Moreover, the anemia ϩ hypoxia condition caused a very extreme arterial hypoxemia. We have previously reported some of these data, and they solely focused on comparing normoxia with hypoxia (9), or normal with low [Hb] (10).
METHODSSubjects. Seven young men (age 24 Ϯ 1 yr) participated in the study. Their mean height and weight were 183 Ϯ 3 cm and 85.1 Ϯ 4.6 kg, respectively. Their maximal pulmonary O 2 consumption (V O 2 ), determined by cycle ergometry, was 55 Ϯ 5 ml·kg Ϫ1 · min Ϫ1 (range 41-70), and maximal cardiac output (Q TOT ) was 26 Ϯ 0.8 l/min (range 23-28). Additional description of anthropometric and muscle characteristics of these seven subjects as well as more details on methods and study design are available in a previous publication (10). All subjects were informed about the procedures and risks of the study before giving written informed consent to participate as approved by the Copenhagen Fredriksberg Ethical Committee.Experimental protocol. Subjects were studied on two occasions: once with their normal [Hb] and at least 1 wk later after blood withdrawal with low [Hb]. The afternoon before the low [Hb] experiment, 1-1.5 l of whole blood (average 1.3 Ϯ 0.05 l, ϳ20% of subject's blood volume) were withdrawn from each subject and replaced by an equal volume of human serum albumin (5% albumin). After normovolemic hemodilution, the blood volume was maintained (7.06 Ϯ 0.46 to 6.93 Ϯ 0.48 l, pre-post blood removal, P Ͼ 0.8), and [Hb] and hematocrit dropped ϳ20%, to 114.7 Ϯ 1.9 g/l and 34.4 Ϯ 0.4%, respectively (10). At the end of the low [Hb] experiment, the previously removed whole blood was reinfused to the subject. During the normal and low [Hb] experiments, the subjects inspired 0.21 and 0.11 FI O 2 in N 2 administered in random order. These tests were separated by at least 1 h of rest in the semirecumbent position while subjects breathed room air. In those subjects who breathed hypoxic gas first, in some cases the subsequent resting measurements for lactate were above baseline, although no effects of order of hypoxia were observed during exercise.