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  <front>
    <journal-meta>
      <journal-title-group>
        <journal-title>Biomedical Research and Therapy</journal-title>
      </journal-title-group>
      <issn pub-type="epub" publication-format="electronic">2198-4093</issn>
      <publisher>
        <publisher-name>BioMedPress</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="doi">10.15419/bmrat.v4i05.170</article-id>
      <article-categories>
        <subj-group subj-group-type="display-channel">
          <subject>Research Article</subject>
        </subj-group>
        <subj-group subj-group-type="heading">
          <subject>Biomedical Research and Therapy</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Blood lactate level in Elite boy swimmers after lactate tolerance exercise test</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <name>
            <surname>Nikseresht</surname>
            <given-names>Asghar</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Yabande</surname>
            <given-names>Iman</given-names>
          </name>
          <xref ref-type="aff" rid="aff2"/>
        </contrib>
        <contrib contrib-type="author" corresp="yes">
          <name>
            <surname>Rahmanian</surname>
            <given-names>LKaramatollah</given-names>
          </name>
          <xref ref-type="aff" rid="aff2"/>
          <xref ref-type="corresp" rid="cor1">*</xref>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Sotoodeh Jahromi</surname>
            <given-names>Abdolreza</given-names>
          </name>
          <xref ref-type="aff" rid="aff3"/>
        </contrib>
        <aff id="aff1">
          <institution>Department of Sport Physiology, Islamic Azad University, Jahrom Branch, Jahrom, Iran</institution>
        </aff>
        <aff id="aff2">
          <institution>Research Center for Social Determinants of Health, Jahrom University of Medical Sciences, Jahrom, Iran</institution>
        </aff>
        <aff id="aff3">
          <institution>Research Center for Non-Communicable Diseases, Jahrom University of Medical Sciences, Jahrom, Iran</institution>
        </aff>
      </contrib-group>
      <author-notes>
        <corresp id="cor1"><label>*</label>For correspondence: <email>rahmaniank47@yahoo.com</email></corresp>
        <fn fn-type="con" id="equal-contrib">
          <label>*</label>
          <p>These authors contributed equally to this work</p>
        </fn>
      </author-notes>
      <pub-date date-type="pub" publication-format="electronic">
        <day>22</day>
        <month>05</month>
        <year>2017</year>
      </pub-date>
      <volume>4</volume>
      <issue>5</issue>
      <fpage>1</fpage>
      <lpage>3</lpage>
      <history>
        <date date-type="received">
          <day>26</day>
          <month>02</month>
          <year>2017</year>
        </date>
        <date date-type="accepted">
          <day>11</day>
          <month>05</month>
          <year>2017</year>
        </date>
      </history>
      <permissions>
        <copyright-statement>Copyright: &#169; The Author(s) 2017</copyright-statement>
        <copyright-year>2017</copyright-year>
        <license license-type="open-access" xlink:href="http://creativecommons.org/licenses/CC-BY/4.0">
          <license-p>This article is published with open access by BioMedPress (BMP), Laboratory of Stem Cell Research and Application, Vietnam National University, Ho Chi Minh city, Vietnam This article is distributed under the terms of the Creative Commons Attribution License (CC-BY 4.0) which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.</license-p>
        </license>
      </permissions>
      <self-uri content-type="pdf" xlink:href="http://www.bmrat.org/index.php/BMRAT/article/view/170/497"/>
      <abstract>
        <p>Introduction: To avoid injuries during high-intensity sports training, it is important to recognize  conditions  of  bodily  consumption  and  production  of  adequate  energy; exercise increases the concentration of the blood lactate. This paper is an attempt to compare pre and post lactate tolerance exercise test - blood lactate concentrations - of elite boy swimmers. Methods: Blood lactates are measured by an enzymatic method on 12 subjects 30 minutes before and adjust and 24 hours after the test. Results: The mean lactate concentration of 30.35&#177;12.16 mg/dl is observed in swimmers 30 minutes before the test. Swimmers adjust after the test show mean blood lactate concentration of 108.52&#177;18.17  mg/dl  that  is  significantly  higher  than  30  minutes  before  the  test (p&lt;0.001). Then blood lactate level decreases below baseline level at 24 hours after the test. Conclusion: Blood lactate increases with the test and decreases below baseline within 24 hours after the test.</p>
      </abstract>
      <kwd-group>
        <kwd>Lactate Tolerance Test</kwd>
        <kwd>Swimmer</kwd>
        <kwd>Blood lactate</kwd>
        <kwd>Male</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="s1">
      <title>Introduction</title>
