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Sports Med 2003; 33 (14): 1037-1060

REVIEW ARTICLE 0112-1642/03/0014-1037/$30.00/0

 Adis Data Information BV 2003. All rights reserved.

Effect of Exercise Intensity, Duration


and Mode on Post-Exercise
Oxygen Consumption
Elisabet Børsheim and Roald Bahr
Norwegian University of Sport and Physical Education, Oslo, Norway

Contents
Abstract . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1037
1. Excess Post-Exercise Oxygen Consumption (EPOC) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1038
2. Early Studies on EPOC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1039
3. Methodological Considerations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1039
4. Effect of Intensity and Duration of Aerobic Exercise on EPOC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1040
5. Effect of Split Exercise Sessions on EPOC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1047
6. Effect of Supramaximal Exercise on EPOC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1048
7. Effect of Aerobic Exercise Mode on EPOC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1048
8. Effect of Resistance Exercise on EPOC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1049
9. Effect of Training Status on EPOC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1051
10. Effect of Sex on EPOC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1052
11. Possible Mechanisms for the Rapid EPOC Component . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1053
12. Possible Mechanisms for the Prolonged EPOC Component . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1053
13. Conclusions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1056

Abstract In the recovery period after exercise there is an increase in oxygen uptake
termed the ‘excess post-exercise oxygen consumption’ (EPOC), consisting of a
rapid and a prolonged component. While some studies have shown that EPOC
may last for several hours after exercise, others have concluded that EPOC is
transient and minimal. The conflicting results may be resolved if differences in
exercise intensity and duration are considered, since this may affect the metabolic
processes underlying EPOC. Accordingly, the absence of a sustained EPOC after
exercise seems to be a consistent finding in studies with low exercise intensity
and/or duration. The magnitude of EPOC after aerobic exercise clearly depends
on both the duration and intensity of exercise. A curvilinear relationship between
the magnitude of EPOC and the intensity of the exercise bout has been found,
whereas the relationship between exercise duration and EPOC magnitude appears
to be more linear, especially at higher intensities.
Differences in exercise mode may potentially contribute to the discrepant
findings of EPOC magnitude and duration. Studies with sufficient exercise
challenges are needed to determine whether various aerobic exercise modes affect
EPOC differently. The relationships between the intensity and duration of resis-
tance exercise and the magnitude and duration of EPOC have not been deter-
1038 Børsheim & Bahr

mined, but a more prolonged and substantial EPOC has been found after hard-
versus moderate-resistance exercise. Thus, the intensity of resistance exercise
seems to be of importance for EPOC.
Lastly, training status and sex may also potentially influence EPOC magni-
tude, but this may be problematic to determine. Still, it appears that trained
individuals have a more rapid return of post-exercise metabolism to resting levels
after exercising at either the same relative or absolute work rate; however, studies
after more strenuous exercise bouts are needed. It is not determined if there is a
sex effect on EPOC.
Finally, while some of the mechanisms underlying the more rapid EPOC are
well known (replenishment of oxygen stores, adenosine triphosphate/creatine
phosphate resynthesis, lactate removal, and increased body temperature, circula-
tion and ventilation), less is known about the mechanisms underlying the pro-
longed EPOC component. A sustained increased circulation, ventilation and body
temperature may contribute, but the cost of this is low. An increased rate of
triglyceride/fatty acid cycling and a shift from carbohydrate to fat as substrate
source are of importance for the prolonged EPOC component after exhaustive
aerobic exercise. Little is known about the mechanisms underlying EPOC after
resistance exercise.

1. Excess Post-Exercise Oxygen neutral term ‘excess post-exercise oxygen consump-


Consumption (EPOC) tion’ (EPOC), which also includes the more pro-
longed increase in V̇O2 that may be observed for
During exercise, there is an increase in oxygen hours after exercise.
uptake (V̇O2) to support the increased energy need.
EPOC consists of several components.[6,7] In this
After exercise, V̇O2 does not return to resting levels
immediately, but may be elevated above resting review, the term ‘rapid component’ will be used to
levels for some period of time. Originally, the in- describe the sum of components that decays within
creased V̇O2 after exercise was explained by the approximately 1 hour, whereas the prolonged com-
oxygen debt hypothesis. The theoretical basis for ponent decays monoexponentially with a half-life in
this was formulated by Hill et al.[1-4] They hypothe- the order of several hours (figure 1). Therefore,
sised that the elevated V̇O2 after exercise was neces- processes active also beyond the first hour post-
sary for the repayment of the oxygen deficit incurred exercise must be responsible for the prolonged
after the start of exercise, and ascribed the oxygen EPOC component.
debt to the oxidative removal of lactate. Margaria et Training (i.e. repetitive bouts of exercise) may
al.[5] modified the concept, and suggested that the
also have a more chronic effect on resting metabolic
oxygen debt consisted of a lactacid component
rate (RMR). In particular, this seems to be the case
caused by glycogen synthesis from lactate, and an
alactacid component related to other factors. The in trained compared with untrained individuals, es-
lactacid component was considered to be the slower pecially when combined with high/sufficient energy
component. However, the causality implied by the intake, resulting in a high energy flux or turnover.[8]
term ‘oxygen debt’ is contrary to what is currently At times it may be difficult to separate this effect
known about the biochemical mechanisms underly- from the EPOC effect. In this review, we will only
ing the increase in metabolism post-exercise. There- include studies of V̇O2 after an acute bout of exer-
fore, Gaesser and Brooks[6] introduced the causality cise.

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EPOC and Exercise Intensity and Duration 1039

200
Later, more controlled studies have been per-
formed. Some studies have confirmed that there is
150 an increase in V̇O2 after exercise that may last for
several hours.[14-19] However, other studies have
EPOC (mL/min)

concluded that EPOC is transient and minimal after


100 exercise.[20-24] The conflicts in the results may be
resolved if differences in exercise intensity and du-
50
ration are taken into account, since this may be
expected to affect the metabolic processes underly-
ing EPOC. Also, differences in exercise mode, train-
0 ing status and sex may potentially contribute to the
0 2 4 6 8 10 12
discrepant findings.
Time after exercise (h)
Fig. 1. Time plot of excess post-exercise oxygen consumption
(EPOC) after exhaustive submaximal exercise (71–80 minutes at
3. Methodological Considerations
69–78% of maximal oxygen uptake; n = 12). The solid line shows
the prolonged EPOC component (reproduced from Bahr,[7] with
permission).
There are several methodological issues that are
important to consider when studying EPOC. Accu-
2. Early Studies on EPOC rate control over the pre-experimental conditions,
and an excellent reproducibility in the indirect calo-
The first report on an elevated RMR after physi- rimetry measures are prerequisites to be able to
cal activity was published by Benedict and Carpen- detect small, but potentially important differences.
ter in 1910.[9] They observed a mean increase in Only few authors report the precision of the indirect
RMR of 11.1% for their two study participants calorimetry system used to measure V̇O2. The
during sleep in a respiration calorimeter 7–13 hours Douglas bag method is generally considered to be
after severe exercise. Initially it was thought that the most accurate method of expired gas analysis,
post-exercise elevation in V̇O2 contributed signifi- but few authors, especially of newer studies, have
cantly to the energy cost of exercise, and would be used this technique. Instead, automated systems
an important factor in daily energy expenditure. have been used, often with unknown validity and
Herxheimer et al.[10] noted that the V̇O2 of five reliability.
untrained individuals did not return to baseline until Furthermore, the pre-experimental conditions
36–48 hours after exercise, and Edwards et al.[11] have not always been well controlled. The study
reported a 25% elevation in metabolism 15 hours participants should have a stable weight, and food
after cessation of 2 hours of strenuous football. intake and exercise should be controlled. It is also
Also, Passmore and Johnson[12] found a 15% in- advisable for study participants to sleep overnight in
crease in RMR for 7 hours after a 16km walk at 6.4 the laboratory before a study to avoid exercise in the
km/hour in three males, and deVries and Gray[13] morning; however, an outpatient protocol may give
found a 10% increase in RMR for 6 hours after 1 no different values than an inpatient protocol when
hour of mixed aerobic exercise. However, in many the conditions are controlled and the study partici-
cases, the intensity and duration of exercise was not pants are transported to the laboratory.[25,26] Also,
quantified in these early studies, and they provided habituation of the study participants to testing proce-
minimal information about the controls. Also, they dures is of utmost importance. The experimental
did not account for other factors that may influence conditions both before and during measurements
RMR, such as time of day, prior uncontrolled exer- need to be strictly controlled. For female study
cise, food, temperature, caffeine intake, habituation participants, it may also be necessary to control for
and stress. menstrual cycle differences.

