Hormonal and metabolic consequences of prolonged running at the individual anaerobic threshold

[Cardiopulmonary exercise testing for exercise prescription in cardiac rehabilitation]

Aerobic endurance training is a core component of exercise training (ET) during cardiac rehabilitation (CR). Improvements of cardiopulmonary performance and symptom-free exercise capacity that can be achieved by ET during CR are essential for patient's prognosis and quality of life. Before initiating exercise training in CR, a detailed risk stratification including incremental exercise testing is required in order to ensure safe and effective exercise training conditions. Cardiopulmonary exercise testing (CPX) with measurement of respiratory gases is considered the gold standard of cardiopulmonary performance diagnostics. The oxygen uptake measured at the highest exercise intensity achieved (peakVO₂) has strong prognostic implications in primary and secondary prevention of cardiovascular diseases, respectively. The use of CPX with measurement of peakVO₂ and determination of ventilatory thresholds (VT) enables a reliable determination of the individual cardiopulmonary performance (peakVO₂) and also the aerobic exercise capacity. In addition, CPX is a valuable tool to detect increments in exercise capacity that were achieved by ET during CR. The measurement of peakVO₂ and the determination of ventilatory thresholds are basic parameters for an individually tailored exercise prescription. In addition, the targeted control of aerobic endurance training on the basis of CPX parameters increases the effectiveness and safety of the exercise program during CR. In this article, recommendations for an individual exercise prescription, based on the results of CPX, are given for patients with coronary heart disease (CHD), heart failure, as well as for patients with CHD and concomitant type 2 diabetes mellitus.

Effect of training volume on footstrike patterns over an exhaustive run

BACKGROUND

Although footstrike pattern (FP) may not be a factor influencing running performance, 11-75% of world-class distance runners use a non-rearfoot FP. However, little attention has been paid to describe the effect of running volume on FP changes when a runner is fatigued.

RESEARCH QUESTION

Does the training volume provide an adequate stimulus to mitigate FP changes during an exhaustive run in non-rearfoot, habitual minimalist footwear runners?

METHODS

The objective of this study was to compare FP between non-rearfoot, habitual minimalist footwear runners with a moderate training volume (MT) and a high training volume (HT) during an exhaustive run on a motorized treadmill. Based on their weekly training volume (distance), twenty-eight runners were arranged into two groups paired by height and age. At the first visit, runners underwent a VO2max test to acquire their velocity for the exhaustive run. During the second visit, biomechanical and physiological analysis of the beginning and the end phase of the exhaustive run was done.

RESULTS

The frontal plane foot angle, the sagittal plane ankle angle at the initial contact (IC), and the foot eversion ROM showed a significant interaction effect (P < 0.05). Additionally, the sagittal plane footstrike angle, the frontal plane foot angle, the sagittal plane ankle angle, knee flexion angle at IC and foot eversion ROM showed a significant effect of fatigue (P < 0.05). Finally, the frontal plane foot angle, the sagittal plane footstrike angle, the sagittal plane ankle angle, and the knee flexion angle showed significant group effects (P < 0.05).

SIGNIFICANCE

The training volume affects the footstrike pattern of non-rearfoot, habitual minimalist footwear runners when they are fatigued. The highly trained runners maintained their ankle angle throughout the exhaustive running protocol, whereas the moderately trained group changed the frontal and sagittal plane characteristics of their footstrike pattern.

Functional Threshold Power Is Not Equivalent to Lactate Parameters in Trained Cyclists

ABSTRACT

Jeffries, O, Simmons, R, Patterson, SD, and Waldron, M. Functional threshold power is not equivalent to lactate parameters in trained cyclists. J Strength Cond Res 35(10): 2790-2794, 2021-Functional threshold power (FTP) is derived from a maximal self-paced 20-minute cycling time trial whereby the average power output is scaled by 95%. However, the physiological basis of the FTP concept is unclear. Therefore, we evaluated the relationship of FTP with a range of laboratory-based blood lactate parameters derived from a submaximal threshold test. Twenty competitive male cyclists completed a maximal 20-minute time trial and an incremental exercise test to establish a range of blood lactate parameters. Functional threshold power (266 ± 42 W) was strongly correlated (r = 0.88, p < 0.001) with the power output associated with a fixed blood lactate concentration 4.0 mmol·L-1 (LT4.0) (268 ± 30 W) and not significantly different (p > 0.05). While mean bias was 2.9 ± 24.6 W, there were large limits of agreement (LOA) between FTP and LT4.0 (-45 to 51 W). All other lactate parameters, lactate threshold (LT) (236 ± 32 W), individual anaerobic threshold (244 ± 33 W), and LT thresholds determined using the Dmax method (221 ± 25 W) and modified Dmax method (238 ± 32 W) were significantly different from FTP (p < 0.05). While FTP strongly correlated with LT4.0, the large LOA refutes any equivalence as a measure with physiological basis. Therefore, we would encourage athletes and coaches to use alternative field-based methods to predict cycling performance.

