Int J Sports Med
DOI: 10.1055/a-2771-5130
Physiology & Biochemistry

Aerobic Threshold Evaluation Using a Sweat Lactate Sensor in Healthy Women

Authors

  • Tomonori Sawada

    1   Department of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan (Ringgold ID: RIN12869)
  • Hiroki Okawara

    1   Department of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan (Ringgold ID: RIN12869)
  • Shintaro Narushima

    1   Department of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan (Ringgold ID: RIN12869)
  • Kazuki Minami

    1   Department of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan (Ringgold ID: RIN12869)
  • Ayaka Shiratori

    1   Department of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan (Ringgold ID: RIN12869)
  • Yoshinori Katsumata

    2   Institute for Integrated Sports Medicine, Keio University School of Medicine, Shinjuku-ku, Tokyo, Japan (Ringgold ID: RIN12869)
  • Masaya Nakamura

    1   Department of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan (Ringgold ID: RIN12869)
  • Takeo Nagura

    1   Department of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan (Ringgold ID: RIN12869)
  • Daisuke Nakashima

    1   Department of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan (Ringgold ID: RIN12869)

Supported by: Japan Society for the Promotion of Science JP22K11477

Abstract

The use of a sweat lactate sensor to evaluate the aerobic threshold has not been fully validated in women with low sweat rates. This study aimed to validate aerobic threshold assessment using a sweat lactate sensor in healthy women. Sixteen healthy women who underwent exercise tests using respiratory gas analysis were included. Sweat lactate levels were monitored using a wearable lactate sensor, and the sweat rate was measured using a ventilated capsule perspiration meter. A correlation analysis between the sweat lactate threshold and the ventilatory threshold was performed. The degree of discrepancy between the sweat lactate threshold and the ventilatory threshold was also examined based on sweating dynamics. In all cases, the sweat lactate threshold was detected using a sweat lactate sensor. Although a significant correlation was observed between the sweat lactate threshold and the ventilatory threshold (r s=0.769), the sweat lactate threshold was significantly delayed compared with the ventilatory threshold, and the difference in the degree of discrepancy between the sweat lactate threshold and the ventilatory threshold increased with increasing thresholds. The onset of sweating was a significant predictor of the discrepancy between the sweat lactate threshold and the ventilatory threshold (r=0.873). Thus, in healthy women, the aerobic threshold assessment using the sweat lactate sensor was feasible. This study demonstrated that late-onset sweating was an important factor in delayed sweat lactate threshold relative to the ventilatory threshold.



Publication History

Received: 01 April 2025

Accepted after revision: 11 December 2025

Article published online:
12 January 2026

© 2026. Thieme. All rights reserved.

Georg Thieme Verlag KG
Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany