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Topic:Lactate

Lactate is a byproduct of anaerobic metabolism, produced when glucose is broken down for energy in the absence of sufficient oxygen. In horses, lactate levels can increase during intense physical exertion, such as racing or other high-performance activities. Elevated lactate concentrations are often associated with muscle fatigue and can provide insights into a horse's exercise physiology and conditioning status. Monitoring lactate levels can aid in assessing the horse's fitness, recovery, and adaptation to training. This page compiles peer-reviewed research studies and scholarly articles that explore the production, regulation, and implications of lactate in equine exercise physiology and performance.
Lactate-driven equine conditioning programmes.
Veterinary journal (London, England : 1997)    December 24, 2010   Volume 190, Issue 2 199-207 doi: 10.1016/j.tvjl.2010.11.012
Campbell EH.Equine conditioning programmes are rarely driven by science. Indeed, the scientific literature on conditioning responses often refers to conventional technique rather than physiological driving parameters. This, alongside poor classification of conditioning protocols, has reduced the possibility of comparative data analysis. Recent interest into lactate-driven conditioning programmes has driven this review which provides a summary of equine protocols used to date and their responses. Key areas identified for further standardisation and/or investigation include (1) the treadmill acclimation pro...
A preliminary study on the changes in some potential markers of muscle-cell degradation in sub-maximally exercised horses supplemented with a protein and amino acid mixture.
Journal of animal physiology and animal nutrition    December 1, 2010   Volume 95, Issue 5 664-675 doi: 10.1111/j.1439-0396.2010.01097.x
van den Hoven R, Bauer A, Hackl S, Zickl M, Spona J, Zentek J.In this preliminary study, time-dependent changes in plasma CK and AST activity, tyrosine (Tyr), 3-methyl-histidine (3mHis), glucose and lactate concentrations were analysed in nine horses under two different conditions. Furthermore, intramuscular concentrations of Tyr, 3mHis and activities of cathepsin B, acid phosphatase (ACP), glucose-6-phosphate dehydrogenase (G6PDH) and mRNA expression of ubiquitin were determined at the same time. After studying the effects of exercise alone, the effects of exercise and feeding of an experimental protein/amino acid (AA) supplement were analysed. Horses w...
Effect of conditioning horses every third day at v10 on measures of fitness.
Journal of animal physiology and animal nutrition    September 29, 2010   Volume 95, Issue 3 286-293 doi: 10.1111/j.1439-0396.2010.01053.x
Lindner A, López RA, Durante E, Hernandez H, Botta V, Sadaba S, Boffi FM.This study examined the effect of exercising horses five times per fortnight with two bouts of 5 min duration at their v(10) with 2 days between consecutive exercise sessions. Five Anglo-Arabian horses were treadmill-conditioned for 6 weeks. A standardized exercise test (SET) was performed at the beginning of the conditioning period (CP) to determine the blood lactate-running speed (BLRS) and the heart rate-running speed (HRRS) relationship and the SET was repeated every 2 weeks. After each SET, the BLRS relation was used to calculate the horse's speed (v = velocity), which produced a blood la...
Muscle damage, hydration, electrolyte balance and vasopressin concentrations in successful and exhausted endurance horses.
Polish journal of veterinary sciences    August 25, 2010   Volume 13, Issue 2 373-379 
Muñoz A, Riber C, Trigo P, Castejón F.Arginine vasopressin (AVP) is released in response to depletion of the effective circulating blood volume. Endurance horses might develop exhaustion because loss of water and electrolytes in sweat with hypovolaemia and electrolytes abnormalities. Therefore, AVP should act in the control of volemia in these animals. This research evaluates the differences in AVP, hydration, electrolyte status and serum muscle enzymes in successful endurance horses in comparison with those eliminated from the competition because of exhaustion. Eighteen endurance horses, divided into two groups, successful (n = 1...
Colic in geriatric compared to mature nongeriatric horses. Part 1: Retrospective review of clinical and laboratory data.
Equine veterinary journal    August 19, 2010   Volume 42, Issue 7 621-627 doi: 10.1111/j.2042-3306.2010.00092.x
Southwood LL, Gassert T, Lindborg S.It is the impression of some surgeons that geriatric horses have a lower survival rate compared to mature nongeriatric horses following colic surgery. One possible reason for this is that geriatric horses may be more critically ill at admission and have more severe disease than mature nongeriatric horses. Objective: To compare admission historical, physical examination and laboratory data for geriatric and mature nongeriatric horses referred for signs of colic. Methods: Medical records of horses admitted with a presenting complaint of colic between 2000 and 2006 were reviewed. Geriatric horses...
