ABSTRACT
Introduction:
The severe exercise intensity domain can be defined as the range of work rates or speeds over which VO2max can be elicited. Objectives: Our purpose was to determine if critical speed (running analog of critical power) identifies the lower boundary of the severe domain and to identify the upper boundary of the domain.
Methods:
Twenty-five individuals performed five running tests to exhaustion, each lasting > 2.5 min and < 16 min. The two-parameter speed vs time-to-exhaustion relationship generated values for critical speed and the three-parameter speed vs time-to-reach-VO2max relationship generated values for the threshold speed above which VO2max can be elicited. The relationships were solved to calculate the minimum time needed to elicit VO2max.
Results:
Critical speed (3.00 ± 0.38 m·s−1) and the threshold speed above which VO2max can be elicited (2.99 ± 0.37 m·s−1) were correlated (r = 0.83, p < 0.01) and did not differ (p = 0.70), confirming critical speed as the lower boundary of the severe domain. The minimum time needed to elicit VO2max (103 ± 7 s) and the associated highest speed at which VO2max can be elicited (4.98 ± 0.52 m·s−1) identified the upper boundary of the severe domain for these participants.
Conclusion:
The critical power concept, which requires no metabolic measurements, can be used to identify the lowest speed at which VO2max can be elicited. With addition of metabolic measurements, mathematical modeling can also identify the highest speed and shortest exercise duration at which VO2max can be elicited. Evidence Level I; Validating cohort study with good reference standards.
Keywords:
Exercise; Running; Maximal Voluntary Ventilation; Energy Metabolism
RESUMEN
Introducción:
El dominio de la intensidad del ejercicio severo se puede definir como el rango de ritmos o velocidades de trabajo sobre las que se puede obtener el VO2max. Objetivos: Nuestro propósito fue determinar si la velocidad crítica (funcionamiento analógico de potencia crítica) identifica el límite inferior del dominio severo e identificar el límite superior del dominio.
Métodos:
Veinticinco personas realizaron cinco pruebas de carrera hasta el agotamiento, cada una con una duración de > 2,5 min y <16 min. La relación de dos parámetros de velocidad frente a tiempo de agotamiento generó valores para la velocidad crítica y la relación de tres parámetros de velocidad frente a tiempo de alcance de VO2max generó valores para la velocidad umbral por encima del cual se puede obtener el VO2max. Las relaciones se resolvieron para calcular el tiempo mínimo necesario para obtener el VO2max.
Resultados:
La velocidad crítica (3,00 ± 0,38 m·s−1) y la velocidad umbral por encima de la cual se puede obtener el VO2max (2,99 ± 0,37 m·s−1) se correlacionaron (r = 0,83, p < 0,01) y no difirieron (p = 0,70), lo que confirma la velocidad crítica como el límite inferior del dominio severo. El tiempo mínimo necesario para obtener el VO2max (103 ± 7 s) y la velocidad más alta asociada a la que se puede obtener el VO2max (4,98 ± 0,52 m·s−1) identificaron el límite superior del dominio severo para estos participantes.
Conclusión:
El concepto de potencia crítica, que no requiere mediciones metabólicas, se puede utilizar para identificar la velocidad más baja a la que se puede obtener el VO2max. Con la adición de mediciones metabólicas, el modelado matemático también puede identificar la velocidad más alta y la duración más corta del ejercicio a la que se puede obtener VO2max. Nivel de Evidencia I; Estudio de cohortes con alto estándar de referencia.
Descriptores:
Ejercicio Físico; Carrera; Ventilación Voluntaria Máxima; Metabolismo Energético
RESUMO
Introdução:
O domínio de intensidade de exercício severo pode ser definido como a faixa de taxas de trabalho ou velocidades sobre as quais o VO2max pode ser obtido.
Objetivos:
Nosso propósito foi determinar se a velocidade crítica (execução analógica da potência crítica) identifica o limite inferior do domínio severo e identificar o limite superior do domínio.
Métodos:
Vinte e cinco indivíduos realizaram cinco testes de corrida até a exaustão, cada um com duração > 2,5 min e < 16 min. A relação velocidade de dois parâmetros contra tempo até a exaustão gerou valores para a velocidade crítica e a relação velocidade de três parâmetros contra tempo para alcançar o VO2max valores gerados para a velocidade limite acima da qual o VO2max pode ser obtido. As relações foram resolvidas para calcular o tempo mínimo necessário para eliciar o VO2max.
Resultados:
A velocidade crítica (3,00 ± 0,38 m·s−1) e a velocidade limite acima da qual o VO2max pode ser eliciado (2,99 ± 0,37 m·s−1) foram correlacionadas (r = 0,83, p < 0,01) e não diferiram (p = 0,70), confirmando a velocidade crítica como o limite inferior do domínio grave. O tempo mínimo necessário para eliciar o VO2max (103 ± 7 s) e a maior velocidade associada na qual o VO2max pode ser eliciado (4,98 ± 0,52 m·s−1) identificou o limite superior do domínio severo para esses participantes.
Conclusão:
O conceito de potência crítica, que não requer medidas metabólicas, pode ser usado para identificar a velocidade mais baixa em que o VO2max pode ser eliciado. Com a adição de medidas metabólicas, a modelagem matemática também pode identificar a velocidade mais alta e a duração mais curta do exercício em que o VO2max pode ser obtido. Nível de Evidência I; Estudo de coorte com alto padrão de referência.
Descritores:
Exercício Físico; Corrida; Capacidade Respiratória Máxima; Metabolismo Energético
INTRODUCTION
The asymptote of the exponential power vs time-to-exhaustion relationship is critical power (CP).11 Monod H, Scherrer J. The work capacity of a synergic muscle group. Ergonomics. 1965;8(3):329-38.,22 Hill DW. The critical power concept: A review. Sports Med. 1993;16(4):237-54. In running, its analogue is critical speed (CS).33 Hughson RL, Cook CJ, Staudt LE. A high speed treadmill running test to assess endurance running potential. Int J Sports Med. 1984;5(1):23-5. It is widely accepted that CP is the threshold intensity above which VO2max can be attained,44 Burnley M, Jones AM. Oxygen uptake kinetics as a determinant of sports performance. Int J Sports Physiol Perform. 2009;4(4):524-32.
5 Gaesser GA, Poole DC. The slow component of oxygen uptake kinetics in humans. In: Holloszy JO, ed. Exercise and Sport Sciences Reviews. Baltimore, MD: Williams and Wilkins; 1996. p. 35-70.
