Agreement Between Maximal Lactate Steady State and Critical Power in Different Sports: A Systematic Review and Bayesian's Meta-Regression

ABSTRACT

Borszcz, FK, de Aguiar, RA, Costa, VP, Denadai, BS, and de Lucas, RD. Agreement between maximal lactate steady state and critical power in different sports: A systematic review and Bayesian's meta-regression. J Strength Cond Res 38(6): e320-e339, 2024-This study aimed to systematically review the literature and perform a meta-regression to determine the level of agreement between maximal lactate steady state (MLSS) and critical power (CP). Considered eligible to include were peer-reviewed and "gray literature" studies in English, Spanish, and Portuguese languages in cyclical exercises. The last search was made on March 24, 2022, on PubMed, ScienceDirect, SciELO, and Google Scholar. The study's quality was evaluated using 4 criteria adapted from the COSMIN tool. The level of agreement was examined by 2 separate meta-regressions modeled under Bayesian's methods, the first for the mean differences and the second for the SD of differences. The searches yielded 455 studies, of which 36 studies were included. Quality scale revealed detailed methods and small samples used and that some studies lacked inclusion/exclusion criteria reporting. For MLSS and CP comparison, likely (i.e., coefficients with high probabilities) covariates that change the mean difference were the MLSS time frame and delta criteria of blood lactate concentration, MLSS number and duration of pauses, CP longest predictive trial duration, CP type of predictive trials, CP model fitting parameters, and exercise modality. Covariates for SD of the differences were the subject's maximal oxygen uptake, CP's longest predictive trial duration, and exercise modality. Traditional MLSS protocol and CP from 2- to 15-minute trials do not reflect equivalent exercise intensity levels; the proximity between MLSS and CP measures can differ depending on test design, and both MLSS and CP have inherent limitations. Therefore, comparisons between them should always consider these aspects.

Is the 5-Minute Time-Trial Cycling Test a Valid Predictor of Maximal Oxygen Uptake? An External Cross-Validation Study

PURPOSE

This study aimed to cross-validate a recently proposed equation for the prediction of maximal oxygen uptake (V˙O2max) in cycling exercise by using the average power output normalized by the body mass from a 5-minute time trial (RPO5-min) as the independent variable. Further, the study aimed to update the predictive equation using Bayesian informative prior distributions and meta-analysis.

METHODS

On different days, 49 male cyclists performed an incremental graded exercise test until exhaustion and a 5-minute time trial on a stationary cycle ergometer. We compared the actual V˙O2max with the predicted value obtained from the RPO5-min, using a modified Bayesian Bland-Altman agreement analysis. In addition, this study updated the data on the linear regression between V˙O2max and RPO5-min, by incorporating information from a previous study as a Bayesian informative prior distribution or via meta-analysis.

RESULTS

On average, the predicted V˙O2max using RPO5-min underestimated the actual V˙O2max by -6.6 mL·kg-1·min-1 (95% credible interval, -8.6 to -4.7 mL·kg-1·min-1). The lower and upper 95% limits of agreement were -17.2 (-22.7 to -12.3) and 3.8 (-1.0 to 9.5) mL·kg-1·min-1, respectively. When the current study's data were analyzed using the previously published data as a Bayesian informative prior distribution, the accuracy of predicting sample means was found to be better when compared with the data combined via meta-analyses.

CONCLUSIONS

The proposed equation presented systematic bias in our sample, in which the prediction underestimated the actual V˙O2max. We provide an updated equation using the previous one as the prior distribution, which could be generalized to a greater audience of cyclists.

Comparison of NIRS exercise intensity thresholds with maximal lactate steady state, critical power and rowing performance

