Effect of Uphill Running on VO₂, Heart Rate and Lactate Accumulation on Lower Body Positive Pressure Treadmills

Lower body positive pressure treadmills (LBPPTs) as a strategy to reduce musculoskeletal load are becoming more common as part of sports conditioning, although the requisite physiological parameters are unclear. To elucidate their role, ten well-trained runners (30.2 ± 3.4 years; VO_2max: 60.3 ± 4.2 mL kg^-1 min^-1) ran at 70% of their individual velocity at VO_2max (vVO_2max) on a LBPPT at 80% body weight support (80% BW_Set) and 90% body weight support (90% BW_Set), at 0%, 2% and 7% incline. Oxygen consumption (VO₂), heart rate (HR) and blood lactate accumulation (LA) were monitored. It was found that an increase in incline led to increased VO₂ values of 6.8 ± 0.8 mL kg^-1 min^-1 (0% vs. 7%, p < 0.001) and 5.4 ± 0.8 mL kg^-1 min^-1 (2% vs. 7%, p < 0.001). Between 80% BW_Set and 90% BW_Set, there were VO₂ differences of 3.3 ± 0.2 mL kg^-1 min^-1 (p < 0.001). HR increased with incline by 12 ± 2 bpm (0% vs. 7%, p < 0.05) and 10 ± 2 bpm (2% vs. 7%, p < 0.05). From 80% BW_Set to 90% BW_Set, HR increases of 6 ± 1 bpm (p < 0.001) were observed. Additionally, LA values showed differences of 0.10 ± 0.02 mmol l^-1 between 80% BW_Set and 90% BW_Set. Those results suggest that on a LBPPT, a 2% incline (at 70% vVO_2max) is not yet sufficient to produce significant physiological changes in VO₂, HR and LA-as opposed to running on conventional treadmills, where significant changes are measured. However, a 7% incline increases VO₂ and HR significantly. Bringing together physiological and biomechanical factors from previous studies into this practical context, it appears that a 7% incline (at 80% BW_Set) may be used to keep VO₂ and HR load unchanged as compared to unsupported running, while biomechanical stress is substantially reduced.