RPE-lactate dissociation during extended cycling

Blood-Based Biomarkers for Managing Workload in Athletes: Considerations and Recommendations for Evidence-Based Use of Established Biomarkers

Blood-based biomarkers can provide an objective individualized measure of training load, recovery, and health status in order to reduce injury risk and maximize performance. Despite enormous potentials, especially owing to currently evolving technology, such as point-of-care testing, and advantages, in terms of objectivity and non-interference with the training process, there are several pitfalls in the use and interpretation of biomarkers. Confounding variables such as preanalytical conditions, inter-individual differences, or an individual chronic workload can lead to variance in resting levels. In addition, statistical considerations such as the detection of meaningful minimal changes are often neglected. The lack of generally applicable and individual reference levels further complicates the interpretation of level changes and thus load management via biomarkers. Here, the potentials and pitfalls of blood-based biomarkers are described, followed by an overview of established biomarkers currently used to support workload management. Creatine kinase is discussed in terms of its evidence for workload management to illustrate the limited applicability of established markers for workload management to date. We conclude with recommendations for best practices in the use and interpretation of biomarkers in a sport-specific context.

Heated environment offsets the cardiovascular responses to prolonged rowing exercise in competitive athletes

Prolonged rowing exercise sessions are often prescribed considering competitive training schedules, and under hostile environments (e.g., heated ambient). The study aimed to investigate the effect of heat stress (HS) on physical performance, Lactate concentration ([Lac]), and cardiorespiratory responses during prolonged exercise sessions in competitive rowers. Twelve rowers performed preliminary exercise tests (2-km test and five-step incremental lactate test) to assess the target workload intensity corresponding to a 2.5 mmol^.L^-1 of [Lac]. On two separate days, participants were enrolled in two exercise sessions of 12 km in a rowing machine under HS (∼30 °C) and thermal comfort (TC 22 °C) conditions. Heart rate (HR), stroke volume (SV), cardiac output (CO), oxygen uptake (VO₂), [Lac], and the rating of perceptual exertion (RPE) were obtained. From baseline, HS increased the maximum temperature of the face compared to TC. Workload and VO₂ reduced while RPE increased at 9- and 12-km of rowing exercise under HS compared to TC. From baseline to the last stage of exercise, HS shifted SV downwards and HR upwards compared to TC. Consequently, CO did not change between thermal conditions (TC vs. HS). Therefore, HS provokes a cardiovascular drift during prolonged rowing in comparison to TC. The last stages of prolonged rowing sessions under HS seem to be critical to physical performance and relative perceptual of effort in rowers.

Session Rating of Perceived Exertion Is a Superior Method to Monitor Internal Training Loads of Functional Fitness Training Sessions Performed at Different Intensities When Compared to Training Impulse

Despite its increase in popularity, little is known about how to best quantify internal training loads from functional fitness training (FFT) sessions. The purpose of this study was to assess which method [training impulse (TRIMP) or session rating of perceived exertion (sRPE)] is more accurate to monitor training loads in FFT. Eight trained males (age 28.1 ± 6.0 years) performed an ALL-OUT FFT session and an intensity-controlled session (RPE of six out of 10). Internal load was determined via Edward's TRIMP (eTRIMP), Bannister's TRIMP (bTRIMP), and sRPE. Heart rate was measured continuously during the session, while blood lactate and rate of perceived exertion were measured at baseline, and immediately and 30 min after the sessions. ALL-OUT blood lactate and RPE were significantly higher immediately and 30 min after the session compared to the RPE6 condition. ALL-OUT training load was significantly different between conditions using bTRIMP (61.1 ± 10.6 vs. 55.7 ± 12.4 AU) and sRPE (91.7 ± 30.4 vs. 42.6 ± 14.9 AU), with sRPE being more sensitive to such differences [p = 0.045, effect size (ES) = 0.76 and p = 0.002, ES = 1.82, respectively]. No differences in the training loads of the different sessions were found using eTRIMP (93.1 ± 9.5 vs. 84.9 ± 13.7 AU, p = 0.085). Only sRPE showed a significant correlation with lactate 30 min post session (p = 0.015; p = 0.596, large). sRPE was more accurate than both TRIMP methods to represent the overall training load of the FFT sessions. While the use of sRPE is advised, further research is necessary to establish its ability to reflect changes in fitness, fatigue, and performance during a period of training.