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1040 Børsheim & Bahr

When reviewing even the newer EPOC literature, tilatory threshold,[21] and beyond 40 minutes after 4
it is a problem that the methods for measuring × 20 minutes of cycle ergometry at 35–55% of
baseline and EPOC duration are inconsistent among V̇O2max.[22] Only two males and two females took
investigations. In some studies, a separate control part in the last study. Brehm and Gutin[23] found a
study has been used to control for time effects, relationship between EPOC and the intensity of
whereas others have used only one pre-exercise walking/running, but their intensity was still low,
value as baseline. In many studies, only 30 minutes the highest being 11.3 km/hour in trained individu-
of rest in the morning has been used and the V̇O2 als. After 3.2km running at this intensity, EPOC
during the final 10 minutes of this has been taken as amounted to only 71kJ (~3.5L oxygen). Elliot et
baseline for EPOC. This can lead to falsely high al.[24] also found a short lasting (<30 minutes) EPOC
V̇O2 baseline values in the morning, since a certain after 10–30 minutes cycling at 80% of V̇O2max.
increase because of anticipation may be expected, Finally, Maresh et al.[27] had male study participants
which subsequently leads to an underestimation of cycle at 60% and 70% of V̇O2max, but only for 20
EPOC. and 30 minutes, and found an EPOC duration less
In some cases, the baseline and recovery data than 40 minutes.
have been collected with the individuals in a seated
Several studies on EPOC have their origin in the
position, in others in a recumbent position. The
late Lars Hermansen’s laboratory. He started the
RMR is lower in recumbent position, probably be-
series of studies himself by having a male study
cause it is difficult to avoid fidgeting and relax
participant cycle for 80 minutes at 75% of
completely when sitting for an extended period.
V̇O2max.[30] After 12 hours, the size of EPOC was
This results in a greater measurement error and a
48L. After 24 hours of recovery, V̇O2 was still
reduced ability to detect differences between the
increased by 5.9% compared with a control day.
baseline and recovery conditions.
Mæhlum et al.[15] from the same laboratory, found a
Different methods have also been used to deter-
mean EPOC of 26L after 80 minutes cycling (in
mine when V̇O2 has returned to resting levels. Some
periods of 10–30 minutes with 5-minute breaks be-
have measured V̇O2 continuously, whereas others
have measured at discrete time points. Furthermore, tween) at an intensity of 70% of V̇O2max using eight
some have measured V̇O2 until it has returned to study participants. In accordance with Hermansen et
resting values, others only for a pre-determined time al.’s case study,[30] they found that V̇O2 was still
period. increased by 5% as late as 24 hours after the end of
Finally, because of inter-individual variability in exercise. We followed up with a series of exercise
EPOC, it is important with a high enough number of studies spanning from 20–80 minutes of cycling at
study participants to be able to detect differences. intensities ranging from 30–75% of V̇O2max[16,43]. A
clear relationship was found between the magnitude
4. Effect of Intensity and Duration of of EPOC and both the intensity and duration of
Aerobic Exercise on EPOC exercise. A curvilinear relationship between the
magnitude of EPOC and the intensity of the exercise
Table I contains a review of studies on V̇O2 after bout was observed (figure 2). No prolonged increase
aerobic exercise. The absence of a sustained in- in recovery V̇O2 was found after 80 minutes at 29%
crease in V̇O2 after exercise seems to be a consistent of V̇O2max. Instead, it appeared that an intensity
finding in studies with low exercise intensity and/or above 50–60% of V̇O2max was required in order to
low exercise duration. No EPOC was found beyond induce an EPOC lasting for several hours after exer-
35 minutes of recovery after 5 or 20 minutes cycling cise. At exercise intensities at or above this level, a
at 50%, 65%, and 80% of maximal oxygen uptake linear relationship between the magnitude of EPOC
(V̇O2max),[20] beyond 40 minutes of recovery after and the duration of the exercise bout was observed
20–40 minutes of treadmill exercise around the ven- (figure 2). The size of EPOC was 11.1, 14.7 and

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EPOC and Exercise Intensity and Duration


Table I. Studies on the effect of aerobic exercise on post-exercise V̇O2a
Study Year Study Exercise mode, duration and intensity EPOC size and duration Commentsc
participantsb
Passmore & Johnson[12] 1960 3M TM: 16km, 6.4 km/h RMR 14–18%↑ for 6h, >7h Rest position not reported. NC
deVries & Gray[13] 1963 2M Cycling, bench step, run/walk: 45 min ~1.9L (57 kcal) NC
(effective time 25 min)
Knuttgen[28] 1970 5F, 7M Cycling: 45–98%, 15–55 min ≤5L, duration NA Bed rest. NC. EPOC magnitude
related to intensity and duration
Segal & Brooks[29] 1979 11M Cycling: 55 and 95%, 2 min ≤4L, duration NA Seated. NC. EPOC magnitude
related to intensity
Hagberg et al.[20] 1980 18M Cycling: 50%, 65% and 80%, 5 and 20 ≤5L, duration NA Moderate cycling (used as
min base-line). NC. EPOC
measured for 15 min
Hermansen et al.[30] 1984 1M Cycling: 75%, 80 min 12h EPOC: 48L. At 24h: V̇O2↑ Bed rest. C
5.9%
Bielinski et al.[14] 1985 10M (T) TM: 50%, 3h RMR↑ 9% for 4.5h. At 18h: Seated/respiratory chamber. C.
RMR↑ 4.7% Food given 30 min post-
exercise
Pacy et al.[22] 1985 2F, 2M (T) Cycling: 35–55% for 20 min × 4 (40 <2.2L, <60 min Supine. C
min break)
Freedman-Akabas et 1985 13F, 10M (UT TM: Anaerobic threshold, 20 min <4.2L, <40 min Recumbent. C
al.[21] + T)
Chad and Wenger[31] 1985 (a) 3F, 3M; (b) Cycling: (a) 70%, 15 and 30 min; (b) Magnitude and duration not Seated. C. (a) EPOC↑ after 30
6M 70% for 30 min and 50% for 38 min given vs 15 min; (b) EPOC↑ after
(equal work) 50% vs 70%
Brehm & Gutin[23] 1986 8F, 8M (UT + TM: 18–68%, 17–60 min. Incremental 1h EPOC: ≤8L, >1h after max Seated. NC. EPOC measured
T) max test test for 1h. EPOC curvilinear related
to intensity
Devlin & Horton[32] 1986 6M Cycling: 85%, 71 min. Intermittent At 12–16h: RMR↑ 3–7% Rest position not reported. C
Mæhlum et al.[15] 1986 4F, 4M Cycling: 70%, 80 min (10–30 min bouts 12h EPOC: 26L. At 24h: RMR↑ Bed rest. C
with 5 min break) 5%
Bahr et al.[16] 1987 6M Cycling: 70%, 20, 40 and 76 min (20 V̇O2↑ 5.1%, 6.8%, 14.4% over Bed rest. C. EPOC magnitude
min bouts with 5 min break) 12h. 76 min: 12h EPOC: 31.9L, linearly related to duration
≥12h
Elliot et al.[24] 1988 3F, 3M Cycling: 80%, 10 and 30 min ~2.37L (11.4 kcal), 30 min. Supine. C
Chad and Wenger[17] 1988 3F, 3M Cycling: 70%, 30, 45, 60 min 6.6, 14.9, 33L. 128, 204, 455 Seated. NC
min
Sedlock et al.[33] 1989 10M (T) Cycling: (a) 75%, 20 min; (b) 50%, 30 (a) ~6.2L (29.4 kcal); (b) ~3.0L Seated. NC
Sports Med 2003; 33 (14)

min; (c) 50%, 60 min (14.3 kcal); (c) 2.5L (12.1 kcal)
Chad and Quigley[34] 1989 5F TM: 55%, 90 min EPOC magnitude NA. At 1h: Seated. NC. EPOC measured
V̇O2↑ 54%. >1h for 1h

