Kinetics of13CO2elimination after ingestion of13C bicarbonate: the effects of exercise and acid base balance

Abstract
In order to investigate the effects of muscular work and preceding exercise on the retention of exogenous labelled bicarbonate, we studied the effects of oral administration of [13C]bicarbonate (0·1 mg kg‐1) in five subjects at rest before exercise and during and after 1 h of treadmill walking at 73% VO2max on three separate occasions. Elimination of CO2 from labelled bicarbonate was 62·6±8·1% at rest, 103·6±11·3% during exercise (PP= 0·01). During exercise mean residence time (MRT) was shorter than at rest (35±7 min vs. 54±9min, P < 0·02) and CO2 pool size was larger (998±160 ml CO2kg‐1, vs. 194±28ml CO2kg‐1, P < 0·001). Compared to values obtained at rest, during recovery from exercise, MRT and CO2 pool size were reduced (34±5min, P < 0·05; 116±19 ml CO2kg‐1, P < 0·02, respectively). In an additional five subjects acidosis and alkalosis were induced prior to administration of oral [13C]bicarbonate at rest. Elimination of bicarbonate was lower during acidosis (46·1±5·6%, P < 0·01) but was unaltered (50·9±5·6%, NS) during alkalosis, compared to the values obtained at resting pH. During acidosis MRT and CO2 pool size decreased (37±3min, P2kg‐1, P < 0·01, respectively) whereas in alkalosis MRT was unchanged (65±8 min NS) but CO2 pool size was increased (230±23ml CO2kg‐1, P < 0·05). The kinetics of elimination of 13CO2 from administered bicarbonate after exercise are different to those at rest and resemble acidosis. The appropriate correction factor for sequestered 13C should be used in metabolic studies of the post‐exercise state when using 13C tracers.