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International Journal of Sports Physiology and Performance, 2015, 10, 172-177

http://dx.doi.org/10.1123/ijspp.2014-0041
© 2015 Human Kinetics, Inc.
www.IJSPP-Journal.com
ORIGINAL INVESTIGATION

The Self-Paced VO2max Test to Assess Maximal Oxygen Uptake


in Highly Trained Runners
James S. Hogg, James G. Hopker, and Alexis R. Mauger

Purpose: The novel self-paced maximal-oxygen-uptake (VO2max) test (SPV) may be a more suitable alternative to traditional
maximal tests for elite athletes due to the ability to self-regulate pace. This study aimed to examine whether the SPV can be
administered on a motorized treadmill. Methods: Fourteen highly trained male distance runners performed a standard graded
exercise test (GXT), an incline-based SPV (SPVincline), and a speed-based SPV (SPVspeed). The GXT included a plateau-verification
stage. Both SPV protocols included 5 × 2-min stages (and a plateau-verification stage) and allowed for self-pacing based on fixed
increments of rating of perceived exertion: 11, 13, 15, 17, and 20. The participants varied their speed and incline on the treadmill
by moving between different marked zones in which the tester would then adjust the intensity. Results: There was no significant
difference (P = .319, ES = 0.21) in the VO2max achieved in the SPVspeed (67.6 ± 3.6 mL · kg–1 · min–1, 95%CI = 65.6–69.7 mL
· kg–1 · min–1) compared with that achieved in the GXT (68.6 ± 6.0 mL · kg–1 · min–1, 95%CI = 65.1–72.1 mL · kg–1 · min–1).
Participants achieved a significantly higher VO2max in the SPVincline (70.6 ± 4.3 mL · kg–1 · min–1, 95%CI = 68.1–73.0 mL · kg–1
· min–1) than in either the GXT (P = .027, ES = 0.39) or SPVspeed (P = .001, ES = 0.76). Conclusions: The SPVspeed protocol
produces VO2max values similar to those obtained in the GXT and may represent a more appropriate and athlete-friendly test
that is more oriented toward the variable speed found in competitive sport.

Keywords: RPE, aerobic capacity, pacing, treadmill, incremental

Maximal oxygen consumption (VO2max) is defined as the high- the test to match the required RPE at each stage. The 5 stages were
est rate at which oxygen can be taken in and used by the body during made up of RPE ratings of 11, 13, 15, and 17, with the final stage
severe exercise.1 This is typically measured through a maximal being a maximal effort of 20, thus ensuring that the participant
exercise test to exhaustion where speed or power output consistently would always be taken to a maximal effort.9 Supplementary to the
increases over time until voluntary exhaustion. Although VO2max practical implications of the protocol, the authors also found that the
is considered the single most-administered test in the exercise self-paced VO2max test (SPV) produced higher VO2max values than
sciences,2 recent questions over the design of the test that limit its those achieved in the GXT (37 ± 8 mL · kg–1 · min–1 vs 40 ± 10 mL
relevance to actual exercise performance have been raised. Bailey · kg–1 · min–1) in an untrained population. This was despite maximal
et al2 have suggested that traditional methods that use a fixed VO2 values in the SPV being produced when power output was
progressive exercise modality do not best reflect the challenges of instead submaximal, suggesting that in traditional testing methods
middle-distance athletics, where effective pacing is strongly linked participants may not always achieve a “true” VO2max.4 In contrast,
to the race outcome. Noakes3 expressed 3 main concerns regarding Chidnok et al10 compared VO2 responses between a cycling GXT
fixed progressive VO2max protocols: First, the expected duration and SPV but found no significant difference in VO2max between the
of the test is unknown to the participant when it begins, which protocols. However, those authors used a different SPV protocol
is a foreign concept in most sports. Second, the fixed and forced than that of Mauger and Sculthorpe,7 which may explain the dif-
progressive intensity of the test is unnatural in most forms of exer- fering findings.
cise. Finally, due to the test being open ended, it is only terminated Mauger et al5 recently implemented the SPV on a nonmotorized
when the participant decides to end it through voluntary exhaus- treadmill, thus allowing for self-pacing. However, speeds achieved
tion, which makes it highly subjective and highlights the issue of were significantly lower, possibly as a result of nonmotorized tread-
other psychological factors. Furthermore, the validity of the GXT mills producing lower running speeds due to high belt friction.11
producing a true VO2max has also been questioned, with several Achieving higher running speeds would be easier on a motorized
studies suggesting that traditional testing methods may produce treadmill, but self-pacing may be more difficult due to its requiring
submaximal VO2 values.4–6 conscious decision making and intentional action by the participant
Mauger and Sculthorpe7 designed a closed-loop maximal- to vary pace. However, self-paced running tests have been shown
exertion cycling test in which intensity is clamped using the 6 to 20 to be achievable on a motorized treadmill.12 Mauger and Scult-
rating of perceived exertion (RPE),8 as opposed to fixed increases in horpe7 also found that peak power-output values were significantly
power output. The test consisted of 5 × 2-minute continuous stages, higher in the SPV than in the GXT. This may have implications in
and participants were allowed to vary their work rate throughout a running-based VO2max protocol, as velocity at VO2max (vVO2max)
has been shown to convey valuable information when analyzing
running performances from 1500 m to the marathon.13 Thus, cal-
The authors are with the School of Sport & Exercise Sciences, University culating an athlete’s vVO2max correctly is vital, as improvements in
of Kent, Chatham, UK. Address author correspondence to Alexis Mauger endurance performance for highly trained athletes are most likely
at Lex.Mauger@gmail.com. to be achieved mainly through high-intensity interval training,14

