Noninvasive prediction of Blood Lactate through a machine learning-based approach.

Journal: Scientific reports
PMID:

Abstract

We hypothesized that blood lactate concentration([Lac]) is a function of cardiopulmonary variables, exercise intensity and some anthropometric elements during aerobic exercise. This investigation aimed to establish a mathematical model to estimate [Lac] noninvasively during constant work rate (CWR) exercise of various intensities. 31 healthy participants were recruited and each underwent 4 cardiopulmonary exercise tests: one incremental and three CWR tests (low: 35% of peak work rate for 15 min, moderate: 60% 10 min and high: 90% 4 min). At the end of each CWR test, venous blood was sampled to determine [Lac]. 31 trios of CWR tests were employed to construct the mathematical model, which utilized exponential regression combined with Taylor expansion. Good fitting was achieved when the conditions of low and moderate intensity were put in one model; high-intensity in another. Standard deviation of fitting error in the former condition is 0.52; in the latter is 1.82 mmol/liter. Weighting analysis demonstrated that, besides heart rate, respiratory variables are required in the estimation of [Lac] in the model of low/moderate intensity. In conclusion, by measuring noninvasive cardio-respiratory parameters, [Lac] during CWR exercise can be determined with good accuracy. This should have application in endurance training and future exercise industry.

Authors

  • Shu-Chun Huang
    Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Linkuo, Taiwan.
  • Richard Casaburi
    Rehabilitation Clinical Trials Center, Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Torrance, California, USA.
  • Ming-Feng Liao
    Department of Neurology, Chang Gung Memorial Hospital and College of Medicine, Chang Gung University, Linkuo, Taiwan.
  • Kuo-Cheng Liu
    Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Linkuo, Taiwan.
  • Yu-Jen Chen
    Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Linkuo, Taiwan.
  • Tieh-Cheng Fu
    Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Keelung, Taiwan.
  • Hong-Ren Su
    Institute of Statistical Science, Academia Sinica, Taipei, Taiwan. suhongren@gmail.com.