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European Journal of Applied Physiology · 2025

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Simeon P. Cairns, Michael I. Lindinger

Lactic acidosis: implications for human exercise performance

Springer Science and Business Media LLC. 125(7). 1761-1795.

Study type
Critical physiological review
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Full text reviewed

What role does muscle acidity play when intense exercise becomes difficult to sustain? The authors separate lactate accumulation from increased acidity and examine experiments that manipulate them. Lactate itself generally had little direct effect on muscle force. More severe acidity could reduce performance, particularly in fast-contracting fibres. In experimental muscle preparations at temperatures closer to normal physiology, marked acidification reduced peak power by about 22% on average across the cited findings. That is not a predicted loss for every workout, but an illustration of a possible mechanism under specific conditions.

The effects depended on how acidic the muscle became and what else was changing. Smaller acidity changes often had little effect on force. Other substances, including phosphate released during energy use, could interact with acidity and increase its effects. The authors argue that severe acidity can contribute to fatigue, while explicitly recognizing that it is neither the only factor nor equally important in every activity.

How Does This Show Up in Real Life?

A blood lactate reading after a hard effort cannot, by itself, explain why someone slowed down. It measures something associated with intense metabolism, while the relevant acidity and interactions occur in particular tissues and change over time. This paper also distinguishes the sensation of effort from a muscle's ability to produce force: signals from working muscle can influence how demanding exercise feels without establishing the same mechanism for every performance decline. The research mainly changes how fatigue is explained. Although it discusses studies of buffering substances, it does not turn one biochemical mechanism into a universal supplement recommendation. The nature and duration of the effort, muscle fibres involved and experimental conditions all affect what the findings mean.

Evidence comes from human exercise, animal muscles, isolated fibres and individual muscle proteins. These approaches clarify mechanisms but do not reproduce every aspect of a person exercising. Temperature and measurement choice matter, and some proposed interactions have not been tested together. The authors call for more direct manipulation of acidity with measurements of power, rather than relying on correlations alone.

Why We Cite It

Alpekin can use this source to show how apparently conflicting experiments may be asking different questions. A finding about a small chemical change in resting tissue is not automatically inconsistent with a finding about a larger change during contractions. This distinction helps evaluate disagreement without flattening the evidence.

Take the explanation as conditional and mechanistic. It supports a more precise account of fatigue, with several processes working together. It does not allow a single blood value or exercise sensation to identify the limiting factor for an individual.

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