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Validity and Practical Application of Muscle Oxygenation Monitoring for Identifying Maximal Fat Oxidation in Cyclists

Author: Romarate, Ander,Pinedo Jauregi, Aitor,Feldmann, Andri,Viribay, Aitor,Santos Concejero, Jordan
Publisher: Wiley
Year: 2025
DOI: 10.1002/ejsc.70025
Source: https://addi.ehu.eus/bitstream/10810/74239/1/Romarate%20et%20al%202025.pdf
Eu opean Jou nal o Spo Science
-
ORIGINAL PAPER
OPEN ACCESS
Validi y and P ac ical Applica ion o Muscle Oxygena ion
Moni o ing o Iden i ying Maximal Fa Oxida ion in
Cyclis s
Ande Roma a e
1,2
| Ai o Pinedo‐Jau egi
2,3,4
| And i Feldmann
5
| Ai o Vi ibay
6,7
| Jo dan San os‐Conceje o
2,8
1
Emen4spo , Leioa, Spain |
2
Depa men o Physical Educa ion and Spo , Uni e si y o he Basque Coun y UPV/EHU, Vi o ia‐Gas eiz, Spain |
3
Socie y,
Spo s, and Exe cise Resea ch G oup (GIKAFIT), Depa men o Physical Educa ion and Spo , Facul y o Educa ion and Spo , Uni e si y o he Basque
Coun y UPV/EHU, Vi o ia‐Gas eiz, Spain |
4
Resea ch G oup in Physical Ac i i y, Physical Exe cise and Spo (AKTIBOki), Depa men o Physical
Educa ion and Spo , Facul y o Educa ion and Spo , Uni e si y o he Basque Coun y UPV/EHU, Vi o ia‐Gas eiz, Spain |
5
Ins i u e o Spo Science,
Uni e si y o Be n, Be n, Swi ze land |
6
Glu 4Science, Physiology, Nu i ion and Spo , Vi o ia‐Gas eiz, Spain |
7
Ins i u e o Biomedicine (IBIOMED),
Uni e si y o León, León, Spain |
8
Vi ual Senso iza ion Resea ch G oup ‐ Visens (IT‐1381‐2019), Depa men o Physical Educa ion and Spo , Facul y o
Educa ion and Spo , Uni e si y o he Basque Coun y UPV/EHU, Vi o ia‐Gas eiz, Spain
Co espondence: Ai o Pinedo‐Jau egi ([email p o ec ed])
Recei ed: 15 Ap il 2024 | Re ised: 2 June 2025 | Accep ed: 15 July 2025
Funding: The au ho s ecei ed no speci ic unding o his wo k.
Keywo ds: inc emen al exe cise es | me abolic analysis | nea ‐in a ed spec oscopy | physiology | wea able
ABSTRACT
The accu a e de ec ion o se e al physiological miles ones, such as maximal a oxida ion (MFO), is an impo an ac o o
cycling pe o mance and o p og amming e ec i e and indi idualised aining. Howe e , he p ocedu e o iden i y he MFO is
o en oo complex and expensi e. Nea ‐in a ed spec oscopy (NIRS) echnology p o ides a nonin asi e measu emen ha can
be used o de ec di e en physiological a iables. The aim o his s udy was o assess he alidi y o u ilising he muscula
oxygen sa u a ion isualisa ion me hodology o he iden i ica ion o he MFO poin in ained cyclis s. Twen y‐ wo ec ea ional
endu ance‐ ained cyclis s (19 men and 3 women; age: 27.9 �5.4 yea s; body mass: 69.7 �7.1 kg and VO
2max
: 60.3 �7.0 mL/kg/
min) pe o med a submaximal and maximal exhaus ion es . All he da a we e collec ed on a single day. The alidi y o he
isualisa ion me hodology o he maximal a oxida ion poin was analysed agains a gas analyse . The de ec ion o maximal a
oxida ion (MFO) using he me hodology and de ice employed does no appea o accu a ely speci y he p ecise poin a which
MFO occu s (bias =90 �218 s and LOA =429 s). Howe e , ou esul s indica e ha i may be a alid echnique o iden i ying
he MFO zone; biases we e HR =4.7 �11.9 bpm, VO
2
=1.49 �5.7 mL/kg/min and powe =19.5 �31.2 W, whe eas he
conco dance coe icien s we e 0.783, 0.243 and 0.170, espec i ely. I is no possible o de ec MFO using NIRS de ice. Howe e ,
i is possible o de ec a gene al zone in which MFO occu s.
1
|
In oduc ion
T aining zones o in ensi y domains a e hemos used pa ame e s
o design exe cise aining aimed a pe o mance and heal h. To
de e mine he in ensi ies associa ed wi h each zone, di e en
echniques a e used. In mos cases, hey a e de e mined om
physiological changes in o med by lac a e concen a ion mea-
su emen , dynamics in espi a o y ou comes, hea a e beha -
iou and mos ecen ly, by assessing muscle oxygen sa u a ion
(Co in e al. 2007; Palla és e al. 2016; Kei e al. 2021; Send a‐
Pé ez e al. 2023). The accu a e de ec ion o hese changes is an
impo an ac o in unde s anding cyclis 's pe o mance and
This is an open access a icle unde he e ms o he C ea i e Commons A ibu ion License, which pe mi s use, dis ibu ion and ep oduc ion in any medium, p o ided he o iginal wo k is p ope ly
ci ed.
© 2025 The Au ho (s). Eu opean Jou nal o Spo Science published by Wiley‐VCH GmbH on behal o Eu opean College o Spo Science.
Eu opean Jou nal o Spo Science, 2025; 25:e70025 1 o 9
h ps://doi.o g/10.1002/ejsc.70025
p og amming e ec i e and indi idualised aining. Fo example,
lac a e h eshold, in conjunc ion wi h maximal oxygen up ake
(VO
2max
) and e iciency, a e conside ed he main de e minan s o
cycling pe o mance (Joyne and Coyle 2008). Howe e , he
iden i ica ion o hese physiological a iables ypically equi es
cos ly equipmen , including de ices such as gas analyse s. These
p ocedu es a e beyond he scope o easonable applica ion o
mos coaches and cyclis s. In his ega d, e alua ion me hodolo-
gies applicable on a daily basis, such as hea a e, hea a e
a iabili y (Roge s e al. 2021; Ma eo‐Ma ch e al. 2022) o nea ‐
in a ed spec oscopy (NIRS) ( an de Zwaa d e al. 2016; Cayo
e al. 2021), ha e been p oposed o he de ec ion o bioma ke s
such as lac a e h eshold (Fa zam e al. 2018) and VO
2max
(Okushima e al. 2016; Feldmann e al. 2022). NIRS echnology
p o ides a nonin asi e measu emen o he balance be ween
oxygen deli e y and consump ion in ac i e issue (Fe a i
e al. 2011) and he eby, p o ides an in e es ing and p ac ical
echnique o de ec c i ical exe cise h esholds di ec ly in he
exe cising muscle ( an de Zwaa d e al. 2016). Despi e he
exis ing s udies, he e is s ill a need o u he esea ch o
es ablish associa ions be ween hese a iables and NIRS
echnology.
Me abolic ou comes, such as subs a e u ilisa ion, explain he
bioene ge ics o he wo king muscle and a e hea ily co ela ed
wi h he abo emen ioned physiological de e minan s. In his
ega d, i is well know ha ca bohyd a e (CHO) and a (FAT)
oxida ion impac on g oss e iciency and de e mines a igue and
du abili y (Ha g ea es and Sp ie 2020; MacDougall e al. 2022).