Effect of Progressive Fatigue on Session RPE

Rating of perceived exertion (RPE) and session RPE (sRPE) are reliable tools for predicting exercise intensity and are alternatives to more technological and physiological measurements, such as blood lactate (HLa) concentration, oxygen consumption and heart rate (HR). As sRPE may also convey some insights into accumulated fatigue, the purpose of this study was to examine the effects of progressive fatigue in response to heavier-than-normal training on sRPE, with absolute training intensity held constant, and determine its validity as marker of fatigue. Twelve young adults performed eight interval workouts over a two-week period. The percentage of maximal HR (%HRmax), HLa, RPE and sRPE were measured for each session. The HLa/RPE ratio was calculated as an index of fatigue. Multilevel regression analysis showed significant differences for %HRmax (p = 0.004), HLa concentration (p = 0.0001), RPE (p < 0.0001), HLa/RPE ratio (p = 0.0002) and sRPE (p < 0.0001) across sessions. Non-linear regression analysis revealed a very large negative relationship between HLa/RPE ratio and sRPE (r = -0.70, p < 0.0001). These results support the hypothesis that sRPE is a sensitive tool that provides information on accumulated fatigue, in addition to training intensity. Exercise scientists without access to HLa measurements may now be able to gain insights into accumulated fatigue during periods of increased training by using sRPE.

Effects of 2% Dehydration on Lactate Concentration During Constant-Load Cycling

Green, JM, Miller, B, Simpson, J, Dubroc, D, Keyes, A, Neal, K, Gann, J, and Andre, T. Effects of 2% dehydration on lactate concentration during constant-load cycling. J Strength Cond Res 32(7): 2066-2071, 2018-The lactate [La] threshold (LT) can predict endurance performance potential. Dehydration may alter LT. This study examined effects of dehydration on [La] response during constant-load cycling. Recreationally fit (V[Combining Dot Above]O2peak = 48.7 ± 5.2 ml·kg·min) male participants (n = 9) completed 2 × 40-minute constant-load cycling trials; euhydrated (HYD) and after previous evening passive (water bath) dehydration (2% body weight, DEH) (HYD and DEH counterbalanced). Lactate, heart rate (HR), 10-point Omni ratings of perceived exertion (RPE), and rectal temperature (Trec) were measured after warm-up (WU) and at 10, 20, 30, and 40 minutes. Before cycling, urine specific gravity (USG) was measured and participants estimated perceived recovery status (PRS). Urine specific gravity DEH (1.027 ± 0.004) was significantly greater than HYD (1.013 ± 0.007). After WU, [La] was significantly greater (all time points) for DEH (∼4.1 mmol·L) vs. HYD (∼3.5 mmol·L) with similar results for HR (DEH: ∼167, HYD: ∼158 b·min). For DEH, RPE was significantly greater (∼1 unit) at 20, 30, and 40 minutes, and Trec was significantly greater at 30 and 40 minutes (∼0.4° C). DEH (vs. HYD) also resulted in significantly different resting HR (93 ± 6, vs. 85 ± 7 b·min), significantly greater session RPE (7.7 ± 1.1 vs. 5.3 ± 1.1), and significantly lower subjective feelings of recovery (PRS = 6.4 ± 2.9, vs. 9.0 ± 1.5). Current results indicate systematic changes in [La] and associated physiological responses result from previous day dehydration. Hydration status should be a concern in paradigms where [La] assessment is used.

The influence of different exercise intensities on kicking accuracy and velocity in soccer players

PURPOSE

The aim of this study was to investigate the influence of different exercise intensities induced by a soccer specific protocol on kicking performance in soccer players.

METHODS

Twelve semi-professional male soccer players participated in this study and performed maximal instep kicks before and after the implementation of an exercise protocol to determine the influence of different intensities upon kicking ball velocity and the target-hitting accuracy.

