Select SLIDE MASTER to Insert Briefing Title Here Heavy external loads disproportionately increase walking energy expenditure David P. Looney PhD CSCS Adam W. Potter MS Holly L. McClung MS Alexander P. Welles MS William R. Santee PhD Biophysics and Biomedical Modeling Division US Army Research Institute of Environmental Medicine (USARIEM) Natick, MA 01760 DISCLAIMER. The opinions or assertions contained herein are the private views of the authors and are not to be construed as official or as reflecting the views of the Army or the Department of Defense. Citations of commercial organizations and trade names in this report do not constitute an official Department of the Army endorsement or approval of the products or services of these organizations Name/Office Symbol/(703) XXX-XXX (DSN XXX) / email address Dave Looney PhD, Research Physiologist / david.p.looney4.civ@mail.mil / (508) 233-5027 Slide 1 25-Oct-18 7/14/2018 Select SLIDE MASTER to Insert Briefing Title Here Total Mass & Energy Expenditure Does an 85-kg man expend as much energy when walking as a 50-kg man carrying a 35-kg load? 85 Name/Office Symbol/(703) XXX-XXX (DSN XXX) / email address Dave Looney PhD, Research Physiologist / david.p.looney4.civ@mail.mil 50 / (508) 233-5027 35 Slide 2 25-Oct-18 7/14/2018 Select SLIDE MASTER to Insert Briefing Title Here Introduction – Load Carriage • Dismounted military operation planning involves weighing advantages of extra equipment against metabolic costs • Existing predictive models underestimate energy expended during heavy military load carriage (Drain et al. 2017, Looney et al. 2018) Photograph: Army Times From https://www.armytimes.com/news/2017/11/08/researchers-study-how-much-energy-troops-burn-while-walking-carrying-loads/ Name/Office Symbol/(703) XXX-XXX (DSN XXX) / email address Dave Looney PhD, Research Physiologist / david.p.looney4.civ@mail.mil / (508) 233-5027 Slide 3 25-Oct-18 7/14/2018 Select SLIDE MASTER to Insert Briefing Title Here Introduction – Load Effects • Heavier loads increase energy expenditure to a greater extent (Pandolf et al. 1977) • Loads < 20% body mass do not increase energy expenditure (Charteris et al. 1989) • Energy expenditure increases linearly with load carried (Bastien et al. 2005, Ludlow et al. 2017) • Does energy expenditure increase proportionally with load? Photograph: Courtesy of Wikipedia.org. From https://peosoldier.army.mil/factsheets/SEQ_ CIE_MOLLE.pdf. Name/Office Symbol/(703) XXX-XXX (DSN XXX) / email address Dave Looney PhD, Research Physiologist / david.p.looney4.civ@mail.mil / (508) 233-5027 Slide 4 25-Oct-18 7/14/2018 Select SLIDE MASTER to Insert Briefing Title Here Introduction – Scenario Does an 85-kg man expend as much energy when walking as a 50-kg man carrying a 35-kg load? 85 50 35 3.6 W∙kg−1 × 85 kg 3.6 W∙kg−1 × 50 kg + 35 kg 306 W 306 W Name/Office Symbol/(703) XXX-XXX (DSN XXX) / email address Dave Looney PhD, Research Physiologist / david.p.looney4.civ@mail.mil / (508) 233-5027 Slide 5 25-Oct-18 7/14/2018 Select SLIDE MASTER to Insert Briefing Title Here Purpose • Purpose – Determine if walking energy expenditure (EE) increases proportionally with added loads • Design – Systematic Review – Meta-Regression Name/Office Symbol/(703) XXX-XXX (DSN XXX) / email address Dave Looney PhD, Research Physiologist / david.p.looney4.civ@mail.mil / (508) 233-5027 Slide 6 25-Oct-18 7/14/2018 Select SLIDE MASTER to Insert Briefing Title Here Methods – Literature Search • Searched literature for studies that measured energy expenditure during loaded walking in healthy, military-age men & women • Search terms included: – – – – “Load carriage” OR “Walking” “Backpack” OR “Load” OR “Resistance” OR “Weighted” “Energy” OR “Metabolic” OR “Oxygen” “Cost” OR “Economy” OR “Expenditure” OR “Rate” Name/Office Symbol/(703) XXX-XXX (DSN XXX) / email address Dave Looney PhD, Research Physiologist / david.p.looney4.civ@mail.mil / (508) 233-5027 Slide 7 25-Oct-18 7/14/2018 Select SLIDE MASTER