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    Scott K. Powers Edward T. HowleyScott K. Powers Edward T. Howley

    Theory and Application to Fitness and PerformanceSEVENTH EDITION

    Chapter

    Copyright 2009 The McGraw-Hill Companies, Inc. Permission required for reproduction or display outside of classroom use.

    Exercise Metabolism

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    Chapter 4

    Copyright 2009 The McGraw-Hill Companies, Inc. All Rights Reserved.

    Objectives

    1. Discuss the relationship between exercise

    intensity/duration and the bioenergetic pathways

    that are most responsible for the production of

    ATP during various types of exercise.

    2. Define the term oxygen deficit.3. Define the term lactate threshold.

    4. Discuss several possible mechanisms for the

    sudden rise in blood-lactate concentration during

    incremental exercise.

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    Chapter 4

    Copyright 2009 The McGraw-Hill Companies, Inc. All Rights Reserved.

    Objectives

    5. List the factors that regulate fuel selection during

    different types of exercise.

    6. Explain why fat metabolism is dependent on

    carbohydrate metabolism.

    7. Define the term oxygen debt.8. Give the physiological explanation for the

    observation that the O2debt is greater following

    intense exercise when compared to the O2debt

    following light exercise.

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    Chapter 4

    Copyright 2009 The McGraw-Hill Companies, Inc. All Rights Reserved.

    Energy Requirements at Rest

    Almost 100% of ATP produced by aerobic

    metabolism

    Blood lactate levels are low (

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    Chapter 4

    Copyright 2009 The McGraw-Hill Companies, Inc. All Rights Reserved.

    Rest-to-Exercise Transitions

    Rest-to-Exercise Transitions

    ATP production increases immediately

    Oxygen uptake increases rapidly

    Reaches steady state within 14 minutes

    After steady state is reached, ATP requirement is

    met through aerobic ATP production

    Initial ATP production through anaerobic pathways

    ATP-PC system

    Glycolysis Oxygen deficit

    Lag in oxygen uptake at the beginning of exercise

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    Chapter 4

    Copyright 2009 The McGraw-Hill Companies, Inc. All Rights Reserved.Figure 4.1

    The Oxygen Deficit

    Rest-to-Exercise Transitions

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    Chapter 4

    Copyright 2009 The McGraw-Hill Companies, Inc. All Rights Reserved.

    Comparison of Trained and UntrainedSubjects

    Trained subjects have a lower oxygen deficit

    Better-developed aerobic bioenergetic capacity

    Due to cardiovascular or muscular adaptations

    Results in less production of lactic acid

    Rest-to-Exercise Transitions

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    Chapter 4

    Copyright 2009 The McGraw-Hill Companies, Inc. All Rights Reserved.

    Differences in VO2Between Trained andUntrained Subjects

    Figure 4.2

    Rest-to-Exercise Transitions

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    Chapter 4

    Copyright 2009 The McGraw-Hill Companies, Inc. All Rights Reserved.

    In Summary

    In the transition from rest to light or moderate exercise,

    oxygen uptake increases rapidly, generally reaching asteady state within one to four minutes.

    The term oxygen deficitapplies to the lag in oxygen

    uptake in the beginning of exercise. The failure of oxygen uptake to increase instantly at the

    beginning of exercise suggests that anaerobic pathways

    contribute to the overall production on ATP early in

    exercise. After a steady state is reached, the bodys ATPrequirement is met via aerobic metabolism.

    Rest-to-Exercise Transitions

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    Chapter 4

    Copyright 2009 The McGraw-Hill Companies, Inc. All Rights Reserved.

    Recovery From Exercise: Metabolic Responses

    Recovery From Exercise

    Oxygen uptake remains elevated above rest into

    recovery

    Oxygen debt

    Term used by A.V. Hill

    Repayment for O2deficit at onset of exercise

    Excess post-exercise oxygen consumption (EPOC)

    Terminology reflects that only ~20% elevated O2

    consumption used to repay O2deficit Many scientists use these terms interchangeably

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    Chapter 4

    Copyright 2009 The McGraw-Hill Companies, Inc. All Rights Reserved.

