Possible mechanisms of the anaerobic threshold. A review

Body composition, cardiorespiratory fitness, and neuromuscular adaptations induced by a home-based whole-body high intensity interval training

Background/objective

Bodyweight exercises performed at home could be a complementary approach to improve health-related fitness in people having little spare time and during stay-at-home periods. This study then investigated body composition, cardiorespiratory fitness, and neuromuscular adaptations to a home-based, video-directed, whole-body high-intensity interval training (WB-HIIT).

Methods

Fourteen subjects participated to an 8-week WB-HIIT (6 females, 23 ± 1 years) and fourteen were included in a non-exercise control group (CTL; 6 females, 24 ± 4 years). All took part to pre- and post-intervention assessments of body composition, peak oxygen uptake (VO₂peak) and first ventilatory threshold (VT1; index of aerobic capacity), dynamic (leg press 3-repetition maximum) and isometric strength (knee extensors maximal isometric contractions with assessment of voluntary activation), and muscle endurance during an isometric submaximal contraction maintained till exhaustion. WB-HIIT consisted in 30-s all-out whole-body exercises interspaced with 30 s of active recovery. Training sessions were performed at home by means of videos with demonstration of exercises. Heart rate was monitored during sessions.

Results

WB-HIIT increased VO₂peak (5%), VT1 (20%), leg lean mass (3%), dynamic (13%) and isometric strength (6%), and muscle endurance (28%; p < 0.05), while they did not improve in CTL. VO₂peak increase was correlated (r = 0.56; p < 0.05) with the time spent above 80% of maximal heart rate during training sessions. Isometric strength increase was correlated with change in voluntary activation (r = 0.74; p < 0.01).

Conclusion

The home-based WB-HIIT induced concomitant cardiorespiratory fitness and neuromuscular improvements. The predominant effect was observed for aerobic capacity and muscle endurance which could improve exercise tolerance and reduce fatigability.

High cycling cadence reduces carbohydrate oxidation at given low intensity metabolic rate

Cycling cadence (RPM)-related differences in blood lactate concentration (BLC) increase with increasing exercise intensity, whilst corresponding divergences in oxygen uptake (V.O₂) and carbon dioxide production (V.CO₂) decrease. Aim of the present study was to test whether a higher RPM reduces the fraction (%) of the V.O₂ used for carbohydrate oxidation (relCHO) at a given BLC. Eight males (23.9 ± 1.6 yrs; 177 ± 3 cm; 70.3 ± 3.4 kg) performed incremental load tests at 50 and 100 RPM. BLC, V.O₂ and V.CO₂ were measured. At respiratory exchange ratios (RER) < 1, relCHO were calculated and the constant determining 50 % relCHO (k_CHO) was approximated as a function of the BLC. At submaximal workload V.O₂, V.CO₂, and relCHO were lower (all p < 0.002; η² > 0.209) at 50 than at 100 RPM. No differences were observed in V.O₂peak (3.96 ± 0.22 vs. 4.00 ± 0.25 l · min⁻¹) and RER_peak (1.18 ± 0.02 vs. 1.15 ± 0.02). BLC was lower (p < 0.001; η² = 0.680) at 50 than at 100 RPM irrespective of cycling intensity. At 50 RPM, kCHO (4.2 ± 1.4 (mmol · l⁻¹)³) was lower (p = 0.043; η² = 0.466) than at 100 RPM (5.9 ± 1.9 (mmol · l⁻¹)³). This difference in k_CHO reflects a reduced CHO oxidation at a given BLC at 100 than at 50 RPM. At a low exercise intensity, a higher cycling cadence can substantially reduce the reliance on CHO at a given metabolic rate and/or BLC.

Exercise and competitive sports in patients with an implantable cardioverter-defibrillator

Implantable cardioverter-defibrillators (ICDs) prevent sudden arrhythmic death in patients with different arrhythmogenic cardiac diseases. Because intense physical activity may trigger ventricular arrhythmias and may favour inappropriate shock delivery that impacts quality of life, current international recommendations only give clearance for moderate leisure-time physical activity to patients with an ICD. Hence, athletes are deemed non-eligible to compete with their ICD. The rationale for the current restriction from competitive sports is discussed in this review, as well as new insights that may alter these recommendations for certain sports participants in the foreseeable future. This review provides guidance for the choice of a durable lead and device system, careful programming tailored to the characteristics of the patient's physiological and pathological heart rhythms, instalment of preventive bradycardic medication, and guided rehabilitation with psychological counselling, allowing a maximum of benefit and a minimum of harm for physically active ICD patients.

Effect of beetroot juice supplementation on aerobic response during swimming

The beneficial effects of beetroot juice supplementation (BJS) have been tested during cycling, walking, and running. The purpose of the present study was to investigate whether BJS can also improve performance in swimmers. Fourteen moderately trained male master swimmers were recruited and underwent two incremental swimming tests randomly assigned in a pool during which workload, oxygen uptake (VO₂), carbon dioxide production (VCO₂), pulmonary ventilation (VE), and aerobic energy cost (AEC) of swimming were measured. One was a control swimming test (CSW) and the other a swimming test after six days of BJS (0.5 l/day organic beetroot juice containing about 5.5 mmol of NO₃⁻). Results show that workload at anaerobic threshold was significantly increased by BJS as compared to the CSW test (6.3 ± 1 and 6.7 ± 1.1 kg during the CSW and the BJS test respectively). Moreover, AEC was significantly reduced during the BJS test (1.9 ± 0.5 during the SW test vs. 1.7 ± 0.3 kcal·kg⁻¹1·h⁻¹ during the BJS test). The other variables lacked a statistically significant effect with BJS. The present investigation provides evidence that BJS positively affects performance of swimmers as it reduces the AEC and increases the workload at anaerobic threshold.