Immunohistochemical analysis of MCT1 and CD147 in equine skeletal muscle fibres.
Research in veterinary science    May 4, 2010   Volume 89, Issue 3 432-437 doi: 10.1016/j.rvsc.2010.03.026
Mykkänen AK, Hyyppä S, Pösö AR, Ronéus N, Essén-Gustavsson B.Monocarboxylate transporter 1 (MCT1) and its ancillary protein CD147 facilitate efflux of lactate from the muscle. Expression of MCT1 and CD147 were studied with immunohistochemistry in type I, IIA, IIAB and IIB fibres of equine gluteal muscle. Staining intensity of MCT1 in the cytoplasm as well as in the membranes of fibre types decreased in the order I=IIA>IIAB>IIB and correlated with the oxidative capacity. Capillaries were pronounced in the MCT1 staining. CD147 antibody stained plasma membranes of all fibre types evenly, whereas the staining in the cytoplasm followed that of MCT1. In...
Maximal lactate steady state during exercise in blood of horses.
Journal of animal science    February 26, 2010   Volume 88, Issue 6 2038-2044 doi: 10.2527/jas.2009-2693
Lindner AE.The speed producing the maximal lactate steady state (maxLASS) is supposed to be the optimal speed to condition for endurance. The maxLASS was defined as the maximal speed at which the blood lactate concentration ([LA]) between the 5th and the 25th min of continuous exercise did not increase by more than 1 mmol/L. According to the aerobic-anaerobic lactate threshold concept determined in humans, maxLASS corresponds to v(4) [speed in a standardized exercise test (SET) shown to produce an [LA] of 4 mmol/L; generalized to v(i) for the speed producing an [LA] of i mmol/L]. Four Thoroughbreds were ...
Lactobacillus hayakitensis, L. equigenerosi and L. equi, predominant lactobacilli in the intestinal flora of healthy thoroughbreds.
Animal science journal = Nihon chikusan Gakkaiho    February 19, 2010   Volume 80, Issue 3 339-346 doi: 10.1111/j.1740-0929.2009.00633.x
Morita H, Nakano A, Shimazu M, Toh H, Nakajima F, Nagayama M, Hisamatsu S, Kato Y, Takagi M, Takami H, Akita H, Matsumoto M, Masaoka T, Murakami M.To detect the predominant lactobacilli in the intestinal flora of healthy thoroughbreds, we isolated lactobacilli from the feces of nine thoroughbreds (five males and four females; 0-15-year-old). The isolated lactobacilli comprise 17 species (37 strains), and they were classified into five groups: Lactobacillus salivarius (6 species), L. reuteri (6 species), Lactobacillus delbrueckii (3 species), L. buchneri (1 species) and L. vitulinus (1 species). On the basis of 16S rRNA gene sequences, we identified 3 other phylogenetic relatives belonging to the genus Lactobacillus. These results suggest...
Phosphine intoxication following oral exposure of horses to aluminum phosphide-treated feed.
Journal of the American Veterinary Medical Association    February 16, 2010   Volume 236, Issue 4 446-450 doi: 10.2460/javma.236.4.446
Easterwood L, Chaffin MK, Marsh PS, Porter B, Barr C.66 horses were potentially exposed to phosphine (a gas) 14 hours after being fed a pelleted ration treated with aluminum phosphide. Results: 28 horses had clinical signs of profuse sweating, tachycardia, tachypnea, pyrexia, ataxia, seizures, and widespread muscle tremors. Clinically relevant laboratory findings included hypoglycemia and high plasma concentrations of lactate and ammonia and activities of gamma-glutamyl transpeptidase, aspartate aminotransferase, and alkaline phosphatase. At least 4 horses had signs consistent with hepatic encephalopathy. Necropsy findings included petechial and...
Mass spectrometric investigations on lactate adduction to equine myoglobin.
