Renal lactate elimination is maintained during moderate exercise in humans

Stefanos Volianitis, Ellen A Dawson, Mads Dalsgaard, Chie Yoshiga, Jens Clemmesen, Niels H Secher, Niels Vidiendal Olsen, Henning Nielsen

2 Citationer (Scopus)

Abstract

Reduced hepatic lactate elimination initiates blood lactate accumulation during incremental exercise. In this study, we wished to determine whether renal lactate elimination contributes to the initiation of blood lactate accumulation. The renal arterial-to-venous (a-v) lactate difference was determined in nine men during sodium lactate infusion to enhance the evaluation (0.5 mol · L7 at 16 ± 1 mL · min7; mean ± s) both at rest and during cycling exercise (heart rate 139 ± 5 beats · min7). The renal release of erythropoietin was used to detect kidney tissue ischaemia. At rest, the a-v O2 (CaO2-CvO2) and lactate concentration differences were 0.8 ± 0.2 and 0.02 ± 0.02 mmol · L7, respectively. During exercise, arterial lactate and CaO2-CvO2 increased to 7.1 ± 1.1 and 2.6 ± 0.8 mmol · L 7, respectively (P50.05), indicating a ~ 70% reduction of renal blood flow with no significant change in the renal venous erythropoietin concentration (0.8 ± 1.4 U · L). The a-v lactate concentration difference increased to 0.5 ± 0.8 mmol · L, indicating similar lactate elimination as at rest. In conclusion, a * 70% reduction in renal blood flow does not provoke critical renal ischaemia, and renal lactate elimination is maintained. Thus, kidney lactate elimination is unlikely to contribute to the initial blood lactate accumulation during progressive exercise.

OriginalsprogEngelsk
TidsskriftSerbian Journal of Sports Sciences
Vol/bind30
Udgave nummer2
Sider (fra-til)149-53
Antal sider5
ISSN1820-6301
DOI
StatusUdgivet - jan. 2012

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