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      Salivary and blood lactate kinetics in response to maximal workload on cycle ergometer Translated title: Cinética do lactato salivar e sanguíneo em resposta à potência máxima no cicloergômetro

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          Abstract

          Abstract The use of saliva may assist an emerging need for cost, time and invasiveness reduction, and special care involved in the collection of biomarkers, compared to blood tests. The aim of this study was to analyze the lactate kinetics in blood and saliva in response to graded cycle ergometer exercise. In a predictive correlational study, nine healthy male cyclists (24±2 years; 71.3±7.6kg; 170.9±4.7cm) were submitted to a graded exercise protocol, started at 10% of maximal workload (WMAX). Blood and salivary lactate concentrations were measured every 3 minutes during exercise and at the 3rd, 6th, 9th, 15th, 30th and 60th minutes after exercise. To investigate the relationship between salivary and blood lactate, linear regression analysis was applied and the level of significance was set at p<0.05. There was a parallel evolution among the mean values of lactate measured in capillary blood and saliva with increasing workload (R2adjust. = 0.93, p<0.001). It was concluded that although with different magnitudes, the lactate response during incremental exercise was similar between blood and saliva. Thus, the use of salivary lactate seems to be a noninvasive model for determining the blood lactate response to graded cycle ergometer exercise.

          Translated abstract

          Resumo O emprego da saliva pode subsidiar uma necessidade emergente de redução de custos, invasividade, cuidados e tempo, comparado às análises sanguíneas. O objetivo do estudo foi analisar a cinética do lactato no sangue e saliva, em resposta ao exercício físico incremental em cicloergômetro. Em uma pesquisa correlacional preditiva, nove ciclistas saudáveis do sexo masculino (24±2 anos; 71.3±7.6kg; 170.9±4.7cm) foram submetidos a um protocolo de esforço progressivo, iniciado a 10% da carga máxima (WMÁX), obtida previamente, com incremento de 10% a cada três minutos até a exaustão voluntária. A concentração de lactato sanguíneo e salivar foi medida durante o exercício e no 3º, 6º, 9º, 15º, 30º e 60º minutos pós-exercício. Para averiguar relações entre as curvas de lactato, foi realizada uma análise de regressão linear. Verificou-se uma evolução paralela entre os valores médios de lactato, medidos no sangue capilar e na saliva, com o aumento da carga de trabalho (R2ajust. =0.93; p<0.001). Conclui-se que, embora com magnitudes diferentes, a resposta lactacidêmica, durante o exercício incremental, foi similar entre o sangue e a saliva. Nesse sentido, o uso do lactato salivar demostrou ser um modelo não invasivo para a determinação do lactato sanguíneo em resposta ao exercício físico.

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          Most cited references23

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          Saliva as research material: biochemical, physicochemical and practical aspects.

          Whole saliva is a complex mixture of proteins and other molecules which originate from several sources. The biochemical and physicochemical properties of saliva contribute to the numerous functions of saliva in, e.g., speech, maintaining oral and general health, and food processing. Interest in saliva has increased in the last few years for its potential to diagnose viral, bacterial and systemic diseases. The use of saliva as research material may pose particular problems due to its inherent variability and instability. This review describes practical aspects of salivary as research material with emphasis on protein biochemistry and physical chemistry.
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            Saliva composition and exercise.

            Little attention has been directed toward identifying the changes which occur in salivary composition in response to exercise. To address this, our article first refers to the main aspects of salivary gland physiology. A knowledge of the neural control of salivary secretion is especially important for the understanding of the effects of exertion on salivary secretion. Both salivary output and composition depend on the activity of the autonomic nervous system and any modification of this activity can be observed indirectly by alternations in the salivary excretion. The effects of physical activity (with reference to factors such as exercise intensity and duration, or type of exercise protocol) on salivary composition are then considered. Exercise might indeed induce changes in several salivary components such as immunoglobulins, hormones, lactate, proteins and electrolytes. Saliva composition might therefore be used as an alternative noninvasive indicator of the response of the different body tissues and systems to physical exertion. In this respect, the response of salivary amylase and salivary electrolytes to incremental levels of exercise is of particular interest. Beyond a certain intensity of exercise, and coinciding with the accumulation of blood lactate (anaerobic threshold or AT), a 'saliva threshold' (Tsa) does indeed exist. Tsa is the point during exercise at which the levels of salivary alpha-amylase and electrolytes (especially Na+) also begin to rise above baseline levels. The occurrence of the 2 thresholds (AT and Tsa) might, in turn, be attributable to the same underlying mechanism, that of increased adrenal sympathetic activity at high exercise intensities.
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              A comparison of whole mouth resting and stimulated salivary measurement procedures.

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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                rbcdh
                Revista Brasileira de Cineantropometria & Desempenho Humano
                Rev. bras. cineantropom. desempenho hum.
                Universidade Federal de Santa Catarina (Florianópolis )
                1980-0037
                October 2015
                : 17
                : 5
                : 565-574
                Affiliations
                [1 ] Faculdades Integradas de Patos Brazil
                [2 ] Universidade Federal de Pernambuco Brazil
                [3 ] Universidade Estadual de Campinas Brazil
                [4 ] Universidade de Pernambuco Brazil
                Article
                S1980-00372015000500565
                10.5007/1980-0037.2015v17n5p565
                0206bf19-de10-4bc3-8299-a2f43303d579

                http://creativecommons.org/licenses/by/4.0/

                History
                Product

                SciELO Brazil

                Self URI (journal page): http://www.scielo.br/scielo.php?script=sci_serial&pid=1980-0037&lng=en
                Categories
                SPORT SCIENCES

                Sports medicine
                Lactic acid,Physical exertion,Salivary glands,Ácido láctico,Esforço físico,Glândulas salivares

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