Reassembling the Field-based Applicability of the Lactate Threshold for Old Age.

This study aimed to investigate the applicability of the Lactate Threshold (LT) to predict maximal oxygen uptake (˙VO2max) and demarcate the boundary between the moderate- to heavy-intensity domain (HRm-h) in old age in comparison to the most utilized methods. A cross-sectional validation study was conducted. Participants aged 61 to 77 performed a familiarization procedure, an incremental maximal exercise treadmill test (CPX) for ˙VO2max determination, the Six-minute Walk Test (6MWT), and a discontinuous incremental field test for LT determination. Lower (P<0.01) internal effort was required for LT testing (76±8%HRmax) compared to 6MWT (92±9%HRmax). The application of the 6MWT reference equations overestimated ˙VO2max by 10-23%. LTs better estimated the ˙VO2max (r ≈0.90, SEE: ≈3.0] compared to the 6MWT (r=0.68, SEE=5.5). HRm-h determined by the CPX differed (20%; P=0.001) from that obtained by LT. HRm-h stratification indicated participants fall into the very light to the vigorous intensity domains. LT testing is more submaximal than the 6MWT, and is a valuable tool to estimate the ˙VO2max in older male adults. Implementation of LT testing in physical activity programs might help improving the quality of aerobic exercise training in older men.

Consistency of sex-based differences between treadmill and overground running using an inertial measurement unit (IMU).

Differences in running gait between treadmill and overground running has been subject of study, while consistency of group differences between running surfaces has not been previously analysed. This study examined both the differences between running surfaces and the consistency of sex-based differences between surfaces in some spatiotemporal and kinematic variables measured by an inertial measurement unit fastened over the lumbar spine. Thirty-two (sixteen females) endurance runners firstly performed overground and then treadmill (1 % inclination) runs at speeds between 9-21 km∙h-1. Males showed lower flight time (FT) [moderate effect size (ES)] during treadmill running compared to overground, while females showed greater stride frequency (SF) (moderate ES), lower stride length (SL) (moderate ES), FT (moderate ES), and vertical (VT) trunk displacement (moderate ES), as well as greater medio-lateral (ML) trunk displacement (moderate ES). No differences in CT between surfaces were found (trivial to small). Furthermore, all the sex-differences were consistent between treadmill and overground running: Males showed lower SF (large and moderate ES, respectively), greater SL (large and moderate ES) and CT (moderate and large ES), lower FT (large ES), greater VT displacement (moderate to large ES), and lower ML displacement (moderate ES) than females. These results may be of interest to carefully transfer the running gait analyses between surfaces depending on sex.

A new objective method for determining exercise gas exchange thresholds by respiratory frequency in middle-aged men.

PURPOSE: To evaluate the agreement between the two Gas Exchange Thresholds (GETs = GET1 and GET2), identified by the conventional V-Slope method, and two Respiratory Frequency Thresholds (fRTs = fRT1 and fRT2) obtained from a novel, low-cost, and simple method of breakpoint determination. METHODS: Fifty middle-aged males (age: 50-58 years; V ˙ o2peak: 37.5 ± 8.6 mL·Kg-1·min-1), either healthy or with chronic illnesses, underwent an incremental cycle exercise test to determine maximal oxygen uptake ( V ˙ o2max/ V ˙ o2peak), GETs and fRTs. RESULTS: There were no statistical differences [P > 0.05; ES: 0.17 to 0.32, small] between absolute and relative (56-60% V ˙ o2peak) oxygen uptake ( V ˙ o2) values at GET1 with those obtained at fRT1, nor between V ˙ o2 values at GET2 with those at fRT2 (76-78% V ˙ o2peak). Heart rate (HR) at fRT1, and V ˙ o2 and HR at fRT2 showed very large correlations (r = 0.75-0.82; P < 0.001) and acceptable precision (SEE < 7-9%) in determination of their corresponding values at GET1 and GET2. The precision in the estimation of V ˙ o2 at GET1 from fRT1 was moderate (SEE = 15%), while those of power output at GET1 (SEE = 23%) and GET2 (SEE = 12%) from their corresponding fRTs values were very poor to moderate. CONCLUSION: HR at fRT1 and V ˙ o2 and HR at fRT2, determined using a new objective and portable approach, may potentially serve as viable predictors of their respective GETs. This method may offer a simplified, cost-effective, and field-based approach for determining exercise threshold intensities during graded exercise.