The assessmen o a oxida ion a es (FATox) se es as an in-
di ec measu e o an indi idual's mi ochond ial e iciency and
oxida i e capaci y unde exe cise s ess, which a ies ac oss
di e en demog aphic g oups (San‐Millán and B ooks 2018). In
his sense, an endu ance‐ ained popula ion will show g ea e
FATox capaci y and lac a e clea ance a highe absolu e exe cise
in ensi y, meaning a highe capaci y o p oduce ene gy h ough
oxida ion, when compa ed o seden a y people o pa ien s wi h
me abolic synd ome (San‐Millán and B ooks 2018). The e o e,
measu ing and moni o ing FATox as a ma ke o o al oxida i e
capaci y hin s he exe cising capaci y o a subjec . Such mea-
su emen s a e in eg al o de eloping ailo ed aining and
nu i ional s a egies aimed a op imising FATox o enhance
exe cise pe o mance and heal h ou comes. In ac , he a e o
maximal a oxida ion (MFO) and he speci ic in ensi y ange a
which i occu s a e c ucial o e ec i e weigh managemen ,
wi h implica ions o ca dio ascula and me abolic heal h
(Wang e al. 2015; Dandanell, Bosle P aes e al. 2017; Dan-
danell, Hus ed e al. 2017; Chá ez‐Gue a a e al. 2020), and hey
also co ela e wi h imp o ed endu ance pe o mance (F andsen
e al. 2017). T adi ionally, MFO is quan i ied using indi ec
calo ime y, a gold‐s anda d me hod o e alua ing me abolic
e iciency (Pu dom e al. 2018; Ama o‐Gahe e e al. 2019).
Howe e , he high day‐ o‐day a iabili y in MFO necessi a es
epea ed measu es o accu a e de e mina ion, which poses
challenges o i s p ac ical applica ion as a me abolic bioma ke
in clinical and a hle ic se ings (Ch zanowski‐Smi h e al. 2020).
Recen ad ances in me abolic es ing may p o ide mo e acces-
sible and eliable means o assessing MFO, sugges ing a need o
ongoing esea ch o e ine hese me hodologies o b oade use.
T aining in ensi y has been iden i ied as one o he mos
impo an ac o s in de e mining subs a e oxida ion, ha is,
MFO (Pu dom e al. 2018). NIRS has been shown o consis en ly
e lec change in exe cise in ensi y and shi s in exe cise in-
ensi y domains (Ki by e al. 2021). Speci ically, i has been
shown ha issue deoxygena ion is a unc ion o exe cise wo k
a e (Chuang e al. 2002) simila o he indings o MFO
(Thompson e al. 2006). In addi ion, NIRS de i ed exe cise
h esholds ag ee wi h s anda d exe cise h esholds indica e
shi ing me abolism such as he lac a e h eshold (G assi
e al. 1999) and en ila o y h eshold o espi a o y compensa-
ion poin (Yoge e al. 2022). I has been obse ed ha exe cise
in ensi y gene a es a clea pa e n o subs a e u ilisa ion as i
inc eases (Pu dom e al. 2018). Exe cise h esholds help iden i y
he c osso e poin whe e subs a e u ilisa ion ansi ions be-
ween a oxida ion and ca bohyd a e oxida ion (Bo el
e al. 2015; Pu dom e al. 2018). The gene al mechanism by
which NIRS could be use ul in de e mining subs a e u ilisa ion,
such as he c osso e poin o MFO, lies in he ac ha
oxygena ion measu ed by NIRS, in e ms o he balance be ween
oxygen supply and demand, is igh ly coupled o me abolic a e
(Bello i e al. 2013; Aze edo e al. 2020). The capabili y o
sus ain a ne ze o change (i.e., a a e o change equal o ze o)
implies insigh s in o me abolic a e conce ning subs a e
oxida ion e sus oxygen supply. As ATP and me abolic a e
inc ease, his a e becomes nega i e as oxygen demand exceeds
supply (Boye e and Manna 2022). Al hough a oxida ion has a
highe o e all ATP yield, he limi ed capaci y pe uni o ime o
gene a e ATP d i es he need o ca bohyd a e u ilisa ion
(Sp ie 2014; Pu dom e al. 2018). The e o e, as he me abolic
a e inc eases, a oxida ion is subs i u ed in a ou o ca bo-
hyd a e oxida ion (Maunde e al. 2018). De ec ing his bio-
ene ge ic shi acco ding o ex e nal in ensi y (pace, powe , e c.)
in a hle es o pa ien s ep esen s an oppo uni y o imp o e
hei pe o mance and me abolic heal h.
Measu ing muscle oxygen sa u a ion (SmO
2
) is a nonin asi e
me hodology ha can de ec changes in he balance be ween
oxygen deli e y and oxygen consump ion in he muscles du ing
exe cise (Vasquez‐Bonilla e al. 2021). As a esul , many s udies
ha e used NIRS o de ec di e en physiological b eakpoin s
(Rod igo‐Ca anza e al. 2021; Salas‐Mon o o e al. 2022). Fa -
zam e al. (2018) y o de ec lac a e h eshold using NIRS
echnology. They showed ha he Humon (Humon Be a,
Dynome ics Inc.) de ice is alid o de ec ing lac a e h eshold
powe (when a hle e’s lac a e blood concen a ion eaches
4 mmol/L) wi h a di e ence o �21.4 W and less han 3 min
compa ed o he in asi e me hod. In ano he s udy, he au ho s
Highligh s
�The de ec ion o he maximal a oxida ion poin using
muscle oxygen sa u a ion plo ed as a unc ion o ime
does no appea o accu a ely speci y he p ecise poin a
which maximal a oxida ion occu s.
�I is possible o de ec a gene al zone in which he
maximal a oxida ion occu s.
�Nea ‐in a ed spec oscopy echnology is use ul o
coaches wi hou ime o do complica ed analyses.
2 o 9 Eu opean Jou nal o Spo Science, 2025
15367290, 2025, 8, Downloaded om h ps://onlinelib a y.wiley.com/doi/10.1002/ejsc.70025 by Readcube (Lab i a Inc.), Wiley Online Lib a y on [22/07/2025]. See he Te ms and Condi ions (h ps://onlinelib a y.wiley.com/ e ms-and-condi ions) on Wiley Online Lib a y o ules o use; OA a icles a e go e ned by he applicable C ea i e Commons License
compa ed maximal lac a e s eady s a e (MLSS) wi h de ec ion
using NIRS echnology and concluded ha MLSS can be accu-
a ely de ec ed using NIRS echnology (Bello i e al. 2013).
Zu buchen e al. (2020) ound ha highe MFO alues a e
associa ed wi h a slowe slope o a e o muscle deoxygena ion
indica ing be e ma ching o O
2
deli e y and consump ion,
alongside a highe o e all muscle deoxygena ion and igh wa d
shi o a deoxygena ion b eakpoin . A g ea e a e o muscle
deoxygena ion is associa ed wi h a highe VO
2max
(Okushima
e al. 2016), u he unde pinning a po en ial applica ion o
NIRS o assess MFO.
The p ima y aim o his s udy was o assess he alidi y o u i-
lising he SmO
2
isualisa ion me hodology o he iden i ica ion
o he MFO poin in ained cyclis s. I was hypo hesised ha
he MFO poin could be de e mined by obse ing changes in
SmO
2
o e ime du ing a labo a o y‐based cycling es .
2
|
Ma e ial and Me hods
2.1
|
Pa icipan s
Twen y wo ec ea ional cyclis s (19 men and 3 women; age:
27.9 �5.4 yea s; VO
2max
: 60.3 �6.99 mL/kg/min; weigh :
69.65 �7.07 kg and 8 ∑Folds: 266.3 mm) pa icipa ed in his
s udy. All pa icipan s had mo e han 2 yea s o expe ience in
endu ance spo s and pe o med mo e han 10 h pe week o
endu ance aining. This s udy was app o ed by he Ins i u-
ional Resea ch E hics Commi ee (Cod. CEISH‐113/2019), and
all pa icipan s p o ided w i en in o med consen , as ou lined
in he Decla a ion o Helsinki (Holm 2013).
2.2
|
P ocedu es
All he da a we e collec ed on a single day in he labo a o y. The
pa icipan s ollowed hei usual die he days p io o he es .