to Insert Briefing Title Here Methods – Study Selection • Inclusion Criteria – – – – – Indirect calorimetry Steady-state walking 1 unloaded condition 2+ loaded conditions Load affixed to trunk • Exclusion Criteria – Disqualifying conditions – Extreme environmental conditions – Abnormal equipment Name/Office Symbol/(703) XXX-XXX (DSN XXX) / email address Dave Looney PhD, Research Physiologist / david.p.looney4.civ@mail.mil / (508) 233-5027 Slide 8 25-Oct-18 7/14/2018 Select SLIDE MASTER to Insert Briefing Title Here Methods – Meta-regression • Independent Variable – Load, external load carried (% body mass). • Dependent Variable – ΔEE, difference between loaded and unloaded energy expenditure (% unloaded) • Nonlinear mixed effects meta-regression model – ΔEE ~ a•Load^b • Null Hypothesis – ΔEE ~ 1.00•Load^1.00 Name/Office Symbol/(703) XXX-XXX (DSN XXX) / email address Dave Looney PhD, Research Physiologist / david.p.looney4.civ@mail.mil / (508) 233-5027 Slide 9 25-Oct-18 7/14/2018 Select SLIDE MASTER to Insert Briefing Title Here Results – Literature Search Articles identified via electronic databases and manual searches (n = 354) Abstracts excluded (n = 300) Full-text articles assessed for eligibility (n = 54) Full-text articles excluded (n = 35) No unloaded condition (n = 11) < 2 load conditions (n = 9) Load position (n = 5) Variable not reported (n = 8) Outside time limits (n = 2) Studies included in meta-regression (n = 19) Name/Office Symbol/(703) XXX-XXX (DSN XXX) / email address Dave Looney PhD, Research Physiologist / david.p.looney4.civ@mail.mil / (508) 233-5027 Slide 10 25-Oct-18 7/14/2018 Select SLIDE MASTER to Insert Briefing Title Here Results – Subjects & Conditions • Subjects – – – – n = 277 (55 women) Age: 26 ± 7 years Height: 175 ± 7 cm Body Mass: 73 ± 10 kg • Conditions – Load: 26 ± 16% body mass – Grade: 0 ± 6% – Speed: 1.3 ± 0.3 m•s-1 Name/Office Symbol/(703) XXX-XXX (DSN XXX) / email address Dave Looney PhD, Research Physiologist / david.p.looney4.civ@mail.mil / (508) 233-5027 Slide 11 25-Oct-18 7/14/2018 Select SLIDE MASTER to Insert Briefing Title Here Results – ΔEnergy Expenditure (ΔEE) Name/Office Symbol/(703) XXX-XXX (DSN XXX) / email address Dave Looney PhD, Research Physiologist / david.p.looney4.civ@mail.mil / (508) 233-5027 Slide 12 25-Oct-18 7/14/2018 Select SLIDE MASTER to Insert Briefing Title Here Results – ΔEnergy Expenditure (ΔEE) ΔEE = 1.67 • Load ^ 1.57 ± 0.13 * ± 0.09 * * = significantly different from 1 (p < 0.01) Name/Office Symbol/(703) XXX-XXX (DSN XXX) / email address Dave Looney PhD, Research Physiologist / david.p.looney4.civ@mail.mil / (508) 233-5027 Slide 13 25-Oct-18 7/14/2018 Select SLIDE MASTER to Insert Briefing Title Here Total Mass & Energy Expenditure Does an 85-kg man expend as much energy when walking as a 50-kg man carrying a 35-kg load? 85 3.6 W∙kg−1 × 85 kg 50 35 35 kg −1 3.6 W∙kg ×50 kg× 1+1.67× 50 kg 306 W Name/Office Symbol/(703) XXX-XXX (DSN XXX) / email address Dave Looney PhD, Research Physiologist / david.p.looney4.civ@mail.mil 1.57 352 W / (508) 233-5027 Slide 14 25-Oct-18 7/14/2018 Select SLIDE MASTER to Insert Briefing Title Here Conclusions • Heavy loads disproportionately increase walking energy expenditure • Assuming a linear relationship will severely underestimate the metabolic • costs of heavy load carriage Each additional kg carried has a higher metabolic cost Photograph: Courtesy of DefenseImagery.mil. From http://www.defenseimagery.mil. VIRIN: 020212-M-7370C-126. Photographer: CWO2 William D. Crow, USMC. Name/Office Symbol/(703) XXX-XXX (DSN XXX) / email address Dave Looney PhD, Research Physiologist / david.p.looney4.civ@mail.mil / (508) 233-5027 Slide 15 25-Oct-18 7/14/2018 Select SLIDE MASTER to Insert Briefing Title Here Practical Applications • Prescribing loads relative to body • mass will elicit more consistent metabolic responses across groups than absolute loads Metabolic effects of load are better described by the equation – ΔEE = 1.67•Load^1.57 Photograph: Courtesy of Olive-Drab.com. From http://www.olive-drab.com/od_history_ ww2_ops_battles_1944bulge.php. Name/Office Symbol/(703) XXX-XXX (DSN XXX) / email address Dave Looney PhD, Research Physiologist / david.p.looney4.civ@mail.mil / (508) 233-5027 Slide 16 25-Oct-18 7/14/2018 Select SLIDE MASTER to Insert Briefing Title Here References 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. Abe D, et al. Effects of load carriage, load position, and walking speed on energy cost of walking. Appl Ergon. 