6 Jones AM, Burnley M, Black MI, Poole DC, Vanhatalo A. The maximal metabolic steady state: redefining the ‘gold standard’. Physiol Rev. 2019;7(10):e14098.-77 Jones AM, Vanhatalo A, Burnley M, Morton RH, Poole DC. Critical power: Implications for determination of VO2max and exercise tolerance. Med Sci Sports Exerc. 2010;42(10):1876-90. with some studies confirming this belief 88 de Lucas RD, de Souza KM, Costa VP, Grossi T, Guglielmo LGA. Time to exhaustion at and above critical power in trained cyclists: The relationship between heavy and severe intensity domains. Sci Sports. 2013;28(1):e9-e11.
9 Francis TJ Jr, Quinn TJ, Amann M, Laroche DP. Defining intensity domains from end power of a 3-min all-out cycling test. Med Sci Sports Exerc. 2010;42(9):1769-75.
10 Hill DW, Ferguson CS. A physiological description of critical speed. Eur J Appl Physiol Occup Physiol. 1999;79(3):290-3.
11 Hill DW, Poole DC, Smith JC. The relationship between power and the time to achieve VO2max. Med Sci Sports Exerc. 2002;34(4):709-14.
12 Poole DC, Ward SA, Gardner GW, Whipp BJ. Metabolic and respiratory profile of the upper limit for prolonged exercise in man. Ergonomics. 1988;31(9):1265-79.
13 Poole DC, Ward SA, Whipp BJ. The effects of training on the metabolic and respiratory profile of high-intensity cycle ergometer exercise. Eur J Appl Physiol Occup Physiol. 1990;59(6):421-9.-1414 Hill DW, Smith JC. Determination of critical power by pulmonary gas exchange. Can J Appl Physiol. 1999;24(1):74-86. and others challenging it.1515 Bergstrom HC, Housh TJ, Cochrane-Snyman KC, Jenkins NDM, Byrd MT, Switalla JR, et al. A model for identifying intensity zones above critical velocity. J Strength Cond Res. 2017;31(12):3260-5.
16 Bergstrom HC, Housh TJ, Zuniga JM, Traylor DA, Lewis RW, Camic CL, et al. Mechanographic and metabolic responses during continuous cycle ergometry at critical power from the 3-min all-out test. J Electromyogr Kinesiol. 2013;23(2):349-55.
17 Bergstrom HC, Housh TJ, Zuniga JM, Traylor DA, Lewis RW, Camic CL, et al. Metabolic and neuromuscular responses at critical power from the 3-min all-out test. Appl Physiol Nutr Metab. 2013;38(1):7-13.
18 Billat V, Binsse V, Petit B, Koralsztein JP. High level runners are able to maintain a VO2 steady state below VO2max in an all-out run over their critical velocity. Arch Physiol Biochem. 1998;106(1):38-45.
19 Billat V, Blondel N, Berthoin S. Determination of the velocity associated with the longest time to fatigue at maximal oxygen uptake. Eur J Appl Physiol. 1999;80(2):159-61.
20 Billat VL, Morton RH, Blondel N, Berthoin S, Bocquet V, Koralsztein JP, et al. Oxygen kinetics and modeling of time to exhaustion whilst running at various velocities at maximal oxygen uptake. Eur J Appl Physiol. 2000;82(3):178-87.
21 Morton RH, Billat V. Maximal endurance time at VO2max. Med Sci Sports Exerc. 2000;32(8):1496-504.-2222 Sawyer BJ, Morton RH, Womack CJ, Gaesser GA. VO2max may not be reached during exercise to exhaustion above critical power. Med Sci Sports Exerc. 2012;44(8):1533-8. As this threshold speed, CS identifies the boundary between the heavy and severe exercise intensity domains, if the latter is defined by the ability to reach VO2max.55 Gaesser GA, Poole DC. The slow component of oxygen uptake kinetics in humans. In: Holloszy JO, ed. Exercise and Sport Sciences Reviews. Baltimore, MD: Williams and Wilkins; 1996. p. 35-70. Since there must be some minimum time needed to reach VO2max, there must be an upper boundary to the severe domain, it being the highest intensity (shortest duration) at which VO2max can be attained.1010 Hill DW, Ferguson CS. A physiological description of critical speed. Eur J Appl Physiol Occup Physiol. 1999;79(3):290-3.,1111 Hill DW, Poole DC, Smith JC. The relationship between power and the time to achieve VO2max. Med Sci Sports Exerc. 2002;34(4):709-14.,2323 Caputo F, Denadai BS. The highest intensity and the shortest duration permitting attainment of maximal oxygen uptake during cycling: effects of different methods and aerobic fitness level. Eur J Appl Physiol. 2008;103(1):47-57.,2424 Hill DW, Stevens EC. VO2 response profiles in severe intensity exercise. J Sports Med Phys Fitness. 2005;45(3):239-47.
It is important to achieve VO2max in many exercise research, training, and testing situations. Therefore, it is of practical importance for sport practitioners and researchers to be able to identify the intensities that will elicit VO2max.2525 Dupond G, Berthoin S. Time spent at a high percentage of VO2max for short intermittent runs: Active versus passive recovery. Can J Appl Physiol. 2004;29(S):S3-S16.,2626 Midgley AW, McNaughton LR, Wilkinson M. Criteria and other methodological considerations in the evaluation of time at VO2max. J Sports Med Phys Fitness. 2006;46(2):183-8. Yet, it remains equivocal that CP or CS is the threshold for VO2max,88 de Lucas RD, de Souza KM, Costa VP, Grossi T, Guglielmo LGA. Time to exhaustion at and above critical power in trained cyclists: The relationship between heavy and severe intensity domains. Sci Sports. 2013;28(1):e9-e11.
9 Francis TJ Jr, Quinn TJ, Amann M, Laroche DP. Defining intensity domains from end power of a 3-min all-out cycling test. Med Sci Sports Exerc. 2010;42(9):1769-75.
10 Hill DW, Ferguson CS. A physiological description of critical speed. Eur J Appl Physiol Occup Physiol. 1999;79(3):290-3.
11 Hill DW, Poole DC, Smith JC. The relationship between power and the time to achieve VO2max. Med Sci Sports Exerc. 2002;34(4):709-14.
12 Poole DC, Ward SA, Gardner GW, Whipp BJ. Metabolic and respiratory profile of the upper limit for prolonged exercise in man. Ergonomics. 1988;31(9):1265-79.
