Jem Arnold Profile picture
PhD candidate 🇨🇦 physiotherapist. Sport vascular conditions, performance testing, mNIRS. Treat declarative statements as questions?

Jan 21, 2024, 17 tweets

🩸Blood lactate [BLa] does NOT increase exponentially during high intensity exercise 🧑‍🔬

Why do we make this common mistake?

I think because we have focused too much on the lactate test

And forgotten what information that test is trying to give us about real exercise
🧵1/14

We are probably familiar with the🩸BLa curve during an incremental exercise test

As intensity increases 🩸BLa accumulates at a faster rate, approximating an exponential increase

We can estimate a 'threshold' in this curve, but what is this threshold telling us?
2/

We don’t actually care about the deflection point in a lactate curve on its own

True exponential curves don't have deflections. it's like finding the corner of a circle

There are lots of corners depending on our operational definitions 🫣

3/
DOI: 10.1371/journal.pone.0199794

We care about what our lactate curve predicts about our *constant workload* performance at every intensity

What happens to 🩸BLa if we clamped workload during a lactate test and continued exercising at that constant workload?

At lower intensities, something like this 👇
4/

If we continued our incremental lactate test and clamped workload above the lactate threshold, would it continue to increase exponentially?

Nope! 🩸BLa accumulation *decelerates* over time, even at high intensity

Because⬆️V̇O₂ and ⬆️BLa oxidation
(science incoming 🧑‍🏫👇)
5/

Wasserman et al (and others before them) observed this waaaay back in the mid-1900’s

MOD & HVY intensity are characterised by transiently⬆️🩸BLa, before settling back to a low baseline over 5-10 minutes

SVR intensity sees a rapid increase toward an upper ceiling
6/

Standard schematic representation of constant workload 🩸BLa response below, at, and above the maximal lactate steady state looks like this

At higher intensity 🩸BLa response is *logarithmic*, not exponential!

7/
DOI: 10.1007/s00421-017-3795-6

What about during high intensity intervals?

A good example from Stepto et al 2001, highly trained cyclists completed a workout of 8x 5min / 1min rests, averaging 86±2% V̇O₂max

🩸BLa across work bouts followed the same logarithmic response

8/

🩸BLa observed during a lactate test is the product of whole-body balance of:

La⁻ production & release from working muscles into blood

La⁻ oxidation/disposal by other tissues: muscle, heart, etc

9/
DOI: 10.1113/jp280955

La⁻ production & release is greatest at the start of exercise

V̇O₂ (OXPHOS) is still ramping up, and substrate (“anaerobic”) glycolysis must buffer the immediate energetic demand

10/
DOI: 10.1113/jp279963

As OXPHOS spins up during the first ~2min V̇O₂ onset kinetics, this also reflects ⬆️rate of La⁻ oxidation at a cellular level before it ever reaches the blood, and at the whole-body scale

Net 🩸BLa begins to slow and reverse at lower intensity

11/
DOI: 10.1002/cphy.c100072

So why do we care about lactate testing? Two reasons:

☝️to monitor change over time

The major thing that matters for monitoring is consistency of the test

LTs are reliable within around 5-10% (10-15 W)
12/
DOI: 10.1371/journal.pone.0199794

✌️to predict real world performance

LTs can be useful to extrapolate / predict transitions between intensity domains, or race performances

This 2018 study found that differences in LTs could explain 30-60% of the variance in TT performance

13/
DOI: 10.1371/journal.pone.0206846

We need to keep in mind what information the test is trying to give us

Try to picture *logarithmic* 🩸BLa responses during your exercise sessions, instead of exponential

This might improve how we apply information from our tests to our training!
14/14

Turns out hearing that "BLa increases exponentially at high intensity" is a bit of a pet peeve of mine 😅

Hopefully this thread can help how we think about this

If you chose 'exponential' were you thinking about a lactate test? Or were you thinking about it some other way?

couldn't fit the DOI to Wasserman et al, 1967:
10.1152/jappl.1967.22.1.71

Fitting in the 'late 1900s' meme was more important 😂

I should have added: this is why stage duration matters in a lactate test protocol: the kinetics of La⁻ production & disposal change during the first 5-10 min of exercise

When we take the observation at each stage will change the shape of the curve

DOI: 10.1123/ijspp.2017-0258

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