Relationship Between Critical Power and Different Lactate Threshold Markers in Recreational Cyclists

Purpose: To analyze the relationship between critical power (CP) and different lactate threshold (LT2) markers in cyclists.

Methods: Seventeen male recreational cyclists [33 ± 5 years, peak power output (PO) = 4.5 ± 0.7 W/kg] were included in the study. The PO associated with four different fixed (onset of blood lactate accumulation) and individualized (Dmax_exp, Dmax_pol, and LT_Δ1) LT2 markers was determined during a maximal incremental cycling test, and CP was calculated from three trials of 1-, 5-, and 20-min duration. The relationship and agreement between each LT2 marker and CP were then analyzed.

Results: Strong correlations (r = 0.81–0.98 for all markers) and trivial-to-small non-significant differences (Hedges’ g = 0.01–0.17, bias = 1–9 W, and p > 0.05) were found between all LT2 markers and CP with the exception of Dmax_exp, which showed the strongest correlation but was slightly higher than the CP (Hedges’ g = 0.43, bias = 20 W, and p < 0.001). Wide limits of agreement (LoA) were, however, found for all LT2 markers compared with CP (from ±22 W for Dmax_exp to ±52 W for Dmax_pol), and unclear to most likely practically meaningful differences (PO differences between markers >1%, albeit <5%) were found between markers attending to magnitude-based inferences.

Conclusion: LT2 markers show a strong association and overall trivial-to-small differences with CP. Nevertheless, given the wide LoA and the likelihood of potentially meaningful differences between these endurance-related markers, caution should be employed when using them interchangeably.

Effects of aerobic and anaerobic exercise on glucose tolerance in patients with coronary heart disease and type 2 diabetes mellitus

In patients with coronary heart disease (CHD) and type 2 diabetes mellitus (T2DM), physical activity is strongly advised as nonpharmacological therapy. In general, a moderate aerobic exercise intensity is recommended. It was also proposed, however, that greater intensities tend to yield even greater benefits in HbA1c. Hence, the most appropriate exercise intensity seems not to be established yet. We compared the effect of moderate (aerobic) and vigorous (anaerobic) activity on postprandial plasma glucose.

Methods

In 10 consecutive patients (63 ± 12 years, BMI 28.3 ± 2.6 kg/m², fasting plasma glucose 6.1 ± 1.2 mmol/l), 2-hour plasma glucose was ≥11.1 mmol/l in the oral glucose tolerance test at rest (OGTT-0). Cardiopulmonary exercise test (CPX) was performed until a respiratory exchange ratio (RER) ≥1.20, beeing anaerobic (CPX-1), followed by OGTT-1. A steady-state CPX of 30-minute duration was performed targeting an RER between 0.90 and 0.95, being aerobic (CPX-2), followed by OGTT-2.

Results

In CPX-1, maximum exercise intensity (maxIntensity) averaged at 99 ± 30 Watt and peak oxygen consumption (VO_2peak) reached 15.9 ± 2.8 ml/min/kg. In CPX-2, aerobic intensity averaged at 29 ± 9 Watt, representing 31% of maxIntensity and 61% of VO_2peak. After aerobic exercise, 2-hour plasma glucose was significantly reduced to an average of 9.4 ± 2.3 mmol/l (P < 0.05). Anaerobic exercise did not reduce 2-hour plasma glucose as compared to OGTT-0 (12.6 ± 2.2 vs 12.6 ± 3.9 mmol/l).

Conclusion

Aerobic exercise intensity was very low in our patients with CHD and T2DM. Postprandial plasma glucose was reduced only by aerobic exercise. Larger studies on the optimal exercise intensity are needed in this patient cohort.