172
Motorized Treadmill Self-Paced Test   173

where vVO2max can be used to prescribe training speeds. Therefore, volitional exhaustion. Verbal encouragement was given for both
this study sought to investigate whether an SPV protocol could be the GXT and plateau verification.
successfully administered on a motorized treadmill, as this could
provide an improved performance-oriented test for trained athletes Self-Paced VO2max Tests
in running-based sports.
To allow for continuous pacing throughout the protocol, and so
participants did not have to manually adjust their speed, 3 zones
Methodology were marked out on the treadmill. The treadmill belt measured
2.5 m in length. The front portion of the treadmill represented an
Participants increase in intensity (speed or incline), the middle section repre-
sented no change in intensity, and the back portion of the treadmill
Fourteen well-trained, male, middle- to long-distance runners (mean
represented a reduction in intensity. By the participant’s running
+ SD age 28 ± 5 y, mass 71.0 ± 7.1 kg, height 175 ± 5 cm), well
in either the front or back zone, the experimenter would adjust the
familiarized with treadmill running and VO2max testing, volunteered
treadmill speed or gradient to ensure that the participant returned
to participate in this study. The study was conducted with approval
to the middle zone. Changes in speed and incline were recorded
of the ethics committee of the School of Sport & Exercise Sciences
by video camera, and changes were subsequently averaged over 30
at the University of Kent. All participants who volunteered read
seconds and 5 seconds.
and signed a form of written informed consent before participation
Participants were informed about the self-pacing zones before
commenced.
the warm-up and then practiced using the zones after completing
their individualized warm-up. The test did not start until the partici-
Exercise Tests pants stated they understood the zone system. Familiarization with
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All participants performed a standard GXT, incline-based SPV the RPE8 scale and how to vary speed according to a fixed RPE was
(SPVincline), and speed-based SPV (SPVspeed) in a randomized and provided via verbal explanation before the warm-up, with specific
counterbalanced order, 2 to 7 days apart and at the same time of emphasis given to considering the RPE for each given moment, as
day (± 2 h). Before each test, they were instructed to maintain opposed to viewing each stage as a 2-minute effort at a particular
similar eating habits, abstain from alcohol (24 h) and caffeine (8 RPE. This was to encourage free-flowing pace and avoid partici-
h), and to avoid exhaustive or vigorous exercise (48 h). These pants’ staying at the same speed for 2-minute blocks. Both SPV
measures were verbally verified by the experimenter. At the protocols consisted of 5 × 2-minute continuous stages with RPE
onset of each testing session participants performed a warm-up increments of 11, 13, 15, 17, and 20.7 The RPE scale remained vis-
of their choosing on the motorized treadmill (HP Cosmos Saturn ible throughout the test, and participants were consistently reminded
Treadmill, HP Cosmos, Nussdorf-Traunstein, Germany), which to vary their intensity to suit the particular RPE in each given stage.
was kept the same for all subsequent tests. After completion of Consequently, on the final stage (8–10 min), where RPE 20 “maxi-