Reliability of Xsens inertial measurement unit in measuring trunk accelerations: a sex-based differences study during incremental treadmill running.

Introduction: Inertial measurement units (IMUs) are utilized to measure trunk acceleration variables related to both running performances and rehabilitation purposes. This study examined both the reliability and sex-based differences of these variables during an incremental treadmill running test. Methods: Eighteen endurance runners performed a test-retest on different days, and 30 runners (15 females) were recruited to analyze sex-based differences. Mediolateral (ML) and vertical (VT) trunk displacement and root mean square (RMS) accelerations were analyzed at 9, 15, and 21 km·h-1. Results: No significant differences were found between test-retests [effect size (ES)<0.50)]. Higher intraclass correlation coefficients (ICCs) were found in the trunk displacement (0.85-0.96) compared to the RMS-based variables (0.71-0.94). Male runners showed greater VT displacement (ES = 0.90-1.0), while female runners displayed greater ML displacement, RMS ML and anteroposterior (AP), and resultant euclidean scalar (RES) (ES = 0.83-1.9). Discussion: The IMU was found reliable for the analysis of the studied trunk acceleration-based variables. This is the first study that reports different results concerning acceleration (RMS) and trunk displacement variables for a same axis in the analysis of sex-based differences.

Intensified training before Olympic-distance triathlon in recreational triathletes: "Less pain, more gain".

Objectives: To examine 1) the contribution of physiological performance variables to Olympic-distance (OD) triathlon performance, and 2) the links between an 8-wk intensified training plus competition preceding the main OD triathlon race and the changes in the physiological status in triathletes. Study Design: An observational longitudinal study. Methods: Endurance performance variables during maximal incremental running and cycling tests, and average velocity during an all-out 400-m swimming performance test (V400) were assessed before (T1) and after (T2) the intensified training in 7 recreational-level triathletes. Results: Overall main OD triathlon time was extremely largely (r = -0.94; P = 0.01) correlated with peak running velocity (PRV). Best correlation magnitude between exercise modes' partial race times and the corresponding specific physiological criterion tests was observed for swimming (r = -0.97; P < 0.001). Improvement in V400 (2.9%), PRV (1.5%) and submaximal running blood lactate concentration (17%) was observed along the training period, whereas no changes were observed in the cycling endurance performance variables. Higher volume of training plus competition at high intensity zones during cycling, running and swimming were associated with lower improvements or declines in their corresponding exercise mode-specific criterion performance variables (r = 0.81-0.90; P = 0.005-0.037). Conclusion: Results indicate that: 1) PRV is highly associated with overall OD triathlon performance, and 2) spending much time at high relative intensities during swimming, cycling or running may lead, in a dose-response manner, to lower improvements or decreases on those exercise-specific physiological performance variables. This may favor the emergence of overreaching or diminished performance.

Over 55 years of critical power: Fact or artifact?

This report aims to generate an evidence-based debate of the Critical Power (CP), or its analogous Critical Speed (CS), concept. Race times of top Spanish runners were utilized to calculate CS based on three (1500-m to 5000-m; CS1.5-5km ) and four (1500-m to 10000-m; CS1.5-10km ) distance performances. Male running world records from 1000 to 5000-m (CS1-5km ), 1000 to 10,000-m (CS1-10km ), 1000-m to half marathon (CS1km-half marathon ), and 1000-m to marathon (CS1km-marathon ) distance races were also utilized for CS calculations. CS1.5-5km (19.62 km h-1 ) and CS1.5-10km (18.68 km h-1 ) were different (p < 0.01), but both approached the average race speed of the longest distance chosen in the model, and were remarkably homogeneous among subjects (97% ±1% and 98% ±1%, respectively). Similar results were obtained using the world records. CS values progressively declined, until reaching a CS1km-marathon value of 20.77 km h-1 (10% lower than CS1-5km ). Each CS value approached the average speed of the longest distance chosen in the model (96.4%-99.8%). A power function better fitted the speed-time relationship compared with the standardized hyperbolic function. However, the horizontal asymptote of a power function is zero. This better approaches the classical definition of CP: the power output that can be maintained almost indefinitely without exhaustion. Beyond any sophisticated mathematical calculation, CS corresponds to 95%-99% of the average speed of the longest distance chosen as an exercise trial. CP could be considered a mathematical artifact rather than an important endurance performance marker. In such a case, the consideration of CP as a physiological "gold-standard" should be reevaluated.