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1041
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1042
Table I. Contd
Study Year Study Exercise mode, duration and intensity EPOC size and duration Commentsc
participantsb
Poehlman et al.[35] 1989 6M Cycling: 50%, 90 min <24h C. RMR measured at 24 and
48h
Kaminsky et al.[36] 1990 6F TM: 70%, 50 min vs 2 × 25 min 1.4L (continuous), <30 min. Seated. NC
3.1L (split), <30 min
Gore & Withers[18,19] 1990 9M TM: 30%, 50% and 70%. 20, 50 and 80 8h EPOC: 30%: 1.0L, 1.4L, Bed rest. C. EPOC magnitude
min 1.0L, all <1h; 50%: 3.1L (<1h), linearly related to duration
5.2L (<1h), 6.1L (<2h); 70%: when intensity >50%. Intensity
5.7L (<1h); 10.0L (<4h), 14.6L major determinant of EPOC
(<8h)
Bahr et al.[37] 1990 6M Cycling: 51%, 120 min 3.5h EPOC: 7.8L, >3.5h Bed rest. C. EPOC measured
for 3.5h
Chad and Quigley[38] 1991 10F (5UT + 5T) Cycling: 50% and 70%, 30 min Unclear magnitude, but 50%↑ Seated. NC. EPOC measured
vs 70%, >3h for 3h
Sedlock[39] 1991 4F, 4M Arm crank + cycling: 60% mode- Arm: ~1.9L (9.2 kcal), 23 min. Seated. NC
specific, 20 min Cycle: ~2.2L (10.4 kcal), 24 min
Sedlock[40] 1991 7F Cycling: 40% and 60% until 850kJ 40%: ~6.2L (30kJ), 28 min. Seated. NC
60%: ~7.5L (36kJ), 18 min
Berg[41] 1991 5F, 5M (T) TM: 40%, 30 min M: ~1.4L (6.7 kcal), ~1h. F: Seated. C. EPOC measured for
~2.2L (10.6 kcal), ~1h 1h
Withers et al.[42] 1991 8M (T) TM: 70%, 164 min 24h EPOC: 32.4L, >8h, <24h Supine. C
Bahr & Sejersted[43] 1991 6M Cycling: 29%, 50%, 75%. 80 min (20 1.3, 5.7, 30.1L; 0.3, 3.3, 10.5h Bed rest. C. EPOC curvilinear
min bouts with 5 min breaks) related to intensity
Bahr & Sejersted[44] 1991 6M Cycling: 75%, 80 min 7h EPOC: 20.9L (fasted), 21.1L Bed rest. C
(fed), >7h
Bahr et al.[45] 1992 6M Cycling: 108%, 1, 2, or 3 × 2 min with 3 5.6, 6.7, 16.3L; 30, 60 min, 4h Bed rest. C
min breaks
Elliot et al.[46] 1992 5F, 4M Cycling: 80% of max heart rate. 40 min ~6.7L (32 kcal), <30 min Supine. C
Sedlock[47] 1992 7M Cycling & TM: 60–65% of mode- Cycling: ~3.1L (15 kcal), 31 Seated. NC
specific, 30 min min; TM: ~3.5L (17 kcal), 34
min
Maresh et al.[27] 1992 8M Cycling: 60% and 70%. 20 and 40 min Magnitude NA, <40 min Seated. NC. NS between
sessions
Donelly & 1992 6F Cycling: 55%, 90 min Magnitude NA, >60 min Rest position not reported. NC
McNaughton[48]
Brockman et al.[49] 1993 5F (T) TM: (a) 25%, 2h; (b) 81%, 10 min; (c) 1h mean V̇O2↑: (a) 12%, 40 Seated. C. EPOC measured for
89%, 7 × 2 min with 2 min break min; (b) 23%, >1h; (c) 44%, 1h: intermittent run >
Sports Med 2003; 33 (14)

>1h continuous. Run > walk


Kaminsky & Whaley[50] 1993 10F (5 obese + TM: (a) Alternating 3 min bouts at 30% (a) ~3.6L (17.4 kcal), 37.5 min; Seated. NC. NS between

Børsheim & Bahr


5 lean) and 90%, 36 min; (b) 60%, 36 min (b) ~1.9L (9.0 kcal), 16.5 min obese and lean

Continued next page


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EPOC and Exercise Intensity and Duration


Table I. Contd
Study Year Study Exercise mode, duration and intensity EPOC size and duration Commentsc
participantsb
Smith & McNaughton[51] 1993 8F, 8M Cycling: 40%, 50%, 70%, 30 min M: 16.3, 22.1, 28.1L for 31.2, Rest position not reported. NC.
42.1, 47.6 min. F: 12.1, 20.8, EPOC duration increased with
24.3L for 26.9, 35.6, 39.1 min intensity
Neary et al.[52] 1993 7M (T) Swimming & cycling: 65% of mode- Swim: 5.3, 5.6, 5.6L; 8.1, 10.1, Seated. NC. Relationship
specific, 30, 45, 60 min 9.4 min. Cycling: 8.2, 9.9, between core temperature and
10.0L; 18.3, 20.4, 22.9 min EPOC
Frey et al.[53] 1993 13F (7UT + 6T) Cycling: 65% and 80%. 24–45 min UT: 4.0, 5.9L, >1h. T: 4.7L, 50 Seated. NC
(until 300 kcal) min; 5.6L, 40 min
Børsheim et al.[54] 1994 6M Cycling: 78%, 60 min 6.5h EPOC: 14.4L, ≥6.5h Bed rest. C. EPOC measured
for 6.5h
Thomas et al.[55] 1994 7M Cycling, jog and downhill jog: 60%, 60 Magnitude NA, <9h Semi-reclined. C. EPOC
min measured for 2h, and again at
9, 24 and 48h. NS between
modes
Sedlock[56] 1994 10M (5UT + Cycling: 50%, ~300 kcal UT: ~2.5L (12.2 kcal), 20.4 min. Seated. NC
5T) T: ~2.5L (12.2 kcal), 16.6 min
Gilette et al.[57] 1994 10M Cycling: 52%, 64 min ~5.6L (27 kcal), 5h Supine. C
Quinn et al.[58] 1994 8F (T) TM: 70%. 20, 40, 60 min 3h EPOC: 8.6, 9.8, 15.2L; >3h Seated. C. EPOC measured for
3h
Harms et al.[59] 1995 16M TM: 70%. 20 min Magnitude unclear, <30 min Supine. NC. EPOC negatively
related with body fat mass
Dawson et al.[60] 1996 8F Cycling: (a) 67%, 34 min; (b) 55%, 41 (a) 3.6L, 13.9 min; (b) 2.6L, Bed rest. NC. Intensity effect
min; (c) 45%, 49 min (same work) 14.1 min; (c) 2.4L, 13.2 min on EPOC magnitude
Short et al.[61] 1996 5M, 5F Arm crank ergometer: (a) 35%, 15 min; (a) 0.46L, 5.7 min; (b) 0.5L, 5.5 Seated. NC. Intensity more
(b) 35%, 30 min; (c) 70%, 15 min min; (c) 1.4L, 14 min important than duration
Trost et al.[62] 1997 5M (T) Cycling: 65%, 60 min 1h EPOC: 5.5L, >1h Seated. NC
Phelain et al.[63] 1997 8F (T) Cycling: (a) 50%, 78 min; (b) 75%, 51 3h EPOC: (a) 4.8L, <3h; (b) Seated + bed rest. C. EPOC
min (500 kcal) 9.0L, >3h measured for 3h
Laforgia et al.[64] 1997 8M (T) TM: (a) 70%, 30 min; (b) 105%, 20 × 1 (a) 6.9L, 1h; (b) 15L, 8h Bed rest. C
min with 2 min break (equal work)
Short & Sedlock[65] 1997 11F, 11M Cycling: (a) 70%, 30 min; (b) 1.5L (a) UT: 3.5L, 50 min; T: 3.2L, Seated. NC. EPOC duration
(10UT + 12T) oxygen/min, 30 min 40 min; (b) UT: 2.4L, 39 min; T: shorter in T
1.5L, 21 min
Burleson et al.[66] 1998 15M TM: 45%, 27 min ~3.4L, <30 min Supine. NC
Almuzaini et al.[67] 1998 10M Cycling: 70%, 30 vs 2 × 15 min 5.3L (cont); 7.4L (split), Supine. C. EPOC measured for
Sports Med 2003; 33 (14)

duration NA 40/2 × 20 min


Børsheim et al.[68] 1998 7M Cycling: 58%, 90 min 4.5h EPOC: 7.5L, >4.5h Bed rest. C. EPOC measured
for 4.5h

Continued next page

1043
1044 Børsheim & Bahr

31.9L of oxygen after 20, 40 and 76 minutes at 70%

for estimate; NC = no rest control experiment, but pre-exercise values used as baseline instead; NS = not significant; RMR = resting metabolic rate; T = trained; TM = treadmill;
C = separate rest control experiment; cont = continuous; EPOC = excess post-exercise oxygen consumption; F = females; M = males; max = maximum; NA = data not available
Bed rest. C. EPOC measured

Rest position not reported. C.

of V̇O2max, respectively. After the longest bout,


EPOC duration was at least 10 hours.
EPOC measured for 6h

Similar comprehensive studies have been done


by Gore and Withers.[18,19] Their treatments ranged
from a 20-minute walk at 30% of V̇O2max to an
Supine. NC
Commentsc

Bed rest. C

80-minute run at 70% of V̇O2max. The maximal


for 4.5h

EPOC was 14.6L oxygen (297kJ) after the longest


and hardest bout. In accordance with our stud-
ies,[16,43] they found an exponential relationship be-
7h EPOC: 8.6L (follicular); 8.9L
Magnitude NA. (a) 10 min; (b)

tween exercise intensity and the magnitude of


12.3L (luteal), duration NA
6h EPOC: 8.4L (follicular);

All studies are in young people. Exercise is shown in percentage of V̇O2max or V̇O2peak. EPOC size is given in litres of oxygen.
EPOC size and duration

EPOC. They calculated that the intensity explained


4.5h EPOC: 8.1L, >4.5h

UT = untrained; V̇O2 = oxygen uptake; V̇O2max = maximal oxygen uptake; V̇O2peak = peak oxygen uptake; ↑ indicates increase.

five times more of EPOC than either exercise dura-


(luteal), duration NA

tion or total work completed.[18] While intensity


accounted for 45.5% of the variation in EPOC, the
duration of exercise, and the interaction between
30 min

intensity and duration accounted only for 8.9% and


7.7%, respectively.
In our studies,[15,16,43] we found much higher
TM: (a) 40%, 40 min; (b) 85%, 20 min
Exercise mode, duration and intensity

EPOC values, and also more prolonged duration of


EPOC, compared with Gore and Withers.[18,19] In the
study by Mæhlum et al.,[15] the response was about
twice the response of that observed in the study by
Cycling: 56%, 90 min

Cycling: 60%, 60 min

Cycling: 70%, 60 min

Gore and Withers.[18] Even though the measurement


period was 4 hours shorter in the latter study, this
can still not explain the difference. While we used
Individuals’ position during measurements of resting V̇O2 is given first.

cycling in our experiments, Gore and Withers used


If nothing is mentioned, individuals were untrained/medium trained.

running, and the different exercise modes may be a


possible explanation of the discrepancy in results.
Another possible explanation, perhaps more likely,
participantsb

is the different training status of the study partici-


pants. In the studies by Gore and Withers,[18,19] the
Study

10M

participants were well trained, whereas in our stud-


8M

7F

5F

ies they were not.


