Substrate-Corrected VO₂ Models for Improved Interpretation of Movement Economy Technical Report

Main Article Content

Bronson Dant, DHSc(c), CSCS, CCFT https://orcid.org/0000-0002-5164-5592
Peter Cummings, MHP https://orcid.org/0000-0001-9583-1066
Timothy Noakes, MBChB, MD, DSc, PhD(hc) https://orcid.org/0000-0001-7244-2375
Philip Prins, PhD. https://orcid.org/0000-0002-1761-1129

Keywords

Energy Metabolism, Substrate Utilization, Oxygen Consumption

Abstract

Introduction: Movement economy is a core metric in endurance performance, yet conventional interpretation overlooks substrate-specific oxygen costs. Elevated oxygen consumption (VO₂) is often misclassified as reduced efficiency when it may instead reflect adaptive increases in fat oxidation. This report introduces and evaluates normalization approaches designed to yield more physiologically valid interpretations of oxygen consumption.


Methods: This conceptual, simulation-based, and secondary data analysis developed two substrate-corrected VO₂ models: (1) the RER-Based Energy Equivalent (RER-EE) model, which adjusts VO₂ for varying caloric yields per liter of oxygen across RER values, and (2) the RER-Based Substrate Partitioning with Substrate Correction Ratio (RER-SP+SCR) model, which partitions VO₂ by substrate and corrects the fat-derived fraction for its lower ATP yield per O₂. Both were applied to previously published datasets from endurance athletes under diverse metabolic conditions.


Results: Both models produced appreciably different normalized VO₂ values compared to traditional methods, particularly under high-fat oxidation conditions. The largest corrections occurred during prolonged submaximal efforts, such as 13KM and 25KM trials, reducing bias that would otherwise misclassify fat-adapted athletes as less economical.


Conclusions: Substrate-corrected normalization provides a physiologically valid framework for interpreting oxygen consumption, enhancing research and applied assessments of endurance performance, training adaptation, and metabolic health.

Abstract 60 | PDF Downloads 302

References

1. Bassett DR Jr, Howley ET. Limiting factors for maximum oxygen uptake and determinants of endurance performance. Med Sci Sports Exerc. 2000;32(1):70-84. doi:10.1097/00005768-200001000-00012
2. Burke LM, Sharma AP, Heikura IA, et al. Crisis of confidence averted: Impairment of exercise economy and performance in elite race walkers by ketogenic low carbohydrate, high fat (LCHF) diet is reproducible. PLoS One. 2020;15(6):e0234027. doi:10.1371/journal.pone.0234027
3. Burke LM, Ross ML, Garvican-Lewis LA, et al. Low carbohydrate, high fat diet impairs exercise economy and negates the performance benefit from intensified training in elite race walkers. J Physiol. 2017;595(9):2785-2807. doi:10.1113/JP273230
4. di Prampero PE. The energy cost of human locomotion on land and in water. Int J Sports Med. 1986;7(2):55-72. doi:10.1055/s-2008-1025736
5. Horowitz JF, Klein S. Lipid metabolism during endurance exercise. Am J Clin Nutr. 2000;72(2 Suppl):558S-563S. doi:10.1093/ajcn/72.2.558S
6. Margaria R, Cerretelli P, Aghemo P, Sassi G. Energy cost of running. J Appl Physiol. 1963;18:367-370. doi:10.1152/jappl.1963.18.2.367
7. Millet GP, Burtscher J, Bourdillon N, Manferdelli G, Burtscher M, Sandbakk Ø. The VO₂max legacy of Hill and Lupton (1923)—100 years on. Int J Sports Physiol Perform. 2023;18(11):1362-1365. doi:10.1123/ijspp.2023-0229
8. Nordby P, Auerbach PL, Rosenkilde M, et al. Endurance training per se increases metabolic health in young, moderately overweight men. Obesity (Silver Spring). 2012;20(11):2202-2212. doi:10.1038/oby.2012.70
9. Péronnet F, Massicotte D. Table of nonprotein respiratory quotient: an update. Can J Sport Sci. 1991;16(1):23-29. PMID:1645211
10. Prins PJ, Noakes TD, Welton GL, et al. High rates of fat oxidation induced by a low-carbohydrate, high-fat diet do not impair 5-km running performance in competitive recreational athletes. J Sports Sci Med. 2019;18(4):738-750. PMID:31827359
11. Prins PJ, Noakes TD, Buga A, et al. Carbohydrate ingestion eliminates hypoglycemia and improves endurance exercise performance in triathletes adapted to very low- and high-carbohydrate isocaloric diets. Am J Physiol Cell Physiol. Published online February 10, 2025. doi:10.1152/ajpcell.00583.2024
12. Taylor CR, Rowntree VJ. Running on two or four legs: which consumes more energy? Science. 1973;179(4069):186-187. doi:10.1126/science.179.4069.186
13. van Loon LJ, Koopman R, Stegen JH, Wagenmakers AJ, Keizer HA, Saris WH. Intramyocellular lipids form an important substrate source during moderate intensity exercise in endurance-trained males in a fasted state. J Physiol. 2003;553(Pt 2):611-625. doi:10.1113/jphysiol.2003.052431
14. Weir JB. New methods for calculating metabolic rate with special reference to protein metabolism. J Physiol. 1949;109(1-2):1-9. doi:10.1113/jphysiol.1949.sp004363
15. Yeo WK, Carey AL, Burke L, Spriet LL, Hawley JA. Fat adaptation in well-trained athletes: effects on cell metabolism. Appl Physiol Nutr Metab. 2011;36(1):12-22. doi:10.1139/H10-089