      <p>During  high-intensity  sports  training,  it  is  important  to  recognize  in  what conditions the body consumes and produces adequate energy to avoid injuries. Exercise increases the concentration of the blood lactate. Additionally, blood lactate is related to intensity <xref ref-type="bibr" rid="ref25">Rogatzki et al., 2014</xref><xref ref-type="bibr" rid="ref29">Vescovi et al., 2011</xref> and distance of exercise <xref ref-type="bibr" rid="ref22">Keskinen et al., 2007</xref><xref ref-type="bibr" rid="ref29">Vescovi et al., 2011</xref>. Issurin et al (Issurin et al., 2001) has found that the highest level of lactate concentrations is formed  during  butterfly  swimming,  followed  by  other  styles  including breaststroke, backstroke and freestyle swimming indicated by three different tests with 22 highly trained swimmers (14 male, 8 females) as subjects. The blood lactate significantly increased with the gradually enhanced achievement <xref ref-type="bibr" rid="ref23">LI, 2010</xref>. Conversely, Halfslder et al reported that the mean blood lactate concentration decreased in longer distance of swimming <xref ref-type="bibr" rid="ref17">Holfelder et al., 2013</xref>. In another study conducted by Sawka et al <xref ref-type="bibr" rid="ref26">Sawka et al., 1979</xref>, swimmers in the 200-yd butterfly, back, breast and freestyle races had similar mean blood lactate concentrations (ranging from 16.4-20.6 mm/l).</p>
      <p>Blood lactate level was significantly increased immediately after 3 exercises and returned to the basic level within the next 3 hours <xref ref-type="bibr" rid="ref30">Zaree and Yarahmadi, 2013</xref>. The results showed that the plasma lactate concentration increased immediately after the exercise in comparison to former results - 24 hours after exercise - at all levels of intensity <xref ref-type="bibr" rid="ref27">Sholi et al., 2015</xref>. Rogatzki et al reported that blood ammonium and lactate seemed to accumulate in response to an increasing number of repetitions with decreasing rest time between sets <xref ref-type="bibr" rid="ref25">Rogatzki et al., 2014</xref>.  Bonifazi  et  al  showed  that  the  post-competition  blood  lactate concentrations were higher in the main competitions than in the preparatory competitions <xref ref-type="bibr" rid="ref9">Bonifazi et al., 2000</xref>. Altimari <xref ref-type="bibr" rid="ref2">Altimari et al., 2010</xref> suggested that increasing  the  swimming  distance  significantly  decreased  the  mean  speed (p&lt;0.01). The mean blood lactate concentration 7 min after the induction of acidosis during the lactate minimum test was 10.79&#177;1.65 mm/l <xref ref-type="bibr" rid="ref2">Altimari et al., 2010</xref>. Gorostiaga et al <xref ref-type="bibr" rid="ref15">Gorostiaga et al., 2014</xref> used leg press exercise to examine  blood  lactate  and  ammonia  and  muscle  lactate.  Thirteen  men participated  and  1  repetition  maximum  leg  press  strength  199  &#177;  33  kg performed either 5 sets of 10 repetitions to failure (5&#215;10RF), or 10 sets of 5 repetitions not to failure (10&#215;5RNF) with the same initial load (10RM) and inter-set rests (2 minutes) on 2 separate sessions in random order. The 5&#215;10RF resulted in significant high levels of muscle lactate (25.0 &#177; 8.1 mmol/kg wet weight), blood lactate (10.3 &#177; 2.6 mmol/L), and blood ammonia (91.6 &#177; 40.5 &#956;mol/L). During 10&#215;5RNF no or minimal changes were observed <xref ref-type="bibr" rid="ref15">Gorostiaga et al., 2014</xref>.</p>
      <p>Lactic acid was not a waste material after anaerobic exercise, on the other hand it was such a vital, energetic substrate for oxidization <xref ref-type="bibr" rid="ref16">Hashimoto and Brooks, 2008</xref>. Thus, a high glycolytic capacity might mean that a player could produce more lactate to perform high-intensity exercise and could use the lactate for oxidation by continuing to exercise at a high level of intensity. Muscle cells had 2 major functions including the production and clearance of lactate, and blood lactate  levels  changed  as  a  result  of  a  balance  between  production  and clearance.</p>
      <p>Blood lactate measurement was a classical method for many decades <xref ref-type="bibr" rid="ref7">Beneke et al., 2011</xref><xref ref-type="bibr" rid="ref12">Devlin et al., 2014</xref>. Generally, blood lactate was increased with exercise intensity <xref ref-type="bibr" rid="ref1">Aguiar et al., 2015</xref><xref ref-type="bibr" rid="ref8">Benelli et al., 2007</xref> which showed a clear transition from aerobic activity to anaerobic activity <xref ref-type="bibr" rid="ref1">Aguiar et al., 2015</xref>. In details, blood lactate was increased slowly at the beginning and then elicited an exponential  rise  during  graded  incremental  exercise.  For  now,  lactate accumulated as it was produced much faster than its decomposition. Baron et al in a 2 hour swimming test showed that capillary lactate concentration decreased significantly between 10th to 20th minute after the test <xref ref-type="bibr" rid="ref6">Baron et al., 2005</xref>.</p>