48 h p io o he assessmen , he pa icipan s did no pe o m
mode a e o high in ensi y aining and he 24 h p io he
pa icipan s only pe o med low‐in ensi y aining o es ( hey
e ained om s eng h aining). Fou hou s be o e he s a o
he es , he pa icipan s did no inges any calo ic o s imulan
ood o d inks. Be o e he es session, all pa icipan s pe o med
a s anda dised wa m‐up p o ocol consis ing o 10 min a 50–75
w pedalling a a cadence o 80–90 pm.
2.2.1
|
MFO and VO
2max
Tes
Each pa icipan pe o med he es wi h hei pe sonal bike
ins alled on a s a iona y Tacx‐T aine de ice (Tacx Neo Sma
T2800, Wassenaa , Ne he lands) and associa ed so wa e (Tacx
T aine so wa e 4, Wassenaa , Ne he lands). The de ice was
calib a ed be o e each es as sugges ed by he manu ac u e .
A e he wa m‐up, pa icipan s pe o med an inc emen al es
s a ing a 75 w ( o women) and 100 w ( o men) wi h in-
c emen s o 25 w ( o women) and 35 w ( o men) e e y 4 min.
When he espi a o y exchange a io (RER) alue eached 1.0,
he pa icipan s s opped pedalling and es ed o 15 min. Du ing
he es pe iod, he pa icipan s consumed a d ink con aining
35 g CHO (Ca bolide , Fullgas Spo , As iga aga, Spain). Sub-
sequen ly, o he de ec ion o VO
2max
, pa icipan s pe o med
an inc emen al es o exhaus ion s a ing a he powe a which
RER =1.0 was eached, wi h in ensi y inc emen s o 25–35w/
min o exhaus ion. Du ing he es , he subjec s we e ins uc ed
o pedal a a cons an cadence be ween 80 pm and 90 pm. The
c i e ia sugges ed by Howley e al. (1995) we e used o con i m
VO
2max
. The hea a e was eco ded using Pola H10 ches s ap
(Pola Elec o Oy, Kempele, Finland).
2.3
|
Measu emen s
2.3.1
|
An h opome ic Measu emen s
Be o e he physical es , all pa icipan s unde wen an an h o-
pome ic assessmen . Body mass (kg), skin olds (mm), body
pe ime e s (cm) and body diame e s (cm) we e measu ed in
each pa icipan . Body mass was ob ained using an elec onic
scale (Seca Ins umen s L d., Hambu g, Ge many), and he six
skin olds ( iceps, subscapula , sup ailiac and abdominal) we e
measu ed wi h a callipe (Ha pende Lange, Camb idge, MA,
USA) ollowing he indica ions speci ied by Socie y o he
Ad ancemen o Kinan h opome y (ISAK). The sum o he six
olds was also calcula ed (∑ old).
2.3.2
|
Me abolic Analysis
Gas exchange was measu ed con inuously in he MFO and
VO
2max
es using an E goca d b ea h‐by‐b ea h gas analyse
(E goca d, Mediso , So innes, Belgium). B ea h‐by‐b ea h e-
co dings o VO
2
and VCO
2
we e ob ained h oughou he es ,
calib a ed o oom humidi y, low and O
2
/CO
2
concen a ion
p io o each es . The gas analyse s we e calib a ed using a
4.95% CO
2
–95.05% N
2
gas mix u e. P io o he calcula ion o
subs a e oxida ion, a 30 s olling a e age was applied o he
b ea h‐by‐b ea h VO
2
and VCO
2
da a o educe a iabili y and
imp o e in e p e abili y o he me abolic esponses. Hea a e
(HR) wi h a p os ap (Pola H10, Pola Elec o Oy, Kempele,
Finland) was eco ded h oughou he es . A he end o each
s ep, pa icipan s we e asked o he a io o pe cei ed exe ion
using he CR‐10 RPE scale, di e en ia ing espi a o y (RPE es)
and muscula (RPEmus) exe ion (I u icas illo e al. 2016).
2.3.3
|
Muscle Oxygen
The NIRS de ice was placed in he dominan as us la e alis
(VL), and SmO
2
(Moxy, Fo io i Design LLC, Minneapolis, MN,
USA) was measu ed du ing he es . The NIRS de ice was
placed a wo‐ hi ds be ween an e io supe io iliac spine and
he la e al side o he pa ella. The senso s we e ixed in place
using medical adhesi e ape and co e ed wi h a compa ible,
comme cially a ailable ligh shield o elimina e possible
ambien ligh in usion. The sampling a e was se a 2 Hz,
which sampled he ou wa eleng hs o e 20 cycles o an
a e aged ou pu e e y 0.5 s. An emi e ‐de ec o spacing o
25 mm p o ides a pene a ion dep h o 12.5 m. The issue
3 o 9
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hickness o he subjec s a he measu emen si e was
11.6 �4.2 mm.
2.4
|
Da a Analysis
The NIRS de ice and gas analyse we e synch onised and
con inuously collec ed da a h oughou he du a ion o he
p o ocols. The NIRS de ice was connec ed o a sma wa ch
(Ga min Fo e unne 935), om which SmO
2
da a we e ex ac-
ed om he o iginal ‘ i ’ ile eco ded by he sma wa ch. The
MFO poin was iden i ied using a gas analyse by obse ing he
dynamics o ca bohyd a e (CHOox) and a (FATox) oxida ion
o e ime. CHOox and FATox da a we e calcula ed in g ams
using he same equa ion employed by (San‐Millán and
B ooks 2018).
FATox (g·min−1)=1.67VO2(L·min−1)−1.67VCO2(L·min−1)
CHOox (g·min−1)=4.55VO2(L·min−1)– 3.21VCO2(L·min−1)
SmO
2
and subs a e oxida ion we e plo ed as a unc ion o ime
wi h a 30 s olling mean o isual de ec ion o he MFO poin .
The me hod o de ec he b eakpoin in SmO
2
elied on isually
iden i ying he wo kload ha led o a change he linea i y in
SmO
2
. The exe cise in ensi y a which he highes a oxida ion
a io was obse ed was es ablished as MFO (Ach en e al. 2002).
The MFO poin alues we e indi idually e i ied by wo e-
sea che s, wi h any disc epancies esol ed by consensus. The
me hod o de ec ing he MFO poin was blinded.
Also, segmen ed eg ession analysis using a ou h il e o de
was pe o med. The ime SmO
2
MFO poin de ec ed by isual
analysis was used as he s a ing poin o he segmen ed
eg ession. The in ensi y a he MFO poin de ec ed was indi-
ca ed in e ms o powe ou pu (PO), VO
2
and HR. The alue o
each a iable was calcula ed as he mean o 30 s, 15 s be o e and
a e he poin a which he MFO was de ec ed using each
me hodology.
2.5
|
S a is ical Analyses
Da a we e analysed using s a is ical en i onmen R (RS udio
Inc., Bos on, MA). Desc ip i e alues we e p esen ed as mean
and s anda d de ia ions (SDs). The alidi y o he isual SmO
2
me hod and segmen ed eg ession me hod was e alua ed using
Lin’s conco dance coe icien (LCC), mean absolu e pe cen
e o (MAPE) and ag eemen wi h he e e ence me hod (gas
analyse ). Ag eemen plo s wi h 95% limi s o ag eemen (LoA)
(mean di e ence �1.96 SD) we e gene a ed o isualise he
deg ee o ag eemen be ween each me hod and he e e ence
me hod (K ouwe 2008). He e oscedas ici y/homoscedas ici y
was assessed by calcula ing he Pea son co ela ion coe icien
be ween absolu e di e ences and e e ence alues. A me hod
was conside ed alid i he MAPE was less han 10% and he
LCC was g ea e han 0.7. This h eshold o MAPE (<10%) has
been commonly used in p e ious alida ion s udies in ol ing
physiological da a and wea able de ices and ep esen s an
accep able le el o ag eemen be ween me hods (BOUDREAUX
e al. 2018; Johns on e al. 2021; Ca ie e al. 2025). Signi icance
was se a p<0.05. The co ela ion was de ined as ollows:
negligible (0.00–0.30), weak (0.30–0.50), mode a e (0.50–0.70),
s ong (0.70–0.90) o e y s ong (0.90–1.00) (Mukaka 2012).