In support of a significant EPOC after high-
intensity exercise, a 3–7% increase in energy expen-
diture was found as late as 12–16 hours after inter-
1998

1999

1999

2000
Year

mittent exercise for a total of 71 minutes at 85% of


V̇O2max.[32] The most exhaustive bout for any of the
EPOC studies was a 35km road run (intensity about
70% of V̇O2max for about 160 minutes).[42] A total
Børsheim et al.[69]

Fukuba et al.[72]
Matsuo et al.[70]
Table I. Contd

EPOC of 32.4L of oxygen, lasting for a total of 8


Lee et al.[71]

hours, was found. Furthermore, an EPOC lasting for


3 hours was observed after only 30 minutes tread-
Study

mill walking at 70% of V̇O2max in young trained


a

 Adis Data Information BV 2003. All rights reserved. Sports Med 2003; 33 (14)
EPOC and Exercise Intensity and Duration 1045

a b

50 40

40 30

30 20
EPOC (L)

20 10

10 0

0 −10
0 20 40 60 80 0 20 40 60 80
Exercise intensity (%) Exercise duration (min)
Fig. 2. (a) Plot of excess post-exercise oxygen consumption (EPOC) magnitude versus exercise intensity (constant duration of 80 minutes).
(b) Plot of EPOC magnitude versus exercise duration (constant intensity of 70% of maximal oxygen uptake). Different symbols are used for
individual study participants (reproduced from Bahr,[7] with permission).

women.[58] Also, a comparison of interval-type exer- protocols have supported the conclusion that exer-
cise alternating between 30% and 90% of V̇O2max, cise intensity is more important than total work for
with continuous exercise of equal duration (36 min- EPOC magnitude.[51,60]
utes) at 60% of V̇O2max (equal work) showed a There are also some studies of the effect of
longer EPOC (38 versus 17 minutes) and higher intensity on EPOC, where EPOC has been measured
EPOC magnitude (~3.6 versus ~1.9L oxygen) after for a specific pre-determined time period. Phelain et
the interval exercise.[50] al.[63] found a significantly higher 3-hour EPOC
Sedlock et al.[33] also investigated the effect of after cycling at 75% versus 50% of V̇O2max (equal
exercise intensity and duration on EPOC, but used a work, 500 kcal) in women. Brockman et al.[49] inves-
more narrow spectrum of exercise conditions. In one tigated 1-hour EPOC after intense intermittent run-
series of experiments, caloric output was kept con- ning (7 × 2 minutes at 90% of V̇O2max, 2 minutes of
stant (300 kcal), whereas intensity was varied (50% rest between intervals), continuous running for 10
versus 75% of V̇O2max). It took only 30 and 20 minutes at 81% of V̇O2max, and continuous walking
minutes, respectively, for the trained male study for 2 hours at 24.5% of V̇O2max. EPOC was higher
participants to finish these work bouts. In another after running versus walking and highest after the
series, intensity was kept constant (50% of V̇O2max), highest intensity running. However, since EPOC
whereas duration was varied (30 versus 60 minutes). was still increased after 1 hour, no definite conclu-
Hence, no strenuous exercise was performed, and no sion can be drawn.
substantial EPOC duration or magnitude was found. In contrast to the findings of an intensity-related
Still, it was concluded that the intensity of exercise EPOC, Chad and Wenger[31] did not find any rela-
influenced both the magnitude and duration of tionship between exercise intensity and EPOC. They
EPOC, whereas exercise duration only influenced had one group of individuals cycling for 15 and 30
EPOC duration. It was also concluded that the dura- minutes at 70% of V̇O2max. Another group cycled
tion of EPOC and the subsequent caloric output was for 38 minutes at 50% of V̇O2max and 30 minutes at
not necessarily related, since high-intensity exercise 70% of V̇O2max (equal total work). They found that
of short duration produced a higher EPOC (~6L EPOC was highest after the longest duration in both
oxygen) than lower intensity exercise of long dura- groups. In another study, Chad and Quigley[38] had
tion (~2.5L oxygen), even though no difference in trained and untrained women cycle for 30 minutes at
EPOC duration (33 versus 28 minutes, respectively) 50% and 70% of V̇O2max, and found a higher EPOC
was found. Similar studies with modest exercise after the lowest intensity bout. The results of these

 Adis Data Information BV 2003. All rights reserved. Sports Med 2003; 33 (14)
1046 Børsheim & Bahr

50

40
EPOC (L)

30

20

120
10 100
80

k)
or • nsity

ea
2p
60

VO
e
0

int
140

V•O ise
120 40

ax
c
2m
100
80 er
20 Ex
60 of
Exerc 40
ise du
(%

ration 20 0
(min) 0
Fig. 3. Relationship between exercise intensity, exercise duration and excess post-exercise oxygen consumption (EPOC) magnitude. Plot
shows mean EPOC values from studies that have used cycling exercise, and where EPOC values are reported or possible to esti-
mate.[15-17,22,24,30,33,39,40,43-47,51-54,56,57,60,63,65,67-70,72] Note that recovery oxygen uptake was not measured until it had returned to resting control
values in all the included studies (for more details on studies, see table I). V̇O2max = maximal oxygen uptake; V̇O2peak = peak oxygen
uptake.

two studies are somewhat puzzling when compared was increased from 30 minutes to 45 and 60 min-
with other findings. The authors explain the results utes, respectively. After the most exhaustive bout,
with a lower respiratory exchange ratio (R-value) EPOC lasted for 7.5 hours. Sedlock,[40] on the other
after the low intensity bout. It should also be men- hand, did not find any effect of exercise duration on
tioned that post-exercise V̇O2 was still elevated at EPOC, but the intensities used (40% versus 60% of
the end of the experiments 3 hours post-exercise in V̇O2max) were low.
the second study, whereas EPOC duration is unclear The interaction between exercise intensity and
in the first study. Also, the experimental conditions duration is not completely understood, and it is
were less rigorously controlled (menstrual cycle difficult to separate the effect of each of these fac-
does not appear to be controlled for in the female tors. However, the fact that exercise has to be of a
participants, participants were sitting during rest and certain intensity for the linear relationship between
were allowed to write, watch television and read, the exercise duration and EPOC magnitude to become
time of the day for a repeated trial appears to be apparent, indicates that the interaction between them
slightly different, and V̇O2 was recorded in short is synergistic rather than additive. This is illustrated
periods). in figure 3, which shows mean EPOC values from
Chad and Wenger[17] also investigated the effect studies that have used cycling exercise, and where
of duration (30, 45 and 60 minutes) on EPOC after EPOC magnitude is presented or can be estimat-
cycling at 70% of V̇O2max. They found that EPOC ed.[15-17,22,24,30,33,39,40,43-47,51-54,56,57,60,63,65,67-70,72] It
increased 2.3- and 5.3-fold when exercise duration should be noted that some of the studies included

