Effect of duration of exercise on excess postexercise O2 consumption ROALD BAHR, IVAR INGNES, ODD VAAGE, OLE M. SEJERSTED, AND ERIC A. NEWSHOLME Institute of Muscle Physiology, 0033 Oslo 1, Norway; and Department of Biochmzistry, University of Oxford, South Parks Road, Oxford OX1 3QU, United Kingdom BAHR, ROALD, IVAR INGNES, ODD VAAGE, OLE M. SE- compare quantitatively the magnitude of EPOC and the JERSTED, AND ERIC A. NEWSHOLME. Effect of duration of total exercise 02 consumption. If EPOC is related to the exercise on excess postexercise O2 consumption. J. Appl. Physiol. utilization of some energy store during exercise, the 62(2): 48%490,1987.-This study was undertaken to determine magnitude of EPOC would be expected to be closely the effect of exercise duration on the time course and magnitude related to the total work performed. In this study the of excess postexercise O2 consumption (EPOC). Six healthy previous work of Hermansen et al. (16) has been exmale subjects exercised on separate days for 80,40, and 20 min tended to investigate the effect of 20, 40, and 80 min of at 70% of maximal O2 consumption on a cycle ergometer. A exercise on EPOC. control experiment without exercise was performed. O2 uptake, respiratory exchange ratio (R), and rectal temperature were MATERIALS AND METHODS monitored while the subjects rested in bed 24 h postexercise. An increase in O2 uptake lasting 12 h was observed for all Subjects. Six male subjects participated in the study. exercise durations, but no increase was seen after 24 h. The Their physical characteristics are shown in Table 1. After magnitude of 12-h EPOC was proportional to exercise duration a medical examination, they were fully informed about and equaled 14.4 t 1.2, 6.8 t 1.7, and 5.1 t 1.2% after 80, 40, all procedures before written consent was obtained. All and20 min of exercise, respectively. On the average, 12-h EPOC subjects were physically active, but not engaged in enequaled 15.2 _t 2.0% of total exercise 0, consumption (EOC). durance training. Their maximal 0, uptake values are There was no difference in EPOC:EOC for different exercise similar to those reported as high average for Norwegian durations. A linear decrease with exercise duration was observed in R between 2 and 24 h postexercise. No change was males (15). observed in recovery rectal temperature. It is concluded that Testing procedures. Before the testing started the subEPOC increases linearly with exercise duration at a work jects were familiarized with bicycle exercise at a constant intensity of 70% of maximal O2 consumption. pedalling rate and with breathing through the mouthrespiratory humans exchange ratio; rectal temperature; weight control; IT IS WELL-ESTABLISHED that O2 consumption remains elevated for some period of time after exercise and the phenomenon has recently been termed excess postexercise O2 consumption (EPOC) (11). Several aspects of the EPOC are still debated: i.e., estimations of its duration vary from 30 to 72 h (3, 4, 9, 11, 13, 14, 24, 30) and variations in experimental design makes it impossible to draw any conclusions as to the magnitude of the EPOC. Furthermore, it is known that food intake enhances O2 consumption- the thermic effect of food-but whether previous exercise enhances this thermic effect is controversial (4, 18, 27, 28, 31). Recently, it was shown that prolonged exercise (-90 min) at 70% of maximal aerobic capacity not only increased 02 consumption after exercise by 14% over a period of 12 h but also increased the thermic response to a meal (18). Other recent studies (5, 10, 21) have failed to show any prolonged thermogenic effect from less intensive exercise (3555% of maximal aerobic capacity). From previous studies it has not been possible to 0161-7567/87 $1.50 Copyright 0 piece and the breathing valve used in all metabolic measurements. All testing and experimental exercise procedures were performed on a modified Krogh cycle ergometer. About 2 wk before the experiment started maximal O2 uptake was measured using the criteria of Taylor et al. (29). These results were used to predict a work load corresponding to 70% of maximal O2 uptake in each subject. Finally, this work load was used in a lo-min trial run to familiarize the subjects with their subsequent work intensity. The results from the tests are shown in Table 1. Experimental protocol. Each subject participated in four experiments. The subjects reported to the laboratory at 7:00 A.M. after an overnight fast. They were transported by car, to avoid any physical activity on the morning of each experiment. They were told not to make any changes in their dietary or exercise habits, except that they were asked not to partake in any exercise for 2 days before days of experiment. No tobacco or alcohol was allowed 24 h before each experiment. Body weight was measured at the start of each test session.A thermistor (type DU 3S, Ellas Instruments A/ S, Copenhagen, Denmark) was inserted lo-15 cm into the rectum. After that the subjects rested in bed until the exercise period started. 