13 Poole DC, Ward SA, Whipp BJ. The effects of training on the metabolic and respiratory profile of high-intensity cycle ergometer exercise. Eur J Appl Physiol Occup Physiol. 1990;59(6):421-9.
14 Hill DW, Smith JC. Determination of critical power by pulmonary gas exchange. Can J Appl Physiol. 1999;24(1):74-86.
15 Bergstrom HC, Housh TJ, Cochrane-Snyman KC, Jenkins NDM, Byrd MT, Switalla JR, et al. A model for identifying intensity zones above critical velocity. J Strength Cond Res. 2017;31(12):3260-5.
16 Bergstrom HC, Housh TJ, Zuniga JM, Traylor DA, Lewis RW, Camic CL, et al. Mechanographic and metabolic responses during continuous cycle ergometry at critical power from the 3-min all-out test. J Electromyogr Kinesiol. 2013;23(2):349-55.
17 Bergstrom HC, Housh TJ, Zuniga JM, Traylor DA, Lewis RW, Camic CL, et al. Metabolic and neuromuscular responses at critical power from the 3-min all-out test. Appl Physiol Nutr Metab. 2013;38(1):7-13.
18 Billat V, Binsse V, Petit B, Koralsztein JP. High level runners are able to maintain a VO2 steady state below VO2max in an all-out run over their critical velocity. Arch Physiol Biochem. 1998;106(1):38-45.
19 Billat V, Blondel N, Berthoin S. Determination of the velocity associated with the longest time to fatigue at maximal oxygen uptake. Eur J Appl Physiol. 1999;80(2):159-61.
20 Billat VL, Morton RH, Blondel N, Berthoin S, Bocquet V, Koralsztein JP, et al. Oxygen kinetics and modeling of time to exhaustion whilst running at various velocities at maximal oxygen uptake. Eur J Appl Physiol. 2000;82(3):178-87.
21 Morton RH, Billat V. Maximal endurance time at VO2max. Med Sci Sports Exerc. 2000;32(8):1496-504.-2222 Sawyer BJ, Morton RH, Womack CJ, Gaesser GA. VO2max may not be reached during exercise to exhaustion above critical power. Med Sci Sports Exerc. 2012;44(8):1533-8. and there is little in the literature about an upper boundary of the severe domain.1010 Hill DW, Ferguson CS. A physiological description of critical speed. Eur J Appl Physiol Occup Physiol. 1999;79(3):290-3.,1111 Hill DW, Poole DC, Smith JC. The relationship between power and the time to achieve VO2max. Med Sci Sports Exerc. 2002;34(4):709-14.,2323 Caputo F, Denadai BS. The highest intensity and the shortest duration permitting attainment of maximal oxygen uptake during cycling: effects of different methods and aerobic fitness level. Eur J Appl Physiol. 2008;103(1):47-57.,2424 Hill DW, Stevens EC. VO2 response profiles in severe intensity exercise. J Sports Med Phys Fitness. 2005;45(3):239-47. The purpose of the present study was to determine if CS is the threshold speed for attaining VO2max (i.e., lower boundary of the severe domain) and to identify the highest speed and shortest exercise duration at which VO2max can be elicited (i.e., upper bound of the domain).
METHODS
Study design and ethical aspects
The study was approved by the university's Institutional Review Board for Protection of Human Subjects (#16452) and was conducted in accord with the Declaration of Helsinki. Participants provided written informed consent prior to any data collection. Using a within-subjects design, we had 25 participants perform five exercise tests and modeled relationships of speed vs time-to-exhaustion, speed vs time-to-reach-VO2max, and speed vs time-spent-at-VO2max. The validity of CS as the lower boundary of the severe domain was determined by comparison with two parameters derived using metabolic data. The upper boundary of the domain was also identified two ways.
Subjects
Seven women (age, 23 ± 2 y, height, 164 ± 6 cm, mass, 61 ± 6 kg) and 18 men (24 ± 2 y, 182 ± 7 cm, 90 ± 21 kg) participated. All were Kinesiology Majors and were involved in recreational sport or fitness activities, four or more times each week. They did not alter their exercise, diet, or sleep habits over the course of the study.
Exhaustive constant-speed running tests
Participants performed five 0%-grade treadmill tests at different speeds, each on a different day and all within a three-week period. Speeds were individually selected by the senior investigator to elicit exhaustion in ∼3 to 12 min (actual time-to-exhaustion were between 2½ and 16 min). Expired gases were analyzed on a breath-by-breath basis using a MedGraphics (St. Paul, MN, USA) metabolic cart, which was calibrated before each test. Tests were scheduled at the same time of day to avoid the confounding effects of circadian rhythms on responses.2727 Hill DW. Morning–evening differences in responses to exhaustive severe-intensity exercise. Appl Physiol Nutr Metab. 2014;39(2):248-54.
Speed vs time-to-exhaustion and determination of critical speed (CS)
For each participant, speed and time-to-exhaustion data were fit to three mathematically equivalent models22 Hill DW. The critical power concept: A review. Sports Med. 1993;16(4):237-54. using SPSSv22 (Armonk, NY, USA) to determine CS and D’:
and
The value for CS derived using Equation 1a, which correctly (in the physiological sense) sets time-to-exhaustion as the dependent variable,22 Hill DW. The critical power concept: A review. Sports Med. 1993;16(4):237-54. was used as the criterion measure. See Figure 1.
Mean data fit to Equation 1a, Equation 2, and Equation 3. Equation 1a (small closed circles within open circles, solid line) is speed vs time-to-exhaustion; Equation 2 (closed circles, solid line) is speed vs time-to-reach-VO2max; and Equation 3 (open circles, dotted line) is speed vs time-spent-at-VO2max. Data points are the mean values for the 25 participants. The vertical asymptotes (superimposed dashed lines) represent the CS (3.00 ± 0.38 m·s–1 from Equation 1a), maximum-steady-state-speed (2.99 ± 0.37 m·s–1 from Equation 2), and minimum-VO2max-speed (2.98 ± 0.34 m·s–1 from Equation 3). Also identified on the graph are the horizontal asymptote, α (57 ± 6 s from Equation 2), the intersection point of Equation 1a and Equation 2 (calculated using Equation 4) (5.01 ± 0.49 m·s–1, 102 ± 7 s), and upper-bound-speed (4.98 ± 0.52 m·s–1) from Equation 3.
