Int J Sports Med 2022; 43(05): 391-400
DOI: 10.1055/a-1664-8854
Discourse

A Personal Biography of a Physiological Misnomer[*]: The Anaerobic Threshold

James Hagberg
1   Department of Kinesiology, University of Maryland, College Park, United States
› Author Affiliations

Abstract

In 1973 Wasserman, Whipp, Koyal, and Beaver published a groundbreaking study titled “Anaerobic threshold and respiratory gas analysis during exercise”. At that time, respiratory gas analysis and laboratory computers had evolved such that more advanced respiratory exercise physiology studies were possible. The initial publications from this group on the onset of anaerobic metabolism in cardiac patients, the first breath-by-breath VO2 system, the first description of the anaerobic threshold, and then later new methods to detect the anaerobic threshold have been and continue to be highly cited. In fact, their 1973 anaerobic threshold paper is the sixth and their 1986 paper is the second most cited paper ever published in the Journal of Applied Physiology. The anaerobic threshold concept has also generated>5500 publications with the rates increasing over time. The publication of two papers that help to refute the “anaerobic” explanation for this phenomenon had no effect on the rates of citations of the original anaerobic threshold papers or the number of anaerobic threshold papers published since. Thus, despite now substantial evidence refuting the proposed anaerobic mechanisms underlying this phenomenon, these papers continue to be highly influential in the discipline of exercise physiology and, perhaps even more explicitly, clinical exercise physiology.

* the author acknowledges the initial usage of this term by Dr. George Brooks [1].




Publication History

Received: 09 July 2021

Accepted: 24 September 2021

Article published online:
08 December 2021

© 2021. Thieme. All rights reserved.

