Persistence of the lactate paradox over 8 weeks at 3,800 m

High Alt Med Biol. 2003 Winter;4(4):431-43. doi: 10.1089/152702903322616182.

Abstract

The arterial blood lactate [La] response to exercise increases in acute hypoxia, but returns to near the normoxic (sea level, SL) response after 2 to 5 weeks of altitude acclimatization. Recently, it has been suggested that this gradual return to the SL response in [La], known as the lactate paradox (LP), unexpectedly disappears after 8 to 9 weeks at altitude. We tested this idea by recording the [La] response to exercise every 2 weeks over 8 weeks at altitude. Five normal, fit SL-residents were studied at SL and 3,800 m (Pbar = 485 torr) in both normoxia (PIO2 = 150 torr) and hypoxia (PIO2 = 91 torr approximately air at 3,800 m). Arterial [La] and blood gas values were determined at rest and during cycle exercise at the same absolute workloads (0, 25, 50, 75, 90, and 100% of initial SL-VO2Max) and exercise duration (4, 4, 4, 2, 1.5, and 0.75 min, respectively) at each time point. [La] curves were elevated in acute hypoxia at SL (p < 0.01) and at 3,800 m fell progressively toward the SL-normoxic curve (p < 0.01). On the same days, [La] responses in acute normoxia showed essentially no changes over time and were similar to initial SL normoxic responses. We also measured arterial catecholamine levels at each load and found a close relationship to [La] over time, supporting a role for adrenergic influence on [La]. In summary, extending the time at this altitude to 8 weeks produced no evidence for reversal of the LP, consistent with prior data obtained over shorter periods of altitude residence.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Acclimatization*
  • Adult
  • Altitude*
  • Analysis of Variance
  • California
  • Epinephrine / blood
  • Exercise Test
  • Exercise*
  • Female
  • Hemodynamics / physiology
  • Humans
  • Hypoxia / physiopathology*
  • Lactic Acid / blood*
  • Male
  • Mountaineering
  • Norepinephrine / blood
  • Reference Values
  • Time Factors

Substances

  • Lactic Acid
  • Norepinephrine
  • Epinephrine