The First Lactate Threshold Is a Limit for Heavy Occupational Work

Long-term heavy physical work often leads to early retirement and disability pension due to chronic overload, with a need to define upper limits. The aim of this study was to evaluate the value of the first lactate threshold (LTP(1)) as a physiological marker for heavy occupational work. A total of 188 male and 52 female workers performed an incremental cycle ergometer test to determine maximal exercise performance and the first and second lactate (LTP(1); LTP(2)) and ventilatory thresholds (VT(1); VT(2)). Heart rate (HR) recordings were obtained during one eight-hour shift (HR(8h)) and oxygen uptake was measured during 20 minutes of a representative work phase. Energy expenditure (EE) was calculated from gas-exchange measures. Maximal power output (P(max)), maximal oxygen consumption (VO(2 max)) and power output at LTP(1) and LTP(2) were significantly different between male and female workers. HR(8h) was not significantly different between male and female workers. A significant relationship was found between P(max) and power output at LTP(1). HR(8h) as a percentage of maximum HR significantly declined with increasing performance (P(max):r = −0.56; p < 0.01; P(LTP1):r = −0.49; p < 0.01). Despite different cardio-respiratory fitness-levels; 95.4% of all workers performed their usual work below LTP(1). It is therefore suggested that LTP(1) represents the upper limit for sustained heavy occupational work; which supports its use to determine work capability and assessing the limits of heavy occupational work.