1987 the American Physiological Society 485 486 EXERCISE DURATION AND POSTEXERCISE O2 CONSUMPTION 1. Physical characteristics and exercise data for each subject TABLE Subject No. Age, 1 2 3 4 5 6 Yr Ht, cm 22 21 22 21 26 24 188 181 175 183 197 197 Mean _t SE 22.7k0.8 Missing value for subject 186.8t3.6 Vi0 2 max, ml - kg-l - min-’ 82.3 70.3 71.5 75.5 93.0 92.0 59.4 57.2 52.2 50.2 55.1 50.7 80.8zk4.1 1 is due to an accidental technical 54.1t1.5 malfunction. On three separate days the subjects exercised for 80, 40, or 20 min. A control experiment without exercise was also performed. Otherwise the conditions were identical to the exercise experiments. Experimental days were separated by -2 wk and the sequence of the experiments (80,40, or 20 min of exercise or control) was randomized. The start of exercise was adjusted so that the recovery period always started at 9:30 A.M. Three subjects were unable to complete the BO-min exercise period due to exhaustion, and their exercise times are shown in Table 1. After exercise the subjects rested in bed for 24 h, but they were not allowed to sleep for the first 12 h of recovery. The subjects were given three meals consisting of bread, jam, and skimmed milk during the experiment. The average caloric content per meal was 1,200 kcal. The . fl .rst meal was taken 2 h, the second 7 h, and the last 12 h after exercise. All meals were camp leted within 30 min. For every subject the amount of food taken at each meal was measured, and he was given an identical diet all four experiments. Measurements. O2uptake was measured for the last 15 min of the rest period before exercise and 5 min before the end of exercise. Postexercise O2uptake was measured continuously for the 1st h and thereafter for the last 15 min of each hour for the next 11 h. Finally, O2 uptake was measured 24 h after the end of exercise, i.e., after the subject had sl.ept in the laboratory overnight. Rectal temperature was recorded continuously during th .e whole experimental period except between 12 and 24 h after exercise. Expired air was collected by the Douglas bag method, and volume was measured in a wet spirometer. Analyses for CO, and O2 were performed on a Scholander apparatus (23). StatisticaL methods. Results are given as means t SE. Linear relationships between work time and individual responses of postexercise OZ consumption or R were tested by analysis of covariance. Under the null hypothesis that slopes were 0, probability was estimated from F provided by the deviations mean square (25). Rejection level was chosen as P 5 0.05. RESULTS O2 uptake. On the control day, 02 consumption was 267 t 13 ml/min in the morning, and after the first meal it was increased to 334 t 13 ml/min. O2 consumption then fell slowly during the next 5 h but was increased to Work Exercise iTo2, % of max 80 min 40 min 20 min Exercise Duration on Day I, min 72 73 71 69 73 70 68 67 69 74 68 70 71 67 62 77 67 80 72 80 75 80 71 71.3t0.7 69.2t1.3 69.0t2.0 Load, W 240 193 175 175 286 229 216.3t17.8 VOW,,,, maximum 76.3t1.7 O2 uptake. approximately the previous value by the second meal (Fig. 1). Exercise increased the rate of 0, consumption to 3,219 t 189 ml/min (for 80 min duration of exercise), 3,076 t 231 ml/ min (40 min), and 3,049 t 251 ml/min (20 min). The postexercise period was divided into three intervals for statistical analysis of the data. The first interval lasts from the end of the exercise period until the first meal (O-2 h). The analysis of this interval provides information on the exclusive effect of exercise on EPOC. The data obtained during the next interval (2-7 h) is influenced not only by exercise, but also by any change the exercise period might induce on the thermic effect of food. The third interval (7-12 h) is identical to the second, except that it is an additional 5 h removed from the exercise period. A linear relationship was observed between exercise duration and O2 consumption and the increase was statistically significant for all three time intervals (Fig. 2). No difference was observed between