Exercise physiology and pulmonary arterial hypertension

The lungs are the only organ that receives the entire cardiac output with every stroke. The pulmonary circulation is normally a high-flow, low-resistance, low-pressure system that carries blood into the pulmonary microcirculation. In pulmonary artery hypertension (PAH)vascular remodeling contributes to a sustained elevation of pulmonary vascular resistance (PVR) and pulmonary artery pressure (PAP) as a result of vascular remodeling characterized largely by vascular smooth muscle cell proliferation and medial hypertrophy, and endothelial cell proliferation resulting in lumen obliteration. The loss of pulmonary arterial compliance and development of elevated PVR puts an excessive burden on the right ventricle due to the increased workload necessary to overcome the downstream pressure, ultimately leading to right-sided heart failure. The functional status of the pulmonary circulation and the levels of PVR and PAP ultimately determine the outcome of patients with PAH. Study of the pressure-flow relationships in the pulmonary vascular bed will provide an improved appreciation of the pathophysiology of pulmonary hypertension.

Reverse lactate threshold: a novel single-session approach to reliable high-resolution estimation of the anaerobic threshold

The multisession maximal lactate steady-state (MLSS) test is the gold standard for anaerobic threshold (AnT) estimation. However, it is highly impractical, requires high fitness level, and suffers additional shortcomings. Existing single-session AnT-estimating tests are of compromised validity, reliability, and resolution. The presented reverse lactate threshold test (RLT) is a single-session, AnT-estimating test, aimed at avoiding the pitfalls of existing tests. It is based on the novel concept of identifying blood lactate's maximal appearance-disappearance equilibrium by approaching the AnT from higher, rather than from lower exercise intensities. Rowing, cycling, and running case data (4 recreational and competitive athletes, male and female, aged 17-39 y) are presented. Subjects performed the RLT test and, on a separate session, a single 30-min MLSS-type verification test at the RLT-determined intensity. The RLT and its MLSS verification exhibited exceptional agreement at 0.5% discrepancy or better. The RLT's training sensitivity was demonstrated by a case of 2.5-mo training regimen following which the RLT's 15-W improvement was fully MLSS-verified. The RLT's test-retest reliability was examined in 10 trained and untrained subjects. Test 2 differed from test 1 by only 0.3% with an intraclass correlation of 0.997. The data suggest RLT to accurately and reliably estimate AnT (as represented by MLSS verification) with high resolution and in distinctly different sports and to be sensitive to training adaptations. Compared with MLSS, the single-session RLT is highly practical and its lower fitness requirements make it applicable to athletes and untrained individuals alike. Further research is needed to establish RLT's validity and accuracy in larger samples.

The Talk Test and its relationship with the ventilatory and lactate thresholds

In this study, we wished to determine the relationship between the Talk Test physiological and perceptual indicators and variables measured at the ventilatory and lactate thresholds, and if the Talk Test indicators were associated with a typical exercise prescription. Fifteen participants (13 males and 2 females; age 18-35 years) underwent a treadmill lactate threshold test followed by a VO2max (maximal oxygen consumption) test in which the ventilatory threshold was determined. On a separate day, a Talk Test was administered in which participants read a passage during exercise and rated speaking comfort: "comfortable" (+Talk Test), "not sure" (+/-Talk Test), or "not able to speak comfortably" (-Talk Test). Exercise prescriptions based on 65% and 80% of heart rate reserve and VO2 reserve were determined. Lactate threshold values were significantly higher than those at the ventilatory threshold (P < 0.05). The heart rate, VO2, and %VO2max recorded at all levels of the Talk Test were significantly higher than similar measurements recorded at the ventilatory threshold (P < 0.05). Lactate threshold measurements were similar to the +Talk Test and +/-Talk Test. Participants were exercising at 64 ± 5% VO2max, 82 ± 7% maximal heart rate, and 12 ± 2% RPE (rating of perceived exertion) at the +Talk Test, and 71 ± 6% VO2max, 90 ± 6% maximal heart rate, and 15 ± 2% RPE at the +/-Talk Test, with all values being within ACSM exercise intensity guidelines. Therefore, the Talk Test can be used in this population to prescribe exercise, and Talk Test data are more strongly related to physiological and perceptual variables corresponding to the lactate threshold than to the ventilatory threshold.

Exercise-induced pulmonary arterial hypertension

BACKGROUND

The clinical relevance of exercise-induced pulmonary arterial hypertension (PAH) is uncertain, and its existence has never been well studied by direct measurements of central hemodynamics. Using invasive cardiopulmonary exercise testing, we hypothesized that exercise-induced PAH represents a symptomatic stage of PAH, physiologically intermediate between resting pulmonary arterial hypertension and normal.

METHODS AND RESULTS

A total of 406 consecutive clinically indicated cardiopulmonary exercise tests with radial and pulmonary arterial catheters and radionuclide ventriculographic scanning were analyzed. The invasive hemodynamic phenotype of exercise-induced PAH (n=78) was compared with resting PAH (n=15) and normals (n=16). Log-log plots of mean pulmonary artery pressure versus oxygen uptake (V(.)o(2)) were obtained, and a "join-point" for a least residual sum of squares for 2 straight-line segments (slopes m1, m2) was determined; m2<m1="plateau," and m2>m1="takeoff" pattern. At maximum exercise, V(.)o(2) (55.8+/-20.3% versus 66.5+/-16.3% versus 91.7+/-13.7% predicted) was lowest in resting PAH, intermediate in exercise-induced PAH, and highest in normals, whereas mean pulmonary artery pressure (48.4+/-11.1 versus 36.6+/-5.7 versus 27.4+3.7 mm Hg) and pulmonary vascular resistance (294+/-158 versus 161+/-60 versus 62+/-20 dyne x s x cm(-5), respectively; P<0.05) followed an opposite pattern. An exercise-induced PAH plateau (n=32) was associated with lower o(2)max (60.6+/-15.1% versus 72.0+/-16.1% predicted) and maximum cardiac output (78.2+/-17.1% versus 87.8+/-18.3% predicted) and a higher resting pulmonary vascular resistance (247+/-101 versus 199+/-56 dyne x s x cm(-5); P<0.05) than takeoff (n=40). The plateau pattern was most common in resting PAH, and the takeoff pattern was present in nearly all normals.