RESULTS

Analysis of variance designs with repeated measures showed that maximal ball velocity was affected only after the most intense circuit (F(6, 66) = 2.3; p = 0.041; η ² = 0.18), while accuracy was not affected in the protocol (F(6, 66) = 0.19; p = 0.98; η ² = 0.02). Low and moderate intensities did not affect accuracy or kicking ball velocity.

CONCLUSION

These findings suggest that kicking ball velocity is influenced by high-exercise intensities. Low and moderate exercise intensities do not affect the performance of the kick, and intensity does not influence accuracy. Otherwise, it is possible that other mechanisms (not only physiological) may influence players during the exercise.

Effects of an Exhaustive Exercise on Motor Skill Learning and on the Excitability of Primary Motor Cortex and Supplementary Motor Area

We examined, on 28 healthy adult subjects, the possible correlations of an exhaustive exercise, and the consequent high blood lactate levels, on immediate (explicit) and delayed (implicit) motor execution of sequential finger movements (cognitive task). Moreover, we determined with transcranial magnetic stimulation whether changes in motor performance are associated with variations in excitability of primary motor area (M1) and supplementary motor area (SMA). We observed that, after an acute exhaustive exercise, the large increase of blood lactate is associated with a significant worsening of both explicit and implicit sequential visuomotor task paradigms, without gender differences. We also found that, at the end of the exhaustive exercise, there is a change of excitability in both M1 and SMA. In particular, the excitability of M1 was increased whereas that of SMA decreased and, also in this case, without gender differences. These results support the idea that an increase of blood lactate after an exhaustive exercise appears to have a protective effect at level of primary cortical areas (as M1), although at the expense of efficiency of adjacent cortical regions (as SMA).

Rating of Perceived Exertion after 12 Weeks of High-Intensity, Intermittent Sprinting

The effect of a 12-week high-intensity intermittent exercise (HIIE) intervention on the rating of perceived exertion (RPE) response of young males was examined. Participants ( N = 38; M BMI = 28.7 kg · m2, SD = 3.1; M age = 24.9 yr., SD = 4.3) were randomly assigned to either an exercise or control group. The exercise group received HIIE three times per week, 20 min. per session, for 12 weeks. RPE was assessed before and after HIIE training and during pre- and post-maximal oxygen uptake (VO2 max) testing. After HIIE training, RPE was significantly higher in Weeks 11–12 compared to Weeks 1–2. In contrast, heart rate was similar throughout training. Comparing post- to pre-VO2 max test, RPE was significantly lower in the exercise group, whereas for controls, RPE was similar. Aerobic power improved 15% for the exercise group, with no significant change for controls. HIIE resulted in significant increases in RPE, whereas RPE during the VO2 max test was significantly decreased.

Estimated times to exhaustion and power outputs at the gas exchange threshold, physical working capacity at the rating of perceived exertion threshold, and respiratory compensation point

The purposes of this study were to compare the power outputs and estimated times to exhaustion (Tlim) at the gas exchange threshold (GET), physical working capacity at the rating of perceived exertion threshold (PWCRPE), and respiratory compensation point (RCP). Three male and 5 female subjects (mean ± SD: age, 22.4 ± 2.8 years) performed an incremental test to exhaustion on an electronically braked cycle ergometer to determine peak oxygen consumption rate, GET, and RCP. The PWCRPE was determined from ratings of perceived exertion data recorded during 3 continuous workbouts to exhaustion. The estimated Tlim values for each subject at GET, PWCRPE, and RCP were determined from power curve analyses (Tlim = axb). The results indicated that the PWCRPE (176 ± 55 W) was not significantly different from RCP (181 ± 54 W); however, GET (155 ± 42 W) was significantly less than PWCRPE and RCP. The estimated Tlim for the GET (26.1 ± 9.8 min) was significantly greater than PWCRPE (14.6 ± 5.6 min) and RCP (11.2 ± 3.1 min). The PWCRPE occurred at a mean power output that was 13.5% greater than the GET and, therefore, it is likely that the perception of effort is not driven by the same mechanism that underlies the GET (i.e., lactate buffering). Furthermore, the PWCRPE and RCP were not significantly different and, therefore, these thresholds may be associated with the same mechanisms of fatigue, such as increased levels of interstitial and (or) arterial [K+].