      <p>The aim of present study was to compare blood lactate thirty minutes before and just and twenty-four hours after the lactate tolerance exercise test.</p>
    </sec>
    <sec id="s2">
      <title>Materials - Methods</title>
      <p>Twelve male swimmers who were members of the Fars Province team with at least 5-10 years of experience, agreed to participate in this study. They were between 14 and 18 years old. Swimmers were informed about the experimental procedure and of the potential risks and benefits of the study. Swimming players signed written consent for participation. The present study was approved by the Human Ethics Committee of the Jahrom University of Medical Sciences (JUMS.REC.1393.016).</p>
      <p>After a resting of 24 hours, a self-selected warm-up swim was done. Then swimmers performed Lactate Tolerance Exercise Test (LTET) which included an 800 m swim with higher than threshold intensity during eight times using a normal diving start at 1-min intervals. The test was performed in a 50-m indoor pool.</p>
      <p>Blood samples were collected from the subjects 3 times in total; that is, 30 minutes before and just and 24 hours after trial set. Blood lactate levels were analyzed by ELIZA and auto-analyzer instrument.</p>
      <p>The Kolmogorov&#8211;Smirnov test was applied for testing each variable&#8217;s normality. To compare the study variables (blood lactate before and after LTET), we used Pair t test to compare blood lactate before test with adjust and with 24 hours after the test. Mean and SD values were obtained for all descriptive variables. A p value of &lt;0.05 was considered significant.</p>
    </sec>
    <sec id="s3">
      <title>Results</title>
      <p>According to <xref ref-type="fig" rid="tab1"> Table 1 </xref>, the analysis showed that there was a significant difference between blood lactate 30 minutes and just after the LTET (p&#8804;0.001) and between adjust and 24 hours after the LTET (p&#8804;0.001). Blood lactate concentration decreased after interruption of the test and approximately returned to below the baseline level at 24 hours after the test.</p>
      <fig id="tab1">
        <label>Table 1</label>
        <caption>
          <p>Blood Lactate concentration before and after Lactate Tolerance Swimming Test in elite boy swimmers</p>
        </caption>
        <graphic xlink:href="bmrat.v4i05.170/tab1.png"/>
      </fig>
      <p>The highest blood lactate levels were observed in swimmer number 8 and the lowest in swimmer number 4 who participated 30 minutes before lactate tolerance test (<xref ref-type="fig" rid="tab2"> Table 2 </xref>). Just after the test, the swimmer number 1 had the highest and number 3 showed the lowest blood lactate level. The swimmer number 8 and 11 had respectively the highest and the lowest blood lactate level at 24 hours after the test. The maximum different blood lactate level was observed for swimmer number 1 in the span of time of before and just after the test. On the contrary, the athlete number 6 had lowermost blood lactate different.</p>
      <fig id="tab2">
        <label>Table 2</label>
        <caption>
          <p>Blood Lactate levels (mg/dl) in individual boy elite swimmers</p>
        </caption>
        <graphic xlink:href="bmrat.v4i05.170/tab2.png"/>
      </fig>
    </sec>
    <sec id="s4">
      <title>Discussion</title>
      <p>During sports activities and physical exercise, sequences of physiological and biochemical changes happen, which reflect the stress of body under the load of training. For coaches and athletes, determining the load and duration of training has been scientifically a difficult problem for many years. When the training load and duration is larger than athletic abilities, it always causes injuries for athletes. On the contrary, too small loads fail to improve sports abilities and level effectively.</p>
      <p>The production of lactate is believed to be augmented during exercise. This substrate diffuses from the muscle and accumulates in the blood. If the blood lactate is measured, it can serve as an indicator of activated processes during a workout. In light to moderate practices, the accumulation of lactate in the blood does not exist or is low. As the workload increases, blood lactate is also increased. However, blood PH is decreased when the level of lactate in muscles and blood goes up. Increment of blood PH may interfere with enzymatic activity of several glycolytic enzymes and actin-myosin interaction with the contractile process that may serve as a limiting function in exercises. Lactate has often used as an indicator of the intensity of exercise as well as the recovery from it.</p>
