HPHE 6720 - Topic 3

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    Topic 3:

    Determination of the Lactate and

    Ventilatory Thresholds

    Laboratory Manual Section 03

    HPHE 6720

    Dr. Cheatham

    Review of Physiology, Methods of Detection, and

    Application

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    Goals for this Topic

    Understand the physiological origins of lacticacid/lactate

    Understand the concepts of the lactate

    threshold and ventilatory threshold Become familiar with the protocols, equipment,

    testing procedures to measure LT/VT Become familiar with the analysis methods to

    determine the LT/VT

    Understand the relationship betweenperformance and the LT/VT

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    Physiology of Lactate Production

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    One cause of lactate threshold: Fate of pyruvate is lactate when

    mitochondrial hydrogen shuttle cannot keep pace with accelerated rate ofglycolysis (increased rate of glycolytic production of NADH+ H+)

    Physiology of Lactate Production

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    Lactate During Exercise

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    Lactate During Exercise

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    Definition of Lactate Threshold

    Lactate threshold is defined as the workload, or

    exercise intensity, at which lactate begins to

    accumulate in the blood.

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    Physiological Basis of LT

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    Methods of Detection of LT

    Two-Line Regression Model Beaver, W., Wasserman, K., & Whipp, B. (1986). A new method for

    detecting anaerobic threshold by gas exchange. Journal of Applied

    Physiology, 60(6), 2020-2027.

    Fixed Blood Lactate Concentrations

    2.0, 4.0 mmol/L

    Individual Anaerobic Threshold (IAT)

    Stegmann, H., Kindermann, W. & Schnabel, A. (1981) Lactate kinetics

    and individual anaerobic threshold. International Journal of Sports

    Medicine, 2, 160-165.

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    Methods of Detection of LT

    Two-Line Regression Model

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    Methods of Detection of LT

    Fixed Blood Lactate Concentrations

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    Ventilatory Threshold (VT) - Definition

    The point during incremental exercise at which

    ventilation increases out of proportion to the

    increase in oxygen uptake

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    VT - Physiological Basis

    The increase in H+ from lactic acid dissociation isbuffered by bicarb system

    The end result is an increase in CO2

    Ventilation increases in order to rid body of excess CO2

    H+ + HCO3- H2CO3 H2O + CO2

    Lactic Acid Lactate- + H+

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    VT - Determination

    Protocol Considerations

    Similar protocols to LT test

    However, shorter continuous test can be used

    because of rapid alterations in ventilation

    Three Main Methods

    Ventilation curve

    V-slope method

    Ventilatory equivalents method

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    VT - Determination

    Ventilation Curve Plot VE vs. VO2 or Watts or Time

    The point at which there is a non-linear increase inventilation

    V-Slope Method Plot VO2 vs. VCO2

    The point at which the increase in VCO2 in greater thanthe increase in VO2

    Ventilatory Equivalents Method

    Plot VE/VO2 and VE/VCO2 vs. Watts or time or VO2

    Point at which VE/VO2 increases while VE/VCO2

    decreases or stays the same.

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    VT Determination - VE Curve

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    VT - Determination

    Ventilation Curve Plot VE vs. VO2 or Watts or Time

    The point at which there is a non-linear increase inventilation

    V-Slope Method Plot VO2 vs. VCO2

    The point at which the increase in VCO2 in greater thanthe increase in VO2

    Ventilatory Equivalents Method

    Plot VE/VO2 and VE/VCO2 vs. Watts or time or VO2

    Point at which VE/VO2 increases while VE/VCO2

    decreases or stays the same.

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    VT Determination - V Slope Method

    0.0

    0.5

    1.0

    1.5

    2.0

    2.5

    3.0

    3.5

    4.0

    4.5

    5.0

    0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 4.0 4.5

    VO2 (L/min)

    VCO2(L/m

    in)

    VT Breakpoint

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    VT - Determination

    Ventilation Curve Plot VE vs. VO2 or Watts or Time

    The point at which there is a non-linear increase inventilation

    V-Slope Method Plot VO2 vs. VCO2

    The point at which the increase in VCO2 in greater thanthe increase in VO2

    Ventilatory Equivalents Method

    Plot VE/VO2 and VE/VCO2 vs. Watts or time or VO2

    Point at which VE/VO2 increases while VE/VCO2

    decreases or stays the same.

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    VT - Ventilatory Equivalents Plot

    10

    15

    20

    25

    30

    35

    40

    45

    50

    25 50 75 100 125 150 175 200 225 250 275 300

    Exercise Intensity (Watts)

    VE/VO2orV

    E/VCO2

    VE/VO2

    VE/VCO2

    VT Breakpoint

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    How is LT/VT Expressed?

    VO2 at LT/VT

    Percentage of

    VO2max at LT/VT

    Workload/Exercise

    intensity at LT/VT

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    LT/VT and Performance

    Farrell et al. (1979) LT was significantly correlated with performance

    time during long distance running (3.2km tomarathon)

    r > 0.91 (VO2max r > 0.83) Kumagai et al. (1982)

    Correlated performance time in 5km, 10km, and 10mile runs with LT

    LT: 5km r = 0.945 10km r = 0.839 10m r = 0.835

    VO2max: 5km r = 0.645 10km r = 0.674 10m r = 0.574

    Powers et al. (1983) Correlated VO2max, running economy and VT to performance time in

    10km road race

    VT: r = 0.94 RE: r = 0.51 VO2max: r = 0.38

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    Lactic acid accumulation contributes to

    muscular fatigue

    H+ ion interferes with Ca2+ binding to troponin-C

    Lactate ion may also interfere with this binding

    Alteration in fiber type utilization

    Alterations in substrate utilization

    Mechanism for LT/VT Affecting Performance

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    Class Project

    We will perform one maximal graded exercisetest on a cycle ergometer to determine the

    LT/VT.

    Student will use a variety of analysis techniquesto identify the LT/VT.