3
|
Resul s
Figu e 1illus a es he ag eemen be ween he e e ence
me hod and NIRS de ec ion. A deg ee o bias was obse ed
when compa ing ime poin s om each me hod
(bias =90 �218 s and LOA =429 s). Addi ionally, low
conco dance and high MAPE we e obse ed (LCC =0.23 and
MAPE =58.6%). Howe e , he bias o in ensi y alues was
HR =4.7 �11.9 bpm, VO
2
=1.49 �5.7 mL/kg/min and
PO =19.5 �31.2 W, whe eas he conco dance coe icien s we e
0.783, 0.243 and 0.170, espec i ely. The MAPE was 8.6% o
HR, 15.9% o VO
2
and 22.6% o PO. No he e oscedas ici y o
da a we e obse ed ( ime: = −0.53; HR: =0.15 and VO
2
:
= −0.44), which can be isually e alua ed in Figu e 1.
Table 1p esen s he ag eemen be ween he e e ence me hod
and segmen ed eg ession analysis. As can be obse ed, powe ,
VO
2
and ime we e no a alid due o high MAPE om 17.16%
o 61%. Howe e , HR was simila be ween bo h me hods. No
he e oscedas ici y was obse ed ( ime: = −0.79; HR: =0.17;
VO
2
: = −0.36 and PO: = −0.79).
4
|
Discussion
The aim o his s udy was o e alua e he alidi y o he SmO
2
isualisa ion me hodology o de ec ing he MFO poin in ained
cyclis s. Based on ou esul s, he de ec ion o MFO using he
me hodology and de ice employed does no appea o accu a ely
speci y he p ecise poin a which MFO occu s. Howe e , ou
esul s indica e ha i may be a alid echnique o iden i ying he
ange o exe cise in ensi y whe e MFO happens.
I is well‐es ablished ha exe cise es p o ocols play a c ucial
ole in he de ec ion o h esholds (Jamnick e al. 2018; Kou-
wijze e al. 2019). In ac , exe cise es p o ocols la gely de e -
mine exe cise h esholds and esul s, p esen ing a undamen al
challenge when a emp ing o b idge he gap be ween aining
and es ing. I has been documen ed ha sho s age o amp
p o ocols las ing no longe han 12 min a e ecommended o
achie ing a alid VO
2max
(Buch uh e e al. 1983), whe eas
longe s age es s a e used o de e mine lac a e h eshold and
s eady‐s a e esponses o bioene ge ics (Ben ley e al. 2007). The
du a ion and in ensi y o exe cise dic a e physiological e-
sponses, wi h measu able pa ame e s eac ing in a cascading
se ies o e en s (Bu on e al. 2004). Gi en he p oximi y o
exe cise h esholds esul ing om di e en physiological me -
ics, a complex in e ac ion o bioene ge ic pa hways is a play. I
we conside lac a e h eshold as a s anda d in exe cise h eshold
es ing, when compa ing he i s lac a e h eshold wi h MFO,
da a does no ully suppo hei in e changeabili y, e en hough
bo h h esholds ha e o en been used synonymously (Fe i
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Ma ini e al. 2022). This is despi e he clea in e ac ion be ween
lac a e and a oxida ion, wi h lac a e ac ing o ei he educe he
ci cula ion o ee a acids h ough he ac i a ion o HCAR‐1 o
educe be a oxida ion h ough down egula ion o β‐ke o hiolase
(B ooks 2020). The imp ecision wi h which exe cise es ed
h esholds a e de i ed, esul ing om highly sc ip ed exe cise
es p o ocols when compa ed o hei expec ed physiological
dependency, aises signi ican ques ions. Simila ques ions can
be aised when applying new echnologies, such as muscle
oxygena ion, de i ed om NIRS.
In he s udy, i is obse ed ha he de ec ion o he speci ic MFO
poin using NIRS does no coincide wi h he MFO poin
de ec ed h ough gas analysis (bias 42.07 �230.17 s). These
esul s a e consis en wi h s udies ha ha e de ec ed he onse
o blood lac a e accumula ion (OBLA) lac a e h eshold using
NIRS (Fa zam e al. 2018). In hei s udy, a 2 min and 32 s ime
di e ence was ob ained be ween es ima ions o blood lac a e
h eshold and NIRS echnology. Howe e , hese au ho s sug-
ges ed ha when conside ing powe da a, he e was a bias o
21.4 W in he de ec ion o he OBLA lac a e h eshold. In line
wi h a p e ious s udy, Ba e son e al. (2023) obse ed in a
sample o 10 eli e socce playe s ha he e we e no signi ican
di e ences be ween SmO
2
b eakpoin s and maximum de ia ion
(D
max
) lac a e h esholds 1 and 2. They sugges ed ha he i s
b eakpoin appea ed be ween he i s and second D
max
lac a e
h esholds. In his ega d, ou s udy ollows simila esul s.
Al hough he ime da a di e , i we compa e he measu ed in-
ensi y wi h HR and VO2 a which he change occu s, we ind
ha NIRS could de ec he ange o in ensi y a which MFO
occu s (HR bias: 1.22 �11.52 bpm and VO
2
bias:
0.52 �5.87 mL/kg/min). Ou objec i e has no been s udied in
he li e a u e, which makes i di icul o compa e wi h o he
s udies. Howe e , conside ing o he a emp s o de ec h esh-
olds, as in he p e ious s udy (Bello i e al. 2013), i was also
obse ed ha he maximal lac a e s eady s a e could be de ec ed
FIGURE 1
|Ag eemen plo s be ween Moxy de ice and e e ence me hod. Bias: mean bias be ween he Moxy and he e e ence me hod o e e y
pa icipan . Dashed ho izon al lines: limi s o ag eemen be ween he Moxy and he gas analyse MFO me hod. MFO: maximal a oxida ion.
TABLE 1 |Ag eemen be ween he e e ence me hod agains segmen ed eg ession analysis.
Va iable Bias Bias SD LOA LW LOA UP LOA LCC LW LCC UP LCC MAPE (%)
Time(s) 42.07 230.17 451.13 −409.06 493.19 −0.09 −0.45 0.30 61.53
HR (bpm) 1.22 11.52 22.57 −21.35 23.79 0.78 0.56 0.90 7.91
VO
2
(mL/kg/min) 0.52 5.87 11.51 −10.99 12.02 0.29 −0.08 0.60 17.16
Powe (w) 7.29 30.07 58.94 −51.65 66.23 0.24 −0.16 0.56 18.70
No e: Bias: mean bias be ween he Moxy and he Fa Max me hod o e e y pa icipan .
Abb e ia ions: LCC, Lin’s conco dance coe icien ; LOA, limi s o ag eemen ; LW LCC, lowe Lin’s conco dance coe icien ; LW LOA, low limi s o ag eemen ; MAPE,
mean absolu e pe cen e o ; SDs, s anda d de ia ions; UP LCC, uppe Lin’s conco dance coe icien ; UP LOA, uppe limi s o ag eemen .