The concept of maximal lactate steady state: a bridge between biochemistry, physiology and sport science

The maximal lactate steady state (MLSS) is defined as the highest blood lactate concentration (MLSSc) and work load (MLSSw) that can be maintained over time without a continual blood lactate accumulation. A close relationship between endurance sport performance and MLSSw has been reported and the average velocity over a marathon is just below MLSSw. This work rate delineates the low- to high-intensity exercises at which carbohydrates contribute more than 50% of the total energy need and at which the fuel mix switches (crosses over) from predominantly fat to predominantly carbohydrate. The rate of metabolic adenosine triphosphate (ATP) turnover increases as a direct function of metabolic power output and the blood lactate at MLSS represents the highest point in the equilibrium between lactate appearance and disappearance both being equal to the lactate turnover. However, MLSSc has been reported to demonstrate a great variability between individuals (from 2-8 mmol/L) in capillary blood and not to be related to MLSSw. The fate of enhanced lactate clearance in trained individuals has been attributed primarily to oxidation in active muscle and gluconeogenesis in liver. The transport of lactate into and out of the cells is facilitated by monocarboxylate transporters (MCTs) which are transmembrane proteins and which are significantly improved by training. Endurance training increases the expression of MCT1 with intervariable effects on MCT4. The relationship between the concentration of the two MCTs and the performance parameters (i.e. the maximal distance run in 20 minutes) in elite athletes has not yet been reported. However, lactate exchange and removal indirectly estimated with velocity constants of the individual blood lactate recovery has been reported to be related to time to exhaustion at maximal oxygen uptake.

Lifestyle, stress and cortisol response: Review II : Lifestyle

To prevent lifestyle related diseases, it is important to modify lifestyle behavior. The control of mental stress level and prevention of mental stress-related diseases have become one of the most important problems in Japan. To check mental stress level objectively during the early stage of stress-related diseases and determine appropriate coping methods, it is necessary to design a useful index for mental stress. Cortisol is a steroid hormone secreted by the adrenal cortex. This is an essential hormone to human survival, and plays a key role in adaptation to stress. In another review, we concluded that cortisol appears to be an adequate index for mental stress.However, lifestyle factors such as alcohol drinking, smoking, lack of exercise etc., are strongly associated with mental stress. Thus, in this review, we focus on the relationship between cortisol and lifestyle.The present findings suggested that lifestyle factors; smoking, alcohol drinking, exercise, sleep and nutrition are strongly associated with cortisol levels, and it may be impossible to determine whether alterations in cortisol levels are due to mental stress.It was suggested that those lifestyle effects on not only mental stress itself but also cortisol levels should be considered, when assessing mental stress by cortisol levels.

A simple method for individual anaerobic threshold as predictor of max lactate steady state

BACKGROUND

The individual anaerobic threshold (IAT) is defined (18) as the highest metabolic rate where blood lactate (La) concentrations are maintained at a steady-state during prolonged exercise. Stegmann et al.'s (18) method to detect IAT, using La-performance relationship during incremental graded exercise, is based on the assumption that La is in relatively steady state by the end of each 3-min stage of work rate. However, at the end of a 3-min stage, an La steady state (Lass) is not reached (13).

PURPOSE

The present study was designed to investigate whether the IAT should be determined by attributing La value to the antecedent stage (IATa) or to the same stage of its measurement (IATm), then to verify whether this IAT would be a valid indicator of the max Lass during prolonged exercise.

METHODS

Forty-one athletes (21 male and 20 female), regularly involved in different physical training, performed three exercise tests on treadmill. The first one was a 3-min stage incremental test to detect the IATa and IATm. The other two tests were 30-min prolonged tests at the IATa and IATm workload. Lass were present in IATa intensity (about 4.0 mmol x L(-1)) both in male and female athletes, whereas at IATm intensity a Lass was not present and a premature break-off occurred in some cases.

DISCUSSION

This protocol can be useful for practical use because: 1) the method of choosing the anaerobic threshold is easy to apply; 2) it does not require to reach the maximal effort; and 3) although in some cases the IATa could probably underestimate the workload of max Lass, the IATa can be regarded as guideline to define the intensity of endurance training.

Cardiorespiratory responses to cycling exercise in trained and untrained healthy elderly: with special reference to the lactate threshold