the control and exercise experiments after 24 h of recovery (P > 0.25). The total O2consumption for the first 12 h of recovery was 251.8 t 10.5, 234.6 t 7.7, 231.0 & 8.1, and 219.9 t 8.1 liters for 80, 40, and 20 min of exercise and the control experiment, respectively. The excesspostexercise O2 consumption (12-h EPOC) was calculated as the increase in O2 consumption above control values for the first 12 h of recovery. Twelve-hour EPOC was 14.4 t 1.2,6.8 t 1.7, and 5.1 t 1.2% (SE) for 80,40, and 20 min of exercise, respectively. A linear relationship was observed between the magnitude of 12-h EPOC and exercise duration (Fig. 3). We have also calculated the 12-h EPOC as a percent of the total exercise 0, consumption (EOC); this value was 15.2 k 2.0% (mean for all experiments). For different exercise durations, values of 12-h EPOC were 13.6 t 1.5, 12.2 -c-3.0, and 19.8 t 4.7% of EOC after 80, 40, and 20 min of exercise, respectively (NS). Respiratory exchange ratio. R increased from 0.78 t 0.01 (mean morning value for all experiments) to 0.92 t 0.04 (80 min period of exercise) and 0.92 t 0.02 (for both the 40- and 20-min periods of exercise) at the end of the exercise period. Immediately after exercise, R fell sharply to those of the control experiment and for the interval between the end of the exercise period and the first meal (O-2 h), we observed no significant decrease in R for different exercise durations (Fig. 4). However, after the first (2-7 h) and second (7-12 h) meals we observed a EXERCISE .............. .............. .............. .............. .............. ............. .............. ............. .............. ............. .............. .............. .............. .............. ..:.. ..~.~.~.‘.‘.‘.‘.~.~.~.~. . .. .. ... .. .1 AND I I O2 CONSUMPTION 0 80 MIN EXERCISE h f MEAL FIG. 1. Time plot of mean O2 uptake (n = 6) for all experimental days. Different symbols are used for 80-, 40-, ZO-min exercise and control experiments. 2 4 i5 (3 5; . 300 487 0 CONTROL W 20 MIN EXERCISE A 40 MIN EXERCISE .... 350 POSTEXERCISE I .............. ............. . .............. ............. .............. .IT ............. t h ;.z v w DURATION l 0 m 4. 250 .4 I 4 6 TIME 450 ( hrs ) . I RECOVERY RECOVERY INTERVAL n .-c g 400 E Y RECOVERY INTERVAL - INTERVAL 2-7h O-2h 7-12h FIG. 2. O2 uptake vs. exercise duration (n = 6) in 3 time intervals: between exercise and 1st meal (O-2 h), between 1st and 2nd meals (2-7 h), and between the 2nd and 3rd meals (7-12 h). Different symbols are used for each subject. Dashed mean regression line passes through mean value of all observations and slope was obtained from analysis of covariance carried out for each time interval. e a k 3 z > g 350 300 t a g 0 CJ 250 y k! - 269 + 1.36x p <c 0.001 y= 314+0.58x p << 0.00 Y = 313 + 0.22x p < 0.02 1 1 0 40 80 40 0 WORK TIME 80 0 I I 40 I I 80 (min) linear decrease in R with increasing exercise duration (Fig. 5). After 24 h there was still a linear decrease in R as the exercise duration increased (P c 0.05). Rectal temperature. Rectal temperature rose to 38.4 t 0.2”C (80-min period of exercise), 37.8 t 0.3OC (40-min period of exercise) and 37.5 t O.lOC (20-min period of exercise) at the end of the exercise period. The temperature decreased rapidly and reached control values in ~30 min on all exercise days. Thereafter, no significant difference was observed in rectal temperature between postexercise and control experiments. DISCUSSION This study shows that the magnitude of 12-h EPOC is linearly related to the duration of a prolonged submaximal exercise bout. Hence with this kind of exercise 12-h EPOC is a constant fraction equaling 15% of the total O2 consumption during the exercise period. Because of variability of exercise tasks and differences in experimental design, it is difficult to compare previous findings with those presented in this paper. The present study confirms the recently published findings of Machlum et al. (18) in which the mean excess postexercise O2 uptake for 12 h was 14% above the basal after exhaustive work at a work intensity corresponding to 70% of maximal aerobic capacity. In other studies there is considerably variability concerning the effects of exercise on postexercise O2 consumption. Thus three recent wellcontrolled investigations (5, 10, 21) failed to show any prolonged thermic effect of exercise, apparently in conflict with the present study. Since two other reports have indicated that an increase in severity of exercise (3, 9) causes an increase in EPOC, the variability in