Statistical evidence consistent with two lactate turnpoints during ramp exercise

Kinetic analysis of oxygen dynamics under a variable work rate

Measurements of oxygen uptake are central to methods for the assessment of physical fitness and endurance capabilities in athletes. Two important parameters extracted from such data of incremental exercise tests are the maximal oxygen uptake and the critical power. A commonly accepted model of the dynamics of oxygen uptake during exercise at a constant work rate comprises a constant baseline oxygen uptake, an exponential fast component, and another exponential slow component for heavy and severe work rates. We have generalized this model to variable load protocols with differential equations that naturally correspond to the standard model for a constant work rate. This provides the means for predicting the oxygen uptake response to variable load profiles including phases of recovery. The model parameters have been fitted for individual subjects from a cycle ergometer test, including the maximal oxygen uptake and critical power. The model predictions have been validated by data collected in separate tests. Our findings indicate that the oxygen kinetics for a variable exercise load can be predicted using the generalized mathematical standard model. Such models can be applied in the field where the constant work rate assumption generally is not valid.

Toe and earlobe capillary blood sampling for lactate threshold determination in rowing

PURPOSE

In rowing ergometry, blood for determining lactate concentration can be removed from the toe tip without the rower having to stop. The purpose of the study was to examine whether sampling blood from the toe versus the earlobe would affect lactate threshold (Tlac) determination.

METHODS

Ten physically active males (mean ± age 21.2 ± 2.3 y; stature 179.2 ± 7.5 cm; body mass 81.7 ± 12.7 kg) completed a multistage, 3 min incremental protocol on the Concept II rowing ergometer. Blood was sampled simultaneously from the toe tip and earlobe between stages. Three different methods were used to determine Tlac.

RESULTS

There were wider variations due to the method of Tlac determination than due to the sample site; for example, ANOVA results for power output were F(1.25, 11.25) = 11.385, P = .004 for method and F(1, 9) = 0.633, P = .45 for site. The greatest differences in Tlac due to sample site in rowing occurred when Tlac was determined using an increase in blood lactate concentration by >1 mmol/L from baseline (TlacΔ1).

CONCLUSIONS

The toe tip can be used as a suitable sample site for blood collection during rowing ergometry, but caution is needed when using the earlobe and toe tip interchangeably to prescribe training intensities based on Tlac, especially when using TlacΔ1 or at lower concentrations of lactate.

The heart rate performance curve and left ventricular function during exercise in patients after myocardial infarction

PURPOSE

The aim of the study was to investigate the heart rate turn point (HRTP) in the time course of the heart rate performance curve (HRPC) in patients after myocardial infarction, and the relationship between the HRTP, the left ventricular function, and the second lactate turn point (LTP2).

METHODS

We studied the degree and the direction of the HRPC and the left ventricular ejection fraction (LVEF) in 49 male patients 57 +/- 8 d after their first posterior wall infarction (MI). An incremental cycle ergometer test was performed and three phases of energy supply were defined (I: aerobic; II: aerobic-anaerobic transition; III: anaerobic) via blood lactate LA concentration. HRTP and LVEF-turn points (LVEFTP) were assessed by linear turn point analysis. The degree and direction of the deflection of HRPC were described as factor k (k > 0.1: downward deflection; -0.1 < k < 0.1: linear time curse; k < -0.1: upward deflection). The LVEF was determined by RNA. The difference between Pmax and LTP2 was calculated for LVEF (delta LVEF).

RESULTS

An HRTP could be found in 44 and a LVEFTP in 47 cases. The HRTP occurred at 85 +/- 17 Watt (W), which correlated (r = 0.95; P < 0.001) with the LTP2 (84 +/- 17 W) and the LVEFTP (84 +/- 17 W, r = 0.93; P < 0.001). From LTP2 to Pmax a significant decrease in LVEF was found. There was a correlation between the percentage of HRmax at the HRTP and k (r = 0.70), as well as delta LVEF (r = 0.56).

CONCLUSIONS

To prevent myocardial overloading, it seems to be useful to determine the HRTP, which indicate the workload where LVEF decreases.

Parasympathetic receptor blockade and the heart rate performance curve

Parasympathetic receptor blockade and the heart rate performance curve. Med. Sci Sports Sci., Vol. 30. No. 2, pp. 229-233, 1998. The aim of the present study was to investigate the influence of parasympathetic receptor blockade on the heart rate performance curve (HRPC). Twenty healthy male subjects performed a first cycle ergometer test (F), showing a HRPC deflection of varying degree and direction. Subjects then in random order performed two additional cycle ergometer tests, one with atropine (A) and the other with placebo (P). Two lactate turn points (LTP1, and LTP2) were determined by means of linear regression turn point analysis. The degree and direction of the deflection of the HRPC was calculated mathematically as factor kHR (kHR>0 = downsloping of HPRC; kHR<0 = upsloping of HRPC). In comparison with that in F and P, HR in A was significantly higher at rest, LTP1, LTP2, and during recovery, but not at Power(max). An upsloping deflection of the HRPC was seen in only five cases in F and P, whereas in A 10 cases were observed (P < 0.05). In A, kHR was significantly lower than in F and P. A significant correlation for kHR was found among F, P, and A. Independent from parasympathetic receptor blockade and the HR at Power(max), the HR at LTP2 was lower in cases with negative kHR (upsloping). In A as well as in P a significant correlation was observed between kHR and HR at LTP2. The individual time course of HRPC is reproducible and may be independent of parasympathetic activity.

Left ventricular function in response to the transition from aerobic to anaerobic metabolism

The purpose of this investigation was to study myocardial function at rest, during three phases of energy supply, and during recovery. Radionuclide angiography was performed during the aerobic phase (phase I, rest-first lactate increase), the aerobic-anaerobic transition phase (phase II, first lactate increase-second lactate increase), the anaerobic phase (phase III, second lactate increase-maximal work performance (Pmax)), and during recovery. Thirty-eight male patients (59 +/- 7 d after myocardial infarction) were compared with 19 healthy control subjects and 21 sport students of comparable age. Left ventricular ejection fraction (LVEF) increased from rest to phase I and from phase I to phase II in sports students and control subjects. During phase III, LVEF did not change significantly in sports students, but it decreased significantly in control subjects. This is in contrast to the patients, who showed an increase of LVEF from resting values (47 +/- 3%) to phase I (50 +/- 1%), no change during phase II (51 +/- 2%), and a decrease to resting values (45 +/- 2) during phase III. All subjects showed an increase in stroke volume (SV) during phase I and II, reaching a maximum at phase II. This was evidenced by an improvement of the systolic function with a constant left ventricular end-diastolic volume (EDV) in control subjects and sports students. In contrast, an improved SV in patients was achieved through an increase in EDV and a less distinct increase in the left ventricular end-systolic volume (ESV). Maximal LVEF values were measured during the first 90 s of recovery in all subjects. Values during recovery are not representative of load dependent myocardial function. This increase in LVEF does not cause an increase in cardiac output but is a consequence of changes in the EDV and ESV, which decrease again immediately after the end of exercise performance.