 Adis Data Information BV 2003. All rights reserved. Sports Med 2003; 33 (14)
EPOC and Exercise Intensity and Duration 1047

probably did not capture the entire EPOC, since ≥70% of V̇O2max), the corresponding values can be
post-exercise V̇O2 was still elevated compared with estimated to approximately 700kJ after the exercise
resting control values at the end of the measurement bout, and about 109 200kJ per year (training three
period (for further details on these studies see table times per week), equivalent to about 2.9kg of fat.
I). Gore and Withers[19] analysed the interaction However, such strenuous exercise cannot be expec-
effect between exercise intensity and duration on ted to be undertaken by overweight or untrained
EPOC after treadmill exercise ranging from 20 min- individuals. Although overweight may be the result
utes at 30% of V̇O2max to 80 minutes at 70% of of a small positive energy balance over a long time,
V̇O2max. They found that the interaction between and EPOC may contribute to the opposite when
exercise intensity and duration accounted for a much strenuous exercise is undertaken regularly, it must
smaller part (7.7%) of the variation in EPOC, com- be concluded that EPOC is negligible in relation to
pared with exercise intensity alone (45.5%). The weight loss in the overweight or obese person. It
studies illustrated in figure 3 appear to support the must be noted that exercise per se has an important
hypothesis that exercise intensity has to be of a role for weight regulation. Furthermore, EPOC may
certain size to achieve a significant EPOC. In addi- have greater implications for elite athletes, who
tion, they show that the highest EPOC values have often have two bouts of exercise on the same day as
been found when both exercise intensity and dura- a normal training routine. If V̇O2 is elevated from a
tion are substantial. previous exercise bout, the mechanical efficiency
may be reduced during the following bout.[74]
It appears that the post-exercise increase in ener-
In summary, the magnitude of EPOC after aero-
gy expenditure per se after exercise bouts spanning
bic exercise is clearly dependent on both the dura-
from 20 minutes at 30% V̇O2max to 80 minutes at
tion and intensity of exercise. There is a curvilinear
70% V̇O2max may be negligible in relation to energy relationship between the magnitude of EPOC and
balance and weight loss. However, this may be a the intensity of the exercise bout. At least for cy-
speculative conclusion, since there are no available cling, it appears that an intensity above 50–60% of
data from prolonged studies of the effect of EPOC V̇O2max is required in order to induce an EPOC
on energy balance. Also, it should be noted that lasting for several hours. The relationship between
there may be a high inter-individual variability in exercise duration and EPOC magnitude appears to
EPOC in response to the same relative exercise be more linear, especially at higher intensities.
stimulus, as can be seen from figure 2. Thus, it can
be hypothesised that there are high, medium and low 5. Effect of Split Exercise Sessions
responders, corresponding to what has been found on EPOC
for other parameters in response to exercise train-
ing.[73] However, there are no studies where EPOC A couple of studies have shown a higher EPOC
has been measured repeatedly in the same individu- after split exercise sessions compared with a contin-
als under the same conditions. Therefore, it is not uous bout. Kaminsky et al.[36] investigated women
known if the observed variability is the result of during 50 minutes of continuous running versus two
biological variation related to differences in, for 25-minute sessions at 70% of V̇O2max. The com-
example, body composition or training status, or bined EPOC after the two split sessions correspond-
whether it is caused by measurement errors. Still, if ed to ~3.1L versus 1.4L of oxygen after the continu-
we estimate that EPOC amounts to 50–100kJ after ous session. Almuzaini et al.[67] compared EPOC
moderate exercise (≥1 hour, approximately 50% of after 30 minutes of continuous cycling versus two
V̇O2max), this would result in an extra energy loss of 15-minute sessions (separated by 6 hours) at 70% of
about 11 700kJ per year if training is undertaken V̇O2max. In this study, the sum of EPOC after the
three times per week. This represents only about split sessions was 7.4L versus 5.3L of oxygen after
311g of fat. After more strenuous exercise (≥1 hour, the continuous bout. Hence, total EPOC was ap-

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1048 Børsheim & Bahr

proximately 120% and 40% greater after split ses- V̇O2max, very similar 1-hour EPOCs were found;
sions compared with a continuous session in these 7.6L (submaximal exercise) and 7.8L (supramax-
two studies. It should be noted that even though imal exercise), respectively. Of this, about 4.5L
EPOC is higher after split sessions, the extra EPOC (submaximal) and 2.0L (supramaximal) could be
is small in relation to the exercise energy expendi- attributed to the prolonged curve component, and
ture. Thus, prolonging the exercise bout by a few about 3.1L (submaximal) and 5.8L (supramaximal)
minutes may make up for the increase in EPOC after to the rapid component. Hence, it appears that high-
splitting the session. Furthermore, in split sessions, intensity short exercise affects mainly the rapid
there will be one oxygen deficit for each session. EPOC component, whereas more prolonged ex-
This means that the relative difference in energy hausting exercise stimulates mechanisms also pre-
expenditure during recovery after split versus con- sent beyond the first hour of recovery. However, this
tinuous sessions will be smaller than the difference relationship remains to be fully elucidated.
in EPOC. This was not taken into account in the two
studies mentioned.[36,67] 7. Effect of Aerobic Exercise Mode
on EPOC
6. Effect of Supramaximal Exercise
on EPOC A curvilinear relationship between exercise in-
tensity and EPOC, and a linear relationship between
Given the relationship between exercise intensity exercise duration (when intensity is higher than the
and EPOC, it comes as no surprise that supramax- break-point) are both shown for cycle exercise[16,43]
imal exercise stimulates EPOC. We found that brief and for treadmill exercise.[18,19] However, the abso-
intermittent bouts of exhaustive supramaximal exer- lute EPOC magnitude for a certain exercise intensity
cise (1, 2, or 3 × 2-minute bouts of cycling at 108% and duration may differ depending on exercise
of V̇O2max, separated by 3-minute rest periods) ele- mode.
vated post-exercise energy expenditure for 4 Muscle damage is more likely to occur after
hours.[45] eccentric-type exercise than after concentric exer-
Laforgia et al.[64] measured EPOC after cise,[75-77] and it is possible that this influences
supramaximal (20 × 1 minute runs at 105% of EPOC. However, in studies where concentric and
V̇O2max with 2-minute recovery periods between) eccentric exercise have been compared, no differ-
versus submaximal running (30 minutes at 70% of ences have been found in EPOC[47,55] or RMR for
V̇O2max). A significantly higher 9-hour EPOC was several days after exercise.[78] Sedlock[47] compared
observed after the supramaximal exercise. Interest- 30 minutes of cycling and treadmill exercise at an
ingly, the EPOC values in this study were similar to intensity of 60–65% of mode-specific peak oxygen
the values found after 80 minutes of running at 70% uptake (V̇O2peak). No differences could be detected
V̇O2max in the study by Gore and Withers,[18,19] even between modes, but the exercise was moderate, and
though more than twice the total work was per- hence EPOC was small (15–17 kcal; ~3.5L oxygen).
formed in the latter study. EPOC has also been compared after 60 minutes of
Few authors have tried to divide EPOC into either jogging, downhill jogging or cycling at 60%
different components. This is unfortunate, since ex- of mode-specific V̇O2max to induce different de-
ercise intensity and duration may affect the short grees of eccentric muscular activity.[55] No increase
and prolonged components to a different extent. We in recovery energy expenditure was found after ec-
calculated the short EPOC component as the differ- centric exercise, but it may be that the detection
ence between the observed 1-hour EPOC and the level was not sufficient (power = 0.40 for medium
prolonged curve component.[7] By comparing EPOC effect size).
after 70–80 minutes of cycling at 69–78% of To investigate the effect of relative metabolic
V̇O2max with 3 × 2 minutes at 104–117% of rate of the active musculature on EPOC, Sedlock[39]

 Adis Data Information BV 2003. All rights reserved. Sports Med 2003; 33 (14)
EPOC and Exercise Intensity and Duration 1049

compared the effect of 20 minutes of arm crank 14.5 hours after the resistance exercise compared
exercise versus cycling at 60% of mode-specific with a resting control experiment.
V̇O2peak. V̇O2 during arm crank exercise was about Burleson et al.[66] compared weight training exer-
72% of uptake during cycling in absolute terms. No cise (two circuit sets of eight exercises at 60% of
difference in EPOC was found between modes, but 1RM for 8–12 repetitions) and treadmill exercise
again the exercise was short and not very strenuous, (27 minutes at 45% of V̇O2max). The weight training
and consequently EPOC lasted less than 25 minutes. exercise was performed first, and the average V̇O2
Short et al.[61] have investigated the effect of was used to determine the intensity for the treadmill
intensity and duration of upper body exercise alone workout. EPOC was found to be higher the first 30
on EPOC, and found a similar pattern as for the
minutes after resistance exercise, but not at 60 and
lower body. EPOC was measured after 15 and 30
90 minutes. Even though the V̇O2 volumes were
minutes of arm crank exercise at 35% of V̇O2peak,
equated, the resistance exercise was considered to
and after 15 minutes at 70% of V̇O2peak. The intensi-
be of higher intensity activity than the aerobic exer-
ty was found to have a greater effect than duration,
cise, and this may explain the higher EPOC after
but durations were low and within a narrow spec-
resistance exercise. Hence, it is difficult to compare
trum in this study. Since exercise duration and inten-
sity did not vary over a range of values, it was not resistance exercise to steady-state exercise, since it
possible to fully describe the relationships with is not easy to precisely quantify the energy cost of
EPOC. resistance exercise with indirect calorimetry.
In summary, it is not clear whether various The relationship between the intensity and dura-
modes of aerobic exercise affect EPOC differently. tion of resistance exercise, and the magnitude and
Further studies with a sufficient exercise challenge duration of EPOC has not been determined. Table II
and adequate statistical power are needed. shows a review of studies on the effect of resistance
exercise on EPOC.
8. Effect of Resistance Exercise on EPOC Williamson and Kirwan[89] and Dolezal et al.[84]
found that RMR remained elevated for 48 hours
EPOC has also been compared between aerobic
after an acute moderate- to high-intensity bout of
and resistance exercise. Elliot et al.[46] compared
resistance exercise. This was hypothesised to be due
aerobic cycling (40 minutes at 80% of maximal
largely to protein turnover and tissue repair. It
heart rate), circuit weight training exercise (4 sets, 8
should be noted that to avoid eccentric muscle work,
exercises, 15 repetitions at 50% of one repetition
only the concentric phase was used in the study of
maximum [1RM]), and heavy resistance exercise (3
Williamson and Kirwan,[89] and still they found a
sets, 8 exercises, to exhaustion at 80–90% of 1RM).
prolonged effect on recovery metabolic rate. Their
They found that heavy resistance exercise produced
study was done in 59- to 77-year-old men. Similarly,
the biggest EPOC, but it is unclear how the work
Melby et al.[81] found that V̇O2 was still increased by
volumes related to each other.
9.4% and 4.7% as late as 15 hours after two hard
Studies in which similar estimated exercise ener-
resistance exercise work bouts (each 90 minutes of
gy cost[57] or similar exercising V̇O2[66] have been
weight lifting, six sets of ten exercises, 8–12 repeti-
used to equate continuous aerobic exercise and in-
termittent resistance exercise, have indicated that tions at 70% of 1RM).
resistance exercise produces a greater EPOC res- After more moderate resistance exercise (three
ponse. A higher EPOC was found after hard resis- sets of seven exercises, ten repetitions at 12RM),[79]
tance exercise (50 sets of 8–12 repetitions at 70% of a smaller EPOC was found, but the V̇O2 was mea-
1RM, 2 minutes of rest between sets) compared with sured for only 1 hour after exercise, and was still
an equated work bout of aerobic cycling (50% of elevated at this time point. Binzen et al.[86] found an
V̇O2max for 60 minutes).[57] RMR was still elevated EPOC shorter than 2 hours after three sets of ten

