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Comprehensive Autopsy Program for Individuals with Multiple Sclerosis
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Exercise-induced lactate responses in Multiple Sclerosis: A retrospective analysis.

Charly Keytsman1, Dominique Hansen1, Inez Wens1

  • 1REVAL Rehabilitation Research Center, Faculty of Rehabilitation Sciences, Hasselt University, Diepenbeek, Belgium.

Neurorehabilitation
|August 13, 2019
PubMed
Summary

Persons with Multiple Sclerosis (MS) show elevated resting lactate, but exercise lactate levels are similar to healthy controls. Moderate-intensity exercise training reduced lactate accumulation in MS, while high-intensity training did not.

Keywords:
Multiple sclerosisendurance traininginterval traininglactaterehabilitation

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Area of Science:

  • Exercise Physiology
  • Neurology
  • Biochemistry

Background:

  • Individuals with Multiple Sclerosis (MS) exhibit higher resting serum lactate levels compared to healthy controls (HC).
  • Understanding lactate dynamics during exercise in MS is crucial for optimizing rehabilitation strategies.

Purpose of the Study:

  • To compare lactate concentrations during acute exercise and after training interventions in MS patients versus HC.
  • To investigate the effects of different exercise intensities on lactate accumulation in MS.

Main Methods:

  • Retrospective analysis of lactate concentrations from two prior studies involving submaximal and maximal exercise tests.
  • Evaluation of lactate levels before and after 24-week mild-to-moderate intensity or 12-week high-intensity interval training interventions in MS patients.

Main Results:

  • Resting lactate was significantly elevated in MS patients compared to HC.
  • Submaximal exercise lactate accumulation decreased significantly after mild-to-moderate intensity training in MS.
  • Maximal exercise lactate levels were similar between MS and HC, and high-intensity training did not yield significant improvements.

Conclusions:

  • Lactate concentrations during acute submaximal and maximal exercise are comparable between MS patients and HC.
  • Moderate-intensity exercise training may improve lactate metabolism in MS, whereas high-intensity training shows no significant benefit in this regard.