    Recovery From Exercise: Metabolic Responses

    Oxygen Debt

    Rapid portion of O2debt

    Resynthesis of stored PC

    Replenishing muscle and blood O2stores

    Slow portion of O2debt

    Elevated heart rate and breathing = energy need

    Elevated body temperature = metabolic rate

    Elevated epinephrine and norepinephrine =

    metabolic rate Conversion of lactic acid to glucose

    (gluconeogenesis)

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    Chapter 4

    Copyright 2009 The McGraw-Hill Companies, Inc. All Rights Reserved.

    Recovery From Exercise: Metabolic Responses

    EPOC is Greater Following HigherIntensity Exercise

    Higher body temperature

    Greater depletion of PC

    Greater blood concentrations of lactic acid

    Higher levels of blood epinephrine and

    norepinephrine

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    Chapter 4

    Copyright 2009 The McGraw-Hill Companies, Inc. All Rights Reserved.

    A Closer Look 4.1

    Removal of Lactic Acid FollowingExercise

    Classical theory

    Majority of lactic acid converted to glucose in liver

    Recent evidence

    70% of lactic acid is oxidized

    Used as a substrate by heart and skeletal muscle

    20% converted to glucose

    10% converted to amino acids

    Lactic acid is removed more rapidly with lightexercise in recovery

    Optimal intensity is ~3040% VO2 max

    Recovery From Exercise: Metabolic Responses

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    Chapter 4

    Copyright 2009 The McGraw-Hill Companies, Inc. All Rights Reserved.

    Blood Lactate Removal FollowingStrenuous Exercise

    Recovery From Exercise: Metabolic Responses

    Figure 4.4

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    Chapter 4

    Copyright 2009 The McGraw-Hill Companies, Inc. All Rights Reserved.

    Metabolic Responses to Exercise: Influence of Duration and Intensity

    Metabolic Responses to Short-Term,Intense Exercise

    First 15 seconds of exercise

    ATP through ATP-PC system

    Intense exercise longer than 5 seconds

    Shift to ATP production via glycolysis

    Events lasting longer than 45 seconds

    ATP production through ATP-PC, glycolysis, and

    aerobic systems

    70% anaerobic/30% aerobic at 60 seconds 50% anaerobic/50% aerobic at 2 minutes

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    Chapter 4

    Copyright 2009 The McGraw-Hill Companies, Inc. All Rights Reserved.

    Metabolic Responses to ProlongedExercise

    Prolonged exercise (>10 minutes)

    ATP production primarily from aerobic metabolism

    Steady-state oxygen uptake can generally be

    maintained during submaximal exercise

    Prolonged exercise in a hot/humid environment orat high intensity

    Upward drift in oxygen uptake over time

    Due to body temperature and rising epinephrine andnorepinephrine

    Metabolic Responses to Exercise: Influence of Duration and Intensity

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    Chapter 4

    Copyright 2009 The McGraw-Hill Companies, Inc. All Rights Reserved.

    Upward Drift in Oxygen Uptake DuringProlonged Exercise

    Metabolic Responses to Exercise: Influence of Duration and Intensity

    Figure 4.6

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    Chapter 4

    Copyright 2009 The McGraw-Hill Companies, Inc. All Rights Reserved.

    Metabolic Responses to Exercise: Influence of Duration and Intensity

    Metabolic Responses to IncrementalExercise

    Oxygen uptake increases linearly unti l maximal

    oxygen uptake (VO2 max) is reached No further increase in VO2with increasing work rate

    VO2 max

    Physiological ceiling for delivery of O2to muscle Affected by genetics and training

    Physiological factors influencing VO2 max

    Maximum ability of cardiorespiratory system to

    deliver oxygen to the muscle Ability of muscles to use oxygen and produce ATP

    aerobically

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    Chapter 4

    Copyright 2009 The McGraw-Hill Companies, Inc. All Rights Reserved.

    Changes in Oxygen Uptake DuringIncremental Exercise

    Metabolic Responses to Exercise: Influence of Duration and Intensity

    Figure 4.7

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    Chapter 4

    Copyright 2009 The McGraw-Hill Companies, Inc. All Rights Reserved.

