Research article - (2015)14, 203 - 214
Reliability and Accuracy of Six Hand-Held Blood Lactate Analysers
Jacinta M. Bonaventura1, Ken Sharpe2, Emma Knight3, Kate L. Fuller1, Rebecca K. Tanner1, Christopher J. Gore1,4,
1Physiology, Australian Institute of Sport, Canberra, Australian Capital Territory, Australia
2Department of Mathematics and Statistics, The University of Melbourne, Parkville, Victoria, Australia
3Performance Research, Australian Institute of Sport, Canberra, Australian Capital Territory, Australia
4Exercise Physiology Laboratory, Flinders University, Bedford Park, South Australia, Australia

Christopher J. Gore
✉ Australian Institute of Sport, PO Box 176, Belconnen ACT 2617, Australia
Email: chris.gore@ausport.gov.au
Received: 14-08-2014 -- Accepted: 18-11-2014
Published (online): 01-03-2015

ABSTRACT

The reliability and accuracy of five portable blood lactate (BLa) analysers (Lactate Pro, Lactate Pro2, Lactate Scout+, Xpress™, and Edge) and one handheld point-of-care analyser (i-STAT) were compared to a criterion (Radiometer ABL90). Two devices of each brand of analyser were assessed using 22 x 6 mL blood samples taken from five subjects at rest and during exercise who generated lactate ranging ~1-23 mM. Each sample was measured simultaneously ~6 times on each device. Reliability was assessed as the within-sample standard deviation (wsSD) of the six replicates; accuracy as the bias compared with the ABL90; and overall error (the root mean squared error (√MSE)) was calculated as the square root of (wsSD2 and bias2). The √MSE indicated that both the Edge and Xpress had low total error (~0-2 mM) for lactate concentrations <15 mM, whereas the Edge and Lactate Pro2 were the better of the portable analysers for concentrations >15 mM. In all cases, bias (negative) was the major contribution to the √MSE. In conclusion, in a clinical setting where BLa is generally <15 mM the Edge and Xpress devices are relevant, but for athlete testing where peak BLa is important for training prescription the Edge and Lactate Pro2 are preferred.

Key words: Bias, precision, root mean squared error, analytical performance

Key Points
  • The reliability of five common portable blood lactate analysers were generally <0.5 mM for concentrations in the range of ~1.0-10 mM.
  • For all five portable analysers, the analytical error within a brand was much smaller than the biological variation in blood lactate (BLa).
  • Compared with a criterion blood lactate analyser, there was a tendency for all portable analysers to under-read (i.e. a negative bias), which was particularly evident at the highest concentrations (BLa ~15-23 mM).
  • The practical application of these negative biases would overestimate the ability of the athlete and prescribe a training intensity that would be too high.








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