Methodological approach to the first and second lactate threshold in incremental cardiopulmonary exercise testing

Ronald K. Binder, Manfred Wonisch, Ugo Corra, Alain Cohen-Solal, Luc Vanhees, Hugo Saner, Jean Paul Schmid

Research output: Contribution to journalArticlepeer-review

Abstract

Determination of an 'anaerobic threshold' plays an important role in the appreciation of an incremental cardiopulmonary exercise test and describes prominent changes of blood lactate accumulation with increasing workload. Two lactate thresholds are discerned during cardiopulmonary exercise testing and used for physical fitness estimation or training prescription. A multitude of different terms are, however, found in the literature describing the two thresholds. Furthermore, the term 'anaerobic threshold' is synonymously used for both, the 'first' and the 'second' lactate threshold, bearing a great potential of confusion. The aim of this review is therefore to order terms, present threshold concepts, and describe methods for lactate threshold determination using a three-phase model with reference to the historical and physiological background to facilitate the practical application of the term 'anaerobic threshold'.

Original languageEnglish
Pages (from-to)726-734
Number of pages9
JournalEuropean Journal of Cardiovascular Prevention and Rehabilitation
Volume15
Issue number6
DOIs
Publication statusPublished - Dec 2008

Keywords

  • Anaerobic threshold
  • Blood lactate
  • Exercise training
  • Isocapnic buffering period
  • Respiratory compensation point

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Epidemiology
  • Medicine(all)

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