The present study examined K+ fluxes in red blood cells and muscle during m
uscle contractions. Seven subjects pel formed two-legged submaximal knee-ex
tensor exercise for 30 min. After 10 min of leg exercise (L1). intense arm
exercise was also performed for 10 min (L2+A). Plasma epinephrine and norep
inephrine concentrations were higher (P < 0.05) in L2+A compared with L1. A
rterial plasma K+ at the end of L2+A was higher than in LI (5.6 vs. 4.4 mM,
P < 0.05) and returned to the LI level on cessation of arm exercise. A net
K+ release of 0.16 mmol/min from the active legs during L1 was turned to a
net K+ uptake of 0.79 mmol/min during L2+A. Both arterial and venous red b
lood cell K+-to-hemoglobin ratios were constant during exercise. The presen
t data suggest that contracting muscle can take up K+ probably by a combina
tion of K+ and hormone activation of the Na+-K+ pump. Furthermore, changes
in red blood cell K+ concentrations during muscle activity appear to be due
to water movements and not transmembrane fluxes of K+.