Considerable debate surrounds the issue of whether the rate of adaptation o
f skeletal muscle O-2 consumption ((Q) over dot O-2) at the onset of exerci
se is limited by 1) the inertia of intrinsic cellular metabolic signals and
enzyme activation or 2) the availability of O-2 to the mitochondria, as de
termined by an extrinsic inertia of convective and diffusive O-2 transport
mechanisms. This review critically examines evidence for both hypotheses an
d clarifies important limitations in the experimental and theoretical appro
aches to this issue. A review of biochemical evidence suggests that a given
respiratory rate is a function of the net drive of phosphorylation potenti
al and redox potential and cellular mitochondrial PO2 (PmitoO2) Changes in
both phosphorylation and redox potential are determined by intrinsic metabo
lic inertia. PmitoO2 is determined by the extrinsic inertia of both convect
ive and diffusive O-2 transport mechanisms during the adaptation to exercis
e and the rate of mitochondrial O-2 utilization. In a number of exercise co
nditions, PmitoO2 appears to be within a range capable of modulating muscle
metabolism. Within this context, adjustments in the phosphate energy state
of the cell would serve as a cytosolic "transducer," linking ATP consumpti
on with mitochondrial ATP production and, therefore, O-2 consumption. The a
vailability of reducing equivalents and O-2 would modulate the rate of adap
tation of (Q) over dot O-2.