5 o 9
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using NIRS echnology, as hey ound high co ela ions in HR
and VO
2
ma ke s de ec ed using NIRS and MLSS. The e o e, he
ini ial hypo hesis is no ully ul illed, as i is no possible o
de ec MFO poin by isualising he dynamics o SmO
2
o e
ime. The e o e, al hough he p ecise localisa ion o he MFO
poin was no possible using he applied NIRS me hodology, he
iden i ica ion o a gene al exe cise in ensi y zone whe e a
oxida ion is ele a ed may s ill hold some p ac ical alue. How-
e e , i s applica ion should be app oached wi h cau ion. As
shown by Ach en and Jeukend up (2003), e en small changes in
exe cise in ensi y can cause subs an ial al e a ions in a
oxida ion a es, complica ing he accu a e a ge ing o his
me abolic zone. Fu he mo e, ecen wo k has demons a ed
ha he in aindi idual a iabili y in Fa Max de e mina ion can
be la ge—e en unde con olled condi ions— hus ques ioning
i s eliabili y o indi idual exe cise p esc ip ion (Meye
e al. 2009). Combined wi h he limi ed ep oducibili y o NIRS‐
based me hods, his u he suppo s he need o in e p e he
NIRS‐de i ed MFO zone as an app oxima e indica o a he
han a p ecise p esc ip ion ool. Fu u e esea ch should aim o
e ine hese ools and es hei u ili y in applied con ex s wi h
igo ous con ol o e in luencing ac o s.
Al hough he use o isual inspec ion may limi objec i i y and
ep oducibili y, i e lec s he p ac ical app oach commonly
used by coaches and p ac i ione s when in e p e ing da a om
wea able de ices. Ou a ionale was o es he easibili y o
iden i ying he MFO zone wi h minimal da a p ocessing as
would be he case in applied se ings. Ne e heless, o add ess
he conce n ega ding subjec i i y, we also conduc ed
segmen ed eg ession analysis as p esen ed in Table 1. Al hough
he ag eemen wi h he e e ence me hod emained limi ed, his
compa ison highligh s he po en ial o in eg a ing mo e objec-
i e compu a ional me hods in u u e applica ions.
Iden i y MFO is no ewo hy due o i s implica ions in he
con ex o weigh managemen (Dandanell, Bosle P aes
e al. 2017; Dandanell, Hus ed e al. 2017), me abolic heal h and
a hle ic pe o mance (Wang e al. 2015; Chá ez‐Gue a a
e al. 2020). As such, i may se e as a aluable ma ke o
measu emen . T adi ionally, MFO has been de ec ed ia indi-
ec calo ime y (Pu dom e al. 2018; Ama o‐Gahe e e al. 2019),
a me hod ha is bo h cos ly and complex. Fu he mo e, i is
subjec o limi a ions, such as p o ocol dependence (Ama o‐
Gahe e e al. 2019) and high daily a iabili y (Ch zanowski‐
Smi h e al. 2020), ende ing i inapplicable o ou ine use by
a hle es’ popula ion. As i is well‐es ablished, MFO is in luenced
by se e al ac o s including die and physical exe cise (Maunde
e al. 2018). Consequen ly, changes in die o egula endu ance
exe cise can be expec ed o esul in imp o emen s in MFO
(Maunde e al. 2018) leading o equen misin e p e a ion o
he da a. In his ega d, i may be o g ea impo ance o pe i-
odically e alua e MFO in o de o adjus aining in ensi y and
ensu e ha a su icien aining s imulus and adap a ions a e
main ained. The indings o his s udy indica e ha i is easible
o de ec he in ensi y ange a which MFO happens u ilising
NIRS, educing he cos o measu emen compa ed o he
adi ional me hod and making pe iodic assessmen easible o
ca y ou . Gi en he ela i ely sho du a ion o he p o ocol
(app oxima ely 10 min o wa m‐up and 16–24 min o es ing),
i may be easible o e alua e MFO mo e equen ly du ing
aining phases whe e he objec i e is o imp o e MFO. This
would enable mo e equen adjus men s o aining in ensi y
(e.g., on a weekly basis) and nu i ional in e en ions.
5
|
Limi a ions
The use o NIRS o assess muscle oxygena ion is subjec o
inhe en limi a ions ha mus be conside ed when add essing
p ac ical ques ions. This is e iden in he p esen s udy and
sugges s ha u he esea ch is necessa y. The selec ion o
muscle si e and muscle he e ogenei y a e conce ns when
assessing a global esponse using a single NIRS p obe (Koga
e al. 2007; Okushima e al. 2015). The disco dance be ween
global exe cise h esholds and local h esholds has been well‐
documen ed in ecen yea s and mus be accoun ed o
(Okushima e al. 2015; Caen and Boone 2023). Al hough lac a e
measu emen s we e no included in his s udy, as he p ima y
objec i e was o de ec he MFO, indi ec calo ime y se es as a
mo e di ec means o assessmen (Bello i e al. 2013; Ba e son
e al. 2023). Addi ionally, al hough accep able il e ing and
modelling p inciples ha e been p oposed o assessing SmO
2
b eakpoin s, which should ela e o measu es, such as MFO,
hese p inciples ha e no been s anda dised. The app op ia e
NIRS pa ame e s and calib a ion me hods emain o be de e -
mined. The measu emen p o ocol employed in his s udy was
conduc ed in a labo a o y se ing, which may limi i s applica-
bili y o home use. I would be o in e es o in es iga e he
po en ial o using a ield p o ocol o de ec he MFO zone
u ilising NIRS echnology. Fu he mo e, NIRS is o en
compa ed o al e na i e me ics ha hemsel es ca y inhe en
limi a ions, esul ing in a compa ison be ween di e en
app oxima ing sys ems. Ano he impo an conside a ion is he
du a ion o he as ing pe iod p io o es ing. Al hough pa ic-
ipan s e ained om calo ic o s imulan in ake o ou hou s
be o e he assessmen , i is possible ha a longe as ing window
(e.g., six hou s) may ha e p o ided g ea e con ol o e baseline
me abolic condi ions such as blood glucose and iglyce ide
le els. Howe e , he selec ed du a ion was chosen o e lec
common p ac ice in exe cise es ing p o ocols and o balance
me abolic con ol wi h pa icipan com o and adhe ence.
Mo eo e , he use o isual inspec ion o iden i y he SmO
2
b eakpoin , al hough e lec ing eal‐wo ld applica ion, in-
oduces a deg ee o subjec i i y ha may limi ep oducibili y
compa ed o compu a ional app oaches. Fu u e s udies may
conside ex ending he as ing du a ion o minimise po en ial
con ounding e ec s on subs a e oxida ion. Finally, al hough
ou p o ocol aimed o e lec a ealis ic es ing en i onmen
wi hin a single labo a o y isi , he absence o epea ed es ing
sessions limi s he assessmen o in aindi idual a iabili y.
Gi en he known day‐ o‐day luc ua ions in a oxida ion a es,
u u e s udies should inco po a e mul iday es ing designs o
be e accoun o a iabili y and enhance he obus ness o
NIRS‐based MFO zone de ec ion.
We would like o highligh ha , despi e all he limi a ions we
ha e men ioned and o he s ha may be conside ed, he wo k
we p esen is inno a i e and p oposes a new di ec ion o u u e
esea ch.
6 o 9 Eu opean Jou nal o Spo Science, 2025
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6
|
Conclusion
In conclusion, i is no possible o de ec he MFO poin using
he NIRS de ice wi h he p o ocols and me hods employed in
his s udy. Disag eemen s we e obse ed be ween he me hods.
Howe e , i is possible o de ec a gene al zone in which he
MFO occu s. As such, coaches may use ou p oposed me hod o
assess he MFO zone o he i s ime. Based on his gene al
idea, a speci ic es should be conduc ed o assess he MFO.
Fu he esea ch is ecommended o iden i y app op ia e p o-
ocols ha can enable he de ec ion o he MFO poin and o
ex apola e o he ield.
Con lic s o In e es
D . Feldmann is a mino i y sha eholde o , and p o essional con ibu o
o Fo io i Designs LLC, he company ha manu ac u es and dis ibu es
he NIRS de ice used in his s udy.
Da a A ailabili y S a emen
The da ase s gene a ed and analysed du ing he cu en s udy a e
a ailable om he co esponding au ho on easonable eques .