The fastest growing age group in the United States and Japan is the elderly. There is a need to develop appropriate exercise training guidelines designed specifically for healthy older persons. Recent reports have shown that the lactate threshold (LT) can be used to evaluate the clinical significance of aerobic power (VO2max) and its effect of exercise training in the elderly. However, there is a lack of research comparing the LT between well-trained and sedentary elderly individuals. Also, the effect of exercise training on the heart rate (HR) at LT needs further investigation. The purpose of this study was to compare the LT levels between the older trained men (T group; n = 72, age = 71.3 +/- 5.8 yr, range 60-85 yr) and apparently healthy but untrained elderly men (U group; n = 172, age = 72.2 +/- 5.7 yr, range 60-93 yr). The LT was measured during an incremental cycle ergometer test. A low relationship was found between VO2 corresponding to LT (VO2LT) and age in the T (r = 0.20, P < 0.05) and U groups (r = 0.43, P < 0.05). A significant difference was found in the VO2LT between the T and U groups. The absolute VO2LT corresponded to approximately 6 and 4 METs for the T and U subjects, respectively. However, there was no significant difference in HR corresponding to LT (HRLT) between the two groups (T; 109 +/- 19 b.min-1, U; 107 +/- 13 b.min-1). The data show that the absolute VO2LT is higher for T than U elderly subjects and is associated with a HR of approximately 108 b.min-1 for both groups. Recommended exercise intensity in terms of HR may not differ between trained and untrained elderly men.

Blood hormones as markers of training stress and overtraining

An imbalance between the overall strain experienced during exercise training and the athlete's tolerance of such effort may induce overreaching or overtraining syndrome. Overtraining syndrome is characterised by diminished sport-specific physical performance, accelerated fatiguability and subjective symptoms of stress. Overtraining is feared by athletes yet there is a lack of objective parameters suitable for its diagnosis and prevention. In addition to the determination of substrates (e.g. lactate, ammonia and urea) and enzymes (e.g. creatine kinase), the possibilities for monitoring of training by measuring hormonal levels in blood are currently being investigated. Endogenous hormones are essential for physiological reactions and adaptations during physical work and influence the recovery phase after exercise by modulating anabolic and catabolic processes. Testosterone and cortisol are playing a significant role in metabolism of protein as well as carbohydrate metabolism. Both are competitive agonists at the receptor level of muscular cells. The testosterone/cortisol ratio is used as an indication of the anabolic/catabolic balance. This ratio decreases in relation to the intensity and duration of physical exercise, as well as during periods of intense training or repetitive competition, and can be reversed by regenerative measures. Correlations have been noted with the training-induced changes of strength. However, it seems more likely that the testosterone/cortisol ratio indicates the actual physiological strain in training, rather than overtraining syndrome. The sympatho-adrenergic system might be involved in the pathogenesis of overtraining. Overtraining appears as a disturbed autonomic regulation, which in its parasympathicotonic form shows a diminished maximal secretion of catecholamines, combined with an impaired full mobilisation of anaerobic lactic reserves. This is supposed to lead to decreased maximal blood lactate levels and maximal performance. Free plasma adrenaline (epinephrine) and noradrenaline (norepinephrine) may provide additional information for the monitoring of endurance training. While prolonged aerobic exercise conducted at intensities below the individual anaerobic threshold lead to a moderate rise of sympathetic activity, workloads exceeding this threshold are characterised by a disproportionate increase in the levels of catecholamines. In addition, psychological stress during competitive events is characterised by a higher catecholamines to lactate ratio in comparison with training exercise sessions. Thus, the frequency of training sessions with higher anaerobic lactic demands or of competition, should be carefully limited in order to prevent overtraining syndrome. In the state of overtraining syndrome and overreaching, respectively, an intraindividually decreased maximum rise of pituitary hormones (corticotrophin, growth hormone), cortisol and insulin has been found after a standardised exhaustive exercise test performed with an intensity of 10% above the individual anaerobic threshold.(ABSTRACT TRUNCATED AT 400 WORDS)

A method for determining the maximal steady state of blood lactate concentration from two levels of submaximal exercise

The aim of this study was to estimate the characteristic exercise intensity (WCL) which produces the maximal steady state of blood lactate concentration (MLSS) from submaximal intensities of 20 min carried out on the same day and separated by 40 min. Ten fit male adults [maximal oxygen uptake (VO2max) 62 (SD 7) ml.min-1.kg-1] exercised for two 30-min periods on a cycle ergometer at 67% (test 1.1) and 82% of VO2max (test 1.2) separated by 40 min. They exercised 4 days later for 30 min at 82% of VO2max without prior exercise (test 2). Blood lactate was collected for determination of lactic acid concentration every 5 min and heart rate and O2 uptake (VO2) were measured every 30 s. There were no significant differences at the 5th, 10th, 15th, 20th, 25th, or 30th min between VO2, lactacidaemia, and heart rate during tests 1.2 and 2. Moreover, we compared the exercise intensities (WCL) which produced the MLSS obtained during tests 1.1 and 1.2 or during tests 1.1 and 2 calculated from differential values of lactic acid blood concentration ([la-]b) between the 30th and the 5th min or between the 20th and the 5th min. There was no significant difference between the different values of WCL [68 (SD 9), 71 (SD 7, 73 (SD 6), 71 (SD 11)% of VO2max] (ANOVA test, P < 0.05). Four subjects ran for 60 min at their WCL determined from periods performed on the same day (test 1.1 and 1.2) and the difference between the [la-]b at 5 min and at 20 min (delta ([la-]b)) was computed.(ABSTRACT TRUNCATED AT 250 WORDS)