Speed vs time-to-reach-VO2max and the lower boundary of the severe intensity domain
Breath-by-breath VO2 data were reduced to rolling 8-breath and 30-breath averages. VO2max was the highest 30-breath average in each test, and time-to-reach-VO2max was the time from the onset of exercise to the midpoint of the time frame in which an 8-breath VO2 first equaled or exceeded the VO2max for that test.1010 Hill DW, Ferguson CS. A physiological description of critical speed. Eur J Appl Physiol Occup Physiol. 1999;79(3):290-3.,1414 Hill DW, Smith JC. Determination of critical power by pulmonary gas exchange. Can J Appl Physiol. 1999;24(1):74-86.,2424 Hill DW, Stevens EC. VO2 response profiles in severe intensity exercise. J Sports Med Phys Fitness. 2005;45(3):239-47.,2828 Hill DW, Stephens LP, Blumoff SA, Poole DC, Smith JC. Effect of sampling strategy on measures of VO2peak obtained using commercial breath-by-breath systems. Eur J Appl Physiol. 2003;89(6):564-9. This method addresses day-to-day variability in VO2max by calculating the time to reach the highest VO2 achieved in that test. Speed and time-to-reach-VO2max data were fit to Equation 2:
Maximum-steady-state-speed (the vertical asymptote) is the highest speed associated with a steady state VO2 response and, by definition, the threshold speed above which VO2max can be achieved. The α parameter is the horizontal asymptote. See Figure 1.
Speed vs time-spent at-VO2max and the lower and upper boundaries of the severe intensity domain
There is a hyperbolic relationship between speed and time-spent-at-VO2max1010 Hill DW, Ferguson CS. A physiological description of critical speed. Eur J Appl Physiol Occup Physiol. 1999;79(3):290-3.,1414 Hill DW, Smith JC. Determination of critical power by pulmonary gas exchange. Can J Appl Physiol. 1999;24(1):74-86.,1919 Billat V, Blondel N, Berthoin S. Determination of the velocity associated with the longest time to fatigue at maximal oxygen uptake. Eur J Appl Physiol. 1999;80(2):159-61.,2020 Billat VL, Morton RH, Blondel N, Berthoin S, Bocquet V, Koralsztein JP, et al. Oxygen kinetics and modeling of time to exhaustion whilst running at various velocities at maximal oxygen uptake. Eur J Appl Physiol. 2000;82(3):178-87.,2424 Hill DW, Stevens EC. VO2 response profiles in severe intensity exercise. J Sports Med Phys Fitness. 2005;45(3):239-47. (time-to-exhaustion minus time-to-reach-VO2max). Speed and time-spent-at-VO2max data were fit to Equation 3:
Minimum-VO2max-speed (the vertical asymptote) defines the lowest speed at which VO2max can be achieved. The upper-bound-speed (x-intercept) is the highest speed associated with attainment of VO2max. The time associated with this speed (minimum time-to-reach-VO2max) was determined using this speed and equation 1a. See Figure 1.
Equation 1a and Equation 2 and the upper boundary of the severe intensity domain
The intersection of the curves described by Equations 1a and 2 identifies the minimum time-to-reach-VO2max (i.e., time-to-exhaustion = time-to-reach-VO2max) and the highest speed associated with attainment of VO2max. This speed was calculated by equating the righthand sides of these two equations, using individual's values for the parameters and solving for speed:
The time associated with this speed (minimum time-to-reach-VO2max) was determined using this speed and equation 1a.
Statistical analyses
To evaluate the accuracy of the CS measure, values for CS and D’ from Equations 1a, 1b, and 1c were compared using a repeated-measures analysis of variance (rANOVA). Estimates of the speed that demarcates the heavy and severe domains (CS from Equation 1a, maximum-steady-state-speed from Equation 2, and minimum-VO2max-speed from Equation 3) were compared using rANOVA. The estimates of the upper boundary of the severe intensity domain (upper-bound-speed from Equation 3 and the speed calculated from the intersection of Equations 1a and 2, using Equation 4) were compared using a paired-means t-test. Significance was set at p < 0.05. All analyses were performed using SPSSv22. Data are presented as mean ± SD.
RESULTS
Responses in treadmill tests are in Table 1. Values for CS and D’ from Equations 1a, 1b, and 1c are in Table 2. Values for the parameters from Equations 2 and 3 are in Table 3. There was no difference (p = 0.49) between upper-bound-speed (4.98 ± 0.52 m·s−1 from Equation 3) and the highest speed able to elicit VO2max (5.01 ± 0.49 m·s−1, obtained using Equation 4; r = 0.94, p < 0.001). Bland-Altman plot2929 Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1986;1(8476):307-10. is in Figure 2. Substituting these speeds into Equation 1a showed that the minimum time-to-reach-VO2max was 102 ± 7 s (based on Equation 4) or 103 ± 7 s (based on Equation 3).
Mean (± SD) responses during the five exhaustive treadmill tests. When ANOVA revealed a significant effect, different superscripts are used to identify means that differed.
Mean (± SD) values for CS and D’ generated using Equation 1a (which relates time-to-exhaustion and speed), Equation 1b (which relates distance and time-to-exhaustion), and Equation 1c (which relates speed and the inverse of time-to-exhaustion). The SEE of the estimates are also provided, both in the units of measure (in italics square brackets]) and as a percentage of the parameter estimate (in italics). The coefficient of variation (CV) describes the variability among the values from the three equations.
Mean (± SD) values for parameters of Equation 2 (which relates speed and time-to-reach-VO2max) and Equation 3 (which relates speed and time-spent-at-VO2max). The SEE of the estimates are also provided, both in the units of measure (in italics square brackets) and as a percentage of the parameter estimate (in italics). The † symbol identifies variables that are unique to Equation 2 and the ‡ symbol identifies variables that are unique to Equation 3.
Bland-Altman plot2929 Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1986;1(8476):307-10. demonstrating the similarity of the two directly determined measures of the upper bound of the severe exercise intensity domain (i.e., the highest speed associated with the attainment of VO2max). The first measure was the intersection of Equation 1a and Equation 2 using Equation 4 and the second measure was upper-bound-speed (from Equation 3). The regression equation describing the relationship (solid line) was Y = 0.338 – 0.062 x X (R2 = 003). The limits of tolerance (mean ± 1.96 x SD) are presented as dashed lines.
The results of rANOVA revealed no differences (p = 0.89) among the three estimates of the speed that demarcates heavy and severe domains (CS from Equation 1a, maximum-steady-state-speed from Equation 2, and minimum-VO2max-speed from Equation 3). The intraclass correlation was 0.96 (p < 0.001). Bland-Altman plots2929 Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1986;1(8476):307-10. are in Figures 3, 4, and 5.