Meat science    February 8, 2010   Volume 85, Issue 2 363-367 doi: 10.1016/j.meatsci.2010.02.006
Mancini RA, Suman SP, Konda MK, Ramanathan R, Joseph P, Beach CM.Research focused on determining the fundamental mechanisms by which lactate influences color stability has not considered a direct effect of lactate on myoglobin. Thus, the objective of this study was to use Matrix Assisted Laser Desorption Ionization-Time of Flight Mass Spectrometry to examine lactate adduction to myoglobin. Equine oxymyoglobin and equine carboxymyoglobin (0.15mM) were incubated with sodium lactate (200mM) at 4 degrees C, pH 5.6 in 50mM sodium citrate buffer or at 37 degrees C, pH 7.4 in 50mM sodium phosphate buffer, simulating typical meat storage and physiological condition...
Venous blood lactate evaluation in equine neonatal intensive care.
Theriogenology    December 3, 2009   Volume 73, Issue 3 343-357 doi: 10.1016/j.theriogenology.2009.09.018
Castagnetti C, Pirrone A, Mariella J, Mari G.The use of blood lactate concentration as an indicator of prognosis and disease severity has become a common practice in equine medicine, especially with the validation of handheld analyzers. However, few authors described lactate concentration in critically ill foals, and there are no published studies about the use of handheld analyzers in neonatal foals. In this study, for the first time in the equine neonate, we validated the Lactate Scout analyzer, both in healthy and in critically ill foals. The study also describes the normal range for blood lactate in 26 healthy neonatal foals during t...
Sequential plasma lactate concentrations as prognostic indicators in adult equine emergencies.
Journal of veterinary internal medicine    November 21, 2009   Volume 24, Issue 1 198-205 doi: 10.1111/j.1939-1676.2009.0419.x
Tennent-Brown BS, Wilkins PA, Lindborg S, Russell G, Boston RC.Sequential lactate concentration ([LAC]) measurements have prognostic value in that hospitalized humans and neonatal foals that have a delayed return to normolactatemia have greater morbidity and case fatality rate. Objective: Prognosis for survival is decreased in horses with a delayed return to normal [LAC]. Methods: Two hundred and fifty adult horses presented for emergency evaluation excepting horses evaluated because of only ophthalmologic conditions, superficial wounds, and septic synovitis without systemic involvement. Methods: Prospective observational study. [LAC] was measured at admi...
Relationships between racing times of Standardbreds and v4 and v200.
Journal of animal science    November 20, 2009   Volume 88, Issue 3 950-954 doi: 10.2527/jas.2009-2241
Lindner AE.The objective of the study was to examine the validity of v(4) [velocity run under the defined conditions inducing 4 mmol/L of blood lactate concentration ([LA])] and v(200) (velocity run under the defined conditions inducing a heart rate of 200 beats/min) to differentiate performance level among Standardbred racehorses. For this purpose, 19 Standardbred trotting racehorses with differing racing time records in 2 training yards were submitted to a standardized exercise test to determine their v(4) and v(200) (6 horses of one yard only). The test consisted of 4 or more consecutive intervals dep...
Effect of blood lactate-guided conditioning of horses with exercises of differing durations and intensities on heart rate and biochemical blood variables.
Journal of animal science    June 19, 2009   Volume 87, Issue 10 3211-3217 doi: 10.2527/jas.2009-2001
Lindner A, Mosen H, Kissenbeck S, Fuhrmann H, Sallmann HP.The velocity at which blood lactate concentration ([LA]) of 4 mmol/L is reached (v(4)) is widely used to determine fitness, but there are few published data on using [LA] as a guide for the exercise speed for training in horses. In this study, the effect of 3 conditioning programs with [LA] guided exercise speeds on v(4), v(200) (speed at a heart rate of 200 beats/min), blood [LA], plasma FFA ([FFA]), and alanine concentrations ([alanine]), before and after exercise, as well as heart rate during exercise, of horses was examined. Six 2-yr-old Haflinger stallions underwent an initial treadmill-b...
Sub-clinical diseases affecting performance in Standardbred trotters: diagnostic methods and predictive parameters.