Plasma catecholamines during endurance exercise of different intensities as related to the individual anaerobic threshold

The study investigated the concentrations of free plasma catecholamines (CAT), adrenaline and noradrenaline, in comparison to heart rate and lactic acid concentrations during endurance exercises (EE) of different intensities related to the individual anaerobic threshold (IAT). A group of 14 endurance trained male athletes took part in the tests on a treadmill. After an exhausting incremental graded test (increasing 0.5 m.s-1 every 3 min) to determine the IAT, the subjects performed EE of 45 min in randomized order with intensities of 85%, 95%, 100% and 105% (E85-E105) of the IAT. The heart rate and CAT increased continuously during all EE. The CAT reacted sensitively to EE above IAT (E105) and showed an overproportional increase in comparison to EE performed with an intensity at or below IAT. At the same time, at exercise intensities up to IAT (E85-E100) a lactate steady state was observed whereas mean lactate concentrations increased during E105. The changes of lactate concentration allowed a better differentiation between E85-E100 as CAT measurements. In E95, E100 and E105 there was a partial overlap of heart rate, which in contrast to lactate concentration only differed by about 5%, so that small variations in heart rate could have coincided with considerable differences of exercise intensity when working at intensities near or above IAT. It was concluded that the range of IAT seemed to represent a real physiological breakpoint which corresponded to the aerobic-anaerobic transition.

Glucoregulation and hormonal changes during prolonged exercise in boys and girls

A group of 17 children, 8.5-11 years old, performed a 60-min cycle exercise at 60% of maximal oxygen uptake (VO2max) 2 h after a standardized breakfast. They were 10 young boys (pubertal stage = 1) and 7 young girls (pubertal stage < or = 2) of similar VO2max (respective values were 48.5 ml min-1 kg-1, SEM 1.8; 42.1 ml min-1 kg-1, SEM 2.4). Blood samples of 5 ml were withdrawn by heparinized catheter, the subjects being in a supine position, 30 min before the test, then after 0, 15, 30 and 60 min of exercise and following 30 min recovery. Haematocrit was immediately measured. Thereafter plasma was analysed for glucose, non-esterified fatty acid, glycerol, catecholamine (noradrenaline, adrenaline), insulin and glucagon concentrations. This study showed two main results. First, the onset of exercise induced a significant glucose decrease (of about 11.4%) in all the children. Secondly, both the glycaemic and the hormonal responses were obviously different according to the sex. In boys only, the initial glucose drop was significantly correlated to the pre-exercise insulin values. Whatever the time, the glycaemic levels and the catecholamine responses were lower in girls than in boys, whereas the insulin values remained higher. However, none of these two hormonal parameters seemed to be really responsible for the lower glucose values in girls. On the one hand, the great individual variability of noradrenaline and adrenaline and differences in their relative intensity at the end of the exercise between boys and girls might contribute to the lower catecholamine levels in girls.(ABSTRACT TRUNCATED AT 250 WORDS)

Does anaerobic threshold correlate with maximal lactate steady-state?

The aim of this study was to compare the 'anaerobic threshold' (AnT) of subjects determined during a continuous 2-min incremental exercise test until exhaustion and the 'maximal lactate steady-state' (BLaSsmax) determined during prolonged exercise at constant loads corresponding to the subjects' AnT and/or 5-25% above and below it. Seventeen subjects performed an incremental exercise test and 1-5 prolonged exercise tests on a cycle ergometer until exhaustion at intervals of 1 week, and work rates, oxygen uptake (VO2) values and brachial venous blood lactate (BLa) levels were measured. It was proposed that when exercising at a constant workload below AnT, BLa would fall after having reached its peak; at the level of AnT, BLa reaches maximal steady-state (BLaSsmax); and above AnT, BLa increases continuously. Altogether, in 34 of 45 tests with a constant workload between 80 and 125% AnT, BLa values were as expected. In those cases in which BLaSsmax was reached, BLa increased on average by 3.8 mM from resting levels. This increase was 2.0 mM greater than that seen between resting levels and AnT during incremental exercise. There was no correlation between BLa values at BLaSsmax and at AnT, both when expressed as an increase in BLa (delta BLa) and absolute BLa concentration. Altogether, 81% of the variation in BLa concentration at BLaSsmax could be explained by the subjects' age, the percentage of slow-twitch fibres and BLa levels at rest. The AnT and BLaSsmax did not differ significantly, and these values were correlated (r = 0.83). Together, AnT and age accounted for 85% of the variation seen in BLaSsmax. The BLaSsmax did not correlate with AnT when fixed at a BLa concentration of 4 mM (AnT4mM). The three hypotheses tested in this study were confirmed, and the present results demonstrate that AnT correlates with BLaSsmax. The few exceptions to anticipated BLa kinetics were small in magnitude and could be explained by physiological variations.