the warm-up, participants performed a GXT, SPVincline, or SPVspeed mal effort” was required, participants were instructed to perform a
in which VO2 (Cortex Metalyzer 3B; Cortex, Lepzig, Germany) maximal effort with no regard to pacing themselves for 2 minutes9
and heart rate (Polar heart-rate chest strap T31, Polar Electro Inc, or saving energy for a final effort at the end of the stage.
New Hyde Park, NY, USA) were recorded for the duration of the
testing protocol. The online gas-analysis system was calibrated SPVincline Protocol
before every test in accordance with the manufacturer’s guide- The SPVincline protocol commenced at a gradient of 3%, with speed
lines. In the GXT, 6 to 20 RPE8 was recorded 15 seconds before varying for the first stage and incline remaining at 3%. At the
the end of each stage. end of the first stage, gradient then became the variable instead
of speed (which was fixed) for the middle 3 stages (3–8 min). At
Graded Exercise Test the end of the penultimate stage, incline would then be fixed, with
speed once again changing until the end of the stage and the test.
The GXT was completed with a fixed gradient of 3%, as protocols The experimenter would adjust the speed and incline accordingly
that incorporate an increased gradient have been shown to elicit based on the participant’s positioning on the treadmill throughout
greater muscle recruitment, and thus higher VO2max values, than the test with speed/incline able to increase or decrease depending
flat-gradient protocols.15 The test commenced at a submaximal on the individual’s positioning. After the SPVincline, participants
speed, gauged by the experimenter and subject, to help bring had a 10-minute rest followed by a verification stage. During the
about volitional exhaustion in the recommended time of 8 to 12 verification, participants ran at the speed halfway between their peak
minutes (the optimal time to elicit the highest VO2),16,17 although speed from the SPVincline and their predicted verification-stage speed
durations above and below this have still been shown to be accu- of the GXT protocol. Speed variations for the first and final stages
rate.18 Speed was increased by 1 km/h every 2 minutes (to keep were chosen to avoid the participant’s facing a low speed with a
stage duration consistent between tests and because 2-min stages high gradient, as this may result in a loss of running efficiency and/
are considered the most economical in terms of oxygen require- or premature muscle fatigue.21
ments19), and the test was terminated when participants reached
volitional exhaustion. After test completion, participants received
10 minutes of rest (consisting of walking around the laboratory SPVspeed Protocol
and stretching) followed by a plateau-verification stage,20 where For the SPVspeed, speed would change, with the gradient remaining
speed was gradually increased over 30 seconds up to a speed at 3% throughout the test. After the SPVspeed, participants had a
equivalent to 1 stage higher than the final stage achieved in 10-minute rest followed by a verification stage. During the verifica-
the GXT. All previously described cardiorespiratory measures tion, participants ran at the speed halfway between their peak speed
were recorded during this stage, and participants continued until from the SPVspeed and their predicted ­stage speed of the GXT protocol.
174  Hogg, Hopker, and Mauger