CONCLUSIONS

Exercise-induced PAH is an early, mild, and clinically relevant phase of the PAH spectrum.

Análise das velocidades: referencial de 4mM, de equilíbrio de 30 min e velocidade crítica em nadadoras adolescentes

OBJETIVO: Comparar os resultados do cálculo da velocidade de limiar anaeróbio (Lan), correspondente a 4mM de lactato, obtidos em testes de 2 x 400m (V4-2), 4 x 400m (V4-4) e a velocidade crítica (VC) relacionando-as com a velocidade média determinada no teste de 30 min (VMT30) em nadadoras adolescentes. METODOLOGIA: Participaram deste estudo 20 nadadoras (14,36 ± 1,22 anos; 52,75 ± 5,32kg; 159,97 ± 11,26cm; 22,5 ± 4,73% gordura corporal) de nível regional e estadual com pelo menos dois anos de treinamento sistemático. Testes realizados: Teste de 30 min (VMT30), Teste de duas distâncias (V4-2), Teste de quatro distâncias (V4-4) e Velocidade Crítica (VC). Análise estatística: o procedimento adotado para a comparação de todas as metodologias, duas a duas, foi a técnica de análise de regressão simples. RESULTADOS: As velocidades médias dos testes foram: VMT30: 1,12 ± 0,06m/s; V4-2: 1,14 ± 0,12m/s; V4-4: 1,12 ± 0,06m/s e a VC média: 1,14 ± 0,07m/s. Análise de regressão simples entre as metodologias duas a duas: V4-4 e V4-2 (r = 0,324), VC e V4-2 (r = 0,058), VMT30 e V4-2 (r = 0,595), VC e V4-4 (r = 0,807), VMT30 e V4-4 (r = 0,796) e VMT30 e VC (r = 0,677). As retas de regressão ajustadas apresentaram em relação à bissetriz os valores de p = 0,3060; 0,1716 e 0,0058. CONCLUSÕES: A determinação da VMT30 constitui-se em um bom instrumento para a prescrição de treinamento para as nadadoras estudadas, o que nem sempre ocorre com o modelo V4-2; a [La] de 4mM com quatro pontos e o cálculo do limiar de lactato através da técnica de efeitos aleatórios, mostrou-se viável para a determinação do Lan para as nadadoras, quando comparada com a VMT30; a VC e V4-4 apresentaram boa correlação assim como a VC e VMT30.

Software for calculating blood lactate endurance markers

Blood lactate markers are used as summary measures of the underlying model of an athlete's blood lactate response to increasing work rate. Exercise physiologists use these endurance markers, typically corresponding to a work rate in the region of high curvature in the lactate curve, to predict and compare endurance ability. A short theoretical background of the commonly used markers is given and algorithms provided for their calculation. To date, no free software exists that allows the sports scientist to calculate these markers. In this paper, software is introduced for precisely this purpose that will calculate a variety of lactate markers for an individual athlete, an athlete at different instants (e.g. across a season), and simultaneously for a squad.

Volitional hyperventilation during ramp exercise to exhaustion

The purpose of this study was to determine whether volitional hyperventilation at 20 L·min-1above normal exercise values affected exercise duration while performing ramp exercise to exhaustion. Nine healthy subjects performed a ramp exercise test to exhaustion. On a subsequent test they hyperventilated, with the aid of visual and audio feedback, at 20 L·min-1greater than their initial test. Ramp exercise time to exhaustion was substantially reduced from 771.6 ± 85.2 s to 726.6 ± 86.6 s (p < 0.002) with the additional hyperventilation. Subjects underwent 2 more ramp exercise tests and performed a 5 s maximum voluntary ventilation or a forced vital capacity test at work rates corresponding to rest, below lactate threshold (LT), above LT, immediately after exercise, and 3 min recovery. Generally, the flow rates were not affected by exercise below LT and were enhanced during above-LT exercise, exhaustion, and recovery. This indicated a change in pulmonary function that is dependent on exercise intensity. In spite of this increased ability to generate high flow rates, exercise performance was diminished when respiratory muscle work was increased volitionally by 20 L·min-1, indicating a strong coupling between respiratory muscle work and fatigue during ramp exercise in normal subjects.Key words: ventilation, fatigue, pulmonary function, MVV, FVC.

Detection of lactate threshold by including haemodynamic and oxygen extraction data

To date, few attempts have been made to correlate cardiovascular variables to lactate threshold (L(T)). This study was designed to determine the relationship between the accumulation of blood lactate and several haemodynamic variables during exercise. Eight male volunteer cyclists performed an incremental test on an electromagnetically braked cycle-ergometer consisting of a 50 W linear increase in workload every 3 min up to exhaustion. Blood lactate was measured with a portable analyser during each exercise step. Oxygen consumption (VO(2)) and pulmonary ventilation were measured by means of a mass spectrometer while heart rate, stroke volume and cardiac output (CO) were assessed by impedance cardiography. The arterio-venous oxygen difference (A-V O(2) Diff) was obtained by dividing VO(2) by CO. By applying the D(max) mathematical method, L(T) and thresholds of ventilatory and haemodynamic parameters were calculated. The Bland and Altman statistics used to assess agreement between two methods of measurement were applied in order to evaluate the agreement between L(T) and thresholds derived from ventilatory and haemodynamic data. The main result was that most of the haemodynamic variables did not provide thresholds which could be used interchangeably with L(T). Only the threshold of A-V O(2) Diff showed mean values that were no different compared to L(T) together with limits of agreement that were not very wide between thresholds (below +/-25%). Hence of the haemodynamic parameters, A-V O(2) Diff appears to be the one most closely coupled with lactate accumulation and consequently it is also the most suitable for non-invasive calculation of the L(T).

