Evidence map›Paper›PMID 41677846›Full record

ReviewEuropean journal of applied physiology2026

A reassessment of the energetic significance of blood lactate accumulation during exercise.

Guido Ferretti, Pietro Enrico di Prampero

Abstract readReview
In one paragraph

Review in European journal of applied physiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. The VOEuropean journal of applied physiology · 2026
    Article
  2. Review
  3. Article
  4. Article
  5. Article
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

2 authors.

Guido FerrettiDepartment of Molecular and Translational Medicine, University of Brescia, Viale Europa 11, Brescia, 25123, Italy. Guido.Ferretti@unibs.it.ORCID http://orcid.org/0000-0001-7592-0416
Pietro Enrico di PramperoIstituto Lombardo Accademia di Scienze e Lettere, Milano, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In this perspective paper, we reassess the theoretical bases and reanalyse the experimental evidence supporting the concept that blood lactate accumulation during exercise at powers above the maximal lactate steady state corresponds to and reflects the metabolic power derived from anaerobic lactic metabolism. We discuss the biochemical background of anaerobic lactic metabolism and the direct proportionality between the anaerobic lactic metabolic power and the corresponding rate of lactate accumulation. We compute the energy equivalent of lactate accumulation, defined as the slope of such relationship. We then discuss lactate distribution and its impact on lactate washout during recovery at the end of exercise and the concept of lactate threshold within the present energetic perspective. We eventually explain why we can have higher yet stable lactate concentrations at exercise than those prevailing at rest and we discuss the energetic significance of lactate accumulation during the exercise transients (early lactate). Our aim is to convince readers that a simple measure of blood lactate is sufficient to obtain valuable information on the power generated by anaerobic lactic metabolism.

Indexed as

Energy MetabolismExerciseLactic AcidAnimalsHumansMuscle, SkeletalLactic AcidAnaerobic powerEnergy equivalent of lactateGlycolysisMusclePyruvate

Identifiers

PMID41677846
PMCPMC13013375

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.