Bland-Altman plot2929 Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1986;1(8476):307-10. demonstrating the similarity of the two directly determined identifiers of the lower boundary of the severe exercise intensity domain. The first measure was maximum-steady-state-speed (from Equation 2) and the second measure was minimum-VO2max-speed (from Equation 3). The regression equation describing the relationship (solid line) was Y = 0.238 + 0.081 x X (R2 = 002). The limits of tolerance (mean ± 1.96 x SD) are presented as dashed lines. This result verified the suitability of Equation 2 and Equation 3 to describe the relationships between VO2 kinetics (i.e., time-to-reach-VO2max and time-spent-at-VO2max) and running speed and, therefore, to directly calculate the lower bound of the severe domain.
Bland-Altman plot2929 Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1986;1(8476):307-10. demonstrating the similarity of CS (from Equation 1a) and one of the directly determined identifiers of the lower bound of the severe exercise intensity domain, namely maximum-steady-state-speed (from Equation 2). As proposed by Krouwer,3232 Krouwer JS. Why Bland-Altman plots should us X, not (Y+X)/2, when X is a reference method. Stat Med. 2008;27(5):778-80. the criterion measure (‘gold standard’) is used as the X-axis (rather than the average of the two measures). The regression equation describing the relationship (solid line) was Y = 0.428 – 0.138 x X (R2 = 055). The limits of tolerance (mean ± 1.96 x SD) are presented as dashed lines. This result verified the postulate that CS is the threshold intensity above which VO2max can be elicited and that it identifies the lower boundary of the severe exercise intensity domain.
Bland-Altman plot2929 Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1986;1(8476):307-10. demonstrating the similarity of CS (from Equation 1a) and one of the directly determined identifiers of the lower bound of the severe exercise intensity domain, namely minimum-VO2max-speed (from Equation 3). As proposed by Krouwer,3232 Krouwer JS. Why Bland-Altman plots should us X, not (Y+X)/2, when X is a reference method. Stat Med. 2008;27(5):778-80. the criterion measure (‘gold standard’) is used as the X-axis (rather than the average of the two measures). The regression equation describing the relationship (solid line) was Y = 0.104 – 0.028 x X (R2 = 003). The limits of tolerance (mean ± 1.96 x SD) are presented as dashed lines. This result verified the postulate that CS is the threshold intensity above which VO2max can be elicited and that it identifies the lower boundary of the severe exercise intensity domain.
DISCUSSION
The first important finding in the present study is that CS, the running analog of CP, identifies the threshold speed above which VO2max can be elicited. So, the lower boundary of the severe exercise intensity domain can be identified using Equation 1a, which requires no metabolic measurements. The second important outcome was that the upper boundary of the severe intensity domain (i.e., the highest running speed associated with attainment of VO2max) could be identified by calculating the intersection of the curves described by Equations 1a and 2, or, alternatively, by using Equation 3.
The most widely cited evidence supporting the assertion that VO2max can be achieved only during exercise above CP or CS is from a seminal study in which eight men were tested at CP and at CP + 8% and end-exercise VO2 at CP + 8% (97 ± 6% VO2max) was not different from VO2max from an incremental test.1212 Poole DC, Ward SA, Gardner GW, Whipp BJ. Metabolic and respiratory profile of the upper limit for prolonged exercise in man. Ergonomics. 1988;31(9):1265-79. After training, the same men were tested at their new CP and at CP + 11% and end-exercise VO2 (95 ± 5% VO2max) was again not different VO2max.1313 Poole DC, Ward SA, Whipp BJ. The effects of training on the metabolic and respiratory profile of high-intensity cycle ergometer exercise. Eur J Appl Physiol Occup Physiol. 1990;59(6):421-9. Widespread acceptance of this postulate (by reference directly to these studies1212 Poole DC, Ward SA, Gardner GW, Whipp BJ. Metabolic and respiratory profile of the upper limit for prolonged exercise in man. Ergonomics. 1988;31(9):1265-79.,1313 Poole DC, Ward SA, Whipp BJ. The effects of training on the metabolic and respiratory profile of high-intensity cycle ergometer exercise. Eur J Appl Physiol Occup Physiol. 1990;59(6):421-9. or indirectly to reviews44 Burnley M, Jones AM. Oxygen uptake kinetics as a determinant of sports performance. Int J Sports Physiol Perform. 2009;4(4):524-32.
5 Gaesser GA, Poole DC. The slow component of oxygen uptake kinetics in humans. In: Holloszy JO, ed. Exercise and Sport Sciences Reviews. Baltimore, MD: Williams and Wilkins; 1996. p. 35-70.
6 Jones AM, Burnley M, Black MI, Poole DC, Vanhatalo A. The maximal metabolic steady state: redefining the ‘gold standard’. Physiol Rev. 2019;7(10):e14098.-77 Jones AM, Vanhatalo A, Burnley M, Morton RH, Poole DC. Critical power: Implications for determination of VO2max and exercise tolerance. Med Sci Sports Exerc. 2010;42(10):1876-90.) speaks to the potency of the authors but obscures the dearth of direct and undisputed verification. Our results support the contention that CP or CS is the threshold intensity above which VO2max can be achieved and are consistent with the results of studies that used mathematical modeling1010 Hill DW, Ferguson CS. A physiological description of critical speed. Eur J Appl Physiol Occup Physiol. 1999;79(3):290-3.,1111 Hill DW, Poole DC, Smith JC. The relationship between power and the time to achieve VO2max. Med Sci Sports Exerc. 2002;34(4):709-14.,1414 Hill DW, Smith JC. Determination of critical power by pulmonary gas exchange. Can J Appl Physiol. 1999;24(1):74-86. or direct measurement of VO2 at or above CP or CS,88 de Lucas RD, de Souza KM, Costa VP, Grossi T, Guglielmo LGA. Time to exhaustion at and above critical power in trained cyclists: The relationship between heavy and severe intensity domains. Sci Sports. 2013;28(1):e9-e11.,99 Francis TJ Jr, Quinn TJ, Amann M, Laroche DP. Defining intensity domains from end power of a 3-min all-out cycling test. Med Sci Sports Exerc. 2010;42(9):1769-75.,1212 Poole DC, Ward SA, Gardner GW, Whipp BJ. Metabolic and respiratory profile of the upper limit for prolonged exercise in man. Ergonomics. 1988;31(9):1265-79.,1313 Poole DC, Ward SA, Whipp BJ. The effects of training on the metabolic and respiratory profile of high-intensity cycle ergometer exercise. Eur J Appl Physiol Occup Physiol. 1990;59(6):421-9. but must be weighed against equivocal results2424 Hill DW, Stevens EC. VO2 response profiles in severe intensity exercise. J Sports Med Phys Fitness. 2005;45(3):239-47. and against the contradictory results obtained in well-executed studies by Billat et al.1818 Billat V, Binsse V, Petit B, Koralsztein JP. High level runners are able to maintain a VO2 steady state below VO2max in an all-out run over their critical velocity. Arch Physiol Biochem. 1998;106(1):38-45.