Physiological responses during prolonged exercise at the power output corresponding to the blood lactate threshold

Heart rate (HR) and oxygen uptake (VO2) at the mechanical power (W) corresponding to the capillary blood lactate ([la]cap) of 4 mmol.l-1 (Wlt) were measured in 34 healthy male subjects during incremental exercise (Winc). On the basis of these measurements, the subjects were asked to cycle at Wlt for 60 min (steady-state exercise, Wss). Twenty subjects could not reach the target time (mean exhaustion time, te, 38.2 min, SD 5.3), while 6 of the 14 remaining subjects declared themselves exhausted at the end of exercise. The final [la]cap if the two groups of exhausted subjects were 5.3 mmol.l-1, SD 2.3 and 4.3 mmol.l-1, SD 1.1, respectively. At the end of Wss, [la]cap and HR were significantly lower in the 8 unexhausted subjects than in the other subjects. This group also had a lower HR at Wlt during Winc. The HR and VO2 appeared to be higher during Wss than during Winc. When all subjects were ranked according to their te during Wss, Wlt (expressed per kilogram of body mass) was found to be negatively related to te. In conclusion, during Winc, measurements of physiological variables at fixed [la]cap give a poor prediction of their trends during Wss and of the relative te; at the same work load [la]cap can be quite different in the two experimental conditions. Furthermore, resistance to exercise fatigue at Wlt seems lower in the fitter subjects.

Energy metabolism and regulatory hormones in women and men during endurance exercise

Gender differences in the changes substrates of carbohydrate and lipid metabolism as well as in adrenaline, noradrenaline, growth hormone, insulin and cortisol were investigated in 24 women and 24 men during exhaustive endurance exercise. Training history and current performance capacity were taken into consideration in the design of the study. Since previous papers present conflicting results the purpose of the present study was to obtain further information regarding possible gender differences in lipid metabolism and its regulation by hormones. Non-endurance-trained women and men each ran 10 km on a treadmill at an intensity of 75% of VO2max; endurance-trained women and men ran 14 and 17 km, respectively, at an intensity of 80% of VO2max. Blood glucose levels in non-endurance-trained women were higher when compared to non-endurance-trained men. This might be explained by increased mobilization of free fatty acids from intramuscular fat depots during energy production in non-specifically trained women. In contrast, no substantial gender differences in endurance-trained persons were seen in lipid metabolism. The changes in substrates of lipid metabolism confirm the higher lipolytic activity and greater utilization of free fatty acids in endurance-trained persons. During endurance exercise, changes in adrenaline, noradrenaline, growth hormone, insulin and cortisol were not substantially affected by the sex of the subjects. This study does not present any conclusive results that endurance-trained persons show gender differences in lipid metabolism and major regulatory hormones.

Mechanical work and efficiency in ergometer bicycling at aerobic and anaerobic thresholds

Internal and external mechanical work, energy consumption and mechanical efficiency were studied in constant-load ergometer bicycling at five different power outputs below, equal to, and above the aerobic (AerT) and anaerobic (AnT) thresholds. The gross, net and true efficiencies of the whole body in five male subjects were calculated. The work against the external load was defined as the external mechanical work. The internal mechanical work was calculated as the sum of the increments of kinetic and potential energy in all body segments by using methods of film analysis. Total energy consumption was measured by combining aerobic and anaerobic energy production. When the power output of the bicycle ergometer was increased from 146 +/- 15 to 283 +/- 17 W, oxygen consumption increased from 2.20 +/- 0.98 to 4.22 +/- 0.20 l min-1 (P less than 0.001), while the oxygen consumption at rest was 0.30 +/- 0.03 l min-1. The concentration of blood lactate increased from 2.2 +/- 0.4 at the lowest work load to 8.6 +/- 1.2 mmol l-1 at the highest work load (P less than 0.001). The amount of external work done per revolution increased from 139 +/- 20 to 277 +/- 29 J (P less than 0.001), while the amount of internal work per revolution remained almost constant (56 +/- 12 J). The gross efficiency in the present study was 17-20%, net efficiency 18-22% and true efficiency 21-30%, respectively. The highest gross and net efficiencies were reached at the AerT. The lowest efficiencies were obtained at highest work load.(ABSTRACT TRUNCATED AT 250 WORDS)