 Adis Data Information BV 2003. All rights reserved. Sports Med 2003; 33 (14)
 Adis Data Information BV 2003. All rights reserved.

1050
Table II. Studies on the effect of resistance exercise on post-exercise V̇O2a
Study Year Study Exercise EPOC size and duration Commentsb
participants
Melby et al.[79] 1992 6M 4 sets of upper and 3 sets of lower body. 7–10 1h EPOC: ~4L (20 kcal), ≥1h Supine. C. EPOC measured for 1h only
reps. 12RM
Elliot et al.[46] 1992 5F, 4M 8 exercises, upper and lower body. (a) 4 sets, 15 (a) ~10.2L (48 kcal); (b) ~10.6L Supine. C. EPOC duration unclear
reps, 50% of 1RM, 30 sec rest; (b) 3 sets, 3–8 (51 kcal). 30 min
reps, 80–90% of 1RM, 30 sec rest
Murphy & 1992 10M 6 exercises, upper and lower body. Circuit: 3 Circuit: 5L, 20 min. Standard: Rest position not reported. NC.
Schwarzkopf[80] times, 8–12 reps, 50% of 1RM, 30 sec rest. 2.7L, 15 min Experiments in the afternoon. 5 min
Standard: 3 sets, reps to exhaustion, 80% of baseline measurement
1RM, 120 sec rest
Melby et al.[81] 1993 (a) 6M; (b) (a) 6 sets of 10 exercises, upper and lower body, (a) 2h EPOC: 7L, ≥15h; (b) 2h Supine. (a) NC; (b) C. EPOC measured
6M ~8–12 reps, 70% of 1RM, 90 min; (b) as (a), but EPOC: 7L, ≥15h for 2h, minus first 5 min post-exercise.
5 sets, and longer rest, 90 min Measured again at 15h
Olds & 1993 7M 2 sets of 7 exercises, upper and lower body, 3.5 (a) 8.2L, <1h; (b) 6.5L, <1h Seated. C
Abernethy[82] min rest. (a) 12 reps, 75% of 1RM; (b) 15 reps,
60% of 1RM
Gilette et al.[57] 1994 10M 5 sets of 10 exercises, upper and lower body, 5h EPOC: 12.6L (51 kcal), Supine. C. Fed study participants. EPOC
8–12 reps, 70% of 1RM, 2 min rest ≥14.5h measured for 5h and again at 14.5h
Burleson et 1998 15M Circuit, 2 times, 8 exercises, upper and lower Magnitude NA, ≥90 min Supine. NC
al.[66] body, 8–12 reps, 60% of 1RM, 1 min rest
Haltom et 1999 7M (a) Circuit, 2 times, 8 exercises, upper and lower 1h EPOC: (a) 10.3L; (b): 7.4L Supine. NC. EPOC measured for 1h.
al.[83] body, 20 reps, 75% of 20RM, 20 sec rest; (b) EPOC↑ for first 5 min after (a) vs (b)
same as (a), but 60 sec rest
Dolezal et 2000 18M (9UT 8 sets of leg press, 6 reps, 6RM, 3 min rest At 24h: RMR↑ 18%. At 48h: Supine. NC
al.[84] + 9T) RMR↑ 11%. UT > T
Osterberg & 2000 7F 5 sets of 10 exercises, upper and lower body, At 3h: V̇O2↑ 13%. At 16h: Supine. NC. EPOC measured for 3h and
Melby[85] 10–15 reps, 12RM or 70% of 1RM, ~2 min rest RMR↑ 4.2% again at 16h
Binzen et 2001 10F 3 sets of 10 exercises, upper and lower body, 10 6.2L, 1h Seated. C
al.[86] reps, 70% of 1RM, 1 min rest
Thornton & 2002 14F 2 sets of 9 exercises, upper and lower body. (a) (a) ~1.1L (5.5 kcal); (b) ~2.3L Seated. C
Potteiger[87] 15 reps, 45% of 8RM, 1 min rest; (b) 8 reps, (11 kcal). <2h
85% of 8RM, 1 min rest
Schuenke et 2002 7M Circuit, 4 times, 3 exercises, upper and lower Mean RMR↑ ~20% for two Supine. C. V̇O2 measured 3×/day.
al.[88] body, 8–12 reps, 10RM, 2 min rest days, ≥38h Exercise in evening. Unclear control
Sports Med 2003; 33 (14)

conditions between measurements

Børsheim & Bahr


a All studies are in young people. In all studies, except UT, the individuals participated in resistance exercise several times per week. EPOC size is given in litres of oxygen.
b Under Comments, individuals’ position during measurements of resting V̇O2 is given first.
C = separate rest control experiment; EPOC = excess post-exercise oxygen consumption; F = females; M = males; NA = data not available for estimate; NC = no rest control
experiment, but pre-exercise values used as baseline instead; reps = repetitions; RM = repetition maximum; RMR = resting metabolic rate; T = trained (resistance exercise several
times per week); UT = untrained; V̇O2 = oxygen uptake; ↑ indicates increase.
EPOC and Exercise Intensity and Duration 1051

exercises with ten repetitions at 10RM (1 minute of multiple sets), weights, sets, repetitions, and length
rest between sets) in resistance-trained women. of rest periods. These factors will all influence the
Murphy and Swartzkopf[80] compared two differ- energy cost of the exercise, but this effect is difficult
ent protocols of resistance exercise (three sets of six to quantify precisely. Furthermore, resistance train-
exercises, repetitions to exhaustion at 80% of 1RM ing is similar to interval training and split sessions of
with 120-second rest periods versus three circuit sets aerobic exercise in that each session or set of resis-
of the six same exercises, 10–12 repetitions at 50% tance exercise will have an EPOC of its own during
of 1RM with 30-second rest periods). Work volume the recovery period between exercises. To deter-
of each session was similar, but intensity (weight mine the total energy expenditure, this has to be
lifted per unit of time) was greater for the circuit included in the calculations.
exercise. The higher intensity session produced All this taken into consideration, it seems likely
higher EPOC than the standard set exercise (4.9 that EPOC after resistance exercise is influenced by
versus 2.7L oxygen), but the duration of EPOC was the intensity of the exercise, since a more prolonged
only 20 minutes. and substantial EPOC has been found after hard
versus more moderate exercise. More research is
Olds and Abernethy[82] compared high- and low-
still needed to elucidate the effect of intensity and
intensity resistance exercise with equated work vol-
duration of resistance exercise on the magnitude and
ume, and found no difference in EPOC. However,
duration of EPOC.
their range of intensities was narrow (12 repetitions
at 75% of 1RM and 15 repetitions at 60% of 1RM),
and may not have been large enough to elicit a 9. Effect of Training Status on EPOC
treatment effect. Accordingly, V̇O2 returned to Individuals of different fitness levels have been
baseline within 1 hour after exercise. Also, the age used in EPOC studies, and this may also potentially
range was wide (22–55 years) and there was a high explain some of the differences observed in magni-
inter-individual difference in EPOC (0.7–27L). tude and duration of EPOC. The effect of training
In a recent study, Thornton and Potteiger[87] in- status is not easy to study, since comparing groups
vestigated the effect of high- and low-intensity resis- of different fitness levels at the same absolute exer-
tance exercise of similar work volume on EPOC. cise intensity level means that trained are working at
The exercise bouts consisted of two sets of nine a lower relative intensity, which has been shown to
exercises. In the high-intensity bout, eight repeti- influence EPOC. Furthermore, if trained and un-
tions at 85% of 8RM of each exercise were per- trained are compared at the same relative exercise
formed, whereas 15 repetitions at 45% of 8RM were intensity, when total work is equal, the untrained
performed in the low-intensity bout. The rest period have to work for a longer duration, which may also
between sets was 2 minutes. The duration was 23 influence the results. In other words, there is no
minutes for the high-intensity bout and 26 minutes study design available to provide a definite answer
for the low-intensity bout, whereas the actual exer- to whether training status affects EPOC.
cise time was 6.9 minutes (high) and 8.3 minutes Brehm and Gutin[23] found similar values for
(low), respectively. V̇O2 was measured between EPOC in runners versus non-exercisers following a
0–20, 45–60, and 105–120 minutes post-exercise. 3.2km walk at 6.4 km/hour (i.e. same absolute inten-
The magnitude of EPOC was higher during each sity), but the exercise intensity may have been too
measurement period after high- versus low-intensity low to detect a difference. Sedlock[56] compared fit
resistance exercise. and unfit males after cycling at 50% of V̇O2peak,
Understanding the effect of resistance exercise until 300 kcal were used (27 and 35 minutes to
on EPOC is confounded by the considerable diversi- finish, respectively). No difference in EPOC dura-
ty in the protocols commonly employed in this re- tion or magnitude was found, but again, the exercise
search, for example, type (i.e. circuit training or challenge was low. Finally, in a study of treadmill