Investigation of the Relationship Between Peak Vertical Accelerations and Aerobic Exercise Intensity During Graded Walking and Running in Postmenopausal Women.

How exercise intensity targets, calibrated according to oxygen consumption, relate to vertical impacts during weight-bearing exercise is currently unknown. The authors investigated the relationship between vertical peaks (VPs) and metabolic equivalents (METs) of oxygen consumption in 82 women during walking and running. The magnitude of VPs, measured using a hip-worn triaxial accelerometer, was derived from recommended aerobic exercise intensity targets. VPs were 0.63 ± 0.18g at the lower recommended absolute exercise intensity target (3 METs) but >1.5g at the upper end of moderate-intensity activities (1.90 ± 1.13g at 6 METs). Multilevel linear regression analyses identified speed and type of locomotion as the strongest independent predictors of VPs, explaining 54% and 11% of variance, respectively. The authors conclude that, in contrast to lower intensities, exercising close to or above the 6-MET threshold generates VPs of osteogenic potential, suggesting this could provide simultaneous benefits to decrease all-cause mortality and osteoporosis risk.

Half Soccer Season Induced Physical Conditioning Adaptations in Elite Youth Players.

This study aimed to investigate training-induced fitness changes and their relationship with training-competition load during half a soccer season (18 wks). Training load [heart rate (HR) and ratings of perceived exertion (RPE)] and match time were monitored, including 108 training (3 223 individuals) and 23 match sessions, in 38 youth elite male soccer players. Fitness variables were assessed before and after the study. Yo-Yo intermittent recovery test 1 (Yo-Yo IRT1) improved (P<0.001; 90%CI: 418-632 m; ES: 2.14). Anthropometrical, jump, sprint, and change-of-direction measures remained unchanged. Jump test correlated with sprint (r=0.74; P<0.001; SEE=3.38 m·s-1) and Yo-Yo IRT1 (r=-0.58; P=0.005; SEE=4.11 m) tests. Initial sum of 6 skinfolds was associated with changes in this same measure (r=-0.51; P<0.001; SEE=21%). Initial Yo-Yo IRT1 results were related to changes in Yo-Yo IRT1 (r=-0.84; P<0.001; SEE=10%) and match time played (r=0.44; P=0.033; SEE=445 m). Mean RPE records were related to training spent within 75-90% maximal HR (r=0.54; P<0.001; SEE=4%). The half-season was beneficial for endurance running performance but not for lower-limb strength-velocity production capacity. The more aerobically deconditioned players played fewer minutes of match, although they showed the greatest improvements in endurance performance. Non-soccer-specific, scientifically based, and individualized fitness programs in addition to soccer-specific training are recommended.

Considerations regarding Maximal Lactate Steady State determination before redefining the gold-standard.

We have read with interest the review written by Jones et al. (2019) published in a recent volume-issue (volume 7, issue 5) of the journal. Criticisms regarding maximal lactate steady state intensity determination are to some extent correct and well-justified. There are some aspects, however, that should be further clarified and documented before redefining the gold-standard measure for the evaluation of endurance exercise capacity.

Lactate Equivalent for Maximal Lactate Steady State Determination in Soccer.