Heart rate, metabolic and hormonal responses to maximal psycho-emotional and physical stress in motor car racing drivers

Motor car racing is representative of concentrative sporting activities, as well as instructive for mental-concentrative and psycho-emotional stress, which predominates with lower intensity, but longer duration in occupational work of today. A group of 20 car racing drivers was investigated both during car races (Formula Ford and Renault-5-Cup) and during progressive bicycle ergometry in the laboratory. Heart rate during car racing reached a mean level of 174.3 +/- 14.1 min-1 (mean +/- SD), corresponding to 90% of the maximal heart rate achieved at the end of exhaustive ergometry (n = 12). Catecholamine excretion in urine (adrenaline + noradrenaline) on average was 252.3 +/- 77.9 ng min-1 during car racing and 121.9 +/- 37.3 ng min-1 during exhaustive ergometry (n = 10). Most of the other metabolic parameters determined in blood (lactate, glucose, FFA = free fatty acids, plasma protein, insulin, HGH = human growth hormone) also showed significant differences between car racing and bicycle ergometry (n = 20). Therefore it is possible to distinguish between psychical and physical strain and the quantify their specific level. Especially blood lactate can be considered as a metabolic indicator of physical strain and FFA of psycho-emotional strain. Furthermore, significant negative correlations could be found between heart rate, FFA level, and catecholamine excretion during car racing and some measures of physical fitness determined on the bicycle ergometer (n = 12 or 10). This suggests a reduced cardiocirculatory and metabolic strain reaction in response to psychical stress situations with increased fitness. Moreover, HDL (high density lipoprotein) was found increased and oral glucose tolerance test was improved with elevated physical fitness (n = 20, respectively 16). From the results of this study it can be concluded that physical activity counteracts atherosclerosis and CHD (coronary heart disease), which are promoted by psycho-emotional and psycho-social stress.

Metabolic and ventilatory responses to steady state exercise relative to lactate thresholds

The metabolic and ventilatory responses to steady state submaximal exercise on the cycle ergometer were compared at four intensities in 8 healthy subjects. The trials were performed so that, after a 10 min adaptation period, power output was adjusted to maintain steady state VO2 for 30 min at values equivalent to: (1) the aerobic threshold (AeT); (2) between the aerobic and the anaerobic threshold (AeTAnT); (3) the anaerobic threshold (AnT); and (4) between the anaerobic threshold and VO2max (AnTmax). Blood lactate concentration and ventilatory equivalents for O2 and CO2 demonstrated steady state values during the last 20 min of exercise at the AeT, AeAnT and AnT intensities, but increased progressively until fatigue in the AnTmax trial (mean time = 16 min). Serum glycerol levels were significantly higher at 40 min of exercise on the AeAnT and the AnT when compared to AeT, while the respiratory exchange ratios were not significantly different from each other. Thus, metabolic and ventilatory steady state can be maintained during prolonged exercise at intensities up to and including the AnT, and fat continues to be a major fuel source when exercise intensities are increased from the AeT to the AnT in steady state conditions. The blood lactate response to exercise suggests that, for the organism as a whole, anaerobic glycolysis plays a minor role in the energy release system at exercise intensities upt to and including the AnT during steady state conditions.