Nitric oxide synthase inhibition with L-NAME reduces maximal oxygen uptake but not gas exchange threshold during incremental cycle exercise in man

We hypothesized that the effective inhibition of nitric oxide synthase (NOS), achieved via systemic infusion of N(G)-nitro-l-arginine methyl ester (l-NAME), would reduce the gas exchange threshold (GET) and the maximal oxygen uptake (V(.)(O(2)max)) during incremental cycle exercise in man if NO is important in the regulation of muscle vasodilatation. Seven healthy males, aged 18-34 years, volunteered to participate in this ethically approved study. On two occasions, the subjects completed an incremental exercise test to exhaustion on an electrically braked cycle ergometer following the infusion of either l-NAME (4 mg kg(-1) in 50 ml saline) or placebo (50 ml saline, CON). At rest, the infusion of l-NAME resulted in a significant increase in mean arterial pressure (MAP; CON vs. l-NAME, 89 +/- 8 vs. 103 +/- 11 mmHg (mean +/- s.d.; P < 0.05)) and a significant reduction in heart rate (HR; CON vs. l-NAME, 60 +/- 12 vs. 51 +/- 8 beats min(-1); P < 0.01). At submaximal work rates, there was no significant difference in V(.)(O(2)) between the conditions and no difference in the GET (CON vs. l-NAME, 1.94 +/- 0.47 vs. 2.01 +/- 0.41 l min(-1)). However, at higher work rates, differences in V(.)(O(2)) between the conditions became more pronounced such that V(.)(O(2)max) was significantly lower with l-NAME (CON vs. l-NAME, 4.02 +/- 0.41 vs. 3.80 +/- 0.34 l min(-1); P < 0.05). The reduction in V(.)(O(2)max) was associated with a reduction in HR(max) (CON vs. l-NAME, 186 +/- 10 vs. 178 +/- 7 beats min(-1); P < 0.01). These results demonstrate that NOS inhibition with l-NAME has no effect on GET but reduces V(.)(O(2)max) during large muscle group exercise in man, presumably by direct or indirect effects on cardiac output and muscle blood flow.

Anaerobic threshold: the concept and methods of measurement

The anaerobic threshold (AnT) is defined as the highest sustained intensity of exercise for which measurement of oxygen uptake can account for the entire energy requirement. At the AnT, the rate at which lactate appears in the blood will be equal to the rate of its disappearance. Although inadequate oxygen delivery may facilitate lactic acid production, there is no evidence that lactic acid production above the AnT results from inadequate oxygen delivery. There are many reasons for trying to quantify this intensity of exercise, including assessment of cardiovascular or pulmonary health, evaluation of training programs, and categorization of the intensity of exercise as mild, moderate, or intense. Several tests have been developed to determine the intensity of exercise associated with AnT: maximal lactate steady state, lactate minimum test, lactate threshold, OBLA, individual anaerobic threshold, and ventilatory threshold. Each approach permits an estimate of the intensity of exercise associated with AnT, but also has consistent and predictable error depending on protocol and the criteria used to identify the appropriate intensity of exercise. These tests are valuable, but when used to predict AnT, the term that describes the approach taken should be used to refer to the intensity that has been identified, rather than to refer to this intensity as the AnT.

Blood lactate recovery and perceived readiness to start a new run in middle-distance runners during interval training

The aim of this study was to establish to what extent ratings of perceived readiness to start a new run are dependent on recovery of blood lactate and heart rate during passive recovery between interval runs (4 x 2000 m) of increasing intensity by 15 male college-level middle-distance runners. The Perceived Readiness Rating scale was administered at each minute of recovery. Blood lactate concentration was measured immediately after runs at Min. 3 of recovery after the first and second runs, and, in addition, at Min. 6 of recovery after the third and fourth runs. Heart rate was recorded continuously during the runs and during recovery. The obtained correlation between blood lactate recovery and perceived readiness ratings after the third and fourth runs were -.36 and -.56, respectively (p<.05). Consequently, blood lactate concentration recovery appears to influence the middle-distance runners' perceived readiness estimation to begin a new run. The Perceived Readiness Rating applied by us appears useful in the training of middle-distance runners.

Dependence of the maximal lactate steady state on the motor pattern of exercise

BACKGROUND

Blood lactate concentration (BLC) can be used to monitor relative exercise intensity. The highest BLC representing an equilibrium between lactate production and elimination is termed maximal lactate steady state (MLSS). MLSS is used to discriminate qualitatively between continuous exercise, which is limited by stored energy, from other types of exercise terminated because of disturbance of cellular homoeostasis.

AIM

To investigate the hypothesis that MLSS intraindividually depends on the mode of exercise.

METHODS

Six junior male rowers (16.5 (1.4) years, 181.7 (3.1) cm, 69.8 (3.3) kg) performed incremental and constant load tests on rowing and cycle ergometers. Measurements included BLC, sampled from the hyperaemic ear flap, heart rate, and oxygen uptake. MLSS was defined as the highest BLC that increased by no more than 1.0 mmol/l during the final 20 minutes of constant workload.