 Adis Data Information BV 2003. All rights reserved. Sports Med 2003; 33 (14)
1052 Børsheim & Bahr

exercise at approximately the anaerobic threshold, it more, the magnitude of EPOC was not different
was concluded that fitness level does not significant- between groups after exercise at the same relative
ly alter magnitude and duration of EPOC, but both intensity (3.2L oxygen in trained versus 3.5L oxy-
the separation of study participants into groups and gen in untrained). The trained group had higher V̇O2
the exercise intensity were somewhat unclear in that at the end of the exercise bout, and if the data were
study.[21] normalised to percentage change afterwards, the
In contrast to these studies, Chad and Quigley[38] trained had a more rapid fall in post-exercise V̇O2.
found a higher 3-hour EPOC in trained female cy- After exercise of similar absolute intensity, the un-
clists versus untrained women after 30 minutes cy- trained group had higher EPOC (2.4L oxygen) ver-
cling at 50% or 70% of V̇O2max. The difference was sus trained (1.5L oxygen). Longitudinal training
most apparent immediately after exercise, which studies also support the findings of a faster recovery
was explained by higher absolute exercise intensity, in V̇O2 in trained individuals.[90,91]
and thereby a higher V̇O2 in trained versus un- In summary, it appears that trained individuals
trained. V̇O2 was still increased 3 hours after exer- have a more rapid return of post-exercise metabol-
cise, and no definite EPOC magnitude could be ism to resting levels when exercising at either the
determined. same relative or same absolute work rate, but studies
after more strenuous exercise bouts should be done.
Frey et al.[53] measured V̇O2 for 1 hour after
cycling at ~65% and ~80% of V̇O2max until 300 kcal
10. Effect of Sex on EPOC
had been expended in trained and untrained women.
No difference in EPOC magnitude was found after Sex is also a factor that can potentially influence
cycling at the highest intensity, but EPOC was sig- EPOC, as well as have implications for study de-
nificantly smaller in the untrained (4.0L oxygen) sign. Energy expenditure at rest or during exercise
versus the trained group (4.7L oxygen) after the may vary with menstrual phase,[92-95] and this has
lowest intensity. EPOC decreased rapidly during the not always been taken into consideration when stud-
first 10 minutes post-exercise in both groups. Fol- ying EPOC. Basal metabolic rate has been shown to
lowing both intensities, the initial EPOC (first 10 be at its lowest level 1 week before ovulation.[92]
minutes post-exercise) was greater in trained versus Webb[96] found an 8–16% increase in 24-hour ener-
untrained, most likely because of higher V̇O2 during gy expenditure during the 14-day luteal phase fol-
exercise in this group. While there still was a signif- lowing ovulation. Accordingly, Matsuo et al.[70]
icant EPOC at the end of the experiment in the found a higher EPOC after 60 minutes cycling at
untrained group, post-exercise V̇O2 was elevated for 60% of V̇O2max in the luteal versus the follicular
only 50 and 40 minutes after low- and high-intensi- phase in seven healthy women. On the other hand,
ty, respectively, in the trained group. Thus, EPOC Fukuba et al.[72] did not detect any significant effect
duration was shorter in the trained. of menstrual cycle on EPOC in five young women
Short and Sedlock[65] compared EPOC in trained after 60 minutes cycling at 70% of V̇O2max.
(V̇O2max: 53 mL/kg/min) versus untrained males When comparing EPOC between men and
(37 mL/kg/min) after 30 minutes cycling on both women, the same question as for trained versus
similar absolute (1.5L oxygen/min) and relative untrained must be addressed: should EPOC be com-
(70% of V̇O2peak) intensities. At a V̇O2 of 1.5 L/ pared after absolute or relative workloads? Berg[41]
min, the trained group exercised at 45% of V̇O2peak, measured V̇O2 for 1 hour after 30 minutes of exer-
while the untrained worked at 61% of V̇O2peak. The cise at 40% of V̇O2max in active men and women. A
results showed that the trained group had a signifi- higher post-exercise energy expenditure was found
cantly shorter duration of EPOC whether compared among men. However, the calculations are some-
at the same absolute or relative intensity, but in all what unclear, since the data are not compared with
situations EPOC lasted less than 1 hour. Further- control resting values, and hence it is the absolute

 Adis Data Information BV 2003. All rights reserved. Sports Med 2003; 33 (14)
EPOC and Exercise Intensity and Duration 1053

levels rather than the increase in energy expenditure ture may contribute; however, the cost of this is low
after exercise that is compared. (<1L oxygen).[7]
Smith and McNaughton[51] compared trained It has been shown that there is an increase in the
men and women after 30 minutes of exercise at rate of the energy-requiring triglyceride/fatty acid
40%, 50% and 70% of V̇O2max. In all three condi- (TG/FA) cycle after prolonged exhausting exer-
tions, the men had a longer EPOC duration than the cise.[37,68,69,98] In the TG/FA cycle, FA released
women; however, the longest duration observed was during the process of lipolysis are subsequently re-
only 47 minutes, at least partly because of the short esterified into TG rather than oxidised. ATP is
exercise duration. In all conditions, EPOC magni- needed for the re-esterification, which can occur
tude in absolute terms was also higher in men versus within the adipocyte (intracellular recycling), or the
women, but this difference disappeared when EPOC FA can be released and re-esterified elsewhere, e.g.
was adjusted for body mass. Furthermore, there in the liver (extracellular recycling). The TG/FA
were no differences between sexes when EPOC was cycle is under both hormonal[99] and substrate con-
expressed as a percentage of total energy expended. trol.[100] The energy cost associated with the increase
In summary, few studies have been conducted to in TG/FA cycling can account for a significant part
compare EPOC in men and women. Thus, the sex of EPOC after prolonged steady-state exercise.[7]
effect on EPOC is not fully clarified, but controlling The existence of gluconeogenic-glycolytic sub-
for changes in energy expenditure during the men- strate cycles have also been demonstrated in vivo in
strual cycle appears to be important in studies with humans,[101-104] but no increase in the rates of these
women. cycles have been found during recovery from exer-
cise.[104,105]
11. Possible Mechanisms for the Rapid
EPOC Component A relative shift from carbohydrate to fat as sub-
strate source is a consistent finding after prolonged
EPOC is the sum of many underlying mechan- exhausting exercise.[37,43,68,69] Since the energy equi-
isms, some of which are still not known. Hence, the valent of oxygen is lower with fat as the substrate
influence of individual factors on EPOC is via an compared with carbohydrates (free fatty acids: ~4.7
effect on the underlying mechanisms. Most of the mol ATP/mol oxygen; glucose: ~5.1 mol ATP/mol
studies on mechanisms causing EPOC are done after oxygen), part of EPOC can be explained by this
cycling protocols, and little is known about EPOC substrate shift. The substrate shift after exhaustive
after resistance exercise. submaximal exercise has been calculated to account
Some of the metabolic processes believed to be for 10–15% of the observed EPOC.[7]
responsible for the rapid EPOC component are well
The energy cost of glycogen resynthesis has also
defined: replenishment of oxygen stores in blood
been suggested as a mechanism for the prolonged
and muscle, resynthesis of adenosine triphosphate
EPOC component after aerobic exercise.[30] How-
(ATP) and creatine phosphate, lactate removal, and
ever, glycogen resynthesis is low during fasting, and
increased body temperature, circulation and ventila-
we did not find any difference in the magnitude of
tion.[6,7,43,97] Thus, the classic oxygen debt hypo-
EPOC in the fed versus the fasted state after 80
thesis is one of several factors explaining the rapid
minutes of cycling at 75% of V̇O2max.[44] Further-
component.
more, on a biochemical basis, it can be argued that
12. Possible Mechanisms for the the oxygen cost of glycogen resynthesis should not
Prolonged EPOC Component be included as a part of EPOC.[7,44] The rationale for
this is that in situations when food is given, the
The mechanisms for the prolonged EPOC com- energy cost of carbohydrate storage is less after
ponent are less well understood. A sustained in- exercise when the carbohydrates are used for replen-
creased ventilation, circulation and body tempera- ishment of muscle and liver glycogen stores com-