Muscle metabolism, blood lactate and oxygen uptake in steady state exercise at aerobic and anaerobic thresholds

Muscle metabolites and blood lactate concentration were studied in five male subjects during five constant-load cycling exercises. The power outputs were below, equal to and above aerobic (AerT) and anaerobic (AnT) threshold as determined during an incremental leg cycling test. At AerT, muscle lactate had increased significantly (p less than 0.05) from the rest value of 2.31 to 5.56 mmol X kg-1 wet wt. This was accompanied by a significant reduction in CP by 28% (p less than 0.05), whereas only a minor change (9%) was observed for ATP. At AnT muscle lactate had further increased and CP decreased although not significantly as compared with values at AerT. At the highest power outputs (greater than AnT) muscle lactate had increased (p less than 0.01) and CP decreased (p less than 0.01) significantly from the values observed at AnT. Furthermore, a significant reduction (p less than 0.05) in ATP over resting values was recorded. Blood lactate decreased significantly (p less than 0.01) during the last half of the lowest 5 min exercise, remained unchanged at AerT and increased significantly (p less than 0.05-0.01) at power outputs greater than or equal to AnT. It is concluded that anaerobic muscle metabolism is increased above resting values at AerT: at low power outputs (less than or equal to AerT) this could be related to the transient oxygen deficit during the onset of exercise or the increase in power output. At high power outputs (greater than AnT) anaerobic energy production is accelerated and it is suggested that AnT represents the upper limit of power output where lactate production and removal may attain equilibrium during constant load exercise.

A critical review of the literature on ratings scales for perceived exertion

The study of human performance and perceived exertion during physical activity has been an area of considerable interest and research for over 50 years. This review considers the evidence of many investigators who have been researching the physiological basis as well as non-physiological basis for the ratings of perceived exertion. During low levels of activity, physical perception in the working muscles appears to be the primary stimulus for effort perception. When work intensity exceeds the lactate threshold, incremental elevations in blood lactate complement peripheral input from the neuromuscular mechanisms. Once a critical absolute ventilatory threshold is reached, central input also contributes to effort perception. In most instances, peripheral input predominates over central cues, although it has been shown that pronounced central cues may dominate the perception of effort. Central (heart rate, VE, VO2) or local (muscle and blood lactate, adenosine triphosphate, creatine phosphokinase, glycogen) cues highlighted in these studies demonstrate both the complexity of effort perception, and the need for better understanding of the physiological components upon which it is based. Athletes have been shown to have a greater tendency to reduce perceptual ratings than their non-active counterparts. In view of these observations, it is apparent that a theoretical framework based upon physiological and psychological considerations may exist to support the concept of training-induced alterations in perceived exertion. This appears to be particularly true in higher ranges of exercise intensity. Part of the problem in reaching a conclusion on the issue of perceptual ratings trainability centres upon the agreement on what should be recognised as a significant decrement in perceived exertion. It is concluded that there is considerable variation in the findings of the literature and that any reported variations in performance may well be greatly influenced by intersubject variability, the type of exercise, and nutritional status of subject. Further research is required to understand this issue better.

Metabolic adaptations to exercise: a review of potential beta-adrenoceptor antagonist effects

Human skeletal muscle contains 2 muscle fiber types: slow twitch (type I) and fast twitch (type II). They have different profiles including their biochemical, metabolic, O2 diffusion, microcirculatory and neuromotor characteristics. The slow twitch fiber represents endurance, high combustive potential and recruitment during moderate activity; in contrast, the fast twitch represents explosiveness, force, high capacity for phosphate splitting and lactate formation, but is more fatiguable. A muscle rich in slow twitch fibers is confined to low peripheral resistance at rest and during exercise, higher exercise leg blood flow and higher maximal oxygen uptake (VO2 max). During graded exercise lactate has been shown to be a good marker for the metabolic and circulatory characteristics of the contracting muscle and the exercise intensity (W) eliciting a blood lactate concentration of 4 mmol/liter-1 [(WOBLA) from onset of blood lactate accumulation] integrated for peripheral metabolic, neuromotor and central circulatory potentials both in health and disease. It is well known that a blood lactate level greater than 4 mmol/liter-1 represents a major increase in sympathetic tone and is incompatible with endurance or prolonged exercise. With prolonged exercise and sympathetic regulation both circulation and metabolism adapt. Adipose tissue is stimulated and fatty acids are released. Muscle tissue lipoprotein lipase activity is enhanced; that is, there is increased utilization of blood triglycerides for local lipolysis in the capillary bed of the contracting muscle. Both mechanisms will increase fatty acid availability and induce a "glycogen-sparing effect" resulting in a reduced respiratory exchange ratio. Studies have shown that both the magnitude of the initial glycogen stores and these adaptive responses will determine performance time. With age, changes take place in heart rate regulation, neuromotor control and muscle fibers. Thus VO2 max is decreased, but partly compensated for by a fast motor unit and fiber loss leading to a muscle more rich in slow twitch fibers--an "endurance training-like effect." Relative endurance is also increased with age; however, lactate metabolism is still a critical feature. The OBLA concept describes capacity for both occupational and leisure-time physical activity.