Re e ences
Ach en, J., and A. E. Jeukend up. 2003. “Maximal Fa Oxida ion Du ing
Exe cise in T ained Men.” In e na ional Jou nal o Spo s Medicine 24,
no. 8: 603–608. h ps://doi.o g/10.1055/s‐2003‐43265.
Ach en, J. U. U. L., M. I. C. H. A. E. L. Gleeson, and A. E. Jeukend up.
2002. “De e mina ion o he Exe cise In ensi y Tha Elici s Maximal Fa
Oxida ion.” Medicine & Science in Spo s & Exe cise 34, no. 1: 92–97.
h ps://doi.o g/10.1097/00005768‐200201000‐00015.
Ama o‐Gahe e, F. J., G. Sanchez‐Delgado, L. Ju ado‐Fasoli, e al. 2019.
“Assessmen o Maximal Fa Oxida ion Du ing Exe cise: A Sys ema ic
Re iew.” Scandina ian Jou nal o Medicine & Science in Spo s 29, no. 7:
910–921. h ps://doi.o g/10.1111/sms.13424.
Aze edo, R. D. A., J. E. Béja Saona, E. C. Inglis, D. Ianne a, and J. M.
Mu ias. 2020. “Hypoxia Equally Reduces he Respi a o y Compensa ion
Poin and he NIRS‐De i ed [Hhb] B eakpoin Du ing a Ramp‐
Inc emen al Tes in Young Ac i e Males.” Physics Repo s 8, no. 12:
e14478. h ps://doi.o g/10.14814/phy2.14478.
Ba e son, P. M., B. S. Ki by, G. Hasselmann, and A. Feldmann. 2023.
“Muscle Oxygen Sa u a ion Ra es Coincide Wi h Lac a e‐Based Exe cise
Th esholds.” Eu opean Jou nal o Applied Physiology 123: 1–10. h ps://
doi.o g/10.1007/s00421‐023‐05238‐9.
Bello i, C. E. C. I. L. I. A., E. L. I. S. A. Calab ia, C. A. R. L. O. Capelli,
and S. I. L. V. I. A. Pogliaghi. 2013. “De e mina ion o Maximal Lac a e
S eady S a e in Heal hy Adul s: Can NIRS Help?” Medicine & Science in
Spo s & Exe cise 45, no. 6: 1208–1216. h ps://doi.o g/10.1249/MSS.
0b013e3182828ab2.
Ben ley, D. J., J. Newell, and D. Bishop. 2007. “Inc emen al Exe cise
Tes Design and Analysis Implica ions o Pe o mance Diagnos ics in
Endu ance A hle es.” Spo s Medicine 37, no. 7: 575–586. h ps://doi.
o g/10.2165/00007256‐200737070‐00002.
Bo el, B. E. N. O. I. T., J. ÉR. ÉM. Y. Coqua , G. U. I. L. L. A. U. M. E.
Boi el, e al. 2015. “E ec s o Endu ance T aining a he C osso e Poin
in Women Wi h Me abolic Synd ome.” Medicine & Science in Spo s &
Exe cise 47, no. 11: 2380–2388. h ps://doi.o g/10.1249/MSS.000000
0000000674.
Boud eaux, B. D., E. P. Hebe , D. B. Hollande , e al. 2018. “Validi y o
Wea able Ac i i y Moni o s Du ing Cycling and Resis ance Exe cise.”
Medicine & Science in Spo s & Exe cise 50, no. 3: 624–633. h ps://doi.
o g/10.1249/MSS.0000000000001471.
Boye e, L. C., and B. Manna. 2022. Physiology, Myoca dial Oxygen De-
mand. S a Pea ls Publishing.
B ooks, G. A. 2020. “Lac a e as a Fulc um o Me abolism.” Redox Biology
35: 101454. h ps://doi.o g/10.1016/j. edox.2020.101454.
Buch uh e , M. J., J. E. Hansen, T. E. Robinson, D. Y. Sue, K. Wasse -
man, and B. J. Whipp. 1983. “Op imizing he Exe cise P o ocol o
Ca diopulmona y Assessmen .” Jou nal o Applied Physiology 55, no. 5:
1555–1564. h ps://doi.o g/10.1152/jappl.1983.55.5.1558.
Bu on, D. A., K. S okes, and G. M. Hall. 2004. “Physiological E ec s o
Exe cise. Con inuing Educa ion in Anaes hesia.” C i ical Ca e and Pain
4, no. 6: 185–188. h ps://doi.o g/10.1093/bjaceaccp/mkh050.
Caen, K., and J. Boone. 2023. “Response o Goulding E Al. (2022): A e
Whole‐Body and Local Th esholds Mechanis ically Linked?” Eu opean
Jou nal o Applied Physiology 123, no. 2: 421–422. h ps://doi.o g/10.
1007/s00421‐022‐05081‐4.
Ca ie , B., S. Ma en Cha es, and J. W. Na al a. 2025. “Valida ion o
Ae obic Capaci y (VO
2max
) and Pulse Oxime y in Wea able Technol-
ogy.” Senso s 25, no. 1: 275. h ps://doi.o g/10.3390/s25010275.
Cayo , T. E., S. G. Robinson, L. E. Da is, e al. 2021. “Es ima ing he
Lac a e Th eshold Using Wi eless Nea ‐In a ed Spec oscopy and
Th eshold De ec ion Analyses.” In e na ional Jou nal o Exe cise Science
14, no. 4: 284–294. h ps://doi.o g/10.70252/HBRA1900.
Chá ez‐Gue a a, I. A., R. U quidez‐Rome o, J. A. Pé ez‐León, e al.
2020. “Ch onic E ec o Fa max T aining on Body Weigh , Fa Mass,
and Ca dio espi a o y Fi ness in Obese Subjec s: A Me a‐Analysis o
Randomized Clinical T ials.” In e na ional Jou nal o En i onmen al
Resea ch and Public Heal h 17: 1–18.
Ch zanowski‐Smi h, O. J., R. M. Edinbu gh, M. P. Thomas, e al. 2020.
“The Day‐To‐Day Reliabili y o Peak Fa Oxida ion and FATMAX.”
Eu opean Jou nal o Applied Physiology 120, no. 8: 1745–1759. h ps://
doi.o g/10.1007/s00421‐020‐04397‐3.
Chuang, M.‐L., H. U. A. Ting, T. O. S. H. I. H. I. R. O. O suka, e al. 2002.
“Muscle Deoxygena ion as Rela ed o Wo k Ra e.” Medicine & Science in
Spo s & Exe cise 34, no. 10: 1614–1623. h ps://doi.o g/10.1249/01.MSS.
0000035992.08625.78.
Co in, F., C. Médigue, P. Lopes, P.‐M. Lep ê e, R. Heube , and V.
Billa . 2007. “Ven ila o y Th esholds Assessmen F om Hea Ra e
Va iabili y Du ing an Inc emen al Exhaus i e Running Tes .” In e na-
ional Jou nal o Spo s Medicine 28, no. 4: 287–294. h ps://doi.o g/10.
1055/s‐2006‐924355.
Dandanell, S., C. Bosle P aes , S. S. Dam, e al. 2017a. “De e mina ion
o he Exe cise In ensi y Tha Elici s Maximal Fa Oxida ion in In-
di iduals Wi h Obesi y.” Applied Physiology Nu i ion and Me abolism
12: 405–412.
Dandanell, S., K. Hus ed, S. Amdisen, e al. 2017b. “In luence o
Maximal Fa Oxida ion on Long‐Te m Weigh Loss Main enance in
Humans.” Jou nal o Applied Physiology 123, no. 1: 267–274. h ps://doi.
o g/10.1152/japplphysiol.00270.2017.
Fa zam, P., Z. S a kwea he , and M. A. F anceschini. 2018. “Valida ion
o a No el Wea able, Wi eless Technology o Es ima e Oxygen Le els
and Lac a e Th eshold Powe in he Exe cising Muscle.” Physics Repo s
6, no. 7: e13664. h ps://doi.o g/10.14814/phy2.13664.