RESULTS

In all subjects, MLSS was lower (p < or = 0.05) during rowing (2.7 (0.6) mmol/l) than during cycling (4.5 (1.0) mmol/l). No differences between rowing and cycling were found with respect to MLSS heart rate (169.2 (9.3) v 172.3 (6.7) beats/min), MLSS workload (178.7 (29.8) v 205.0 (20.7) W), MLSS intensity expressed as a percentage (63.3 (6.6)% v 68.6 (3.8)%) of peak workload (280.8 (15.9) v 299.2 (28.4) W) or percentage (76.4 (3.4)% v 75.1 (3.0)%) of peak oxygen uptake (60.4 (3.4) v 57.2 (8.6) ml/kg/min).

CONCLUSIONS

In rowing and cycling, the MLSS but not MLSS workload and MLSS intensity intraindividually depends on the motor pattern of exercise. MLSS seems to decrease with increasing mass of the primarily engaged muscle. This indicates that task specific levels of MLSS occur at distinct levels of power output per unit of primarily engaged muscle mass.

Whole body fatigue and critical power: a physiological interpretation

Critical power (CP) is a fundamental concept describing fatigue and exhaustion. The main physiological determinant of CP is the ability to utilise oxygen. This in turn is dependent primarily on diffusion distance. During exercise, many different tissue systems must increase their metabolic demand. It is argued that each tissue system, such as cardiac, respiratory and leg muscles, has their own CP. Cardiac muscle has the greatest CP relative to its maximum power because it has the shortest diffusion distances. Respiratory muscle also has a substantially higher relative CP than leg muscle. The higher relative CPs of cardiac and respiratory muscle are due in part to the homeostatic functions these tissues provide. This built in protective design can be disrupted in certain conditions such as hypoxia. During high intensity exercise, fatigue and ensuing exhaustion will occur if any contributing physiological system functions above its CP.

Reliability of using the D-max method to define physiological responses to incremental exercise testing

The purpose of this study was to examine the reliability of using a mathematical method, D-max, to define blood lactate kinetics in response to an incremental exercise test, and to compare the physiological responses corresponding to the workload at D-max with those at the traditional 4 mmol l-1 lactate threshold and ventilatory thresholds. Ten male endurance trained athletes, with an average (+/- SD) age of 25.6 +/- 8.2 years and maximal oxygen consumption of 64.0 +/- 1.7 ml kg-1 min-1, performed an incremental cycling test on two occasions separated by four weeks. The expired gas was analysed on-line and plasma lactate concentration was analysed for each workload and at exhaustion. The lactate response to exercise was represented by a third-order polynomial regression curve. The D-max was defined as the point on the regression curve that yields the maximal distance to the straight line formed by the two end points of the curve. The results demonstrated a high test-retest reliability (intraclass correlation coefficients 0.77-0.93, p < 0.01) in oxygen consumption, heart rate and exercise intensity at both D-max point and exhaustion. No significant differences were found in the mean values of the variables between the two tests. It is concluded that the D-max appears to be a reliable method for defining the individual physiological responses to exercise tests, with the advantage of objectivity. However, there is no evidence to support the theory that the exercise intensity defined by the D-max method is superior to that defined by other methods to prescribe training intensity or predict aerobic performance for athletes. Further investigations are warranted to examine the validity of using this method in exercise prescription.

Use of blood lactate measurements for prediction of exercise performance and for control of training. Recommendations for long-distance running

Time over a distance, i.e. speed, is the reference for performance for all events whose rules are based on locomotion in different mechanical constraints. A certain power output has to be maintained during a distance or over time. The energy requirements and metabolic support for optimal performance are functions of the length of the race and the intensity at which it is completed. However, despite the complexity of the regulation of lactate metabolism, blood lactate measurements can be used by coaches for prediction of exercise performance. The anaerobic threshold, commonly defined as the exercise intensity, speed or fraction of maximal oxygen uptake (VO2max) at a fixed blood lactate level or at a maximal lactate steady-state (MLSS), has been accepted as a measure of the endurance. The blood lactate threshold, expressed as a fraction of the velocity associated with VO2max, depends on the relationship between velocity and oxygen uptake (VO2). The measurement of the post-competition blood lactate in short events (lasting 1 to 2 minutes) has been found to be related to the performance in events (400 to 800m in running). Blood lactate levels can be used to assist with determining training exercise intensity. However, to interpret the training effect on the blood lactate profile, the athlete's nutritional state and exercise protocol have also to be controlled. Moreover, improvement of fractional utilisation of VO2max at the MLSS has to be considered among all discriminating factors of the performance, such as the velocity associated with VO2max.

The relationship between power output and endurance: a brief review

It is well established that for work requiring high power output, endurance time is short, and that low power outputs can be maintained for long periods. Parameters describing this relationship are important in characterising work performance and the capacity of humans as a source of mechanical power. The purpose of this paper is to provide a brief review of the available literature investigating this relationship and its parameters. Most experimental data reflect measurements of endurance times over a range of constant power outputs on the cycle ergometer. Early graphical analyses of these data have been superseded by curve fitting, which in turn has led to establishment of the two component hyperbolic model now embodied in the critical power test. This model has been modified and extended in various ways to account for its shortcomings. In addition, a number of different exercise forms have been studied, and the effects of a variety of secondary factors (training status, age, sex, for example) on the parameters have also been investigated.

