fact that La may be washed out by
fatigue (70% of MVC, quadriceps femoris) and spaced by other organs (e.g. the liver) and that T may influence
20 s, [La] was: 45.4 ± 7.7 (SEM), 60.3 ± 8.9 (SEM) and blood fluxes and as a consequence La wash out (Brooks et
92.5 ± 12.5 µmoles g–1 (SEM) for the first contraction in al., 1996). This might lead to incorrect estimations of the
the intervals 19.4–25.8, 30.3–32.6 and 38.2–39.1°C, energy produced by the anaerobic metabolism.
respectively; and for the 2nd and 7th contraction, at the
same temperatures, 71.9 ± 11.3 (SEM), 91.2 ± 11.5 (SEM), Temperature Measurements: A Real Problem
104.1 ± 11.6 (SEM) and 94.0 ± 11.8 (SEM), 92.8 ± 12.1
(SEM), 111.1 ± 7.3 µmoles g–1 (SEM). Thus, [La] seems to At this point, one cannot conclude this review on
increase with increasing temperature. effects of T on muscle metabolism without considering
Kaijser (1970) did not find any significant differences the problem of T measurement. The measurement of
in the deep vein lactate of the forearm after exhaustive intramuscular T in humans, whether by invasive or non
exercise for two different T (difference in forearm vein T, invasive means is not a simple task, especially when it is
~2.4°C). matter of determining its spatial distribution. The first
Alternatively however, Bloomstrand et al. (1986) found measurements in humans were obtained by Becquerel
[La], at the end of the first 60 s exercise (370 ± 34 W) on and Breschet (1835), utilizing a thermocouple mounted
a cycle ergometer, of 37 ± 21 and 21 ± 11 mmol kg–1 dry inside a needle. One hundred and sixty years later, the
weight for a starting temperature of 29 ± 2.8 and 35 ± most widely used method is still the same and even with
0.9°C, respectively. Value at rest were 9.3 ± 4.7 (29 ± the introduction of very fine and flexible thermocouples
2.8°C) and 10 ± 2.5 (35 ± 0.9°C) mmol kg–1 dry weight a n d t h e u s e o f m ul t i p l e s e n so r s , t h e n um b e r o f
(vastus lateralis). measurement points remains limited. Thus, to obtain a
In a similar protocol (370 ± 34 W, exercise lasting 1.5 ± temperature distribution map it has been necessary to
0.2 min, vastus lateralis), Blomstrand and Essen- find an alternative method. Only since the middle 1980’s,
Gustavsson (1987) found an higher levels of [La] (2–4 with the introduction of new nuclear magnetic resonance
times) at the end of the exercise performed at 28 ± 0.6°C imaging techniques has it been possible to estimate
compared to 35 ± 1.0°C. noninvasively, the full three dimensional temperature
In a further study again, Bloomstrand et al. (1984) distribution in a tissue. Many different MRI approaches
found at the end of an exhaustive exercise on cycle to the problem of temperature mapping have been
ergometer (350 W) [La] values (vastus lateralis) of 60 ± proposed. For example, it is possible to exploit the
36 and 46 ± 33 mmol kg–1 dry weight at 29.2 ± 1.1 and 34.3 temperature dependence of the longitudinal relaxation
± 0.6°C, respectively. time (Dickinson et al., 1986), the chemical shift (Hall and
More recent results tend to confirm the above findings Talagala, 1985) or, the diffusion coefficient (Le Bihan et
on cycle ergometer. Fore example, Ishii et al. (1992) al., 1989) of the water resonance. Actually, none of the
measured early La values (in the venous blood) of 0.28 ± above methods is perfect, the major problem being the
0.44 (35.4 ± 0.9°C) and 0.95 ± 0.54 (27.5 ± 1.7°C) mM at absolute calibration of the measured T values. It is
75 W. At 125 W, the early [La] values were 1.07 ± 0.92 remarkable, that this represents the only real progress
and 1.38 ± 0.99 mM for 35.6 ± 1.1 and 28.4 ± 1.5°C, since 1835! Alternative techniques, based on
respectively. Ferretti et al. (1995) obtained early [La] ultrasonography or CT (Fallone et al., 1982) have been
values on cycle ergometer (260 ± 55 W, corresponding to proposed, however, these methods have never really been

VO2 max in cold conditions) of 7.7 ± 2.5 and 9.6 ± 2.6 mM successful. This is probably due to the poor spatial
at 36.0 ± 1.4 and 31.0 ± 2.0°C, respectively. Similarly, r eso lut ion o r , in t he c ase o f ult r aso unds, to th e
Beelen and Sargeant (1991) measured a peak blood [La] insufficient anatomical information.
during exercise on cycle ergometer (at 70% maximun Of course, not all experimental protocols require a

VO2 ) that were 60% higher for low T than for control detailed knowledge of the spatial T distribution. In these
conditions. The values were 8.7 ± 2.4 mM and 5.5 ± 1.3 cases, the zero heat flow (ZHF) thermometers may
Binzoni, T and Delpy, D 171

become extremely useful (Fox and Solman, 1971). This yielding reactions. The exact interplay existing between
non invasive method is based on the hypothesis that if the aerobic metabolism, anaerobic metabolism and the
heat flux going through the skin is reduced to zero, then Lohmann reaction when changing T also needs to be
the T at the surface is equilibrated with the deep tissue T, better defined. This includes, for example, a better
i.e. this is equivalent to creating a zero T gradient from knowledge of the dynamic parameters (e.g. half times
the underlying tissues to the surface. The zero heat flux during rest-to-work transitions) for all the proposed
condition may, in principle, be obtained with an ideal energetic reactions and their specific T modulation.
thermal insulation material applied to the skin surface. The present review has not been able to fully cover all
Unfortunately, all insulating materials are far from ideal. of this subject but, we hope, that the particular approach
For this reason, Fox and Solman (1971) proposed an chosen for the organization of the paper will generate
electronic servo-control system, capable of reproducing constructive comments and promote new research
the effects of a perfect thermal insulation. This technique activity in the area.
has allowed one to measure, non invasively on humans,
the deep T of a muscle from the surface. The ZHF probe Aknowledgments The authors would like to thank and
has the disadvantage of a slow response time of 15–20 acknowledge the support of the Swiss National Science
min. Thus, care must be taken when the temperature Foundation (#31-58759.99).
change are rapid, as is the case in extreme conditions
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interosseous muscle in man: a 31P-NMR spectroscopy 4, Switzerland.

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