Feldmann, A., L. Ammann, F. Gäch e , M. Zibung, and D. E lache .
2022. “Muscle Oxygen Sa u a ion B eakpoin s Re lec Ven ila o y
Th esholds in Bo h Cycling and Running.” Jou nal o Human Kine ics
83: 87–97. h ps://doi.o g/10.2478/hukin‐2022‐0054.
Fe a i, M., M. Mu halib, and V. Qua esima. 2011. “The Use o Nea ‐
In a ed Spec oscopy in Unde s anding Skele al Muscle Physiology:
Recen De elopmen s.” Philosophical T ansac ions o he Royal Socie y
7 o 9
15367290, 2025, 8, Downloaded om h ps://onlinelib a y.wiley.com/doi/10.1002/ejsc.70025 by Readcube (Lab i a Inc.), Wiley Online Lib a y on [22/07/2025]. See he Te ms and Condi ions (h ps://onlinelib a y.wiley.com/ e ms-and-condi ions) on Wiley Online Lib a y o ules o use; OA a icles a e go e ned by he applicable C ea i e Commons License
A: Ma hema ical, Physical and Enginee ing Sciences 369, no. 1955: 4577–
4590. h ps://doi.o g/10.1098/ s a.2011.0230.
Fe i Ma ini, C., A. Fede ici, J. S. Skinne , e al. 2022. “E ec o S eady‐
S a e Ae obic Exe cise In ensi y and Du a ion on he Rela ionship Be-
ween Rese es o Hea Ra e and Oxygen Up ake.” Pee J 10: e13190.
h ps://doi.o g/10.7717/pee j.13190.
F andsen, J., S. Ves , S. La sen, F. Dela, and J. Helge. 2017. “Maximal
Fa Oxida ion Is Rela ed o Pe o mance in an I onman T ia hlon.”
In e na ional Jou nal o Spo s Medicine 38, no. 13: 975–982. h ps://doi.
o g/10.1055/s‐0043‐117178.
G assi, B., V. Qua esima, C. Ma coni, M. Fe a i, and P. Ce e elli. 1999.
“Blood Lac a e Accumula ion and Muscle Deoxygena ion Du ing In-
c emen al Exe cise.” Jou nal o Applied Physiology 87, no. 1: 348–355.
h ps://doi.o g/10.1152/jappl.1999.87.1.348.
Ha g ea es, M., and L. L. Sp ie . 2020. “Skele al Muscle Ene gy Me a-
bolism Du ing Exe cise.” Na u e Me abolism 2, no. 9: 817–828. h ps://
doi.o g/10.1038/s42255‐020‐0251‐4.
Holm, S. 2013. “Decla a ion o Helsinki.” In In e na ional Encyclopedia o
E hics, edi ed by H. La olle e. h ps://doi.o g/10.1002/9781444367072.
wbiee230.
Howley, E. T., D. R. Basse , and H. G. Welch. 1995. “C i e ia o
Maximal Oxygen Up ake: Re iew and Commen a y.” Medicine & Sci-
ence in Spo s & Exe cise 27, no. 9: 1292–1301. h ps://doi.o g/10.1249/
00005768‐199509000‐00009.
I u icas illo, A., J. Yanci, C. G anados, and V. Goosey‐Tol ey. 2016.
“Quan i ying Wheelchai Baske ball Ma ch Load: A Compa ison o
Hea Ra e and Pe cei ed Exe ion Me hods.” In e na ional Jou nal o
Spo s Physiology and Pe o mance 11, no. 4: 508–514. h ps://doi.o g/10.
1123/ijspp.2015‐0257.
Jamnick, N. A., J. Bo ella, D. B. Pyne, and D. J. Bishop. 2018. “Manip-
ula ing G aded Exe cise Tes Va iables A ec s he Validi y o he
Lac a e Th eshold and VO
2
peak.” PLoS One 13, no. 7: e0199794. h ps://
doi.o g/10.1371/jou nal.pone.0199794.
Johns on, W., P. B. Judice, P. Molina Ga cía, e al. 2021. “Recommen-
da ions o De e mining he Validi y o Consume Wea able and
Sma phone S ep Coun : Expe S a emen and Checklis o he
INTERLIVE Ne wo k.” B i ish Jou nal o Spo s Medicine 55, no. 14:
780–793. h ps://doi.o g/10.1136/bjspo s‐2020‐103147.
Joyne , M. J., and E. F. Coyle. 2008. “Endu ance Exe cise Pe o mance:
The Physiology o Champions.” Jou nal o Physiology 586, no. 1: 35–44.
h ps://doi.o g/10.1113/jphysiol.2007.143834.
Kei , D. A., D. Ianne a, F. Ma ioni Ma u ana, J. M. Kowalchuk, and
J. M. Mu ias. 2021. “Iden i ica ion o Non‐In asi e Exe cise Th esholds:
Me hods, S a egies, and an Online App.” Spo s Medicine 52, no. 2: 237–
255. h ps://doi.o g/10.1007/s40279‐021‐01581‐z.
Ki by, B. S., D. A. Cla k, E. M. B adley, and B. W. Wilkins. 2021. “The
Balance o Muscle Oxygen Supply and Demand Re eals C i ical Me a-
bolic Ra e and P edic s Time o Exhaus ion.” Jou nal o Applied Physi-
ology 130, no. 6: 1915–1927. h ps://doi.o g/10.1152/japplphysiol.00058.
2021.
Koga, S., D. C. Poole, L. F. Fe ei a, e al. 2007. “Spa ial He e ogenei y o
Quad iceps Muscle Deoxygena ion Kine ics Du ing Cycle Exe cise.”
Jou nal o Applied Physiology 103, no. 6: 2049–2056. h ps://doi.o g/10.
1152/japplphysiol.00627.2007.‐To.
Kouwijze , I., M. Valize, L. J. M. Valen , P. G andjean Pe enod Com-
esse, L. H. V. an de Woude, and S. de G oo . 2019. “The In luence o
P o ocol Design on he Iden i ica ion o Ven ila o y Th esholds and he
A ainmen o Peak Physiological Responses Du ing Synch onous A m
C ank E gome y in Able‐bodied Pa icipan s.” Eu opean Jou nal o
Applied Physiology 119, no. 10: 2275–2286. h ps://doi.o g/10.1007/
s00421‐019‐04211‐9.
K ouwe , J. S. 2008. “Why Bland–Al man Plo s Should Use X, No (Y þ
X)/2 When X Is a Re e ence Me hod.” S a is ics in Medicine 27, no. 5:
778–780. h ps://doi.o g/10.1002/sim.3086.
MacDougall, K. B., T. M. Falcone , and B. R. MacIn osh. 2022. “E i-
ciency o Cycling Exe cise: Quan i ica ion, Mechanisms, and Mis-
unde s andings.” Scandina ian Jou nal o Medicine & Science in Spo s
32, no. 6: 951–970. h ps://doi.o g/10.1111/sms.14149.
Ma eo‐Ma ch, M., M. Moya‐Ramón, A. Ja aloyes, e al. 2022. “Validi y
o De ended Fluc ua ion Analysis o Hea Ra e Va iabili y o De e -
mine In ensi y Th esholds in Eli e Cyclis s.” Eu opean Jou nal o Spo
Science.h ps://doi.o g/10.1080/17461391.2022.2047228.
Maunde , Ed, D. J. Plews, and A. E. Kilding. 2018. “Con ex ualising
Maximal Fa Oxida ion Du ing Exe cise: De e minan s and No ma i e
Values.” F on ie s in Physiology 9: 1–13. h ps://doi.o g/10.3389/ phys.
2018.00599.
Meye , T., C. Folz, F. Rosenbe ge , and W. Kinde mann. 2009. “The
Reliabili y o Fa max.” Scandina ian Jou nal o Medicine & Science in
Spo s 19, no. 2: 213–221. h ps://doi.o g/10.1111/j.1600‐0838.2008.
