Comparing Muscle Oxygenation and Peak Blood Lactate Concentration in Division 1 College Middle-Distance Athletes: A Speed Reserve Ratio Analysis

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Introduction Middle-distance running requires a balance of aerobic and anaerobic energy systems, necessitating efficient physiological profiling for optimized training. Performance biomarkers, such as the Speed Reserve Ratio (SRR), have been used to improve training and performance but may not always be practical for routine assessment. Other biomarkers, such as skeletal muscle oxygenation (SmO 2 ) and blood lactate concentration ([La]bmax), may be more cost-effective and easier to integrate into training programs than the SRR. This study investigates the relationship between SmO 2 and [La]bmax with SRR in NCAA Division I middle-distance runners to determine whether these physiological markers could serve as viable alternatives for athlete profiling. Methods Male NCAA Division I athletes (n = 11) completed a series of sprint trials and incremental treadmill tests to assess SmO 2 and blood lactate responses. Results The change in skeletal muscle oxygenation (ΔSmO 2 ) exhibited a significant positive correlation with SRR (r = 0.656, p = 0.028), while Reoxygenation Hemoglobin Slope (ROHS) displayed a negative correlation (r = -0.644, p = 0.033), suggesting that oxygen utilization and recovery kinetics differentiate athletes with higher anaerobic or aerobic capacities. Discussion These findings highlight the potential of SmO 2 -derived metrics as accessible, noninvasive alternatives for profiling aerobic–anaerobic balance in middle-distance runners, particularly in situations where SRR measurement is impractical or unavailable. Future research should explore how these markers integrate into training models, their predictive validity across different competition levels, and their application in optimizing individualized athlete development programs. Conclusion Integrating noninvasive SmO 2 monitoring can be a beneficial addition to training programs for enhancing performance outcomes in middle-distance runners.

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Dietary regimen and performance of high intensity ergometer exercise.
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&lt;title&gt;Relationship between blood oxygenation and lactate in human skeletal muscle revealed by near-infrared spectroscopy&lt;/title&gt;
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Dietary nitrate supplementation and exercise tolerance in patients with heart failure with reduced ejection fraction.
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Endothelial dysfunction and reduced nitric oxide (NO) signaling are key abnormalities leading to skeletal muscle oxygen delivery-utilization mismatch and poor physical capacity in patients with heart failure with reduced ejection fraction (HFrEF). Oral inorganic nitrate supplementation provides an exogenous source of NO that may enhance locomotor muscle function and oxygenation with consequent improvement in exercise tolerance in HFrEF. Thirteen patients (left ventricular ejection fraction ≤40%) were enrolled in a double-blind, randomized crossover study to receive concentrated nitrate-rich (nitrate) or nitrate-depleted (placebo) beetroot juice for 9 days. Low- and high-intensity constant-load cardiopulmonary exercise tests were performed with noninvasive measurements of central hemodynamics (stroke volume, heart rate, and cardiac output via impedance cardiography), arterial blood pressure, pulmonary oxygen uptake, quadriceps muscle oxygenation (near-infrared spectroscopy), and blood lactate concentration. Ten patients completed the study with no adverse clinical effects. Nitrate-rich supplementation resulted in significantly higher plasma nitrite concentration compared with placebo (240 ± 48 vs. 56 ± 8 nM, respectively; P < 0.05). There was no significant difference in the primary outcome of time to exercise intolerance between nitrate and placebo (495 ± 53 vs. 489 ± 58 s, respectively; P > 0.05). Similarly, there were no significant differences in central hemodynamics, arterial blood pressure, pulmonary oxygen uptake kinetics, skeletal muscle oxygenation, or blood lactate concentration from rest to low- or high-intensity exercise between conditions. Oral inorganic nitrate supplementation with concentrated beetroot juice did not present with beneficial effects on central or peripheral components of the oxygen transport pathway thereby failing to improve exercise tolerance in patients with moderate HFrEF.

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