This book contains the manuscripts from the International Conference of the same name, which took place in Ulm in 1994. After a historic introduction, the physiological basis of muscular fatigue and systemic limitations to maximum exercise in healthy subjects are discussed.
This is followed by papers on the pathophysiology of exercise intolerance, sports specific limitations to exercise in health and disease, and discussions on improving exercise tolerance in health and disease. Most of the scientific chapters (over 40 in total) are adequately referenced and together they create a wide reaching overview of many aspects of the physiology and pathophysiology of exercise tolerance; some chapters do little more than give a broad overview of their topic but because this is done in a fairly brief way, with references for the interested reader to pursue the subject further, it is entirely acceptable.
A comprehensive index helps to make the publication suitable as a reference book of the area, but, because it is a record of conference proceedings, there are obviously some limitations to its effectiveness as a reference book. To provide a uniform coverage of all aspects of exercise physiology and pathophysiology is beyond the scope of a meeting of only a few days' duration. There are inevitably some gaps in the book that would have been filled if the book had been designed as a reference book. The book also has the advantages of conference proceedings, however, and this goes a long way to compensate: the chapter contributors are recognised experts in their fields, and the material is as close to being current as is possible.

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