Determination of maximal lactate steady state response in selected sports events

Maximal lactate steady state (MLSS) refers to the upper limit of blood lactate concentration indicating an equilibrium between lactate production and lactate elimination during constant workload. The aim of the present study was to investigate whether different levels of MLSS may explain different blood lactate concentration (BLC) levels at submaximal workload in the sports events of rowing, cycling, and speed skating. Eleven rowers (mean +/- SD, age 20.1 +/- 1.5 yr, height 188.7 +/- 6.2 cm, weight 82.7 +/- 8.0 kg), 16 cyclists and triathletes (age 23.6 +/- 3.0 yr, height 181.4 +/- 5.6 cm, weight 72.5 +/- 6.2 kg), and 6 speed skaters (age 23.3 +/- 6.6 yr, height 179.5 +/- 7.5 cm, weight 73.2 +/- 5.6 kg) performed an incremental load test to determine maximal workload and several submaximal 30-min constant workloads for MLSS measurement on a rowing ergometer, a cycle ergometer, and on a speed-skating track. Maximal workload was higher (P < or = 0.05) in rowing (416.8 +/- 46.2 W) than in cling (358.6 +/- 34.4 W) and speed skating (383.5 +/- 40.9 W). The level of MLSS differed (P < or = 0.001) in rowing (3.1 +/- 0.5 mmol.l-1), cycling (5.4 +/- 1.0 mmol.l-1), and in speed skating (6.6 +/- 0.9 mmol.l-1). MLSS workload was higher (P < or = 0.05) in rowing (316.2 +/- 29.9 W) and speed skating (300.5 +/- 43.8 W) than in cycling (257.8 +/- 34.6 W). No differences (P > 0.05) in MLSS workload were found between speed skating and rowing. MLSS workload intensity as related to maximal workload was independent (P > 0.05) of the sports event: 76.2% +/- 5.7% in rowing, 71.8% +/- 4.1% in cycling, and 78.1% +/- 4.4% in speed skating. Changes in MLSS do not respond with MLSS workload, the MLSS workload intensity, or with the metabolic profile of the sports event. The observed differences in MLSS and MLSS workload may correspond to the sport-specific mass of working muscle.

Reproducibility and validity of the quadriceps muscle integrated electromyogram threshold during incremental cycle ergometry

The principle aims of this research were, firstly, to determine if the relationship between integrated electromyography (iEMG) and exercise intensity was linear or threshold-like, and secondly, to determine if the relationship between iEMG and exercise intensity was repeatable on different test occasions. A group of 20 trained male subjects participated in the study. Each subject completed two incremental exercise tests on a Monark cycle ergometer. The tests were identical and separated from each other by a mean period of 42 (SD 12) h. The EMG signals were recorded from the vastus lateralis, rectus femoris and vastus medialis muscles at each intensity using surface electrodes. The relationship between iEMG and intensity was shown to be linear (r = 0.95 to r = 0.98) with no obvious iEMG thresholds present. The gradients of simple regression lines fitted to the iEMG compared to intensity were not significantly different on the retest occasion (CV 9%-12%). In summary, the findings of this study indicated that, during incremental exercise, the relationship between iEMG of the quadriceps musculature and exercise intensity was linear and not threshold-like. Furthermore, the linear relationship between iEMG and workload was repeatable on different test occasions.

Effects of potassium and lactic acid on chemoreceptor discharge in anaesthetized cats

Both increasing [K+]a and falling pHa stimulate ventilation through an action on the peripheral chemoreceptors. We have examined the effect on afferent carotid chemoreceptor discharge, of intravenous infusion of lactic acid alone, KCl alone, and both combined at constant PETCO2 in anaesthetized, artificially ventilated cats. Infusions of lactic acid alone and KCl alone caused similar increases in both the mean and amplitude of oscillation of chemoreceptor discharge. In the case of the lactic acid alone infusion the increase in the amplitude of oscillation could be accounted for by the resultant increase in carbon dioxide production. Simultaneous infusion of KCl and lactic acid caused an increase in the mean and amplitude of the discharge which was greater than either given alone, although the combined effect was less than additive. The alterations in mean and amplitude of oscillation of discharge during infusion of both agents together may be completely accounted for by a combined effect of increased carbon dioxide production and elevated [K+]a.

The influence of inspired oxygen on the oxygen uptake response to ramp exercise

The relation between VO2 and work rate (WR) was examined in seven male subjects who performed ramp (1 W.3s-1) two-legged cycle ergometry to exhaustion while inspiring either hypoxic (12% O2), normoxic (21% O2), or hyperoxic (40% O2) air. The anaerobic threshold was estimated from respiratory gas exchange threshold (RGET). Prior to the RGET, the delta VO2/delta WR was greater under normoxic [mean (SD); 10.19(1.04) ml O2.min-1.W-1] and hyperoxic [10.44 (0.72)] conditions compared with hypoxia [9.34 (0.89)]. Above the RGET, the delta VO2/delta WR for hypoxia [8.91 (0.63)], normoxia [10.40 (0.77)], and hyperoxia [11.08 (0.48)] were all significantly different from each other. These data indicated that for two-legged, cycle, ramp ergometry in normoxia below the RGET, both the delta VO2/delta WR and response time was constant. Above the RGET, the normoxic VO2 response was the net result of a declining delta VO2/delta WR and a longer response time to the unsteady state character of a ramp exercise protocol.

Exercise-induced changes in plasma potassium and the ventilatory threshold in man

1. It has been reported that, during incremental exercise testing, the patterns of change in ventilation (VE) and arterial K+ (Ka+) are similar, suggesting that changing Ka+ may lead to the phenomenon of the ventilatory threshold through its action on the peripheral chemoreceptors. 2. Expiratory ventilation, oxygen consumption, CO2 production (VE, VO2, VCO2), arterialized venous PCO2 (Pav, CO2; see Methods), pH (pHav), K+ (Kav+) and lactate were measured during incremental exercise tests undertaken by six normal male subjects under control conditions and during lactic acidosis following severe exercise (experimental trial). 3. A ventilatory threshold, associated with a period of isocapnic buffering, was observed under both control and experimental conditions. During the control trial, plots of Kav+ against VO2 showed an inflexion close to the ventilatory threshold. Throughout the experimental trial Kav+ rose linearly relative to VO2. In both control and experimental trials Kav+ concentrations were similar at the ventilatory threshold. 4. These results suggest that the pattern of change of Ka+ cannot account for the phenomenon of the ventilatory threshold. The possibility that the peripheral chemoreceptor response is non-linear above a critical value of Ka+ requires further investigation.

