A physiological measure of the working tissue’s capacity to remove oxygen from the circulating blood, quantified as the difference between the oxygen content in the arterial blood supplying the tissue and the oxygen content in the venous blood leaving it. This efficiency is a direct reflection of mitochondrial function and capillary density, representing the fundamental ability of muscle and other tissues to sustain aerobic metabolism. A high oxygen extraction efficiency is a hallmark of superior cardiorespiratory fitness and systemic reserve.
Origin
This is a fundamental concept in cardiovascular and exercise physiology, often referred to clinically as the arterial-venous oxygen difference. “Oxygen extraction” describes the removal of gas from the bloodstream, and “efficiency” denotes the optimal utilization of that resource. The term is crucial for understanding endurance threshold and the limits of physical performance.
Mechanism
The efficiency is primarily determined by the local microcirculatory environment and the oxidative capacity of the cells. A dense capillary network reduces the diffusion distance for oxygen, while a high concentration and health of mitochondria within the cells ensures a robust demand for oxygen to fuel the electron transport chain. Hormones, such as thyroid hormone and testosterone, can indirectly enhance this efficiency by promoting angiogenesis and mitochondrial biogenesis, thereby supporting a greater systemic capacity for sustained effort.
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