Background Increased muscle mitochondrial mass is characteristic of elite professional endurance athletes (PAs), whereas increased blood lactate levels (lactatemia) at the same absolute submaximal exercise intensities and decreased mitochondrial oxidative capacity are characteristics of individuals with low aerobic power. In contrast to PAs, patients with metabolic syndrome (MtS) are characterized by a decreased capacity to oxidize lipids and by early transition from fat to carbohydrate oxidation (FATox/
Key PointsMeasurements of blood lactate concentration and fat oxidation (FATox) provide an indirect method to assess metabolic flexibility, mitochondrial function, and oxidative capacity during exercise in different populations.The inverse correlations between blood lactate and FATox are quite robust, therefore assessing blood lactate alone could be an effective way to indirectly assess mitochondrial function and metabolic flexibility during exercise in different populations.Since lactate exerts profound effects on fat and carbohydrate (CHO) metabolism, a poor mitochondrial lactate clearance capacity due to decreased mitochondrial function could greatly affect FATox and CHOox, which could result in metabolic dysregulation, which in turn could lead to different metabolic diseases such as type 2 diabetes.