This study aimed to compare the intensity of deoxygenated haemoglobin concentration ([HHb]) and tissue saturation index (TSI) breakpoints ([HHb]-BP and TSI-BP) with maximal lactate steady state (MLSS) and critical power (CP), and to describe their association with 2000-m rowing ergometer performance. Fourteen male rowers performed on a rowing ergometer: I) a discontinuous incremental test with 3-min stages (INC3); II) a continuous incremental test with 1-min stages (INC1); III) constant workload tests to determine MLSS; and IV) performance tests of 500 m, 1000 m, 2000 m and 6000 m to determine CP.CP (257 ± 39 W; 3.79 ± 4.1 L · min-1) was higher than [HHb]-BP3 (205 ± 26 W; 3.48 ± 2.9 L · min-1), [HHb]-BP1 (207 ± 27 W; 3.27 ± 3.2 L · min-1), and TSI-BP3 (218 ± 31 W; 3.51 ± 3.0 L · min-1), but not higher than TSI-BP1 (222 ± 34 W; 3.43 ± 3.2 L · min-1). MLSS (187 ± 26 W; 3.33 ± 3.2 L · min-1) was lower than TSI-BP3 and TSI-BP1 for power output, but not different in any comparison for ⩒O2. The limits of agreement for power output and ⩒O2 suggest poor agreement among these thresholds. The low level of agreement compromises the use of [HHb]-BP and TSI-BP for estimating MLSS and CP; therefore, these thresholds should not be considered interchangeable.

Reliability and Validity of Cycling Sprint Performance at Isolinear Mode Without Torque Factor: A Preliminary Study in Well-Trained Male Cyclists

Purpose: This study aimed to compare the performance-derived parameters utilizing isolinear (ISOLIN) and isovelocity (ISOVEL) sprint cycling modes. Method: For that, 20 male trained cyclists performed 2 sprints of 7 s on an electromagnetically braked cycle ergometer in ISOLIN and six sprints in ISOVEL mode with cadences between 90 and 180 rpm, each separated by 3-min. A linear function modeled the sprints within each mode to extrapolate maximal cadence (CMAX) and torque (TMAX), and a quadratic function was used to extrapolate the apex defined as optimal cadence power (OPTCAD) and peak power output (PMAX). Fifteen subjects performed another 4 sprints at ISOLIN mode on different days to verify the reliability. Results: The measures from the power-cadence relationship were not different between the ISOLIN and ISOVEL modes. Although significant differences were detected in the T-C relationship, TMAX was greater at ISOLIN than ISOVEL (p = .006). On the other hand, CMAX was higher at ISOVEL than ISOLIN (p < .001). The correlation between parameters was large to very large (r = 0.51 to 0.89). However, high limits of agreement were verified. The ISOLIN presented consistency during the trials, and the random errors were acceptable (CV = 5.3% to 11.5%). Conclusion: Using the power-cadence relationship, PMAX and OPTCAD could be detected similarly between the two sprint modes (ISOLIN and ISOVEL). Thus, the findings demonstrated that a single ISOLIN sprint test could be a suitable tool for quantifying the time course of muscle fatigue during and after cycling exercises in well-trained male cyclists.

Muscle Oxidative Capacity in Vivo Is Associated With Physiological Parameters in Trained Rowers

Purpose: The muscle oxygen uptake (m V ˙ O 2 ) kinetics following exercise, measured by near-infrared spectroscopy, has been used as a functional evaluation of muscle oxidative metabolism. This study aimed to determine the m V ˙ O 2 off-kinetics and verify the relationship of the recovery rate of m V ˙ O 2 (k) with time-trial performance and different aerobic parameters in trained rowers. Methods: Eleven male rowers (age: 20 ± 3 years; V ˙ O 2 m a x : 4.28 ± 0.35 L·min-1) used a rowing ergometer to perform (I) an incremental test to determine the maximal oxygen uptake (V ˙ O 2 m a x ) and peak power output (Ppeak); (II) several visits to determine maximal lactate steady state (MLSS); and (III) a 2000-m rowing ergometer performance test. Also, one test to determine m V ˙ O 2 off-kinetics of the vastus lateralis muscle using a repeated arterial occlusions protocol. Results: The m V ˙ O 2 generated a good monoexponential fit (R2 = 0.960 ± 0.030; SEE = 0.041 ± 0.018%.s-1). The k of m V ˙ O 2 (2.06 ± 0.58 min-1) was associated with relative V ˙ O 2 m a x (r = 0.79), power output at MLSS (r = 0.76), and Ppeak (r = 0.83); however, it was not related with 2000-m rowing performance (r = -0.38 to 0.52; p > .152). Conclusion: These findings suggest that although not associated with rowing performance, the m V ˙ O 2 off-kinetics determined after a submaximal isometric knee extension may be a practical and less-exhaustive approach than invasive responses and incremental tests to assess the muscle oxidative metabolism during a training program.

Prediction of Exercise Tolerance in the Severe and Extreme Intensity Domains by a Critical Power Model

This study aimed to assess the predictive capability of different critical power (CP) models on cycling exercise tolerance in the severe- and extreme-intensity domains. Nineteen cyclists (age: 23.0 ± 2.7 y) performed several time-to-exhaustion tests (Tlim) to determine CP, finite work above CP (W'), and the highest constant work rate at which maximal oxygen consumption was attained (IHIGH). Hyperbolic power-time, linear power-inverse of time, and work-time models with three predictive trials were used to determine CP and W'. Modeling with two predictive trials of the CP work-time model was also used to determine CP and W'. Actual exercise tolerance of IHIGH and intensity 5% above IHIGH (IHIGH+5%) were compared to those predicted by all CP models. Actual IHIGH (155 ± 30 s) and IHIGH+5% (120 ± 26 s) performances were not different from those predicted by all models with three predictive trials. Modeling with two predictive trials overestimated Tlim at IHIGH+5% (129 ± 33 s; p = 0.04). Bland-Altman plots of IHIGH+5% presented significant heteroscedasticity by all CP predictions, but not for IHIGH. Exercise tolerance in the severe and extreme domains can be predicted by CP derived from three predictive trials. However, this ability is impaired within the extreme domain.

Ketogenic diets, exercise performance, and training adaptations

PURPOSE OF REVIEW

The ketogenic diet has been proposed as a nutritional strategy in sports. This review was undertaken to provide an overview of the recent literature concerning the effects of ketogenic diet on exercise performance and training adaptations.

RECENT FINDINGS

Most recent literature on the ketogenic diet and exercise performance showed no beneficial effects, especially for trained individuals. During a period of intensified training, performance was clearly impaired during the ketogenic intervention, while a diet with high carbohydrates maintained physical performance. The main effect of the ketogenic diet resides in metabolic flexibility, inducing the metabolism to oxidize more fat for ATP resynthesis regardless of submaximal exercise intensities.

SUMMARY

The ketogenic diet is not a reasonable nutritional strategy, as it has no advantage over normal/high carbohydrate-based diets on physical performance and training adaptations even when used only in a specific training/nutritional periodization stage.

Chronic Adaptations to Eccentric Cycling Training: A Systematic Review and Meta-Analysis

This study aimed to investigate the effects of eccentric cycling (ECCCYC) training on performance, physiological, and morphological parameters in comparison to concentric cycling (CONCYC) training. Searches were conducted using PubMed, Embase, and ScienceDirect. Studies comparing the effect of ECCCYC and CONCYC training regimens on performance, physiological, and/or morphological parameters were included. Bayesian multilevel meta-analysis models were used to estimate the population's mean difference between chronic responses from ECCCYC and CONCYC training protocols. Group levels and meta-regression were used to evaluate the specific effects of subjects and study characteristics. Fourteen studies were included in this review. The meta-analyses showed that ECCCYC training was more effective in increasing knee extensor strength, vastus lateralis fiber cross-sectional area, and six-minute walking distance compared to CONCYC. Moreover, ECCCYC was as effective as CONCYC in decreasing body fat percentage. CONCYC was more effective in increasing V˙O2max and peak power output attained during concentric incremental tests. However, group-level analyses revealed that ECCCYC was more effective than CONCYC in improving V˙O2max in patients with cardiopulmonary diseases. ECCCYC is a viable modality for exercise interventions aiming to improve parameters of muscle strength, hypertrophy, functional capacity, aerobic power, and body composition, with more advantages than CONCYC training in improving neuromuscular variables.

Effects of the ketogenic diet on performance and body composition in athletes and trained adults: a systematic review and Bayesian multivariate multilevel meta-analysis and meta-regression