 Adis Data Information BV 2003. All rights reserved. Sports Med 2003; 33 (14)
1054 Børsheim & Bahr

pared with rest where more of the carbohydrates nephrine and norepinephrine are potent stimulators
may be stored as fat. The energy cost of storing of the energy metabolism.[118,119] Their calorigenic
dietary carbohydrates as fat requires 23–24% of the effect seems to be mediated through the β-adre-
ingested energy, whereas storage as glycogen re- noceptors.[120,121] Secondly, the sympathoadrenal
quires only 5.3%.[106] On the other hand, emerging system is activated during exercise with elevated
data[107,108] suggest that hepatic de novo lipogenesis concentrations of plasma catecholamines as a result.
is quantitatively insignificant under most conditions During dynamic exercise, the plasma concentrations
of carbohydrate overfeeding. of catecholamines increase linearly with the exer-
It has been suggested that when food is given in cise duration and exponentially with the exercise
the recovery period there is a synergistic interaction intensity,[111,122] a similar relationship to that observ-
of food and exercise on energy expenditure. The ed between EPOC and exercise duration and intensi-
difference in opinion as to whether this interaction ty, respectively (figure 2). Thirdly, catecholamines
exists[109,110] may be caused by the large intra- and are important regulators of TG/FA cycling and FA
inter-individual variations in the thermogenic effect oxidation through stimulation of lipolysis via β-
of a standard meal. We[44] could not detect any adrenoceptors. Both processes are increased after
major interaction effects between food and previous exercise and may account for a significant part of
aerobic exercise on the V̇O2. EPOC.
Several hormones are potential stimulants of en- In early studies on the effect of β-adrenoceptor
ergy expenditure, including insulin, cortisol, thyroid blockade on post-exercise V̇O2, antagonists were
hormones, growth hormone, adrenocorticotropic administered in dogs before an exercise bout.[114,123]
hormone (ACTH) and catecholamines. Plasma con- The results showed that short-term EPOC decreased
centrations of growth hormone and ACTH may in- after administration of the non-selective β-adre-
crease during exercise, but no sustained increase in noceptor antagonist, propranolol. The results have
secretion has been found after exercise.[111,112] been used as an indication of the importance of the
Mæhlum et al.[15] found no changes in plasma insu- sympathoadrenal system for EPOC, but since
lin and free thyroxine during the recovery period propranolol was administered before the start of the
after exhausting endurance exercise, and only a tran- exercise, the physiological effects of the exercise
sient increase in the plasma concentration of cor- bout were different between the control and the
tisol. However, in this experiment, food was given propranolol situation. We have shown that both
in the recovery period, which may have influenced propranolol and also the selective β1-adrenoceptor
the hormonal response. Although we found that antagonist, atenolol, reduced V̇O2 to a similar extent
venous plasma insulin concentration rapidly re- when given intravenously during rest post-exercise
turned to resting levels after aerobic exercise.[68,69] and during rest without previous exercise in
we observed a prolonged depression in arterial plas- humans.[68] Hence, there was no effect of β-adre-
ma insulin concentrations after similar exercise.[113] noceptor blockade on EPOC after aerobic exercise,
This may be important for the increase in fat and the results do not support the hypothesis that the
mobilisation during the recovery period. We also prolonged EPOC component is caused by increased
found an increased hormonal response to a repeated sympathoadrenal activity. A possible β3-adre-
bout of endurance exercise for catecholamines, AC- noceptor effect on EPOC could not be excluded, but
TH, cortisol and growth hormone.[112] the β3-adrenoceptor does not seem to be of impor-
tance for the sympathoadrenal-mediated thermogen-
Many authors have suggested that an increased
esis,[121] and thus it seems unlikely that there is any
sympathoadrenal activity may be one of the mech-
β3-adrenoceptor effect on EPOC.
anisms underlying EPOC, and of the prolonged
component in particular.[6,15,30,37,114-117] This hypo- An increased sensitivity to catecholamines in the
thesis was based on several findings. Firstly, epi- post-exercise period has also been proposed.[7,124]

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EPOC and Exercise Intensity and Duration 1055

The hypothesis was built on observations in vitro of expensive, and thus it seems reasonable to speculate
an increased lipolytic response to catecholamine that the energy cost associated with an accelerated
stimulation in human gluteal adipocytes[125] and in rate of protein synthesis in the post-exercise state
suprailiac adipocytes[126] removed immediately after can contribute to higher energy expenditure. Further
an exercise bout compared with resting samples. studies on the importance of increased protein turn-
However, we have shown[69] that isoprenaline (β- over and adaptive protein synthesis on EPOC after
adrenoceptor agonist) stimulated whole body V̇O2 different types of exercise are necessary. To our
to the same extent during rest with and without knowledge, EPOC and protein turnover have not
previous aerobic exercise. Hence, no increased sen- been measured in the same study.
sitivity to catecholamines was detected in the post- Both whole body (pulmonary) and muscle V̇O2
exercise period. Also, the lipolytic effect of isopren- should be measured to determine the quantitative
aline in abdominal adipose tissue was not increased contribution of muscle metabolism to EPOC. In a
after a prolonged moderate exercise bout, but in- study by Bangsbo et al.,[134] leg V̇O2 accounted for
stead a desensitisation was seen.[113] only one-third of EPOC in the 60-minute recovery
Another potential effect of the sympathoadrenal period after exhaustive knee extensor exercise last-
system on EPOC is by stimulation of various pro- ing 3 minutes. Only a minor fraction (26%) of the
cesses during the exercise bout, which are reversed excess leg V̇O2 could be attributed to the oxygen
slowly after the end of the exercise bout, even if requirements for resynthesis of substrate. Hence, a
there is no increased sympathoadrenal activity in large part of the increase in muscle V̇O2 after exer-
this period. During an exercise bout, catecholamines cise remained to be explained. Non-exercised mus-
stimulate both the heart rate, the contractility of the cles may also contribute to EPOC, as both in vitro
heart, glycogenolysis, gluconeogenesis, and lipoly- and in vivo studies have shown an increased V̇O2 in
sis in adipose tissue and in muscles.[127] The cat- inactive muscles perfused with blood high in lac-
echolamines also influence the release of other hor- tate.[135,136]
mones, e.g. insulin and renin. During exercise, The energy efficiency may change during exer-
blood flow in some tissues is decreased through α- cise,[97,137] and this may be the case also during
adrenoceptors, which may be of importance for recovery from exercise. One potential mechanism
blood flow and V̇O2 in the tissues after exercise. for reduced energy efficiency is the activity of un-
Hence, the influence of catecholamines on various coupling proteins (UCP). The expression of UCP3
processes during exercise may in turn influence in various organs is consistent with a role in adaptive
EPOC. This is in agreement with the finding of a thermogenesis.[138-140] It remains to be determined if
reduced EPOC when propranolol was administered the cellular milieu during exercise stimulates the
in dogs before exercise.[114,123] activity of UCP, and if changes in energy efficiency
An elevated rate of both protein breakdown and during and after exercise may explain part of EPOC.
protein synthesis has been demonstrated in the re- In summary, whereas several of the metabolic
covery period after exercise.[128] An increased whole processes believed to be responsible for the rapid
body protein synthesis has been demonstrated after EPOC component are well known (replenishment of
3.75 hours of treadmill running at 50% of oxygen stores in blood and muscle, resynthesis of
V̇O2max,[129] and after 1 hour of cycling at 75% of ATP and creatine phosphate, lactate removal, and
V̇O2max.[130] Also, an increased muscle protein syn- increased body temperature, circulation and ventila-
thesis has been shown after prolonged exercise,[131] tion) the mechanisms underlying the prolonged
whereas studies of the breakdown of muscle protein component are less well understood. An increased
after such exercise is lacking. Resistance exercise TG/FA cycling, and a shift from carbohydrate to fat
also stimulates protein synthesis in the post-exercise as substrate source, may explain a substantial part of
period.[132,133] Synthesis of protein is energetically the prolonged EPOC component after exhaustive

 Adis Data Information BV 2003. All rights reserved. Sports Med 2003; 33 (14)
1056 Børsheim & Bahr

submaximal exercise. A minor part may be ex- Acknowledgements


plained by a sustained elevation in circulation, ven-
No sources of funding were used to assist in the prepara-
tilation and temperature. No increased
tion of this manuscript. The authors have no conflicts of
sympathoadrenal activity has been found after such interest that are directly relevant to the content of this manu-
exercise. Little is known about the mechanisms un- script.
derlying EPOC after resistance exercise.
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