Esforço percebido e cinemática em percentuais da velocidade crítica na natação

O objetivo do presente estudo foi verificar os efeitos de diferentes percentuais da velocidade crítica (VC) na frequência cardíaca (FC), na frequência média de ciclos de braçadas (FB), na distância média que o corpo desloca a cada ciclo de braçada (DC) e no esforço percebido (EP) no nado crawl. Quinze nadadores, de ambos os sexos, realizaram cinco repetições de 200 m em diferentes percentuais da VC (90, 95, 100, 103 e 105%), em ordem aleatória. A FC, o EP e a FB apresentaram correlação significante positiva com os percentuais da VC (rho = 0,585, p<0,001; rho = 0,720, p<0,001; rho = 0,489, p<0,001, respectivamente). Já a DC não apresentou correlação significante com os percentuais da VC (rho = -0,151, p>0,05). Os resultados nos percentuais prescritos da VC podem ajudar técnicos a entender o impacto das respostas relacionadas à carga interna durante as sessões de

Elevated blood lactate is associated with increased motor cortex excitability

No information has yet been provided about the influence of blood lactate levels on the excitability of the cerebral cortex, in particular, of the motor cortex. The aim of the present study was to examine the effects of high blood lactate levels, induced with a maximal cycling or with an intravenous infusion, on motor cortex excitability. The study was carried out on 17 male athletes; all the subjects performed a maximal cycling test on a mechanically braked cycloergometer, whereas 6 of them were submitted to the intravenous infusion of a lactate solution (3 mg/kg in 1 min). Before the exercise or the injection, at the end, as well as 5 and 10 min after the conclusion, venous blood lactate was measured and excitability of the motor cortex was evaluated by using the transcranial magnetic stimulation. In both of these experimental conditions, it was observed that an increase of blood lactate is associated with a decrease of motor threshold, that is, an enhancement of motor cortex excitability. We conclude by hypothesizing that in the motor cortex the lactate could have a protective role against fatigue.

Session RPE following interval and constant-resistance cycling in hot and cool environments

PURPOSE

This study examined effects of heat gain, circulatory adjustment to temperature regulation (HR), and [La] consequent to interval (INT) and constant-load (CON) cycling on session RPE (S-RPE).

METHODS

Male volunteers (N = 10) completed a cycle ergometer VO2peak test and then, in a randomized, counterbalanced order, four cycling bouts, including constant load (approximately 45% VO2peak) (CON) and interval (8 x 1 min at about 90% VO2peak, 1 min between intervals) (INT), in hot (approximately 32.5 WBGT) (HOT) and cool (approximately 21.0 WBGT) (COOL) environments. Trials included a standardized warm-up and cool-down (10 min each: 0 W, 60 rpm). Total external work was equated among all trials, with blood lactate ([La]), heart rate (HR), rectal temperature (Tre), and acute RPE recorded at 10, 13, 17, 21, 25, and 36 min. S-RPE was recorded 20 min after each session.

RESULTS

HOT (CON and INT) resulted in significantly (P < 0.05) greater heat gain (Tre), HR, and RPE-O, whereas INT had significantly elevated [La] versus CON (HOT and COOL). HOT yielded significantly higher S-RPE versus COOL for CON (HOT = 5.6 +/- 2.1, COOL = 4.3 +/- 1.3) and INT (HOT = 7.0 +/- 1.9, COOL = 5.1 +/- 2.0). S-RPE was significantly higher for INT/HOT than CON/HOT.

CONCLUSIONS

Heat gain and cardiac strain (Tre, HR) and [La]) were manipulated with environment and exercise type while holding total work constant. The added strain of HOT was reflected in elevated S-RPE for both CON and INT. S-RPE linkage with [La] was limited to HOT trials, indicating only a loose association. These data indicate that under the conditions of this study, S-RPE is similar to acute RPE in that no single mediator seems universally dominant.