    Metabolic Responses to Exercise: Influence of Duration and Intensity

    Lactate Threshold

    The point at which blood lactic acid rises

    systematically during incremental exercise

    Appears at ~5060% VO2 max in untrained subjects

    At higher work rates (6580% VO2 max) in trained

    subjects Also called:

    Anaerobic threshold

    Onset of blood lactate accumulation (OBLA) Blood lactate levels reach 4 mmol/L

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    Chapter 4

    Copyright 2009 The McGraw-Hill Companies, Inc. All Rights Reserved.

    Changes in Blood Lactate ConcentrationDuring Incremental Exercise

    Metabolic Responses to Exercise: Influence of Duration and Intensity

    Figure 4.8

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    Chapter 4

    Copyright 2009 The McGraw-Hill Companies, Inc. All Rights Reserved.

    Effect of Hydrogen Shuttle on Lactic AcidFormation

    Metabolic Responses to Exercise: Influence of Duration and Intensity

    Figure 4.9

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    M t b li R t E i I fl f D ti d I t i t

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    Chapter 4

    Copyright 2009 The McGraw-Hill Companies, Inc. All Rights Reserved.

    Metabolic Responses to Exercise: Influence of Duration and Intensity

    Practical Uses of the Lactate Threshold

    Prediction of performance

    Combined with VO2 max

    Planning training programs

    Marker of training intensity

    Ch t 4 M t b li R t E i I fl f D ti d I t it

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    Chapter 4

    Copyright 2009 The McGraw-Hill Companies, Inc. All Rights Reserved.

    In Summary Oxygen uptake increases in a linear fashion during

    incremental exercise until VO2 max is reached.

    The point at which blood lactic acid rises systematicallyduring graded exercise is termed the lactate threshold oranaerobic threshold.

    Controversy exists over the mechanism to explain the

    sudden rise in blood lactic acid concentrations duringincremental exercise. It is possible that any one or acombination of the following factors might provide anexplanation for the lactate threshold: (1) low muscle

    oxygen, (2) accelerated glycolysis, (3) recruitment of fastfibers, and (4) a reduced rate of lactate removal.

    The lactate threshold has practical uses such as inperformance prediction and as a marker of training

    intensity.

    Metabolic Responses to Exercise: Influence of Duration and Intensity

    Ch t 4 Estimation of Fuel Utilization During Exercise

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    Chapter 4

    Copyright 2009 The McGraw-Hill Companies, Inc. All Rights Reserved.

    Respiratory exchange ratio (RER or R)

    R for fat (palmitic acid)

    R for carbohydrate (glucose)

    C16H32O2+ 23 O216 CO2+ 16 H2O

    VCO2

    VO2

    =R =16 CO2

    23 O2= 0.70

    VCO2

    VO=R =

    6 CO2

    6 O2 = 1.00

    C6H12O6+ 6 O26 CO2+ 6 H2O

    VCO2

    VO2

    R =

    Estimation of Fuel UtilizationDuring Exercise

    Estimation of Fuel Utilization During Exercise

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    Chapter 4 Estimation of Fuel Utilization During Exercise

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    Chapter 4

    Copyright 2009 The McGraw-Hill Companies, Inc. All Rights Reserved.

    In Summary

    The respiratory exchange ratio (R) is the ratio of carbon

    dioxide produced to the oxygen consumed (VCO2/VO2). In order for R to be used as an estimate of substrate

    utilization during exercise, the subject must have

    reached steady state. This is important because onlyduring steady-state exercise are the VCO2and VO2

    reflective of metabolic exchange of gases in tissues.

    Estimation of Fuel Utilization During Exercise

    Chapter 4 Factors Governing Fuel Selection

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    Chapter 4

    Copyright 2009 The McGraw-Hill Companies, Inc. All Rights Reserved.

    Exercise Intensity and Fuel Selection

    Low-intensity exercise (70% VO2 max)

    Carbohydrates are primary fuel

    Crossover concept

    Describes the shift from fat to CHO metabolism as

    exercise intensity increases

    Due to: Recruitment of fast muscle fibers

    Increasing blood levels of epinephrine

    Factors Governing Fuel Selection

    Chapter 4 Factors Governing Fuel Selection

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    Chapter 4

    Copyright 2009 The McGraw-Hill Companies, Inc. All Rights Reserved.