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  • References

  • 1 Brooks GA, Fahey TD. Exercise Physiology: Human Bioenergetics and its Applications. Wiley and Sons; New York: 1984
  • 2 Wasserman K, Whipp BJ, Koyal SN. et al. Anaerobic threshold and respiratory gas exchange during exercise. J Appl Physiol 1973; 35: 236-243
  • 3 Brooks GA, Gladden LB. The metabolic systems: Anaerobic metabolism (glycolytic and phosphagen). In Exercise Physiology. Springer, New York;. 2003
  • 4 Owles WH. Alterations in lactic acid content of the blood as a result of light exercise, and associated changes in the CO2-combining power of the blood and in the alveolar CO2 pressure. J Physiol 1930; 69: 214-237
  • 5 Krogh A, Lindhard J. The regulation of respiration and circulation during the initial stages of muscular work. J Physiol 1913; 47: 112-136
  • 6 Hill AV, Lupton H. Muscular exercise, lactic acid, and the supply and utilization of oxygen. Quart J Med 1923; 16: 135-171
  • 7 Margaria R, Edwards HT, Dill DB. The possible mechanisms of contracting and paying the oxygen debt and the role of lactic acid in muscular contraction. Am J Physiol 1933; 106: 689-715
  • 8 Robinson S. Experimental studies of physical fitness in relation to age. Arbeitsphysiologie 1938; 10: 251-327
  • 9 Christensen EH, Hansen O. I, II, III, IV, and V. Skand Arch Physiologie 1939; 81: 137-189
  • 10 Holmgren A, Jonsson B, Levander M. et al. Physical training of patients with vasoregulatory asthenia. Acta Med Scand 1957; 158: 437-446
  • 11 Naughton J, Balke B, Nagle FJ. The effect of physical conditioning on an individual before and after suffering a myocardial infarction. Rep Civil Aeromed Res Inst US. 1964 Jan 10
  • 12 Erikson H. Spirometry during a short exercise test for the evaluation of pulmonary function. Scand J Clin Lab Invest 1952; 4: 338-344
  • 13 Gandevia B. Ventilatory response to exercise and the results of a standardized exercise test in chronic obstructive lung disease. Am Rev Respir Dis 1963; 88: 406-408
  • 14 Gandevia B. Pulmonary ventilation on exercise and the factors affecting a simple standardized exercise test. Am Rev Respir Dis 1962; 85: 378-386
  • 15 Hugh-Jones P, Lambert AV. A simple standard exercise test and its use for measuring exertion dyspnea. Br Med J 1952; 1: 65-71
  • 16 Pierce AK, Taylor HF, Archer RK. et al. Responses to exercise training in patients with emphysema. Arch Intern Med 1964; 113: 28-36
  • 17 Haldane J. Some improved methods of gas analysis. J Physiol 1898; 22: 465-480
  • 18 Scholander PF. Analyzer for accurate estimation of respiratory gases in one-half cubic centimeter samples. J Biol Chem 1947; 167: 235-250
  • 19 Beaver WL, Wasserman K, Whipp BJ. On-line computer analysis and breath-by breath graphical display of exercise function tests. J Appl Physiol 1973; 34: 123-132.
  • 20 Naimark A, Wasserman K, McIlroy MB. Continuous measurement of ventilatory exchange ratio during exercise. J Appl Physiol 1964; 1: 644-652
  • 21 Hill AV, Long CNH, Lupton H. Muscular exercise, lactic acid, and the supply and utilization of oxygen. Proc Roy Soc London Ser B 1924; 96: 438-475
  • 22 Wasserman K, McIlroy MB. Detecting the threshold of anaerobic metabolism in cardiac patients during exercise. Am J Cardiol 1964; 14: 844-852
  • 23 Beaver WL, Wasserman K, Whipp BJ. A new method for detecting anaerobic threshold by gas exchange. J Appl Physiol (1985) 1986; 60: 2020-2027
  • 24 Whipp BJ, Wasserman K. Oxygen uptake kinetics for various intensities of constant-load work. J Appl Physiol 1972; 3: 351-356
  • 25 Whipp BJ, Wasserman K. The effects of work intensity on the transient respiratory responses immediately following exercise. Med Sci Sports Exer 1973; 5: 14-17
  • 26 Hagberg JM, Nagle FJ, Carlson JL. Transient O2 uptake responses at the onset of exercise. J Appl Physiol 1978; 44: 90-92
  • 27 Hagberg JM, Mullin JP, Nagle FJ. Oxygen consumption during constant load exercise. J Appl Physiol 1978; 45: 381-384
  • 28 Hagberg JM, Nagle FJ, Mullin JP. Effect of work intensity and duration on recovery VO2. J Appl Physiol 1980; 48: 540-544
  • 29 Brooke MH, Carroll JE, Davis JE. et al. The prolonged exercise test. Neurology 1979; 29: 635-643
  • 30 Carroll JE, DeVivo DC, Brooke MH. et al. Fasting as a provocative test in neuromuscular disease. Metabolism 1979; 28: 683-687
  • 31 Carroll JE, Hagberg JM, Brooke MH. et al. Bicycle ergometry with computerized gas exchange measurements in neuromuscular diseases. Arch Neurol 1979; 36: 457-461
  • 32 McArdle B. Myopathy due to a defect in muscle glycogen breakdown. Clin Sci 1951; 10: 13-35
  • 33 Hagberg JM, Coyle EF, Carroll JE. et al. Exercise hyperventilation in McArdle's disease patients. J Appl Physiol 1982; 52: 991-994
  • 34 Hagberg JM, Brooke MH, Carroll JE. Reply: BJ Whipp Letter to the Editor. J Appl Physiol 1983; 55: 1639
  • 35 Whipp BJ. Letter to the Editor: Exercise hyperventilation in patients with McArdle’s disease. J Appl Physiol 1983; 55: 1638-1639
  • 36 Hagberg JM, King DS, Rogers MA. et al. Exercise and recovery ventilatory and VO2 responses of patients with McArdle’s disease. J Appl Physiol (1985) 1990; 68: 1393-1398
  • 37 Poole DC, Rossitter HB, Brooks GA. et al. The anaerobic threshold: 50+years of controversy. J Physiol 2021; 599: 737-767
  • 38 Rossiter H. The Gas Exchange Threshold: Uses and Limitations. Presentation at the 2020 American College of Sports Medicine Meeting. Orlando, FL: 2020
  • 39 Gladden B. Is There a Role for O2 in Lactate Metabolism? Presentation at the 2020 American College of Sports Medicine Meeting. Orlando, FL: 2020
  • 40 Poole D. Coincidence of Thresholds and Their Meanings. Presentation at the 2020 American College of Sports Medicine Meeting. Orlando, FL: 2020
  • 41 Faude O, Kindermann W, Meyer T. Lactate threshold concepts: how valid are they?. Sports Med 2009; 39: 469-490
  • 42 Costill DL. Metabolic responses during distance running. J Appl Physiol 1970; 28: 251-255
  • 43 Older P, Hall A, Rader R. Cardiopulmonary exercise testing as a screening test for peri-operative management of major surgery in the elderly. Chest 1999; 116: 355-362
  • 44 West MA, Asher R, Browning M. et al. Validation of pre-operative cardiopulmonary exercise testing-derived variables to predict in-hospital morbidity after major colorectal surgery. Br J Surg 2016; 103: 744-752
  • 45 Brooks GA, Fahey TD, Baldwin KM. Exercise Physiology: Human Bioenergetics and its Applications. 4th Ed McGraw-Hill; Boston, MA: 2005
  • 46 Harriss DJ, Macsween A, Atkinson G. Ethical standards in sport and exercise science research: 2020 update. Int J Sports Med 2019; 40: 813-817