This systematic review with meta-analysis aimed to determine the effects of the ketogenic diet (KD) against carbohydrate (CHO)-rich diets on physical performance and body composition in trained individuals. The MEDLINE, EMBASE, CINAHL, SPORTDiscus, and The Cochrane Library were searched. Randomized and non-randomized controlled trials in athletes/trained adults were included. Meta-analytic models were carried out using Bayesian multilevel models. Eighteen studies were included providing estimates on cyclic exercise modes and strength one-maximum repetition (1-RM) performances and for total, fat, and free-fat masses. There were more favorable effects for CHO-rich than KD on time-trial performance (mode [95% credible interval]; -3.3% [-8.5%, 1.7%]), 1-RM (-5.7% [-14.9%, 2.6%]), and free-fat mass (-0.8 [-3.4, 1.9] kg); effects were more favorable to KD on total (-2.4 [-6.2, 1.8] kg) and fat mass losses (-2.4 [-5.4, 0.2] kg). Likely modifying effects on cyclic performance were the subject's sex and VO2max, intervention and performance durations, and mode of exercise. The intervention duration and subjects' sex were likely to modify effects on total body mass. KD can be a useful strategy for total and fat body losses, but a small negative effect on free-fat mass was observed. KD was not suitable for enhancing strength 1-RM or high-intensity cyclic performances.

Functional Threshold Power Estimated from a 20-minute Time-trial Test is Warm-up-dependent

This study investigated the influence of different warm-up protocols on functional threshold power. Twenty-one trained cyclists (˙VO₂max=60.2±6.8 ml·kg^-1·min^-1) performed an incremental test and four 20-min time trials preceded by different warm-up protocols. Two warm-up protocols lasted 45 min, with a 5-min time trial performed either 15 min (Traditional) or 25 min (Reverse) before the 20-min time trial. The other two warm-up protocols lasted 25 min (High Revolutions-per minute) and 10 min (Self-selected), including three fast accelerations and self-selected intensity, respectively. The power outputs achieved during the 20-min time trial preceded by the Traditional and Reverse warm-up protocols were significantly lower than the High Revolutions-per-minute and Self-selected protocols (256±30; 257±30; 270±30; 270±30 W, respectively). Participants chose a conservative pacing strategy at the onset (negative) for the Traditional and Reverse but implemented a fast-start strategy (U-shaped) for the High revolutions-per-minute and Self-selected warm-up protocols. In conclusion, 20-min time-trial performance and pacing are affected by different warm-ups. Consequently, the resultant functional threshold power may be different depending on whether the original protocol with a 5-min time trial is followed or not.

Agreement of maximal lactate steady state with critical power and physiological thresholds in rowing

The aim of this study was threefold: (a) to compare the maximal lactate steady state (MLSS) with critical power (CP); (b) to describe the relationship of MLSS with rowing performances; and (c) to verify the agreement of MLSS with several exercise intensity thresholds in rowers. Fourteen male rowers (mean [SD]: age = 26 [13] years; height = 1.82 [0.05] m; body mass = 81.0 [7.6] kg) performed on a rowing ergometer: (I) discontinuous incremental test with 3 min stages and 30-s recovery intervals (INC_3min); (II) continuous incremental test with 60-s stages (INC_1min); (III) two to four constant workload tests to determine MLSS; and (IV) performance tests of 500, 1000, 2000 and 6000 m to determine CP. Twenty-seven exercise intensity thresholds based on blood lactate, heart rate and ventilatory responses were determined by incremental tests, and then compared with MLSS. CP (257 [38] W) was higher than MLSS (187 [25] W; p < 0.001), with a very large mean difference (37%), large typical error of estimate (14%) and moderate correlation (r = 0.48). Despite the correlations between MLSS and most intensity thresholds (r > 0.70), all presented low correspondence (TEE > 5%), with a lower bias found between MLSS and the first intensity thresholds (-12.5% to 4.1%). MLSS was correlated with mean power during 500 m (r = 0.65), 1000 m (r = 0.86) and 2000 m (r = 0.78). In conclusion, MLSS intensity is substantially lower than CP and presented low agreement with 27 incremental-derived thresholds, questioning their use to estimate MLSS during rowing ergometer exercise.Highlights MLSS was substantially lower than CP in rowing exercise with a mean difference of 37%, much larger than the difference commonly found in running and cycling exercise (i.e., ?10%).A clear disagreement was reported between MLSS and 27 physiological thresholds determined in different incremental tests.There is a positive association of MLSS with 500, 1000 and 2000 m rowing ergometer performance tests.

HIIT Models in Addition to Training Load and Heart Rate Variability Are Related With Physiological and Performance Adaptations After 10-Weeks of Training in Young Futsal Players

INTRODUCTION

The present study aimed to investigate the effects of two high-intensity interval training (HIIT) shuttle-run-based models, over 10 weeks on aerobic, anaerobic, and neuromuscular parameters, and the association of the training load and heart rate variability (HRV) with the change in the measures in young futsal players.