19 Billat V, Blondel N, Berthoin S. Determination of the velocity associated with the longest time to fatigue at maximal oxygen uptake. Eur J Appl Physiol. 1999;80(2):159-61.
20 Billat VL, Morton RH, Blondel N, Berthoin S, Bocquet V, Koralsztein JP, et al. Oxygen kinetics and modeling of time to exhaustion whilst running at various velocities at maximal oxygen uptake. Eur J Appl Physiol. 2000;82(3):178-87.-2121 Morton RH, Billat V. Maximal endurance time at VO2max. Med Sci Sports Exerc. 2000;32(8):1496-504. and others.1515 Bergstrom HC, Housh TJ, Cochrane-Snyman KC, Jenkins NDM, Byrd MT, Switalla JR, et al. A model for identifying intensity zones above critical velocity. J Strength Cond Res. 2017;31(12):3260-5.
16 Bergstrom HC, Housh TJ, Zuniga JM, Traylor DA, Lewis RW, Camic CL, et al. Mechanographic and metabolic responses during continuous cycle ergometry at critical power from the 3-min all-out test. J Electromyogr Kinesiol. 2013;23(2):349-55.-1717 Bergstrom HC, Housh TJ, Zuniga JM, Traylor DA, Lewis RW, Camic CL, et al. Metabolic and neuromuscular responses at critical power from the 3-min all-out test. Appl Physiol Nutr Metab. 2013;38(1):7-13.,2222 Sawyer BJ, Morton RH, Womack CJ, Gaesser GA. VO2max may not be reached during exercise to exhaustion above critical power. Med Sci Sports Exerc. 2012;44(8):1533-8.
The second important outcome of the present study was that the upper boundary of the severe intensity domain could be identified. Although there must be some minimum time necessary to reach VO2max in exercise,88 de Lucas RD, de Souza KM, Costa VP, Grossi T, Guglielmo LGA. Time to exhaustion at and above critical power in trained cyclists: The relationship between heavy and severe intensity domains. Sci Sports. 2013;28(1):e9-e11.,1010 Hill DW, Ferguson CS. A physiological description of critical speed. Eur J Appl Physiol Occup Physiol. 1999;79(3):290-3.,1111 Hill DW, Poole DC, Smith JC. The relationship between power and the time to achieve VO2max. Med Sci Sports Exerc. 2002;34(4):709-14.,1414 Hill DW, Smith JC. Determination of critical power by pulmonary gas exchange. Can J Appl Physiol. 1999;24(1):74-86.,1818 Billat V, Binsse V, Petit B, Koralsztein JP. High level runners are able to maintain a VO2 steady state below VO2max in an all-out run over their critical velocity. Arch Physiol Biochem. 1998;106(1):38-45.,1919 Billat V, Blondel N, Berthoin S. Determination of the velocity associated with the longest time to fatigue at maximal oxygen uptake. Eur J Appl Physiol. 1999;80(2):159-61.,2323 Caputo F, Denadai BS. The highest intensity and the shortest duration permitting attainment of maximal oxygen uptake during cycling: effects of different methods and aerobic fitness level. Eur J Appl Physiol. 2008;103(1):47-57.,2424 Hill DW, Stevens EC. VO2 response profiles in severe intensity exercise. J Sports Med Phys Fitness. 2005;45(3):239-47.,3030 Hughson RL, O’Leary DD, Betick AC, Hebestreit H. Kinetics of oxygen uptake at the onset of exercise near or above peak oxygen uptake. J Appl Physiol (1985). 2000;88(5):1812-9. few studies have sought to calculate that time.1010 Hill DW, Ferguson CS. A physiological description of critical speed. Eur J Appl Physiol Occup Physiol. 1999;79(3):290-3.,1111 Hill DW, Poole DC, Smith JC. The relationship between power and the time to achieve VO2max. Med Sci Sports Exerc. 2002;34(4):709-14.,2323 Caputo F, Denadai BS. The highest intensity and the shortest duration permitting attainment of maximal oxygen uptake during cycling: effects of different methods and aerobic fitness level. Eur J Appl Physiol. 2008;103(1):47-57.,2424 Hill DW, Stevens EC. VO2 response profiles in severe intensity exercise. J Sports Med Phys Fitness. 2005;45(3):239-47. Hill and Ferguson1010 Hill DW, Ferguson CS. A physiological description of critical speed. Eur J Appl Physiol Occup Physiol. 1999;79(3):290-3. suggested that the intersection of the curvilinear power vs time-to-exhaustion and power vs time-to-reach-VO2max relationships would identify the shortest time-to-reach-VO2max. The present study is the first to do so, using a three-parameter model of the speed vs time-to-reach-VO2max relationship (Equation 2). Equation 2 is theoretically-sound and it fit the data well, generating parameter estimates with small SEE and high R2 (see Table 3). We also used a three-parameter hyperbolic model of the relationship between speed and time-spent-at-VO2max (Equation 3). Equation 3 also is theoretically-sound and it fit the data well (see Table 3). Thus, the results validated that these models directly identify the lower boundary of the severe intensity domain.