Comparison of effects of two interval-training programmes on lactate and ventilatory thresholds

Twenty-one women subjects were matched in terms of their Vo2max and assigned to one of two groups: (1) training at 30 s; or (2) 2 min with a 1:1 work: relief ratio (1:1 WR) before participating in a 7-week training programme which began at an intensity of 85% Vo2max and increased 5% every two weeks (90% and 95% Vo2max). The subjects trained to exhaustion four times per week. Maximal oxygen consumption (Vo2max), lactate threshold (Tlac) and ventilatory threshold (Tvent) were determined before and after the training programme. After training, there were significant increases (P < 0.05) in Vo2max (5% and 6%), Tlac (19.4% and 22.4%), and Tvent (19.5% and 18.5%). There were no significant group differences on any dependent measure but this research adds support to previous training studies in that a strong correlation (P < 0.05) between Tlac and Tvent is maintained from before to after the test. It was concluded that both formats of high intensity aerobic interval-training produce similar changes in Vo2max, Tlac and Tvent and that these changes appear to be independent of the length of the work interval.

Plasma lactate concentration increases as a parabola with delay during ramp exercise

This study presents an elementary model of a system which relates plasma lactate concentration ([La-]) during ramp exercise to its rate of accumulation (Rc) within its extramuscular distribution space (S). Under the parsimonious assumptions that Rc increases linearly with time (t) with a kinetic delay (delta), and that the volume of S is constant, it is shown that plasma [La-] increases as a parabola with the kinetic delay delta when t increases. This elementary system model describes changes in plasma [La-] observed in five healthy young subjects during ramp exercise on the cycle ergometer (1 W every 2 s) with great accuracy (r > 0.99) with very small residuals (average value less than 0.01 mmol.l-1), randomly distributed around the fitting curves. The delay between the beginning of exercise and the onset of increase in Rc could be due to the fact that at the corresponding work rates: (1) rate of lactate appearance (Ra), which is equal to the rate of lactate disappearance (Rd), is not modified from rest, since the exercising muscles work in fully aerobic conditions (hypothesis of the anaerobic threshold); or (2) the increase in Ra is associated with a similar increase in Rd. An alternate or complementary hypothesis is that, during ramp exercise, plasma [La-] could reflect metabolic events within the muscles, with a significant delay.

Statistical evidence consistent with two lactate turnpoints during ramp exercise

A number of studies have identified the existence of two ventilation thresholds during ramp or incremental exercise to exhaustion on the cycle ergometer. This study was undertaken to investigate whether two threshold turnpoints could be identified in blood lactate concentration data collected at such times. Five trained athletes provided serial blood samples on several occasions each during a 3-month period of training. Blood lactate concentration was analysed by fitting models with no, one or two turnpoints. Ordinary residuals from the first two models were often found to exhibit an oscillatory behaviour consistent with the existence of two turnpoints in lactate concentration. A comparative analysis of goodness of fit of these models revealed that the model with two turnpoints was significantly better than either of the simpler models. This suggests that two transitions exist, which divide the time domain for blood lactate concentration in ramp exercise into three regions. These two transitions may correspond to the two ventilation thresholds.

Effects of glucose ingestion or glucose infusion on fuel substrate kinetics during prolonged exercise

To determine if bypassing both intestinal absorption and hepatic glucose uptake by intravenous glucose infusion might increase the rate of muscle glucose oxidation above 1 g.min-1, ten endurance-trained subjects were studied during 125 min of cycling at 70% of peak oxygen uptake (VO2peak). During exercise the subjects ingested either a 15 g.100 ml-1 U-14C labelled glucose solution or H2O labelled with a U-14C glucose tracer for the determination of the rates of plasma glucose oxidation (Rox) and exogenous carbohydrate (CHO) oxidation from plasma 14C glucose and 14CO2 specific activities, and respiratory gas exchange. Simultaneously, 2-3H glucose was infused at a constant rate to measure glucose turnover, while unlabelled glucose (25% dextrose) was infused into those subjects not ingesting glucose to maintain plasma glucose concentration at 5 mmol.l-1. Despite similar plasma glucose concentrations [ingestion 5.3 (SEM 0.13) mmol.l-1; infusion 5.0 (0.09) mmol.l-1], compared to glucose infusion, CHO ingestion significantly increased plasma insulin concentrations [12.9 (1.0) vs 4.8 (0.5) mU.l-1; P < 0.05], raised total Rox values [9.5 (1.2) vs 6.2 (0.7) mmol.125 min-1 kg fat free mass-1 (FFM); P < 0.05] and rates of CHO oxidation [37.2 (2.8) vs 24.1 (3.9) mmol.125 min-1 kg FFM-1; P < 0.05]. An increased reliance on CHO metabolism with CHO ingestion was associated with a decrease in fat oxidation. Whereas the contribution from fat oxidation to energy production increased to 51 (10)% with glucose infusion, it only reached 18 (4)% with glucose ingestion (P < 0.05).(ABSTRACT TRUNCATED AT 250 WORDS)

Comment on 'ventilation and blood lactate increase exponentially during incremental exercise'

