Discussion: "The kinetics of blood lactate in boys during and following a single and repeated all-out sprints of cycling are different than in men" O Do children indeed release and remove lactate faster than adults?
Raffy Dotan and Bareket FalkIn their just-published paper, Engel et al. (2015) re-establish 2 very important facts in the realm of pediatric exercise physiology: First, that pre-pubertal boys, even when trained, do not reach the levels of blood lactate (La) concentrations attained by men. Second, that in repeated short-term high-intensity exercise, boys fatigue considerably less than do their adult counterparts.The authors, however, go beyond comparing La concentrations and performance capacities and venture into the more complex topic of child-adult differences in La kinetics. The boys' La kinetics is clearly different than that of the men ( Fig. 2; Engel et al. 2015), with the boys' La concentration peaking earlier, but at considerably lower levels than the men's. Less obvious are the reasons for these differences and this is where, we believe, the authors went astray. As the first of their study's main findings, the authors claim that boys demonstrated "…a faster release of lactate into the blood and more rapid subsequent removal from the blood…" As will be explained below, we consider this claim and its reasoning to be largely unacceptable.The root problem appears to be the authors' stated reliance on a model previously employed by Beneke et al. for the very same purpose (Beneke et al. 2005). That model, in turn, was one earlier used by Dost to assess pharmacokinetics (Dost 1968). While the 2 may appear similar, there is an important distinction between drug and La kinetics. While drug kinetics is typically measured in hours and days, La responses are timed in minutes and seconds. Therefore, in typical pharmacokinetics, a factor that affects the kinetics by a few seconds or minutes would be imperceptible and thus inconsequential for how a drug would be administered. On the other hand, a comparable effect on La kinetics does make a considerable difference. Such a factor does indeed exist. It has been termed "circulation time" or "transit time". It has long been shown that circulation (out and back transit) time increases with body mass and blood volume from infancy to adulthood (Seckel 1936), and Cumming, for example, showed it to be shorter in children versus adults during exercise (Cumming 1978). In this respect, children's faster La response to exercise is not much different than their corresponding faster oxygen uptake kinetics (Carter et al. 2005).The Dost/Beneke model has 2 components (i.e., release into the blood and elimination from the blood) and it may be suitable when comparing drug or La kinetics in individuals of similar body dimensions. Indeed, Engel et al. confirm that the model they used (i.e., the Dost/Beneke model) has been validated for men, but not for boys. Thus, in view of the known differences in transit times between children and adults, both Engel et al. and Beneke et al. ...