The First Lactate Threshold Is a Limit for Heavy Occupational Work

Long-term heavy physical work often leads to early retirement and disability pension due to chronic overload, with a need to define upper limits. The aim of this study was to evaluate the value of the first lactate threshold (LTP<sub>1</sub>) as a physiological marker for heavy occupatio...

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Main Authors: Patrick Fasching, Stefan Rinnerhofer, Georg Wultsch, Philipp Birnbaumer, Peter Hofmann
Format: Article
Language:English
Published: MDPI AG 2020-08-01
Series:Journal of Functional Morphology and Kinesiology
Subjects:
Online Access:https://www.mdpi.com/2411-5142/5/3/66
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author Patrick Fasching
Stefan Rinnerhofer
Georg Wultsch
Philipp Birnbaumer
Peter Hofmann
author_facet Patrick Fasching
Stefan Rinnerhofer
Georg Wultsch
Philipp Birnbaumer
Peter Hofmann
author_sort Patrick Fasching
collection DOAJ
description Long-term heavy physical work often leads to early retirement and disability pension due to chronic overload, with a need to define upper limits. The aim of this study was to evaluate the value of the first lactate threshold (LTP<sub>1</sub>) as a physiological marker for heavy occupational work. A total of 188 male and 52 female workers performed an incremental cycle ergometer test to determine maximal exercise performance and the first and second lactate (LTP<sub>1</sub>; LTP<sub>2</sub>) and ventilatory thresholds (VT<sub>1</sub>; VT<sub>2</sub>). Heart rate (HR) recordings were obtained during one eight-hour shift (HR<sub>8h</sub>) and oxygen uptake was measured during 20 minutes of a representative work phase. Energy expenditure (EE) was calculated from gas-exchange measures. Maximal power output (P<sub>max</sub>), maximal oxygen consumption (VO<sub>2 max</sub>) and power output at LTP<sub>1</sub> and LTP<sub>2</sub> were significantly different between male and female workers. HR<sub>8h</sub> was not significantly different between male and female workers. A significant relationship was found between P<sub>max</sub> and power output at LTP<sub>1</sub>. HR<sub>8h</sub> as a percentage of maximum HR significantly declined with increasing performance (P<sub>max</sub>:r = −0.56; <i>p</i> < 0.01; P<sub>LTP1</sub>:r = −0.49; <i>p</i> < 0.01). Despite different cardio-respiratory fitness-levels; 95.4% of all workers performed their usual work below LTP<sub>1</sub>. It is therefore suggested that LTP<sub>1</sub> represents the upper limit for sustained heavy occupational work; which supports its use to determine work capability and assessing the limits of heavy occupational work.
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spelling doaj.art-43c44faee8ab49d49669a5a46013a4e92023-11-20T11:17:32ZengMDPI AGJournal of Functional Morphology and Kinesiology2411-51422020-08-015366010.3390/jfmk5030066The First Lactate Threshold Is a Limit for Heavy Occupational WorkPatrick Fasching0Stefan Rinnerhofer1Georg Wultsch2Philipp Birnbaumer3Peter Hofmann4Private Clinic Maria Hilf, Radetzkystraße 35, 9020 Klagenfurt, AustriaCenter for Occupational Medicine AMEZ, Hergottwiesgasse 149, 8055 Graz, AustriaCenter for Occupational Medicine AMEZ, Hergottwiesgasse 149, 8055 Graz, AustriaInstitute of Human Movement Science, Sport and Health, University of Graz, Max-Mell-Allee 11, 8010 Graz, AustriaInstitute of Human Movement Science, Sport and Health, University of Graz, Max-Mell-Allee 11, 8010 Graz, AustriaLong-term heavy physical work often leads to early retirement and disability pension due to chronic overload, with a need to define upper limits. The aim of this study was to evaluate the value of the first lactate threshold (LTP<sub>1</sub>) as a physiological marker for heavy occupational work. A total of 188 male and 52 female workers performed an incremental cycle ergometer test to determine maximal exercise performance and the first and second lactate (LTP<sub>1</sub>; LTP<sub>2</sub>) and ventilatory thresholds (VT<sub>1</sub>; VT<sub>2</sub>). Heart rate (HR) recordings were obtained during one eight-hour shift (HR<sub>8h</sub>) and oxygen uptake was measured during 20 minutes of a representative work phase. Energy expenditure (EE) was calculated from gas-exchange measures. Maximal power output (P<sub>max</sub>), maximal oxygen consumption (VO<sub>2 max</sub>) and power output at LTP<sub>1</sub> and LTP<sub>2</sub> were significantly different between male and female workers. HR<sub>8h</sub> was not significantly different between male and female workers. A significant relationship was found between P<sub>max</sub> and power output at LTP<sub>1</sub>. HR<sub>8h</sub> as a percentage of maximum HR significantly declined with increasing performance (P<sub>max</sub>:r = −0.56; <i>p</i> < 0.01; P<sub>LTP1</sub>:r = −0.49; <i>p</i> < 0.01). Despite different cardio-respiratory fitness-levels; 95.4% of all workers performed their usual work below LTP<sub>1</sub>. It is therefore suggested that LTP<sub>1</sub> represents the upper limit for sustained heavy occupational work; which supports its use to determine work capability and assessing the limits of heavy occupational work.https://www.mdpi.com/2411-5142/5/3/66heavy workintensity thresholdindividualizationmaximum oxygen uptakework strain
spellingShingle Patrick Fasching
Stefan Rinnerhofer
Georg Wultsch
Philipp Birnbaumer
Peter Hofmann
The First Lactate Threshold Is a Limit for Heavy Occupational Work
Journal of Functional Morphology and Kinesiology
heavy work
intensity threshold
individualization
maximum oxygen uptake
work strain
title The First Lactate Threshold Is a Limit for Heavy Occupational Work
title_full The First Lactate Threshold Is a Limit for Heavy Occupational Work
title_fullStr The First Lactate Threshold Is a Limit for Heavy Occupational Work
title_full_unstemmed The First Lactate Threshold Is a Limit for Heavy Occupational Work
title_short The First Lactate Threshold Is a Limit for Heavy Occupational Work
title_sort first lactate threshold is a limit for heavy occupational work
topic heavy work
intensity threshold
individualization
maximum oxygen uptake
work strain
url https://www.mdpi.com/2411-5142/5/3/66
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