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Thursday, June 25th, 2009<br />

LACTATE RELEASE IN EXHALED BREATH CONDENSATE AT REST AND DIFFERENT LEVELS OF EXERCISE IN YOUNG AND<br />

HEALTHY SUBJECTS<br />

MAREK, E., VOLKE, J., HAWENER, I., MÜCKENHOFF, K., MAREK, W., PLATEN, P.<br />

RUHR-UNIVERSITY BOCHUM<br />

Background: Traditionally, lactate is measured from arterialized earlobe blood samples. Currently developed micro enzyme detectors<br />

permit a non-invasive measurement <strong>of</strong> lactate in exhaled breath condensate (EBC). This method might be interesting for the combined<br />

use with spirometric measurements <strong>of</strong> O2 consumption and CO2 release. In order to get inside into the correlation <strong>of</strong> lactate concentration<br />

or lactate release in EBC and in lactate blood concentrations, we investigated both parameters at rest and at different levels <strong>of</strong> exercise<br />

in a group <strong>of</strong> young and healthy subjects.<br />

Methods: The study group 16 healthy subjects consists <strong>of</strong> 7 females and 9 males (23.3 ± 1.5 years, 175 ± 8,4 cm height, 68.9 ± 9.2 kg<br />

body weight). During resting conditions as well as at 60%, 75%, and 90% <strong>of</strong> maximal work capacity (each lasting for 5 minutes) on a cycle<br />

ergometer 100 L exhaled air along with capillary blood samples from the earlobe were collected under stationary load conditions. EBC<br />

was obtained by cooling the exhaled air volume to -20°C. The condensates were analysed using an ECo-Check amperometer (Viasys<br />

Health Care). Lactate measurements were performed using a bi-enzym-sensor after lactate oxidase induced oxidation <strong>of</strong> lactate to<br />

pyruvate and H2O2. The rates <strong>of</strong> expiratory release <strong>of</strong> lactate in nmol/min were calculated from the concentrations <strong>of</strong> lactate in the EBC,<br />

the EBC volume and the time <strong>of</strong> collection. A functional relation <strong>of</strong> lactate release and lactate concentration <strong>of</strong> arterial blood was computed.<br />

Results: At rest lactate concentration in arterialized blood was 0.92 ± 0.31 mmol/L. At a resting ventilation <strong>of</strong> 12.0 ± 3.8 L/min, collection<br />

time (Ts) for 100 L exhaled air, was 8.9 ± 2.6 min, and 1.86 ± 0.66 ml EBC were obtained. In EBC lactate concentration was 24.5 ± 9.4<br />

µmol/L, lactate release rate was 4.8 ± 1.8 nmol/min.<br />

At 90% maximal work capacity (external load 200 ± 20 Watt), blood lactate concentration increased to 8.4 ± 1.6 mmol/L and ventilation<br />

increased to 83.8 ± 16.0 L/min. EBC collection time decreased to 4.7 ± 2.1 min (p

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