So that is the first of the two physiologically significant marker points. Let’s move on to the second. Unfortunately whereas this one starts simply enough, it becomes a little more complex. We will take it one step at a time.
As we continue to move the intensity up very gradually from HR151 (being the example athlete's VT1), blood lactate levels continue to slowly rise further above resting level. The muscle cells are put under ever increasing load and as much they might “try” to work aerobically, more and more acid is produced. This moves into the blood and the buffering system starts to reach breaking point. As the bicarbonate buffering system is overwhelmed, blood pH starts to fall (i.e. the blood becomes more acidic) and the relationship between ventilation and carbon dioxide now breaks as well, with a disproportionately large amount of carbon dioxide being produced for the level of ventilation. It might also be described as the “gasping threshold” and can be particularly unpleasant if you have not done much high intensity work for a while – the body is not used to these excessive amounts of carbon dioxide and it can feel as if you are drowning.
VE/VCO2 is plotted in Diagram 7 below and there should be a clear inflection point in the line which defines VT2. Unfortunately real world data does not always appear in “textbook” form so an element of judgment is needed to drop the line in the right pace. The data in this test is not perfect, but it is easy enough to make out a clear inflection. As it happens, there is a second way of finding VT2 which involves plotting VCO2/VO2 which will also show an inflection at the same point. (This ratio can be used to determine how much fuel is coming from fat and how much is coming from glucose. At VT2 you expect to see a marked reduction in fat contribution towards zero). A third and final way of doing it is to look for an inflection in HR against power output (i.e. the one which may or may not exist as we considered on page 3 of this article).
From Diagram 7, VT2 is determined to be HR172. There is also a fairly clear inverse deflection in HR at the same point (take a look back at the same line in Diagram 6 without the perpendiculars and it is even easier to see). For James, VT2 represents an oxygen consumption of about 4,600ml/min being about 79%VO2max and a heart rate of 88%HRR.
Now we have to determine what we are going to call this threshold. So far in this article I have been calling it VT2 since it is the second inflection point with respect to ventilation. It is worth noting that sometimes in articles, studies and textbooks reference is made just to "VT" and it is not always absolutely clear which one of the two ventilatory thresholds is being talked about which can be a little frustrating.
Now I warned you that this second threshold was going to get a little more complicated. Here we go. The problem is one of terminology in that there are two other terms which are sometimes used to refer to this point: "lactate threshold" (LT) and the onset of blood lactate accumulation (OBLA). What makes it tricky is that sometimes these terms are being used to refer to something else!
Let's start with lactate threshold. It has previously been described in various publications as the intensity of exercise where blood lactate rises to levels no more than 1.0mmol/l greater than that at rest. Sometimes it is said to be a blood lactate level of 2.0mmol/l although I have also seen it described as 2.5mmol/l (see for example "Exercise Physiology: Nutrition, Energy and Human Performance" by McArdle and Katch).