response 488 EXERCISE DURATION AND POSTEXERCISE 40 y-0.8+0.40x 15 ,^ 30 !c 6 cu T E 10 5 0 8 5 X t; cl 4 20 10 58 % 0 I I I 0 20 40 WORK 1 80 0 I 80 TIME (mid 3. Plot of excess postexercise O2 consumption for first 12 h of recovery (EPOC) vs. duration of exercise. Different symbols are used for each subject. Dashed Line, mean regression as defined in legend to Fig. 2. FIG. may be explained by differences in exercise intensity, as suggested by Brehm and Gutin (5). The findings of these latter workers suggested the existence of a threshold value of about 50% of maximal aerobic capacity before any significant increase in recovery Oz uptake was observed. It should also be noted that in all three studies (5, 10, 21) O2 uptake was measured for only l-3 h of the recovery period and in fasting subjects. We were unable to find in the literature any other study on the effect of duration of exercise on EPOC. Hence we conclude that with exercise intensity at approximately 70% of maximal 0, uptake EPOC is clearly demonstrable for at least 12 h, and linearly related to exercise duration. It is interesting to note that EPOC for 12 h is a constant percent of the total O2 consumption during exercise, when exercise duration is varied. However, in view of Brehm and Gutin’s finding of a nonlinear rela- 0 2 4 6 TIME 8 ( hrs > O2 CONSUMPTION tionship between exercise intensity and EPOC (5), a study of the effect of intensity of exercise on EPOC could be of considerable interest. There is additional controversy over both the duration of EPOC and the effect of exercise plus feeding on EPOC. Previously it has been found that, even after 31 h of recovery from exercise, O2 consumption was 8% above normal (9). In the present study, we observed an increase in the 7- to 12-h interval after exercise, but not after 24 h. However, since we have no data for the time period between 12 and 24 h, our values probably represent a minimal estimate of the extra energy consumption. Accordingly, other workers have suggested that the extra energy expenditure after exercise may be considerably greater than presently found during a 12-h period (2). The study of Mzehlum et al. (18) indicated that EPOC was partly related to an effect of meals. However, other investigators have suggested either that exercise has no effect on the thermic effect of food (27) or that it is only increased if individuals had overeaten before the exercise (4, 19, 27, 30). In the present study a considerable part of the EPOC was observed following the first (2- to 7-h interval) and second (7- to 12-h interval) meals; 42% of 12-h EPOC was observed after the first meal and 22% after the second. Proper estimates of the meal effects will require control studies in which subjects are fasted after exercise. No such information is presently available. The mechanisms responsible for stimulated O2 consumption after exercise have been discussed by Hermansen et al. (16). Two explanations were proposed: increased rates of substrate (“futile”) cycling after exercise and extra energy required for the synthesis of depleted glycogen stores. Exercise at 70% of maximal O2 uptake, as used in the present study, is known to deplete glycogen stores completely (17). This would, in a subject weighing 80 kg, 0 CONTROL H A 20 MIN EXERCISE 40 MIN EXERCISE 0 80 MIN EXERCISE 10 FIG. 4. Time plot of mean respiratory exchange ratio (R) (n = 6) for all experimental days. Different symbols are used for 80, 40, and 20 min exercise and control experiments. 12 24 EXERCISE 1.0 . DURATION AND POSTEXERCISE RECOVERY RECOVERY INTERVAL O-2h O2 CONSUMPTION 489 RECOVERY INTERVAL INTERVAL 2-7h 7-12h FIG. 5. Respiratory exchange ratio (R) vs. exercise duration (n = 6) in three time intervals; between exercise and 1st meal (O-2 h), between 1st and 2nd meals (2-7 h), and between 2nd and 3rd meals (7-12 h). Different symbols are used for each subject. Dashed line, mean regression as defined in legend to Fig. 2. y=O.900-0.000464x y=O.772-0.000375x N.S. 0 p c 0.005 80 0 WORK TIME I I 1 0 40 80 (min) correspond to -1.7 mmol glycosyl units. At an average R of 0.85, the O2 cost of glycogen resynthesis would be -20 liters. However, resynthesis of muscle glycogen is a fairly slow process that may take as much as 48 h (22). In the present study, the average EPOC during the first 12 h of recovery after 80 min exercise was 31.9 liters. Thus it is unlikely that the extra O2 consumption would account for more than half of the EPOC. There is now considerable indirect evidence to support the view that an increased rate of