The effect of aerobic conditioning on venous pooling in the foot.

Nineteen fit college-age men were studied using foot (mid-arch) mercury-in-silastic strain gauge plethysmography before and after an 8-wk aerobic conditioning (running) program. Foot volume changes were followed through two maneuvers: a 15-s Trendelenburg procedure (passive leg elevation with subsequent relaxation in the dependent position) and a 15-s dynamic dorsi-flexion/plantar flexion exercise and subsequent relaxation. The conditioning regimen consisted of running 40 min, 3 d.wk-1 and resulted in a 10% (P less than 0.01) increase in VO2max. Following this regimen, subjects exhibited an increased blood volume drainage during the Trendelenburg procedure (mean delta VT = 3.3 ml.100 ml-1 pre-training, 3.8 ml.100 ml-1 post-training, P less than 0.05), but no significant change in delta VE (2.7 ml.100 ml-1 for all subjects). Muscle pump efficacy, defined as the ratio between delta VE and delta VT, did not change (64%). These data suggest that increased aerobic power via weight-bearing exercise training results in an increased foot venous pooling, but does not affect relative muscle pump function. This apparent increase in vascular pooling may be a physical response to the hypervolemia induced by endurance training, aiding in maintaining the constancy of vascular pressures.