      <p>We found that blood lactate level was significantly increased during LTET test. This result was similar to previous studies. Ikeda suggested that the twelve swims rushes with approximately 1 minute interval induced a significant increase in serum lactate <xref ref-type="bibr" rid="ref18">Ikeda, 2002</xref>. Mean blood lactate levels rose suddenly from an initial level of 1.34&#177;0.35 mm before the first set to 12.28&#177;1.55 mm after the first set. Then, lactate levels fell before rising again after the sets. Takagi et al suggested that the highest blood lactate levels were observed after the first trial set,  they  decreased  significantly  toward  the  second  trial  set,  and  were maintained at the same level after the third trial set <xref ref-type="bibr" rid="ref28">Takagi et al., 2013</xref>. Also, Kantanista et al <xref ref-type="bibr" rid="ref21">Kantanista et al., 2016</xref> found that exercise increases blood lactate.</p>
      <p>Contrary to our results, Melchorrim et al reported that mean blood lactate level was 7.7&#177;1.0 mm, and that blood lactate levels were 7.7&#177;1.2, 7.8&#177;0.6, 7.5&#177;0.9, and 7.2&#177;1.6 mm during the first, second, third, and fourth quarters, respectively <xref ref-type="bibr" rid="ref24">Melchiorri et al., 2010</xref>. Also, Vicente et al suggested that lactate concentration remained stable during half squat exercise at the lactate threshold among 13 healthy subjects <xref ref-type="bibr" rid="ref14">Garnacho-Casta&#241;o et al., 2015</xref>.</p>
      <p>In our study the concentration of lactate in the blood achieved its below resting value after 24 hours of recovery. This data was in line with the findings of Degoutte et al <xref ref-type="bibr" rid="ref11">Degoutte et al., 2003</xref>, who observed that lactate concentrations in blood were appeared to return to the baseline level within 24 hours. Also, in study conducted by Kantanista blood lactate decreased after the interruption of exercise <xref ref-type="bibr" rid="ref21">Kantanista et al., 2016</xref>. Adversely, Jafari et al suggested that the blood lactate significantly increased 24 hours after 1600 meter running among 27 non athlete boys <xref ref-type="bibr" rid="ref20">Jafari et al., 2016</xref>. Other research <xref ref-type="bibr" rid="ref3">Ament et al., 1999</xref> indicated that lactate still elevated after 30 minutes of recovery in healthy volunteers.</p>
      <p>The investigators suggested a positive correlation between lactate production and average speed or distance of exercise <xref ref-type="bibr" rid="ref5">Avlonitou, 1996</xref>. Also, Benelli et al in 52 male swimmers aged 40-79 years suggested that the blood lactate is dependent to the intensity and distance of competition <xref ref-type="bibr" rid="ref8">Benelli et al., 2007</xref>. They stated that peaks of lactate were observed in distance of 100 m. Also, Kantanista reported that by increasing the speed of the treadmill, blood lactate was increased <xref ref-type="bibr" rid="ref21">Kantanista et al., 2016</xref>.</p>
      <p>Diet and nutritional status may stimuli strength and power adaptation <xref ref-type="bibr" rid="ref10">Crewther et al., 2006</xref><xref ref-type="bibr" rid="ref13">Duke et al., 2011</xref>. Short-term diet modification has Influence on the blood lactate to rating of perceived exertion <xref ref-type="bibr" rid="ref4">Arshadi et al., 2017</xref>. The effect of sleep and sleep deprivation on cortisol and testosterone responses, anaerobic performance indices and blood lactate have been approved in active men <xref ref-type="bibr" rid="ref27">Sholi et al., 2015</xref>. We didn&#8217;t evaluate these factors in present study. This can be seen as a limitation of our study. But blood sampling was drawn for participants 30 minutes and adjust after exertion and due to individual self-control, effect of these variables become disinterested.</p>
    </sec>
    <sec id="s5">
      <title>Conclusion</title>
      <p>We conducted an experiment to estimate lactate production during a lactate tolerance swimming test in swimming players. Our results showed a significant increase in blood lactate just after the test; and decreased to below of baseline 24 hours after the test.</p>
    </sec>
    <sec id="s6">
      <title>Abbreviations</title>
      <p>ELIZA: Enzyme-Linked Immunosorbent Assay L: Litter</p>
      <p>LET: Lactate Tolerance Exercise Test Mg/dl: milligram/deciliter</p>
      <p>mmol: millimole REC: RECord</p>
      <p>RF: Repetitions to Failure RM: Repetition Max</p>
      <p>RNF: Repetitions Not to Failure SD: Standard Deviation</p>
      <p>&#181;mol: micromole</p>
    </sec>
    <sec id="s7">
      <title>Author contribution</title>
      <p>Asghar Nikseresht: Design of study, proposal of study writing, final content of study Imman Yabande: proposal of study writing, enrolled data, manuscript writing Karamatollah Rahmanian: Design of study, proposal of study writing, analysis, interpretation, manuscript writing, final content of study Abdolreza Sotoode Jahromi: proposal of study writing, interpretation, final content of study</p>
    </sec>
  </body>
  <back>
    <ack id="ack">
      <title>Acknowledgements</title>
      <p>We would like to thank the participants for the data sets. Special thanks to Jahrom University of Medical Sciences for the support on foundation.</p>
    </ack>
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