Results from Equation 3 showed that VO2max could be achieved in running at a speed ≤ 4.98 ± 0.52 m·s−1, a speed associated with a tolerable duration of 103 ± 7 s; and results from Equation 4 yielded 5.01 ± 0.49 m·s−1 and 102 ± 7 s. Previous estimates of the minimum time-to-reach-VO2max in cycling were 136 ± 17 s,1111 Hill DW, Poole DC, Smith JC. The relationship between power and the time to achieve VO2max. Med Sci Sports Exerc. 2002;34(4):709-14. ∼151 s,2424 Hill DW, Stevens EC. VO2 response profiles in severe intensity exercise. J Sports Med Phys Fitness. 2005;45(3):239-47. ∼152 s,2424 Hill DW, Stevens EC. VO2 response profiles in severe intensity exercise. J Sports Med Phys Fitness. 2005;45(3):239-47. or 159 ± 38 s for kinesiology students,2323 Caputo F, Denadai BS. The highest intensity and the shortest duration permitting attainment of maximal oxygen uptake during cycling: effects of different methods and aerobic fitness level. Eur J Appl Physiol. 2008;103(1):47-57. 103 ± 51 s for endurance-trained cyclists,2323 Caputo F, Denadai BS. The highest intensity and the shortest duration permitting attainment of maximal oxygen uptake during cycling: effects of different methods and aerobic fitness level. Eur J Appl Physiol. 2008;103(1):47-57. and 153 ± 50 s for trained runners.2323 Caputo F, Denadai BS. The highest intensity and the shortest duration permitting attainment of maximal oxygen uptake during cycling: effects of different methods and aerobic fitness level. Eur J Appl Physiol. 2008;103(1):47-57. Together, these results suggest that the upper boundary of the severe domain is associated with tolerable durations of ∼1½ to ∼2½ min and is affected by exercise mode and perhaps fitness level. The upper boundary can be estimated using the (a) linear relationships between time-to-exhaustion and time-to-reach-VO2max,1111 Hill DW, Poole DC, Smith JC. The relationship between power and the time to achieve VO2max. Med Sci Sports Exerc. 2002;34(4):709-14.,2323 Caputo F, Denadai BS. The highest intensity and the shortest duration permitting attainment of maximal oxygen uptake during cycling: effects of different methods and aerobic fitness level. Eur J Appl Physiol. 2008;103(1):47-57.,2424 Hill DW, Stevens EC. VO2 response profiles in severe intensity exercise. J Sports Med Phys Fitness. 2005;45(3):239-47. (b) hyperbolic relationship between time-to-exhaustion and the amplitude of the slow component,2323 Caputo F, Denadai BS. The highest intensity and the shortest duration permitting attainment of maximal oxygen uptake during cycling: effects of different methods and aerobic fitness level. Eur J Appl Physiol. 2008;103(1):47-57. (c) intersection point of Equation 1a and Equation 2 (present study), or (d) asymptotic relationship between time-spent-at-VO2max and speed (Equation 3, present study).
An important consideration in studies like this one is the accuracy of the calculation of CP or CS. Values are accurate if the estimates from Equations 1a, 1b, and 1c are similar3131 Hill DW, Smith JC. A method to ensure the accuracy of estimates of anaerobic capacity derived using the critical power concept. J Sports Med Phys Fitness. 1994;34(1):23-37. and, in the present study, they were: the average coefficient of variation among the three CS estimates, as well as among the three D′ estimates, was less than 1%. In addition, the SEE associated with CS and D’ were 3 ± 1% and 6 ± 1% of the respective parameter estimates, well within validated guidelines for accuracy.3131 Hill DW, Smith JC. A method to ensure the accuracy of estimates of anaerobic capacity derived using the critical power concept. J Sports Med Phys Fitness. 1994;34(1):23-37.
A new parameter, α, was introduced. Just as minimum-VO2max-speed (vertical asymptote) in Equation 2 is the speed above which VO2max can be achieved, so α (horizontal asymptote) is the time above which VO2max can be achieved. In Figure 1, the Equation 2 curve suggests that, as speed increases, time-to-reach-VO2max decreases and approaches 57 s: this should be the minimum time-to-reach-VO2max for our participants. However, when the Equation 1a curve is superimposed on the Equation 2 curve, it is clear that VO2max will not be elicited in exercise at speeds above ∼5.00 m·s−1 (for our participants) because exhaustion occurs while VO2 is still increasing, projecting towards its maximum.2424 Hill DW, Stevens EC. VO2 response profiles in severe intensity exercise. J Sports Med Phys Fitness. 2005;45(3):239-47.,3030 Hughson RL, O’Leary DD, Betick AC, Hebestreit H. Kinetics of oxygen uptake at the onset of exercise near or above peak oxygen uptake. J Appl Physiol (1985). 2000;88(5):1812-9. For our participants, the actual minimum time-to-reach-VO2max was 102 ± 7 s or 103 ± 7 s, not 57 ± 6 s. We hypothesize that α provides a measure of the potentially (or, at least, theoretically) fastest possible kinetics, in the form of a theoretical minimum time-to-reach-VO2max. It is a virtual parameter, because VO2max cannot actually be attained because exercise in the extreme intensity domain is terminated by fatigue prior to achievement of VO2max. Nevertheless, the α parameter is an important descriptor of the overall VO2 response that dictates the reliance on anaerobic reserves, and thereby influences tolerance in both severe and extreme intensity exercise, and whose calculation does not involve the complications associated with modeling VO2 kinetics.
Knowledge of the boundaries of the severe domain is of practical importance for sport scientists and practitioners designing protocols for testing and training of VO2max. Obviously, many coaches and athletes will not have access to equipment needed for measuring metabolic responses. However, most of them do know what VO2max is, why it is important, and that training at VO2max is important for advanced athletes. To train at VO2max requires knowing what speeds or work rates will elicit VO2max. Even without access to VO2 testing, coaches can determine individually for their athletes the minimum work rate or speed to achieve VO2max by calculating their CP or CS using time trial or competition data. Coaches who do not have access to VO2 testing and cannot determine their athletes’ maximum speed to achieve VO2max on an individual basis, can benefit from our finding that a minimum tolerable duration of ∼1½ min is needed for eliciting VO2max in running, probably slightly less in higher fit athletes. This means that training speeds must be sustainable, and sustained, for at least ∼1½ min if VO2max is to be achieved.
CONCLUSIONS
It is concluded that two three-parameter hyperbolic models (Equation 2 and Equation 3) provide valid descriptions of the relationships between speed and time-to-reach-VO2max and between speed and time-spent-at-VO2max, respectively. We confirm that CS is the threshold for attaining VO2max can be identified without the need to actually measure VO2. In addition, we report that the upper boundary of the severe domain for running can be identified, first by using the relationship between speed and time-spent-at-VO2max (Equation 3) or second by using our Equation 4 to calculate the intersection of the speed vs time-to-exhaustion curve (Equation 1a) and the speed vs time-to-reach-VO2max curve (Equation 2). The upper boundary was associated with a time-to-exhaustion of ∼103 s in our participants, the shortest time in which VO2max can be attained. Finally, the speed vs time-to-reach-VO2max model (Equation 2) generates a parameter (α) that may describe an important characteristic of the aerobic system.
