The rise of wearable
sensors to measure lactate content in human
sweat during sports activities has attracted the attention of physiologists
given the potential of these “analytical tools” to provide
real-time information. Beyond the assessment of the sensing technology
per se
, which, in fact, has not rigorously been validated
yet in controlled conditions, there are many open questions about
the true usefulness of such wearable sensors in real scenarios. On
the one hand, the evidence for the origin of sweat lactate (e.g.,
via the sweat gland, derivation from blood, or other alternative mechanisms),
its high concentration (1–25 mM or even higher) compared to
levels in the blood, and the possible correlation between different
biofluids (particularly blood) is rather contradictory and generates
vivid debate in the field. On the other hand, it is important to point
out that accurate detection of sweat lactate is highly dependent on
the procedure used to collect and/or reach the fluid, and this can
likely explain the large discrepancies reported in the literature.
In brief, this paper provides our vision of the current state of the
field and a thoughtful evaluation of the possible reasons for present
controversies, together with an analysis of the impact of wearable
sweat lactate sensors in the physiological context. Finally, although
there is not yet overwhelming scientific evidence to provide an unequivocal
answer to whether wearable sweat lactate sensors can contribute to
sports physiology, we still understand the importance to bring this
challenging question up-front to create awareness and guidance in
the development, validation, and implementation of wearable sensors.