Veterinary journal (London, England : 1997)    May 23, 2009   Volume 184, Issue 3 282-289 doi: 10.1016/j.tvjl.2009.04.016
Richard EA, Fortier GD, Pitel PH, Dupuis MC, Valette JP, Art T, Denoix JM, Lekeux PM, Erck EV.The objectives of this study were to determine the prevalence of sub-clinical diseases in poorly-performing Standardbred horses, compare their physiological response to exercise with control horses, and identify predictive parameters of poor-performance. Fifty horses underwent thorough clinical and ancillary examinations, including haematological and biochemical evaluation, Doppler echocardiography, standardised exercise tests (SETs) on both treadmill and racetrack, treadmill video-endoscopy and collection of respiratory fluids. Most of the poorly-performing horses exhibited many concomitant d...
Effects of high and low inspired fractions of oxygen on horse erythrocyte membrane properties, blood viscosity and muscle oxygenation during anaesthesia.
Veterinary anaesthesia and analgesia    May 12, 2009   Volume 36, Issue 4 287-298 doi: 10.1111/j.1467-2995.2009.00459.x
Portier K, Crouzier D, Guichardant M, Prost M, Debouzy JC, Kirschvink N, Fellmann N, Lekeux P, Coudert J.To evaluate whether a period of hyperoxia or after a period of hypoxia produced changes attributable to reactive oxygen species in anaesthetized horses. Methods: Prospective randomized experimental study. Methods: Six healthy (ASA I) geldings, aged 4.5-9.5 years and weighing 510-640 kg(-1). Methods: After 30 minutes breathing air as carrier gas for isoflurane, horses were assigned randomly to breathe air as carrier gas (CG0.21) or oxygen as carrier gas (CG1.00) for a further 90 minutes. After an interval of 1 month each horse was re-anaesthetized with the other carrier gas for the 90 minute te...
alpha-Lipoic acid supplementation enhances heat shock protein production and decreases post exercise lactic acid concentrations in exercised standardbred trotters.
Research in veterinary science    May 8, 2009   Volume 87, Issue 3 462-467 doi: 10.1016/j.rvsc.2009.04.009
Kinnunen S, Hyyppä S, Oksala N, Laaksonen DE, Hannila ML, Sen CK, Atalay M.Heat shock protein (HSP) expression is an adaptive mechanism against the disruption of cell homeostasis during exercise. Several antioxidant supplementation strategies have been used to enhance tissue protection. In this study, we examined the effects of a redox modulator, alpha-lipoic acid (LA) on HSP responses in six standardbred trotters following intense aerobic exercise. DL-LA supplementation (25 mg kg(-1) d(-1)) for five weeks increased the resting levels of HSP90 (1.02+/-0.155 in control and 1.26+/-0.090 after supplementation in arbitrary units) and the recovery levels of inducible HSP7...
Effects of long-term extracorporeal blood perfusion of the distal portion of isolated equine forelimbs on metabolic variables and morphology of laminar tissue.
American journal of veterinary research    May 2, 2009   Volume 70, Issue 5 669-677 doi: 10.2460/ajvr.70.5.669
Patan B, Budras KD, Licka TF.To establish an ex vivo model of blood perfusion in the distal portion of isolated equine forelimbs that closely represents the in vivo situation in the laminar tissue of the hoof. Methods: 18 forelimbs collected from 9 healthy adult horses following slaughter at a licensed abattoir. Methods: The distal portion of isolated equine forelimbs from 9 horses were perfused under physiologic conditions over a period of 6, 8, and 10 hours with autologous blood. To determine cell viability in perfused tissues, indicators for metabolism (lactate generation and glucose and oxygen consumption) as well as ...
Blood glutathione status and activity of glutathione-metabolizing antioxidant enzymes in erythrocytes of young trotters in basic training.
Journal of animal physiology and animal nutrition    March 31, 2009   Volume 94, Issue 2 137-145 doi: 10.1111/j.1439-0396.2008.00889.x
Janiak M, Suska M, Dudzińska W, Skotnicka E.The aim of this study was to evaluate response of blood glutathione status and activity of glutathione-metabolizing antioxidant enzymes in erythrocytes of young trotters in basic training. Nine untrained trotters (aged 16-20 months) were exposed to a 4-month training program based on exercises at low-to-moderate intensity. The conditioning consisted of breaking the horses and running them on distances varying from 4 to 40 km a week. The workloads were increased on a 3-week basis. Exercise intensity was monitored by measuring heart rate and blood lactate. Blood samples were collected at rest, b...
The effects of short intensive exercise on plasma free amino acids in standardbred trotters.
