The completion of exercise in different body positions can impact the function of various components of the oxygen delivery pathway; however, the effect of the haemodynamic conditions induced by a semi-upright body position on the integrative physiological response to exercise is poorly understood. The purpose of this study was to explore the effect of a semi-upright body position on cardiac output (CO), vastus lateralis oxygen saturation ( ), oxygen consumption ( ) and ratings of perceived exertion (Borg RPE) during submaximal cycling. Twenty healthy individuals (22±3 years, 50% female) each completed alternating 5-min bouts of submaximal upright and semi-upright (40° incline) cycling at 50 and 100W. CO, , and RPE were assessed at rest and at each exercise intensity during steady state. There was a main effect of intensity on the increase in CO, , and RPE (all P<0.001). In a semi-upright position, the increase in CO (7.9±2.8vs. 6.4±2.6L/min, P<0.001), RPE (median (interquartile range): 11 (9-13)vs. 10 (8-12), P=0.013) and the decrease in (-38±23vs. -21%±18%, P<0.001) were greater than upright, while the increase in was attenuated (1.030±0.130vs. 1.154±0.165L/min, P<0.001). These results suggest that while a semi-upright body position produces elevations in CO, these elevations do not seem to perfuse the active skeletal muscle. This may explain the elevation in RPE despite a blunting in the increase in . Further work is required to understand the effects of a semi-upright exercise position on skeletal muscle activation and lower limb blood flow.
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