00775.x.
Mukaka, M. M. 2012. “S a is ics Co ne : A Guide o App op ia e Use o
Co ela ion Coe icien in Medical Resea ch.” Malawi Medical Jou nal:
he jou nal o Medical Associa ion o Malawi 24, no. 3: 69–71.
Okushima, D., D. C. Poole, T. J. Ba s ow, e al. 2016. “G ea e VO
2
peak
Is Co ela ed Wi h G ea e Skele al Muscle Deoxygena ion Ampli ude
and Hemoglobin Concen a ion Wi hin Indi idual Muscles Du ing
Ramp‐Inc emen al Cycle Exe cise.” Physics Repo s 4, no. 23: e13065.
h ps://doi.o g/10.14814/phy2.13065.
Okushima, D., D. C. Poole, H. B. Rossi e , e al. 2015. “Muscle Deoxy-
gena ion in he Quad iceps Du ing Ramp Inc emen al Cycling: Deep Vs.
Supe icial He e ogenei y.” Jou nal o Applied Physiology 119, no. 11:
1313–1319. h ps://doi.o g/10.1152/japplphysiol.00574.2015.‐Muscle.
Palla és, J. G., R. Mo án‐Na a o, J. F. O ega, e al. 2016. “Validi y and
Reliabili y o Ven ila o y and Blood Lac a e Th esholds in Well‐T ained
Cyclis s.” PLoS One 11: 1–16. h ps://doi.o g/10.1371/jou nal.pone.
0163389.
Pu dom, T., L. K a i z, K. Dokladny, and C. Me mie . 2018. “Unde -
s anding he Fac o s Tha E ec Maximal Fa Oxida ion.” Jou nal o he
In e na ional Socie y o Spo s Nu i ion 15: 1–10. h ps://doi.o g/10.
1186/s12970‐018‐0207‐1.
Rod igo‐Ca anza, V., F. González‐Mohíno, A. P. Tu ne , S. Rod iguez‐
Ba be o, and J. M. González‐Ra é. 2021. “Using a Po able Nea ‐
In a ed Spec oscopy De ice o Es ima e he Second Ven ila o y
Th eshold.” In e na ional Jou nal o Spo s Medicine 42, no. 10: 905–910.
h ps://doi.o g/10.1055/a‐1343‐2127.
Roge s, B., D. Giles, N. D ape , O. Hoos, and T. G onwald. 2021. “A New
De ec ion Me hod De ining he Ae obic Th eshold o Endu ance Ex-
e cise and T aining P esc ip ion Based on F ac al Co ela ion P ope ies
o Hea Ra e Va iabili y.” F on ie s in Physiology 11. h ps://doi.o g/10.
3389/ phys.2020.596567.
Salas‐Mon o o, J.‐A., M. Ma eo‐Ma ch, C. Sánchez‐Muñoz, and M.
Zabala. 2022. “De e mina ion o Second Lac a e Th eshold Using Nea ‐
In a ed Spec oscopy in Eli e Cyclis s.” In e na ional Jou nal o Spo s
Medicine 43, no. 8: 721–728. h ps://doi.o g/10.1055/a‐1738‐0252.
San‐Millán, I., and G. A. B ooks. 2018. “Assessmen o Me abolic
Flexibili y by Means o Measu ing Blood Lac a e, Fa , and Ca bohyd a e
Oxida ion Responses o Exe cise in P o essional Endu ance A hle es
and Less‐Fi Indi iduals.” Spo s Medicine 48, no. 2: 467–479. h ps://
doi.o g/10.1007/s40279‐017‐0751‐x.
Send a‐Pé ez, C., J. L. Sanchez‐Jimenez, J. M. Ma zano‐Felisa i, A.
Enca nación‐Ma ínez, R. Sal ado ‐Palme , and J. I. P iego‐Quesada.
2023. “Reliabili y o Th eshold De e mina ion Using Po able Muscle
Oxygena ion Moni o s Du ing Exe cise Tes ing: A Sys ema ic Re iew
8 o 9 Eu opean Jou nal o Spo Science, 2025
15367290, 2025, 8, Downloaded om h ps://onlinelib a y.wiley.com/doi/10.1002/ejsc.70025 by Readcube (Lab i a Inc.), Wiley Online Lib a y on [22/07/2025]. See he Te ms and Condi ions (h ps://onlinelib a y.wiley.com/ e ms-and-condi ions) on Wiley Online Lib a y o ules o use; OA a icles a e go e ned by he applicable C ea i e Commons License
and me a‐analysis.” Scien i ic Repo s 13, no. 1: 12649. h ps://doi.o g/10.
1038/s41598‐023‐39651‐z.
Sp ie , L. L. 2014. “New Insigh s in o he In e ac ion o Ca bohyd a e
and Fa Me abolism Du ing Exe cise.” Supplemen , Spo s Medicine 44,
no. S1: 87–96. h ps://doi.o g/10.1007/s40279‐014‐0154‐1.
Thompson, K., S. Ga land, and F. Lo hian. 2006. “Assessmen o Am
In e na ional B eas s oke Swimme Using he 7x200‐m S ep Tes .” In-
e na ional Jou nal o Spo s Physiology and Pe o mance 1, no. 2: 172–
175. h ps://doi.o g/10.1123/ijspp.1.2.172.
an de Zwaa d, S., R. T. Jaspe s, I. J. Blokland, e al. 2016. “Oxygena-
ion Th eshold De i ed F om Nea ‐In a ed Spec oscopy: Reliabili y
and I s Rela ionship Wi h he Fi s Ven ila o y Th eshold.” PLoS One
11, no. 9: e0162914. h ps://doi.o g/10.1371/jou nal.pone.0162914.
Vasquez‐Bonilla, A. A., A. Camacho‐Ca deñosa, R. Timón, I. Ma ínez‐
Gua dado, M. Camacho‐Ca deñosa, and G. Olcina. 2021. “Muscle Oxygen
Desa u a ion and Re‐Sa u a ion Capaci y Limi s in Repea ed Sp in
Abili y Pe o mance in Women Socce Playe s: A New Physiological
In e p e a ion.” In e na ional Jou nal o En i onmen al Resea ch and
Public Heal h 18, no. 7: 3484. h ps://doi.o g/10.3390/ije ph18073484.
Wang, J., S. Tan, and L. Cao. 2015. “Exe cise T aining a he Maximal
Fa Oxida ion In ensi y Imp o ed Heal h‐Rela ed Physical Fi ness in
O e weigh Middle‐Aged Women.” Jou nal o Exe cise Science & Fi ness
13, no. 2: 111–116. h ps://doi.o g/10.1016/j.jes .2015.08.003.
Yoge , A., J. A nold, D. Cla ke, J. A. Guene e, B. C. Spo e , and M. S.
Koehle. 2022. “Compa ing he Respi a o y Compensa ion Poin Wi h
Muscle Oxygen Sa u a ion in Locomo o and Non‐Locomo o Muscles
Using Wea able NIRS Spec oscopy Du ing Whole‐Body Exe cise.”
F on ie s in Physiology 13: 818733. h ps://doi.o g/10.3389/ phys.2022.
818733.
Zu buchen, A., S. Lanzi, L. Voi ol, e al. 2020. “Fa Oxida ion Kine ics Is
Rela ed o Muscle Deoxygena ion Kine ics Du ing Exe cise.” F on ie s
in Physiology 11: 571. h ps://doi.o g/10.3389/ phys.2020.00571.
9 o 9
15367290, 2025, 8, Downloaded om h ps://onlinelib a y.wiley.com/doi/10.1002/ejsc.70025 by Readcube (Lab i a Inc.), Wiley Online Lib a y on [22/07/2025]. See he Te ms and Condi ions (h ps://onlinelib a y.wiley.com/ e ms-and-condi ions) on Wiley Online Lib a y o ules o use; OA a icles a e go e ned by he applicable C ea i e Commons License