Elevated blood levels of beta-endorphin have been asso ciated with hig
h-intensity exertion, but the stimulus far beta-endorphin release is u
nknown. Some studies of exercise have associated beta-endorphin releas
e with increased exertion levels, but other evidence suggests that aci
dosis may stimulate the release of beta-endorphin. This study examines
acidosis as a possible stimulus for beta-endorphin release by examini
ng the effects of arterial blood gases, whole blood lactate, and respi
ratory changes on beta-endorphin levels and by examining the effects o
f buffering during exercise on these levels. Initially, seven healthy
adult males were evaluated during incremental exercise. During increme
ntal exertion, indicators of acidosis correlated with endorphin levels
: pH (r = -0.94), PCO2 (r = -0.85), HCO3- (r = -0.88), base excess (r
= -0.94), and lactate (r = 0.89). A multivariate model showed that bet
a-endorphin levels were predicted best by the change in base excess. A
time course analysis showed that beta-endorphin responses peaked post
exercise and paralleled blood acid levels. Subsequently, subjects were
compared after alkali loading and placebo during constant-intensity e
xercise at 85% of maximal exertion to determine whether acidosis is ne
cessary for endorphin release. Treatment with a buffer, which effectiv
ely maintained pH above 7.40, significantly suppressed endorphin relea
se (F = 3.07; P < 0.0001). The results of this study indicate that aci
dosis rather than any other physiological change associated with high-
intensity exertion is the primary stimulus for beta-endorphin release.