Journal of animal physiology and animal nutrition    March 27, 2009   Volume 93, Issue 2 165-173 doi: 10.1111/j.1439-0396.2007.00801.x
Hackl S, van den Hoven R, Zickl M, Spona J, Zentek J.The aim of this study was to investigate the effect of short intense exercise on plasma amino acid concentrations in trotters and to test the repeatability of plasma amino acids concentration in samples obtained on two independent days under field conditions. Plasma amino acid concentrations were analysed in blood samples of 36 standardbred trotters before and after intense exercise over a distance of 2000 m. Sampling was repeated in 20 horses after 35 days. Exercise intensity was estimated from post-exercise lactate levels. Horses were divided in two groups according to a cut-off lactate conc...
Association of blood lactate concentration and outcome in foals.
Journal of veterinary internal medicine    March 20, 2009   Volume 23, Issue 3 598-605 doi: 10.1111/j.1939-1676.2009.0277.x
Wotman K, Wilkins PA, Palmer JE, Boston RC.Lactate concentration in blood or plasma ([LAC]) and change in [LAC] are associated with survival in sick foals. Objective: [LAC] and change in [LAC] over time are associated with survival at 96 hours and discharge in neonatal foals. Furthermore [LAC] and change in [LAC] over time correlate with blood culture results and blood pressure at admission. Methods: Two hundred and twenty-five foals consecutively admitted to a Neonatal Intensive Care Unit. Methods: Retrospective case review. Foals <or=30 days of age with [LAC] from arterial (190) or umbilical (35) blood gas analysis ([LAC](BG)) at ...
Metabolism during anaesthesia and recovery in colic and healthy horses: a microdialysis study.
Acta veterinaria Scandinavica    March 10, 2009   Volume 51, Issue 1 10 doi: 10.1186/1751-0147-51-10
Edner AH, Essén-Gustavsson B, Nyman GC.Muscle metabolism in horses has been studied mainly by analysis of substances in blood or plasma and muscle biopsy specimens. By using microdialysis, real-time monitoring of the metabolic events in local tissue with a minimum of trauma is possible. There is limited information about muscle metabolism in the early recovery period after anaesthesia in horses and especially in the colic horse. The aims were to evaluate the microdialysis technique as a complement to plasma analysis and to study the concentration changes in lactate, pyruvate, glucose, glycerol, and urea during anaesthesia and in th...
Plasma levels of heat shock protein 72 (HSP72) and beta-endorphin as indicators of stress, pain and prognosis in horses with colic.
Veterinary journal (London, England : 1997)    February 23, 2009   Volume 184, Issue 1 100-104 doi: 10.1016/j.tvjl.2009.01.011
Niinistö KE, Korolainen RV, Raekallio MR, Mykkänen AK, Koho NM, Ruohoniemi MO, Leppäluoto J, Pösö AR.A prospective observational study was performed to evaluate whether the plasma concentration of heat shock protein 72 (HSP72) or beta-endorphin is related to clinical signs, blood chemistry, or severity of pain of colic. Seventy-seven horses with colic and 15 clinically healthy controls were studied. The horses were divided into four groups which reflected increasing severity of colic, from normal control horses to horses with mild, moderate and severe colic. Blood samples were collected before any treatment. Packed cell volume (PCV) and plasma HSP72, beta-endorphin, cortisol, adrenocorticotro...
Influence of time of day on body temperature, heart rate, arterial pressure, and other biological variables in horses during incremental exercise.
Chronobiology international    January 15, 2009   Volume 26, Issue 1 47-60 doi: 10.1080/07420520802689772
Piccione G, Giannetto C, Assenza A, Casella S, Caola G.We examined the response to exercise of selected physiological variables in horses performing the identical routine for eight days, in the morning (a.m.) or in the afternoon (p.m.). Heart rate (HR), systolic and diastolic blood pressure (BP), and body temperature (BT) were all consistently greater in the p.m. For BP and BT, the absolute increase above the a.m. values was the same at rest and during exercise. For HR, the absolute increase was greater during exercise, but the percent increase was the same as during rest. During exercise, blood glucose decreased, while blood lactate and skin temp...
Effects of intravenous administration of caffeine on physiologic variables in exercising horses.