    Factors Governing Fuel Selection

    Figure 4.11

    Illustration of the Crossover Concept

    Chapter 4 Factors Governing Fuel Selection

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    Chapter 4

    Copyright 2009 The McGraw-Hill Companies, Inc. All Rights Reserved.

    Factors Governing Fuel Selection

    A Closer Look 4.2

    The Regulation of Glycogen BreakdownDuring Exercise

    Dependent on the enzyme phosphorylase

    Activation of phosphorylase

    Calmodulin activated by calcium released from

    sarcoplasmic reticulum

    Active calmodulin activates phosphorylase Epinephrine binding to receptor results in formation

    of cyclic AMP

    Cyclic AMP activates phosphorylase

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    Chapter 4 Factors Governing Fuel Selection

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    p

    Copyright 2009 The McGraw-Hill Companies, Inc. All Rights Reserved.

    g

    Clinical Applications 4.1

    McArdles Syndrome: A Genetic Error inMuscle Glycogen Metabolism

    Cannot synthesize the enzyme phosphorylase

    Due to a gene mutation

    Inabili ty to break down muscle glycogen

    Also prevents lactate production

    Blood lactate levels do not rise during high-intensity

    exercise

    Patients complain of exercise intolerance and

    muscle pain

    Chapter 4 Factors Governing Fuel Selection

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    Copyright 2009 The McGraw-Hill Companies, Inc. All Rights Reserved.

    A Closer Look 4.3

    Is Low-Intensity Exercise Best forBurning Fat?

    At low exercise intensities (~20% VO2 max)

    High percentage of energy expenditure (~60%)derived from fat

    However, total energy expended is low

    Total fat oxidation is also low At higher exercise intensities (~50% VO2 max)

    Lower percentage of energy (~40%) from fat

    Total energy expended is higher Total fat oxidation is also higher

    Chapter 4 Factors Governing Fuel Selection

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    Copyright 2009 The McGraw-Hill Companies, Inc. All Rights Reserved.Figure 4.14

    Rate of Fat Metabolism at DifferentExercise Intensities

    Chapter 4 Factors Governing Fuel Selection

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    Copyright 2009 The McGraw-Hill Companies, Inc. All Rights Reserved.

    Exercise Duration and Fuel Selection

    Prolonged, low-intensity exercise

    Shift from carbohydrate metabolism toward fatmetabolism

    Due to an increased rate of lipolysis

    Breakdown of triglycerides glycerol + FFA By enzymes called lipases

    Stimulated by rising blood levels of epinephrine

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    Chapter 4 Factors Governing Fuel Selection

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    Copyright 2009 The McGraw-Hill Companies, Inc. All Rights Reserved.

    Interaction of Fat and CHO MetabolismDuring Exercise

    Fats burn in the flame of carbohydrates

    Glycogen is depleted during prolonged high-intensity exercise

    Reduced rate of glycolysis and production of

    pyruvate Reduced Krebs cycle intermediates

    Reduced fat oxidation

    Fats are metabolized by Krebs cycle

    Chapter 4 Factors Governing Fuel Selection

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    Copyright 2009 The McGraw-Hill Companies, Inc. All Rights Reserved.

    The Winning Edge 4.2

    Carbohydrate Feeding via Sports DrinksImproves Endurance Performance

    The depletion of muscle and blood carbohydrate

    stores contributes to fatigue Ingestion of carbohydrates can improve endurance

    performance

    During submaximal (90 minutes) exercise

    3060 g of carbohydrate per hour are required

    May also improve performance in shorter, higher

    intensity events

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    Chapter 4 Factors Governing Fuel Selection

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    Copyright 2009 The McGraw-Hill Companies, Inc. All Rights Reserved.

    Sources of Fat During Exercise

    Intramuscular triglycerides

    Primary source of fat during higher intensity exercise

    Plasma FFA

    From adipose tissue lipolysis

    Triglyceridesglycerol + FFA

    FFA converted to acetyl-CoA and enters Krebs cycle

    Primary source of fat during low-intensity exercise

    Becomes more important as muscle triglyceridelevels decline in long-duration exercise

    Chapter 4 Factors Governing Fuel Selection

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    Copyright 2009 The McGraw-Hill Companies, Inc. All Rights Reserved.Figure 4.15

    Influence of Exercise Intensity on Muscle

    Fuel Source

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    Chapter 4 Factors Governing Fuel Selection

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    Copyright 2009 The McGraw-Hill Companies, Inc. All Rights Reserved.