2004;35(4):329-35. Bastien GJ, et al. Effect of load and speed on the energetic cost of human walking. Eur J Appl Physiol. 2005;94(1-2):76-83. Charteris J, et al. The 'Free-Ride‘ Hypothesis: A Second Look at the Efficiency of African Women Headload Carriers. S AFR J SCI. 1989;85(1):68-71. Drain JR, et al. The Pandolf equation under-predicts the metabolic rate of contemporary military load carriage. JSAMS. 2017;20:S104-S8. Duggan A, et al. Prediction of the metabolic cost of walking with and without loads. Ergonomics. 1992;35(4):417-26. Gordon MJ, et al.. Comparison between load carriage and grade walking on a treadmill. Ergonomics. 1983;26(3):289-98. Grabowski A, et al. Independent metabolic costs of supporting body weight and accelerating body mass during walking. J Appl Physiol. 2005;98(2):579-83. Grenier JG, et al. Energy Cost and Mechanical Work of Walking during Load Carriage in Soldiers. Med Sci Sports Exerc. 2012;44(6):1131-40. Griffin TM, et al. Metabolic cost of generating muscular force in human walking: insights from load-carrying and speed experiments. J Appl Physiol. 2003;95(1):172-83. Huang TW, et al. Mechanics and energetics of load carriage during human walking. J Exp Bio. 2014;217:605-13. Ludlow LW, et al. Walking economy is predictably determined by speed, grade, and gravitational load. J Appl Physiol. 2017;123(5):1288-302. Looney DP, et al. Metabolic Costs of Military Load Carriage over Complex Terrain. Military Medicine. 2018; Lyons J, et al. Influences of body composition upon the relative metabolic and cardiovascular demands of load-carriage. Occup Med (Lond). 2005;55(5):380-4. Morin E, et al. Development of a Dynamic Biomechanical Model for Load Carriage: Phase V: Development of the Biomechanical Model by Means of the Portable Measurement System. Queen’s Univ Kingston (Ontario) Ergonomics Research Group; 2005. Pandolf KB, et al. Predicting energy expenditure with loads while standing or walking very slowly. J Appl Physiol. 1977;43(4):577-81. Patton JF, et al. Physiological and perceptual responses to prolonged treadmill load carriage. USARIEM T11-90; 1990. Pierrynowski M, et al. Metabolic measures to ascertain the optimal load to be carried by man. Ergonomics. 1981;24(5):393-9. Puthoff ML, et al. The effect of weighted vest walking on metabolic responses and ground reaction forces. Med Sci Sports Exerc. 2006;38(4):746-52. Sagiv M, et al. Effects of gradient and load carried on human haemodynamic responses during treadmill walking. Eur J Appl Physiol. 2000;83(1):47-50. Santee WR, et al. A proposed model for load carriage on sloped terrain. Aviat Space Environ Med. 2001;72(6):562-6. Schertzer E, et al. Metabolic rate of carrying added mass: A function of walking speed, carried mass and mass location. Appl Ergon. 2014;45(6):142232. Silder A, et al. Men and women adopt similar walking mechanics and muscle activation patterns during load carriage. J Biomech. 2013;46(14):2522-8. Soule RG, Pandolf KB, Goldman RF. Energy expenditure of heavy load carriage. Ergonomics. 1978;21(5):373-81. Name/Office Symbol/(703) XXX-XXX (DSN XXX) / email address Dave Looney PhD, Research Physiologist / david.p.looney4.civ@mail.mil / (508) 233-5027 Slide 17 25-Oct-18 7/14/2018 Select SLIDE MASTER to Insert Briefing Title Here Thank you! Name/Office Symbol/(703) XXX-XXX (DSN XXX) / email address Dave Looney PhD, Research Physiologist / david.p.looney4.civ@mail.mil / (508) 233-5027 Slide 18 25-Oct-18 7/14/2018