A recent paper in this journal has examined the ventilatory compensation for metabolic acidosis with increasing oxygen uptake, making extensive use of mathematical and statistical techniques. The authors conclude that '...respiratory compensation for metabolic acidosis during incremental exercise is a continuous process...'. While this may indeed be so, the following major aspects of the paper render the evidence at best dubious, surely inconclusive and perhaps even worthless: (1) The mathematical and statistical methodology is sloppy, incomplete and, at times, flawed. (2) No discontinuous model is presented for comparative purposes, only three continuous ones. (3) The authors ignore the fact that some threshold models produce smooth continuous data, and as a consequence, a good fit of a smooth continuous model cannot exclude the presence of a threshold. (4) The data in Table 5 show the amplitude parameter A of the preferred model to be not significantly different from zero. This paper draws these matters to the attention of readers of this journal, reviewers of manuscripts and other researchers, with comment and suggestion. This is done in the hope that all those concerned with mathematical and statistical methodologies will become more aware of their proper use.

Maintenance of strength gains while performing endurance training in oarswomen

This study investigated the retention of strength gained after resistance training, while performing aerobic endurance training. Following a 10-week resistance training program (three times a week) that included maintenance aerobic endurance training (twice a week), 18 varsity oarswomen were matched on strength and randomly assigned to two groups: Group 1 performed maintenance resistance training once a week and Group 2 performed resistance training twice a week. Both groups performed endurance training four times a week during the 6-week maintenance resistance training program. There was a significant increase in strength (multiple-RM test) for three upper and three lower body exercises after the initial 10-week resistance training program. A further significant increase in two exercises (inclined leg press and knee flexion) were observed after 6 weeks of maintenance resistance training and endurance training in both groups. No further significant increases were observed in the four other exercises during maintenance strength training. These latter findings occurred at the same time that VO2max and ventilation threshold increased. These results suggest that strength gains can be maintained with resistance training once or twice a week while focusing on improving aerobic endurance performance without compromising the latter.

Ventilation and blood lactate increase exponentially during incremental exercise

This study examined whether the ventilatory (V) compensation for metabolic acidosis with increasing O2 uptake (VO2) and CO2 output (VCO2) might be more in accord with the theoretical expectation of a progressive acceleration of proton production from carbohydrate oxidation rather than a sudden onset of blood lactate (BLa) accumulation. The interrelationships between V, VO2, VCO2 and BLa concentration, [BLa], were investigated in 10 endurance-trained male cyclists during incremental (120 +/- 15 W min-1) exercise tests to exhaustion. Regression analyses on the V, VCO2 and [BLa] vs VO2 data revealed that all were better fitted by continuous Y = A.exp.[B.VO2] + C rate laws than by threshold linear rate equations (P < 0.0001). Plots of V vs VCO2 and [BLa] were also non-linear. Ventilation increased as an exponential V = 27 +/- 4.exp.[0.37 +/- 0.03.VCO2] function of VCO2 and as a hyperbolic function of [BLa]. In opposition to the 'anaerobic (lactate) threshold' hypothesis, we suggest these data are more readily explained by a continuous development of acidosis, rather than a sudden onset of BLa accumulation, during progressive exercise.

Blood lactate in trained cyclists during cycle ergometry at critical power

The purposes of this investigation were to determine the validity of critical power (CP) as a measure of the work rate that can be maintained for a very long time without fatigue and to determine whether this corresponded with the maximal lactate steady-state (lass,max). Eight highly trained endurance cyclists (maximal oxygen uptake 74.1 ml.kg-1.min-1, SD 5.3) completed four cycle ergometer tests to exhaustion at pre-determined work rates (360, 425, 480 and 520 W). From these four co-ordinates of work and time to fatigue the regression of work limit on time limit was calculated for each individual (CP). The cyclists were then asked to exercise at their CP for 30 min. If CP could not be maintained, the resistance was reduced minimally to allow the subject to complete the test and maintain a blood lactate plateau. Capillary blood was sampled at 0,5,10,20 and 30 min into exercise for the analysis of lactate. Six of the eight cyclists were unable to maintain CP for 30 min without fatigue. In these subjects, the mean power attained was 6.4% below that estimated by CP. Mean blood lactates (n = 8) reached a steady-state (8.9 mmol.l-1 SD 1.6) during the last 20 min of exercise indicating that CP slightly overestimated lass,max, Individual blood lactates during the last 20 min of exercise were more closely related to the gamma-intercept of the CP curve (r = 0.78, P less than 0.05) than either CP (0.34, NS) or mean power output (r = 0.42, NS).

The 4 mM blood lactate level as an index of exercise performance in 11-13 year old children

The aim of this study was to assess the use of the 4 mM blood lactate level measured during incremental treadmill exercise as an indicator of exercise performance in 11-13 year old children. Fifty girls and 53 boys (means age 12.2 +/- 0.6 years) gave informed consent to participate in the study. The children completed a discontinuous, incremental running test on a motorized treadmill. A 1 min pause separated the 3 min exercise stages during which time duplicate capillary blood samples were taken for immediate assay of whole blood lactate concentration. Cardiorespiratory variables were measured continuously during exercise using a computerized on-line system. Mean values for peak oxygen uptake were 48 +/- 7 ml kg-1 min-1 and 42 +/- 7 ml kg-1 min-1 in boys and girls respectively. The exercise intensity corresponding to a blood lactate concentration of 4 mM was interpolated from plots of % peak oxygen uptake vs blood lactate and was reached at 91 +/- 7% peak oxygen uptake in both boys and girls. The results indicate that children can exercise at intensities close to their peak oxygen uptake without accumulating high levels of blood lactate and the use of the 4 mM blood lactate level to assess and monitor exercise performance in children of this age may therefore be inappropriate.