Purpose: The association between an overlooked classical Lactate Threshold (LT), named "Minimum Lactate Equivalent" (LEmin), with Maximal Lactate Steady State (MLSS) has been recently described with good MLSS prediction results in endurance-trained runners. This study aimed to determine the applicability of LEmin to predict MLSS in lower aerobic-conditioned individuals compared to well-established blood lactate-related thresholds (BLTs). Method: Fifteen soccer players [velocity at MLSS (MLSSV) 13.2 ± 1.0 km·h-1; coefficient of variation (CV) 7.6%] conducted a submaximal discontinuous incremental running test to determine BLTs and 3-6 constant velocity running tests to determine MLSSV. Results: LEmin did not differ from conventional LTs (p > .05) and was 24% lower than MLSS (p < .001; ES: 3.26). Among LTs, LEmin best predicted MLSSV (r = 0.83; p < .001; SEE = 0.59 km·h-1). There was no statistical difference between MLSS and estimated MLSS using LEmin prediction formula (p = .99; ES: 0.001). Mean bias and limits of agreement were 0.00 ± 0.58 km·h-1 and ±1.13 km·h-1, respectively. LEmin best predicted MLSSV (r = 0.92; p < .001; SEE = 0.54 km·h-1) in the pooled data of soccer players and endurance-trained runners of the previous study (n = 28; MLSSV range 11.2-16.5 km·h-1; CV 9.8%). Conclusion: Results support LEmin to be one of the best single predictors of MLSS. This study is the sole study providing specific operational regression equations to estimate the impractical gold standard MLSSV in soccer players by means of a BLT measured during a submaximal single-session test.

Individualized Accelerometer Activity Cut-Points for the Measurement of Relative Physical Activity Intensity Levels.

Purpose: The aim of this study was to compare the widely used accelerometer activity cut-points derived from the absolute moderate intensity recommendation (3‒6 METs), with relative intensity cut-points according to maximal cardiorespiratory fitness (46%‒63% V˙O2max ) and to individual lactate thresholds (LT1 and LT2) in postmenopausal women. Method: Thirty postmenopausal women performed several exercise tests with measures of heart rate, blood lactate, accelerometer activity counts and oxygen consumption. Individual regressions were developed to derive the accelerometer activity counts at absolute and relative moderate intensity recommendations and at individual LTs. Results: The activity counts calculated at the lower moderate intensity boundary were lower for the absolute 3 METs threshold (2026 ± 808 ct·min-1) compared to relative 46 % V˙O2max intensity threshold (p < .01, ES: 1.95) and LT1 (p < .01, ES: 2.27), which corresponded to 4.6 ± 0.7 METs. The activity counts at the upper moderate intensity boundary were higher for LT2 (7249 ± 2499 ct·min-1) compared to the absolute 6 METs threshold (p < .01, ES: 0.72) and relative 63% V˙O2max intensity threshold (p < .01, ES: 0.55). The interindividual variability in activity counts at relative intensity thresholds was high (CV = 30-34%), and was largely explained by cardiorespiratory fitness level (R2 = ~ 50%). Conclusion: Individually tailored (relative to V˙O2max or submaximal LTs) rather than fixed accelerometer intensity cut-points derived from the classic absolute moderate physical activity intensity (3-6 METs) would result in a more accurate measurement of an individual´s activity levels and reduce the risk of overestimating or underestimating physical activity.

Objectively measured absolute and relative physical activity intensity levels in postmenopausal women.

OBJECTIVES: To investigate how objectively measured physical activity (PA) levels differ according to absolute moderate intensity recommendation (3-6 METs) and relative to individual lactate thresholds (LT1 and LT2), and to verify if high-fit women record higher PA levels compared to women with lower aerobic fitness. METHODS: Seventy-five postmenopausal women performed an incremental exercise test and several constant-velocity tests wearing an accelerometer to identify the activity counts (ct min-1) corresponding to LT1 and LT2. Individual linear regression determined activity counts cut-points for each intensity: (1) sedentary (<200 ct min-1), (2) light (from 200 ct min-1 to ct min-1 at LT1), (3) moderate (ct min-1 between LT1 and LT2) and (4) vigorous (ct min-1 > LT2). Participants then wore an accelerometer during a week to measure the time spent at each PA intensity level. RESULTS: According to absolute intensity categorisation, high-fit postmenopausal women recorded twice as much time at moderate-to-vigorous PA (MVPA) (P < 0.01) than low-fit women. However, when PA intensity was calculated relative to individual lactate thresholds, MVPA was significantly reduced by half (P < 0.01) and the data revealed no differences (P = 0.62) between groups (∼20 min day-1 at MVPA). CONCLUSIONS: Accelerometer cut-points derived from absolute moderate-intensity recommendations overestimated MVPA. Similar time at MVPA was recorded by high- and low-fit postmenopausal women when the cut-points were tailored to individual lactate thresholds. A more accurate estimation of PA behaviour could be provided with the use of individually tailored accelerometer cut-points.

