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The influence of a respiratory acidosis on the exercise blood lactate response
Authors:Tom M McLellan
Institution:(1) Environmental Physiology Section, Biosciences Division, Defence and Civil Institute of Environmental Medicine, P.O. Box 2000, M3M 3B9 North York, Ontario, Canada
Abstract:Summary The purpose of the present study was to examine the influence of a respiratory acidosis on the blood lactate (La) threshold and specific blood La concentrations measured during a progressive incremental exercise test. Seven males performed three step-incremental exercise tests (20 W · min–1) breathing the following gas mixtures; 21% O2 balance-nitrogen, and 21% O2, 4% CO2 balance-nitrogen or balance-helium. The log-log transformation of La oxygen consumption (VO2) relationship and a 1 mmol ·1–1 increase above resting values were used to determine a La threshold. Also, theVO2 corresponding to a La value of 2 (La2) and 4 (La4) mmol · 1–1 was determined. Breathing the hypercapnic gas mixtures significantly increased the resting partial pressure of carbon dioxide (PCO2) from 5.6 kPa (42 mm Hg) to 6.1 kPa (46 mm Hg) and decreased pH from 7.395 to 7.366. During the incremental exercise test,PCO2 increased significantly to 7.2 kPa (54 mm Hg) and 6.8 kPa (51 mm Hg) for the hypercapnic gas mixtures with nitrogen and helium, respectively, and pH decreased to 7.194 and 7.208. In contrast, bloodPCO2 decreased to 4.9 kPa (37 mm Hg) at the end of the normocapnic exercise test and pH decreased to 7.291. A blood La threshold determined from a log-log transformation 1.20 (0.28) 1·min–1] or as an increase of 1 mmol·1–11.84 (0.46) 1·min–1] was unaffected by the acid-base alterations. Similarly, theVO2 corresponding to La2 and La4 was not affected by breathing the hypercapnic gas mixtures 2.12 (0.46) 1·min–1 and 2.81 (0.52) 1·min–1, respectively]. Blood La values were reduced significantly at maximal exercise while breathing the hypercapnic gas mixtures (5.72±1.34 mmol ·1–1) compared with the normocapnic test (6.96±1.14 mmol·1–1). It is concluded that respiratory-induced acid-base manipulations due to the inspiration of 4% CO2 have a negligible influence on the blood La response during a progressive exercise test at low and moderate power outputs. Lower blood La values are observed at maximal exercise with an induced respiratory acidosis but this negative influence is less than what has been reported for an induced metabolic acidosis.
Keywords:Blood lactate  Hypercapnia  Hydrogen ion  Carbon dioxide partial pressure  Acid-base
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