Evidence map›Paper›PMID 31253418›Full record

ArticleSurgery2019

Plasma lactate as a marker of metabolic health: Implications of elevated lactate for impairment of aerobic metabolism in the metabolic syndrome.

Terry E Jones, Walter J Pories, Joseph A Houmard, Charles J Tanner, Donghai Zheng, Kai Zou, Paul M Coen, Bret H Goodpaster, William E Kraus, G Lynis Dohm

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07426172 (Role of Elevated Lactate Levels on Lipid and Carbohydrate Metabolism.), which is not on this map. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed
3.7field-weighted citation impact, top 6% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT07426172 narecruitingnot on this mapstarted 2026, after this paper: background citation

Role of Elevated Lactate Levels on Lipid and Carbohydrate Metabolism.

TypeinterventionalSponsorRicardo MoraRan2026 to 2028Enrolled24ConditionsHyperlactatemia, Metabolic Syndrome (MetS), Lipolysis, ExerciseArmshyperlactacidemia, Saline (0.9%, sterile, for infusion)
3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 74 citations in OpenAlex.

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  16. Lactate Metabolism in Health and Disease.Advances in experimental medicine and biology · 2025
    Review
  17. Article
  18. Article
  19. Delayed and diminished postprandial lactate shuttling in healthy older men and women.American journal of physiology. Endocrinology and metabolism · 2024
    Article
  20. Effects of dietary fibre on metabolic health and obesity.Nature reviews. Gastroenterology & hepatology · 2024
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

Terry E JonesDepartment of Physical Therapy, East Carolina University, Greenville, NC. Electronic address: joneste@ecu.edu.
Walter J PoriesDepartment of Surgery, East Carolina University, Greenville, NC.
Joseph A HoumardDepartment of Kinesiology, East Carolina University, Greenville, NC; Human Performance Laboratory, East Carolina University, Greenville, NC.
Charles J TannerDepartment of Kinesiology, East Carolina University, Greenville, NC; Human Performance Laboratory, East Carolina University, Greenville, NC.
Donghai ZhengDepartment of Kinesiology, East Carolina University, Greenville, NC; Human Performance Laboratory, East Carolina University, Greenville, NC.
Kai ZouDepartment of Exercise and Health Sciences, University of Massachusetts Boston, Boston, MA.
Paul M CoenTranslational Research Institute for Metabolism and Diabetes, Florida Hospital, Orlando, FL.
Bret H GoodpasterTranslational Research Institute for Metabolism and Diabetes, Florida Hospital, Orlando, FL.
William E KrausDivision of Cardiology, Duke University Medical Center, Durham, NC.
G Lynis DohmDepartment of Physiology, East Carolina University, Greenville, NC.
East Carolina University · USTranslational Research Institute for Metabolism and Diabetes · USDuke Medical Center · USUniversity of Massachusetts Boston · US

Funding

PERIPHERAL EFFECTS OF EXERCISE ON CARDIOVASCULAR HEALTHR01HL057354 · NHLBI · DUKE UNIVERSITY · PI KRAUS, WILLIAM E · 1998 to 2008
$5.5M
Physical Activity Following Surgery-Induced Weight LossR01DK078192 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI GOODPASTER, BRET H · 2008 to 2012
$3.0M
Metabolic inflexibility is related to elevated muscle anaerobic glycolysisR01DK120296 · NIDDK · EAST CAROLINA UNIVERSITY · PI BROSKEY, NICHOLAS, HOUMARD, JOSEPH A · 2019 to 2023
$2.6M
NHLBI NIH HHS R01 HL057354NIDDK NIH HHS R01 DK078192NIDDK NIH HHS R01 DK120296
6 · The paper itself

Abstract

backgroundFasting lactate is elevated in metabolic diseases and could possibly be predictive of the risk of developing the metabolic syndrome.

methodsPlasma samples were analyzed for fasting lactate to compare lean subjects, nondiabetic subjects with severe obesity, and metabolically impaired subjects. Subjects with severe obesity were studied 1 week before and 1 week to 9 months after gastric bypass surgery. Subjects with components of the metabolic syndrome were studied before and after 6 months of an exercise intervention.

resultsMetabolically impaired subjects had higher fasting lactate concentrations (P < .0001) and respond to a glucose or insulin challenge with higher lactates than non-obese subjects (P < .004). Lactate was significantly reduced a week after gastric bypass surgery (P < .05) and further reduced 1 to 9 months after surgery (0.95 ± 0.04 mM in non-obese, 1.26 ± 0.12 mM in subjects with severe obesity, and 0.68 ± 0.03 mM 1-3 months after gastric bypass). Six months of chronic exercise resulted in a 16% reduction (P = .028) in fasting lactate.

conclusionFasting plasma lactate was elevated in obese subjects with the metabolic syndrome compared with healthy lean individuals. Lactate was reduced by exercise and bariatric surgery, interventions that improve metabolic health and risk for subsequent disease. The results of this study and those previously published by our research group suggest that elevated lactate may be caused by an impairment in aerobic metabolism and may offer a metric assessing the severity of the metabolic syndrome.

Indexed as

AdultFastingFemaleFollow-Up StudiesGastric BypassHumansLactic AcidMaleMetabolic SyndromeMiddle AgedObesity, MorbidSeverity of Illness IndexTreatment OutcomeLactic Acid

Identifiers

PMID31253418
PMCPMC7142375
OpenAlexW2956043628

What OpenQuestion holds

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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.