substrate (futile) cycles may be in part responsible for EPOC (6, 8, 16, 18, 20) and that raised level of catecholamines could be one important factor leading to increased cycling rates. The present findings are consistent with this viewpoint and, furthermore, they suggest that the mobilization of fat from the adipose tissue reserves and an increased rate of cycling between triacylglycerol and fatty acids may be responsible for EPOC. It has been known for some time that, in normal subjects, -20 min of exercise is necessary to increase the plasma levels of fatty acids (7) and, at an exercise intensity of -60% of maximal aerobic capacity, the plasma fatty acid level increases progressively over 180 min of exercise (1). Furthermore, in this latter study, both the plasma levels of fatty acids and catecholamines were markedly elevated 40 min after exercise had ceased. These two factors may be responsible for stimulation of the rate of the triacylglycerol-fatty acid substrate cycle in adipose tissue. Since one turn of this cycle requires a net hydrolysis of eight molecules of ATP to ADP, an increase in the rate of this cycle would result in a marked increase in O2 consumption after exercise. This cycle is known to occur in adipose tissue of the rat and mouse (6, 26) and may occur in muscle and liver, and catecholamines can increase the rate of this cycle in vivo (6). The postexercise decrease in the value of R (Fig. 4) indicates a greater proportion of fat being oxidized in our subjects and hence a higher plasma fatty acid level. Consequently one factor responsible for the relationship between duration of exercise and EPOC may be the gradual increase in the dependence on fatty acids as a fuel as the duration of the exercise increases. Once exercise has finished, the plasma level of fatty acids further increases, and this increase may be proportional to the rate of fatty acid utilization during the exercise period. One role of the triacylglycerol-fatty acid cycle in adipose tissue may be to decrease gradually and progressively the rate of fatty acid mobilization and, additionally, in other tissues, it may act as a system to buffer the intracellular levels of fatty acid and fatty acyl-CoA (20). Exercise of insufficient intensity or duration to raise the plasma fatty acid and/or catecholamine levels may not result in a marked EPOC. The current findings may be of considerable practical importance in prevention of obesity and in the treatment of mild obesity. Thus the importance of exercise depends on the extra energy utilized due to the physical activitynot only during the activity per se but when the activity has ceased. Exercise has often been discounted because of the assumption that very long periods of exercise were necessary to produce any significant use of energy (12). The present work demonstrates that as little as 20 min of sustained exerci se may be beneficial, since it increases energy consumption for a considerable period of time after the exercise is stopped. Furthermore, the thermic response to food may be increased after exercise and the subjects oxidized more fat after exercise despite the high carbohydrate nature of the diet, suggesting that this fat must be derived from the adipose tissue. These findings indicate that a regimen of daily exercise plus an energycontrolled diet should provide a satisfactory, long-term treatment for obesity. In conclusion, this study demonstrates a linear increase in EPOC in relation to exercise duration, amounting to -15% of exercise energy expenditure. In addition to the obvious practical implications in relation to obesity, these results indi .cate that the use of tables calculating the energy cost of exercise should be reevaluated to include the considerable excess postexercise energy expenditure. This Science Institute. study was supported and the Humanities by The Norwegian Research Council for and by The Norwegian Building Research 490 EXERCISE DURATION AND POSTEXERCISE This study was initiated and carried out under the inspiring supervision of the late Dr. Lars Hermansen, Director of Research at the Institute of Muscle Physiology. The authors thank Jorid Thrane Stuenaes, Bjerg I. Selberg, Kari Heldal, Ada Ingvaldsen, and Anne Kari Henanger for skillful technical assistance. Address for reprint requests: 0. M. Sejersted, Institute of Muscle Physiology, P.O. Box 8149 DEP, 0033 Oslo 1, Norway. Received 18 November 1985; accepted in final form 9 September 1986. REFERENCES 1. AHLBORG, G., AND P. FELIG. 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