    Sources of Protein During Exercise

    Proteins broken down into amino acids

    Muscle can directly metabolize branch chain aminoacids and alanine

    Liver can convert alanine to glucose

    Only a small contribution (~2%) to total energyproduction during exercise

    May increase to 510% late in prolonged-duration

    exercise

    Chapter 4 Factors Governing Fuel Selection

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    Copyright 2009 The McGraw-Hill Companies, Inc. All Rights Reserved.

    Lactate as a Fuel Source During Exercise

    Can be used as a fuel source by skeletal muscle

    and the heart Converted to acetyl-CoA and enters Krebs cycle

    Can be converted to glucose in the liver

    Cori cycle Lactate shuttle

    Lactate produced in one tissue and transported to

    another

    Chapter 4

    A Closer Look 4 4

    Factors Governing Fuel Selection

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    Copyright 2009 The McGraw-Hill Companies, Inc. All Rights Reserved.

    A Closer Look 4.4

    The Cori Cycle: Lactate as a FuelSource

    Lactic acid produced by skeletal muscle is

    transported to the liver Liver converts lactate to glucose

    Gluconeogenesis

    Glucose is transported back to muscle and used asa fuel

    Chapter 4

    Th C i C l L A F l

    Factors Governing Fuel Selection

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    Copyright 2009 The McGraw-Hill Companies, Inc. All Rights Reserved.

    The Cori Cycle: Lactate As a Fuel

    Source

    Figure 4.17

    Chapter 4 Factors Governing Fuel Selection

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    Copyright 2009 The McGraw-Hill Companies, Inc. All Rights Reserved.

    In Summary

    The regulation of fuel selection during exercise is under

    complex control and is dependent upon several factors,including diet and the intensity and duration of exercise.

    In general, carbohydrates are used as the major fuelsource during high-intensity exercise.

    During prolonged exercise, there is a gradual shift fromcarbohydrate metabolism toward fat metabolism.

    Proteins contribute less than 2% of the fuel used duringexercise of less than one hours duration. During

    prolonged exercise (i.e., three to five hours duration),the total contribution of protein to the fuel supply mayreach 5% to 10% during the final minutes of prolongedwork.

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    Chapter 4

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    Copyright 2009 The McGraw-Hill Companies, Inc. All Rights Reserved.

    Study Questions

    1. Identify the predominant energy systems used to produceATP during the following types of exercise:

    a. Short-term, intense exercise (i.e., less than ten secondsduration)b. 400-meter dashc. 20-kilometer race (12.4 miles)

    2. Graph the change in oxygen uptake during the transitionfrom rest to steady-state, submaximal exercise. Label theoxygen deficit. Where does the ATP come from during thetransition period from rest to steady state?

    3. Graph the change in oxygen uptake and blood lactate

    concentration during incremental exercise. Label the pointon the graph that might be considered the lactate thresholdor lactate inflection point.

    4. Discuss several possible reasons why blood lactate begins

    to rise rapidly during incremental exercise.

    Chapter 4

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    Copyright 2009 The McGraw-Hill Companies, Inc. All Rights Reserved.

    Study Questions

    5. Briefly, explain how the respiratory exchange ratio is used

    to estimate which substrate is being uti lized during exercise.

    What is meant by the term nonproteinR?

    6. List two factors that play a role in the regulation of

    carbohydrate metabolism during exercise.

    7. List those variables that regulate fat metabolism duringexercise.

    8. Define the following terms: (a) triglyceride, (b) lipolysis, and

    (c) lipases.

    9. Graph the change in oxygen uptake during recovery from

    exercise. Label the oxygen debt.

    Chapter 4

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    Copyright 2009 The McGraw-Hill Companies, Inc. All Rights Reserved.

    Study Questions

    10. How does the modern theory of EPOC differ from the

    classical oxygen debt theory proposed by A.V. Hill?

    11. Discuss the influence of exercise intensity on muscle fuel

    selection.

    12. How does the duration of exercise influence muscle fuel

    selection?