Abstract

Aerobic exercise training performed at the intensity eliciting maximal fat oxidation (Fatmax) has been shown to improve the metabolic profile of obese patients. However, limited information is available on the reproducibility of Fatmax and related physiological measures. The aim of this study was to assess the intra-individual variability of: a) Fatmax measurements determined using three different data analysis approaches and b) fat and carbohydrate oxidation rates at rest and at each stage of an individualized graded test. Fifteen healthy males [body mass index 23.1±0.6 kg/m2, maximal oxygen consumption () 52.0±2.0 ml/kg/min] completed a maximal test and two identical submaximal incremental tests on ergocycle (30-min rest followed by 5-min stages with increments of 7.5% of the maximal power output). Fat and carbohydrate oxidation rates were determined using indirect calorimetry. Fatmax was determined with three approaches: the sine model (SIN), measured values (MV) and 3rd polynomial curve (P3). Intra-individual coefficients of variation (CVs) and limits of agreement were calculated. CV for Fatmax determined with SIN was 16.4% and tended to be lower than with P3 and MV (18.6% and 20.8%, respectively). Limits of agreement for Fatmax were −2±27% of with SIN, −4±32 with P3 and −4±28 with MV. CVs of oxygen uptake, carbon dioxide production and respiratory exchange rate were <10% at rest and <5% during exercise. Conversely, CVs of fat oxidation rates (20% at rest and 24–49% during exercise) and carbohydrate oxidation rates (33.5% at rest, 8.5–12.9% during exercise) were higher. The intra-individual variability of Fatmax and fat oxidation rates was high (CV>15%), regardless of the data analysis approach employed. Further research on the determinants of the variability of Fatmax and fat oxidation rates is required.

Highlights

  • Carbohydrate and fat are the two main sources of energy that sustain oxidative metabolism

  • Aerobic exercise training performed at Fatmax has the potential to increase fat oxidation rate (Fox) and insulin sensitivity in obese patients [4] and in individuals with metabolic syndrome [5]

  • In this study we assessed the reproducibility of Fatmax measurements determined with three different data analysis approaches and of CHOox and Fox at rest and in response to each stage of an individualized graded test

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Summary

Introduction

Carbohydrate and fat are the two main sources of energy that sustain oxidative metabolism. Their relative utilization during aerobic exercise depends largely on exercise intensity [1,2]. The whole-body carbohydrate oxidation rate (CHOox) increases with the workload, whereas the whole-body fat oxidation rate (Fox) increases from low to moderate exercise intensities, and markedly declines at high intensities. Aerobic exercise training performed at Fatmax has the potential to increase Fox and insulin sensitivity in obese patients [4] and in individuals with metabolic syndrome [5]. In patients with type 2 diabetes, aerobic training targeted at Fatmax was shown to have a greater effect on body composition and glucose control than high intensity interval training [6]

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