ReviewSports medicine (Auckland, N.Z.)2003
The concept of maximal lactate steady state: a bridge between biochemistry, physiology and sport science.
Review in Sports medicine (Auckland, N.Z.), 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 120 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
120 citing papers in PubMed, 3 syntheses or guidelines pooled it, 388 citations in OpenAlex.
- The 3-min all-out test in cycling: a systematic review and meta-analysis on its reliability and validity.European journal of applied physiology · 2026Pooled it
- Heart Rate Variability-Derived Thresholds for Exercise Intensity Prescription in Endurance Sports: A Systematic Review of Interrelations and Agreement with Different Ventilatory and Blood Lactate Thresholds.Sports medicine - open · 2023Pooled it
- Performance-Enhancing Drugs in Healthy Athletes: An Umbrella Review of Systematic Reviews and Meta-analyses.Sports healthPooled it
- Caffeine Affects Time to Exhaustion and Substrate Oxidation during Cycling at Maximal Lactate Steady State.Nutrients · 2015Trial
- Six weeks of aerobic training improves VO2max and MLSS but does not improve the time to fatigue at the MLSS.European journal of applied physiology · 2013Trial
- Lactate threshold predicting time-trial performance: impact of heat and acclimation.Journal of applied physiology (Bethesda, Md. : 1985) · 2011Trial
- Time to exhaustion at maximal lactate steady state is similar for cycling and running in moderately trained subjects.European journal of applied physiology · 2009Trial
- The reproducibility of an endurance performance test in adolescent cyclists.European journal of applied physiology · 2005Trial
- The effect of inspiratory muscle training upon maximum lactate steady-state and blood lactate concentration.European journal of applied physiology · 2005Trial
- Real-time continuous assessment of fatigue from surface electromyography with deep learning for training load regulation in elite cyclists.BMC sports science, medicine & rehabilitation · 2026Article
- A reassessment of the energetic significance of blood lactate accumulation during exercise.European journal of applied physiology · 2026Review
- Acute Normobaric Hypoxia at 2000 and 3000 m Significantly Lowers the Maximal Lactate Steady State (MLSS) in Trained Cyclists: Training Implications.Journal of human kinetics · 2026Article
- Muscle oxygen saturation plateau: Definition and verification in different oxygen availability conditions in locomotor and non-locomotor muscles.Experimental physiology · 2026Article
- Article
- Physiological Responder Profiles and Fatigue Dynamics in Prolonged Cycling.Journal of functional morphology and kinesiology · 2025Article
- Factors Influencing Blood Lactate Concentration During Exercise: A Narrative Review With a Lactate Shuttle Perspective.Acta physiologica (Oxford, England) · 2025Review
- Internal training exposure: development and construct validation of an individualised method using heart rate variability.European journal of applied physiology · 2025Article
- Establishing VO2peak-based exercise intensity classification and physiological validation in ICR mice.Physical activity and nutrition · 2025Article
- Evaluating the maximal rate of lactate accumulation and estimated maximal lactate steady state in cycling.European journal of applied physiology · 2025Article
- Modelling Energy Demands of Cross-Country Tests in 2-Star to 5-Star Eventing Competitions.Animals : an open access journal from MDPI · 2025Article
60 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The maximal lactate steady state (MLSS) is defined as the highest blood lactate concentration (MLSSc) and work load (MLSSw) that can be maintained over time without a continual blood lactate accumulation. A close relationship between endurance sport performance and MLSSw has been reported and the average velocity over a marathon is just below MLSSw. This work rate delineates the low- to high-intensity exercises at which carbohydrates contribute more than 50% of the total energy need and at which the fuel mix switches (crosses over) from predominantly fat to predominantly carbohydrate. The rate of metabolic adenosine triphosphate (ATP) turnover increases as a direct function of metabolic power output and the blood lactate at MLSS represents the highest point in the equilibrium between lactate appearance and disappearance both being equal to the lactate turnover. However, MLSSc has been reported to demonstrate a great variability between individuals (from 2-8 mmol/L) in capillary blood and not to be related to MLSSw. The fate of enhanced lactate clearance in trained individuals has been attributed primarily to oxidation in active muscle and gluconeogenesis in liver. The transport of lactate into and out of the cells is facilitated by monocarboxylate transporters (MCTs) which are transmembrane proteins and which are significantly improved by training. Endurance training increases the expression of MCT1 with intervariable effects on MCT4. The relationship between the concentration of the two MCTs and the performance parameters (i.e. the maximal distance run in 20 minutes) in elite athletes has not yet been reported. However, lactate exchange and removal indirectly estimated with velocity constants of the individual blood lactate recovery has been reported to be related to time to exhaustion at maximal oxygen uptake.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.