A "Blood Relationship" Between the Overlooked Minimum Lactate Equivalent and Maximal Lactate Steady State in Trained Runners. Back to the Old Days?

Maximal Lactate Steady State (MLSS) and Lactate Threshold (LT) are physiologically-related and fundamental concepts within the sports and exercise sciences. Literature supporting their relationship, however, is scarce. Among the recognized LTs, we were particularly interested in the disused "Minimum Lactate Equivalent" (LEmin), first described in the early 1980s. We hypothesized that velocity at LT, conceptually comprehended as in the old days (LEmin), could predict velocity at MLSS (VMLSS) more accurate than some other blood lactate-related thresholds (BLRTs) routinely used nowadays by many sport science practitioners. Thirteen male endurance-trained [VMLSS 15.0 ± 1.1 km·h-1; maximal oxygen uptake ( V.O2max ) 67.6 ± 4.1 ml·kg-1·min-1] homogeneous (coefficient of variation: ≈7%) runners conducted 1) a submaximal discontinuous incremental running test to determine several BLRTs followed by a maximal ramp incremental running test for V.O2max  determination, and 2) several (4-5) constant velocity running tests to determine VMLSS with a precision of 0.20 km·h-1. Determined BLRTs include LEmin and LEmin-related LEmin plus 1 (LEmin+1mM) and 1.5 mmol·L-1 (LEmin+1.5mM), along with well-established BLRTs such as conventionally-calculated LT, Dmax and fixed blood lactate concentration thresholds. LEmin did not differ from LT (P = 0.71; ES: 0.08) and was 27% lower than MLSS (P < 0.001; ES: 3.54). LEmin+1mM was not different from MLSS (P = 0.47; ES: 0.09). LEmin was the best predictor of VMLSS (r = 0.91; P < 0.001; SEE = 0.47 km·h-1), followed by LEmin+1mM (r = 0.86; P < 0.001; SEE = 0.58 km·h-1) and LEmin+1.5mM (r = 0.84; P < 0.001; SEE = 0.86 km·h-1). There was no statistical difference between MLSS and estimated MLSS using LEmin prediction formula (P = 0.99; ES: 0.001). Mean bias and limits of agreement were 0.00 ± 0.45 km·h-1 and ±0.89 km·h-1. Additionally, LEmin, LEmin+1mM and LEmin+1.5mM were the best predictors of V.O2max (r = 0.72-0.79; P < 0.001). These results support LEmin, an objective submaximal overlooked and underused BLRT, to be one of the best single MLSS predictors in endurance trained runners. Our study advocates factors controlling LEmin to be shared, at least partly, with those controlling MLSS.

Validity of a single lactate measure to predict fixed lactate thresholds in athletes.

This study aimed to validate the use of a single blood lactate concentration measure taken following a 12 km h-1 running stage (BLC12) to predict and monitor fixed blood lactate concentration (FBLC) thresholds. Three complementary studies were undertaken. Study I: the relationships between BLC12 and the running speeds at FBLC of 3 mmol L-1 (S3mM) and 4 mmol L-1 (S4mM) measured during a multistage running field test were examined in 136 elite athletes. Study II: data from 30 athletes tested one year apart were used to test the predictive capacity of the equations obtained in Study I. Study III: 80 athletes were tested before and after an intensified training period to examine whether training-induced changes in FBLC thresholds could be predicted and monitored by BLC12. Study I: BLC12 was significantly (P < 0.001) and inversely related to S3mM (R2 = 0.89) and S4mM (R2 = 0.95). Study II: prediction models yielded robust correlations between the estimated and measured FBLC thresholds (r = 0.94-0.99; P < 0.001). Study III: estimated changes predicted actual training-induced changes in FBLC thresholds (r = 0.81-0.91; P < 0.001). This study gives empirical support to use a single lactate measure during a sub-maximal running field test as a simple, low-cost and practical alternative to FBLC thresholds in athletes.