Proposta de teste incremental baseado na percepção subjetiva de esforço para determinação de limiares metabólicos e parâmetros mecânicos do nado livre

A percepção subjetiva de esforço (PSE) é determinada de forma não invasiva e utilizada juntamente com a resposta lactacidêmica como indicadores de intensidade durante teste incremental. Em campo, especialmente na natação, há dificuldades nas coletas sanguíneas; por isso, utilizam-se protocolos alternativos para estimar o limiar anaeróbio. Assim, os objetivos do estudo foram: prescrever um teste incremental baseado na PSE (Borg 6-20) visando estimar os limiares metabólicos determinados por métodos lactacidêmicos [ajuste bi-segmentado (V LL), concentração fixa-3,5mM (V3,5mM) e distância máxima (V Dmáx)]; relacionar a PSE atribuída em cada estágio com a freqüência cardíaca (FC) e com parâmetros mecânicos de nado [freqüência (FB) e amplitude de braçada (AB)], analisar a utilização da escala 6-20 na regularidade do incremento das velocidades no teste e correlacionar os limiares metabólicos com a velocidade crítica (VC). Para isso, 12 nadadores (16,4 ± 1,3 anos) realizaram dois esforços máximos (200 e 400m); os dados foram utilizados para determinar a VC, velocidade de 400m (V400m) e a freqüência crítica de braçada (FCb); e um teste incremental com intensidade inicial baseada na PSE, respectivamente, 9, 11, 13, 15 e 17; sendo monitorados em todos os estágios a FC, lactacidêmia e os tempos de quatro ciclos de braçadas e das distâncias de 20m (parte central da piscina) e 50m. Posteriormente, foram calculadas as velocidades dos estágios, FB, AB, V LL, V3,5mM e V Dmáx. Utilizaram-se ANOVA e correlação de Pearson para análise dos resultados. Não foram encontradas diferenças entre VC, V Dmáx e V LL, porém a V3,5mM foi inferior às demais velocidades (P < 0,05). Correlações significativas (P < 0,05) foram observadas entre VC versus V400m, V Dmáx e V3,5mM; V400m versus V3,5mM e V Dmáx; V Dmáx versus V LL; e no teste incremental entre PSE versus velocidade, [Lac], FC, FB e AB (P < 0,05). Concluímos que a PSE é uma ferramenta confiável no controle da velocidade dos estágios durante teste incremental na natação.

RPE Association with Lactate and Heart Rate during High-Intensity Interval Cycling

PURPOSE

Physiological and perceptual measures during interval exercise are not well understood. The current study therefore examined the correspondence between RPE, HR, and blood lactate concentration ([La]) during interval cycling.

METHODS

VO2peak and the 4.0 mmol x L(-1) lactate threshold were determined. In session 2, subjects (N = 12) warmed up (10 min, 0 W) and completed five 2-min intervals (INT) at >4 mmol x L(-1) workload, each separated by 3 min of recovery (REC) (60 rpm, 0 W). HR, RPE, and [La] were recorded at 10 min, at the conclusion of each INT, and each REC and 5- and 10-min recovery.

RESULTS

Repeated-measures ANOVA showed [La], HR, and RPE increased significantly across time (INT and REC). At each time point, repeated-measures ANOVA was used to compare standardized data (alpha = 0.05). RPE (at INT) intensified concurrently with HR and [La] at INT. Correlations were significant for INT (P < or = 0.05) (HR-RPE: r = 0.63, [La]-RPE: r = 0.43). Similarly, RPE and HR for REC systematically increased with [La]. Correlations for REC were also significant (HR-RPE: r = 0.44, [La]-RPE: r = 0.34). Correlations were also significant for INT and REC combined (HR-RPE: r = 0.70, [La]-RPE: r = 0.22).

CONCLUSIONS

INT and REC independently showed moderate correspondence for RPE-[La] and RPE-HR. However, tighter overall coupling of HR with RPE (vs [La] with RPE) and a dissociation between RPE-[La] suggest RPE during intervals of intense cycling were more sensitive to acute metabolic demand (evidenced by HR) versus [La].