REFERENCES
-
1Monod H, Scherrer J. The work capacity of a synergic muscle group. Ergonomics. 1965;8(3):329-38.
-
2Hill DW. The critical power concept: A review. Sports Med. 1993;16(4):237-54.
-
3Hughson RL, Cook CJ, Staudt LE. A high speed treadmill running test to assess endurance running potential. Int J Sports Med. 1984;5(1):23-5.
-
4Burnley M, Jones AM. Oxygen uptake kinetics as a determinant of sports performance. Int J Sports Physiol Perform. 2009;4(4):524-32.
-
5Gaesser GA, Poole DC. The slow component of oxygen uptake kinetics in humans. In: Holloszy JO, ed. Exercise and Sport Sciences Reviews. Baltimore, MD: Williams and Wilkins; 1996. p. 35-70.
-
6Jones AM, Burnley M, Black MI, Poole DC, Vanhatalo A. The maximal metabolic steady state: redefining the ‘gold standard’. Physiol Rev. 2019;7(10):e14098.
-
7Jones AM, Vanhatalo A, Burnley M, Morton RH, Poole DC. Critical power: Implications for determination of VO2max and exercise tolerance. Med Sci Sports Exerc. 2010;42(10):1876-90.
-
8de Lucas RD, de Souza KM, Costa VP, Grossi T, Guglielmo LGA. Time to exhaustion at and above critical power in trained cyclists: The relationship between heavy and severe intensity domains. Sci Sports. 2013;28(1):e9-e11.
-
9Francis TJ Jr, Quinn TJ, Amann M, Laroche DP. Defining intensity domains from end power of a 3-min all-out cycling test. Med Sci Sports Exerc. 2010;42(9):1769-75.
-
10Hill DW, Ferguson CS. A physiological description of critical speed. Eur J Appl Physiol Occup Physiol. 1999;79(3):290-3.
-
11Hill DW, Poole DC, Smith JC. The relationship between power and the time to achieve VO2max Med Sci Sports Exerc. 2002;34(4):709-14.
-
12Poole DC, Ward SA, Gardner GW, Whipp BJ. Metabolic and respiratory profile of the upper limit for prolonged exercise in man. Ergonomics. 1988;31(9):1265-79.
-
13Poole DC, Ward SA, Whipp BJ. The effects of training on the metabolic and respiratory profile of high-intensity cycle ergometer exercise. Eur J Appl Physiol Occup Physiol. 1990;59(6):421-9.
-
14Hill DW, Smith JC. Determination of critical power by pulmonary gas exchange. Can J Appl Physiol. 1999;24(1):74-86.
-
15Bergstrom HC, Housh TJ, Cochrane-Snyman KC, Jenkins NDM, Byrd MT, Switalla JR, et al. A model for identifying intensity zones above critical velocity. J Strength Cond Res. 2017;31(12):3260-5.
-
16Bergstrom HC, Housh TJ, Zuniga JM, Traylor DA, Lewis RW, Camic CL, et al. Mechanographic and metabolic responses during continuous cycle ergometry at critical power from the 3-min all-out test. J Electromyogr Kinesiol. 2013;23(2):349-55.
-
17Bergstrom HC, Housh TJ, Zuniga JM, Traylor DA, Lewis RW, Camic CL, et al. Metabolic and neuromuscular responses at critical power from the 3-min all-out test. Appl Physiol Nutr Metab. 2013;38(1):7-13.
-
18Billat V, Binsse V, Petit B, Koralsztein JP. High level runners are able to maintain a VO2 steady state below VO2max in an all-out run over their critical velocity. Arch Physiol Biochem. 1998;106(1):38-45.
-
19Billat V, Blondel N, Berthoin S. Determination of the velocity associated with the longest time to fatigue at maximal oxygen uptake. Eur J Appl Physiol. 1999;80(2):159-61.
-
20Billat VL, Morton RH, Blondel N, Berthoin S, Bocquet V, Koralsztein JP, et al. Oxygen kinetics and modeling of time to exhaustion whilst running at various velocities at maximal oxygen uptake. Eur J Appl Physiol. 2000;82(3):178-87.
-
21Morton RH, Billat V. Maximal endurance time at VO2max Med Sci Sports Exerc. 2000;32(8):1496-504.
-
22Sawyer BJ, Morton RH, Womack CJ, Gaesser GA. VO2max may not be reached during exercise to exhaustion above critical power. Med Sci Sports Exerc. 2012;44(8):1533-8.
-
23Caputo F, Denadai BS. The highest intensity and the shortest duration permitting attainment of maximal oxygen uptake during cycling: effects of different methods and aerobic fitness level. Eur J Appl Physiol. 2008;103(1):47-57.
-
24Hill DW, Stevens EC. VO2 response profiles in severe intensity exercise. J Sports Med Phys Fitness. 2005;45(3):239-47.
-
25Dupond G, Berthoin S. Time spent at a high percentage of VO2max for short intermittent runs: Active versus passive recovery. Can J Appl Physiol. 2004;29(S):S3-S16.
-
26Midgley AW, McNaughton LR, Wilkinson M. Criteria and other methodological considerations in the evaluation of time at VO2max J Sports Med Phys Fitness. 2006;46(2):183-8.
-
27Hill DW. Morning–evening differences in responses to exhaustive severe-intensity exercise. Appl Physiol Nutr Metab. 2014;39(2):248-54.
-
28Hill DW, Stephens LP, Blumoff SA, Poole DC, Smith JC. Effect of sampling strategy on measures of VO2peak obtained using commercial breath-by-breath systems. Eur J Appl Physiol. 2003;89(6):564-9.
-
29Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1986;1(8476):307-10.
-
30Hughson RL, O’Leary DD, Betick AC, Hebestreit H. Kinetics of oxygen uptake at the onset of exercise near or above peak oxygen uptake. J Appl Physiol (1985). 2000;88(5):1812-9.
-
31Hill DW, Smith JC. A method to ensure the accuracy of estimates of anaerobic capacity derived using the critical power concept. J Sports Med Phys Fitness. 1994;34(1):23-37.
-
32Krouwer JS. Why Bland-Altman plots should us X, not (Y+X)/2, when X is a reference method. Stat Med. 2008;27(5):778-80.
Edited by
Publication Dates
-
Publication in this collection
16 June 2023 -
Date of issue
2024
History
-
Received
02 July 2021 -
Accepted
29 Aug 2022