American journal of veterinary research    December 3, 2008   Volume 69, Issue 12 1670-1675 doi: 10.2460/ajvr.69.12.1670
Ferraz GC, Teixeira-Neto AR, Mataqueiro MI, Lacerda-Neto JC, Queiroz-Neto A.To investigate the effect of acute administration of caffeine on the athletic performance of Arabian horses. Methods: 12 healthy adult Arabian horses that were trained for exercise on a treadmill. Methods: By use of a crossover study design, horses received each of the following treatments: IV administration of caffeine (5 mg/kg) and IV administration of approximately the same volume of saline (0.9% NaCl) solution. Order of treatment was randomized, and there was a 10-day interval between treatments. Thirty minutes after treatments, horses underwent an incremental exercise test (IET) on a trea...
Effect of sucralfate on total carbon dioxide concentration in horses subjected to a simulated race test.
Veterinary journal (London, England : 1997)    October 23, 2008   Volume 183, Issue 2 191-195 doi: 10.1016/j.tvjl.2008.09.003
Caltabilota TJ, Milizio JG, Malone S, Kenney JD, McKeever KH.The purpose of this study was to test the hypothesis that sucralfate, a gastric ulcer medication, would alter plasma concentrations of total carbon dioxide (tCO2), lactate (LA), sodium (Na+), potassium (K+), chloride (Cl-) and total protein (TP), as well as calculated plasma strong ion difference (SID) and packed cell volume (PCV) in horses subjected to a simulated race test (SRT). Six unfit Standardbred mares (approximately 520 kg, 9-18 years) were used in a randomized crossover design with the investigators blinded to the treatment given. The horses were assigned to either a control (40-50 m...
Growth hormone secretion in relation to plasma lactate and glucose concentrations during a maximal treadmill exercise test in horses.
Veterinary research communications    August 9, 2008   Volume 32 Suppl 1 S111-S113 doi: 10.1007/s11259-008-9104-4
Borromeo V, Ferrucci F, Zucca E, Berrini A, Secchi C.No abstract available
Clinical pathology in the racing horse: the role of clinical pathology in assessing fitness and performance in the racehorse.
The Veterinary clinics of North America. Equine practice    July 26, 2008   Volume 24, Issue 2 405-vii doi: 10.1016/j.cveq.2008.03.001
McGowan C.Clinical pathology is frequently used in racehorses to screen for "fitness" to race and to screen for disease that may affect performance. The role of clinical pathology in exercise testing of racehorses is important, especially in the area of blood lactate responses to exercise. This article discusses the use of resting and dynamic clinical pathology in the racehorse, especially in respect to investigation of the state of training (or fitness) and detection of subclinical performance-limiting disease.
Microbial ecology of the equine hindgut during oligofructose-induced laminitis.
The ISME journal    June 26, 2008   Volume 2, Issue 11 1089-1100 doi: 10.1038/ismej.2008.67
Milinovich GJ, Burrell PC, Pollitt CC, Klieve AV, Blackall LL, Ouwerkerk D, Woodland E, Trott DJ.Alimentary carbohydrate overload is a significant cause of laminitis in horses and is correlated with drastic shifts in the composition of hindgut microbiota. Equine hindgut streptococcal species (EHSS), predominantly Streptococcus lutetiensis, have been shown to be the most common microorganisms culturable from the equine caecum prior to the onset of laminitis. However, the inherent biases of culture-based methods are estimated to preclude up to 70% of the normal caecal microbiota. The objective of this study was to evaluate bacterial population shifts occurring in the equine caecum throughou...
Effects of warm-up intensity on oxygen transport during supramaximal exercise in horses.
American journal of veterinary research    May 2, 2008   Volume 69, Issue 5 690-696 doi: 10.2460/ajvr.69.5.690
Mukai K, Hiraga A, Eto D, Takahashi T, Hada T, Tsubone H, Jones JH.To determine whether warm-up exercise at different intensities alters kinetics and total contribution of aerobic power to total metabolic power in subsequent supramaximal exercise in horses. Methods: 11 horses. Methods: Horses ran at a sprint until fatigued at 115% of maximal oxygen consumption rate (VO(2max)), beginning at 10 minutes following each of 3 warm-up protocols: no warmup (NoWU), 1 minute at 70% VO(2max) (moderate-intensity warm-up [MoWU]), or 1 minute at 115% VO(2max) (high-intensity warm-up [HiWU]). Cardiopulmonary and blood gas variables were measured during exercise. Results: Th...
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