Same Test, Different Stories? A Critical Look at vLamax Modality-Specific Reliability
Daniel Röhrs , Carl-Maximilian Wagner , Rüdiger Reer , Tobias Schmidt , Steffen Held , Michael Keiner
Journal of Science in Sport and Exercise ›› : 1 -21.
The maximal rate of blood lactate accumulation (vLamax) is increasingly used as a marker of anaerobic glycolytic performance in various sports. Despite its conceptual relevance, the methodological robustness and reliability of current vLamax testing protocols remain unclear.
This systematic review critically examines the reliability of vLamax across different exercise modalities and evaluates the methodological consistency of applied testing protocols.
Following PRISMA guidelines, a comprehensive database search (PubMed, SportDiscus, Web of Science) was conducted in April 2025 and updated in June 2025. Studies were included if they reported test–retest reliability metrics (e.g., ICC, CV) for vLamax. Study quality was assessed using a modified COSMIN checklist adapted for sport science. Reliability data were synthesized using random-effects meta-analysis, including subgroup analyses and exploratory correlation analyses between reliability metrics.
Eleven studies across cycling, running, rowing, and isokinetic testing were included. Reported ICCs for vLamax ranged from 0.47 to 0.96, with CVs from 4.6% to 26.4%. Estimation of the alactic time interval (talac) showed the highest variability (ICC: –0.12 to 0.88). The pooled ICC across all modalities was 0.84 [95% CI: 0.80–0.88], with running protocols showing higher consistency than cycling. Exploratory analyses revealed that higher relative reliability (ICC) was generally associated with lower absolute error (CV and SDC), underscoring the importance of considering both aspects when interpreting vLamax results. The methodological quality of included studies was moderate (50%–74%).
Current vLamax protocols exhibit substantial variability in test–retest reliability, largely driven by inconsistencies in talac estimation and protocol design. The observed relationship between relative and absolute reliability emphasizes that small changes in vLamax may fall within the margin of measurement error, limiting its standalone utility in applied diagnostics. Until validated and standardized procedures are established, vLamax should not be used in isolation for performance diagnostics. Future research should prioritize experimental validation of core protocol variables to enable consistent and practically meaningful application in sport-specific contexts.
vLamax / Anaerobic capacity / Test reliability / Sprint performance / Glycolytic flux / Exercise testing
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The Author(s)
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