METHODS

Eleven young male futsal players (age: 18.5 ± 1.1 years; body mass: 70.5 ± 5.7 kg) participated in this study. This pre-post study design was performed during a typical 10 weeks training period. HIIT sessions were conducted at 86% (HIIT86; n = 6) and 100% (HIIT100; n = 5) of peak speed of the FIET. Additionally, friendly and official matches, technical-tactical and strength-power training sessions were performed. Before and after the training period, all players performed the FIET, treadmill incremental, repeated sprint ability (RSA), sprint 15-m, and vertical jump tests (CMJ and SJ), and the HRV was measured. Training load (TL) was monitored using the session rating of perceived effort. Data analysis was carried out using Bayesian inference methods.

RESULTS

The HIIT86 model showed clear improvements for the peak oxygen uptake (VO2peak), peak speed in the treadmill incremental test, first and second ventilatory thresholds, RSA best and mean times, CMJ, and SJ. The HIIT100 model presented distinct advances in VO2peak, peak speed in the treadmill incremental test, RSA mean time, and CMJ. Between HIIT models comparisons showed more favorable probabilities of improvement for HIIT86 than HIIT100 model in all parameters. TL data and HIIT models strongly explained the changes in the RSA mean and best times (R 2 = 0.71 and 0.87, respectively), as well as HRV changes, and HIIT models explained positively VO2peak changes (R 2 = 0.72). All other changes in the parameters were low to moderately explained.

CONCLUSION

The HIIT86 proved to be more effective for improving aerobic, RSA, and neuromuscular parameters than HIIT100 during a typical 10-week futsal training period. So, strength and conditioning specialists prescribing shuttle-run intermittent exercises at submaximal intensities can manage the individual acceleration load imposed on athlete increasing or decreasing either the set duration or the frequency of change of direction during HIIT programming.

Predicting Maximal Lactate Steady State from Carminatti's Shuttle Run Test in Soccer Players

The objective of the present study was to determine the validity of Carminatti's shuttle run incremental test-T-Car derived parameters in estimating the maximal lactate steady state determined in shuttle run format. Eighteen soccer players performed a T-Car test, and several trials to determine the maximal lactate steady state. From T-Car were derived the heart rate deflection point, peak speed, maximal heart rate and parameters resulting from percentage of peak measures. The validity was accessed by Bland-Altman plots, linear regressions, and two one-sided tests of equivalence analysis. The results showed the speed at 80.4% of T-Car peak speed, the heart rate deflection point and the 91.4% of maximal heart rate were equivalent to maximal lactate steady state (Mean difference; ±90% compatibility interval; -0.8; ±1.5%, -0.4; ±1.1%, and 0.0; ±2.7%, respectively). Additionally, peak speed during the T-Car test was a stronger predictor of maximal lactate steady state (MLSS [km/h]=2.57+0.65 × sPeak; r=0.82 [90% CI; 0.62-0.92], standard error of the estimate=3.6%; 90% CI ×/÷1.4). Therefore, soccer players can use the T-Car derived parameters as a noninvasive and practical alternative to estimate the specific maximal lactate steady state for soccer.

Reliability of the Functional Threshold Power in Competitive Cyclists

Functional threshold power (FTP) is defined as the highest power that a cyclist can maintain in a quasi-steady state without fatigue for approximately 1 hour. To improve practicality, a 20-minute time-trial test was proposed, where FTP is represented by 95% of the mean power produced. It is preceded by a specific 45-min warm-up, with periods of low intensity, fast accelerations, and a 5-min time-trial. Thus, the aim of this study was to determine the reliability of this protocol, including the reliability of the warm-up, pacing strategy, and FTP determination. For this purpose, 25 trained cyclists performed a familiarization and two other tests separated by seven days. The coefficient of variation (CV [%]), intraclass correlation coefficient (ICC), and change in the mean between test and retest were calculated. The results show that the 20-min time-trial was reliable (CV=2.9%, ICC=0.97), despite a less reliable warm-up (CV=5.5%, ICC=0.84). The changes in the mean between the test and retest were trivial to small for all measurements, and the pacing strategy was consistent across all trials. These results suggest that FTP determination with a 20-min protocol was reliable in trained cyclists.