VO2max Determination Results


Averaging of VO2 was performed over both 5-second and 30-second VO2 data were checked and confirmed to be normally distributed.
time frames.1,22 A plateau in VO2 during the GXT was accepted if The average stage-to-stage difference in VO2 for all participants
the change in VO2 during the highest 30-second averages achieved was calculated as 230 ± 67 mL/min, so that a plateau phenomenon
in the final 2 stages of the test were less than half of the normal was defined as a change in VO2 ≤115 ± 34 mL/min (or an average
stage-to-stage difference in VO2 during the initial linear parts of the of 1.6 mL · kg–1 · min–1, considering the average body mass of the
test for each subject.4 As an ancillary method to verify attainment participants) between the 2 final stages of the test. A VO2 plateau
of VO2max, secondary criteria were accepted when 2 of the follow- was observed in all but 3 of the participants in the GXT. Of these
ing were attained23: heart rate within 10 beats/min of age-predicted 3 participants, 1 still achieved a higher VO2max in the GXT than in
maximum, respiratory-exchange ratio ≥1.1, and RPE ≥17. A VO2max the verification stage and the other 2 fulfilled ≥2 secondary criteria
in the SPV protocols was defined as the highest VO2 averaged for for achieving VO2max. There was a significant difference in VO2max
>30 seconds.5,7 between the 3 protocols (Figure 1) (F2,26 = 5.7, P = .009, ηp2 =
0.31); planned a priori paired-samples t tests revealed no significant
Statistical Analysis difference in the VO2max achieved between the SPVspeed (67.6 ± 3.6
mL · kg–1 · min–1, 95%CI = 65.6 to 69.7 mL · kg–1 · min–1) and the
All data are presented as mean ± SD. VO2 data were checked for GXT (68.6 ± 6.0 mL · kg–1 · min–1, 95%CI = 65.1 to 72.1 mL · kg–1 ·
normality. A 1-way ANOVA with repeated measures was used min–1). However, participants achieved a significantly higher VO2max
to examine maximal value differences between protocols, with in the SPVincline (70.6 ± 4.3 mL · kg–1 · min–1, 95%CI = 68.1 to 73.0
planned a priori paired t tests used to identify where statistical mL · kg–1 · min–1) than in the GXT (t13 = 2.4, P = .027, ES = 0.47)
differences lay. Partial eta-squared (ηp2) and Cohen d were used to and SPVspeed (t13 = 4.1, P = .01, ES = 0.76).
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report effect sizes, and statistical significance was accepted when Figure 2 shows a representative subject’s VO2 and speed/power
P < .05. A Bland and Altman 95% limits-of-agreement (LoA) for all 3 protocols. No significant differences (t13 = 1.2, P = .246)
analysis24 quantified the agreement (bias ± random error [1.96 × were observed between VO2max achieved in the GXT and the subse-
SD]) between the measured VO2max from each test. In accordance quent verification bout (68.6 ± 6.0 vs 67.9 ± 6.8 mL · kg–1 · min–1,
with recommendations for conducting LoA analysis, the data were respectively). Nine participants achieved their highest VO2max in the
checked for heteroscedastic error by conducting correlation analysis SPVincline, with 3 achieving it in the GXT and 2 in the SPVspeed. No
on the measurement error and the mean of the GXT and SPV VO2max significant difference was found between vVO2max from the GXT
scores. A Pearson product–moment correlation coefficient was car- and the SPVspeed, although peak speeds were significantly higher (t13
ried out between the mean VO2 values. Oxygen cost of breathing for = 4.3, P = .001, ES = 1.17) in the SPVspeed than in the GXT (19.3
each protocol was calculated using ΔVO2/ΔVE (VE indicates minute ± 1.7 vs 17.6 ± 1.2 km/h). There was a significant difference in the
ventilation), as performed by Vella et al.25 All statistical tests were breathing cost of VO2 calculated from the GXT (28.2 ± 2.8 mL/min)
completed using SPSS version 19.0 (Chicago, IL, USA). compared with both the SPVspeed (26.4 ± 2.8 mL/min) (P = .017) and

Figure 1 — Differences in maximal oxygen uptake (VO2max) between the graded exercise test (GXT), speed-based self-paced VO2max test (SPVsp), and
incline-based self-paced VO2max test (SPVinc) for all participants. The thick black line represents the mean difference. Of the 14 participants, 9 achieved
their highest VO2max in the SPVinc, 3 in the GXT, and 2 in the SPVsp.
Motorized Treadmill Self-Paced Test   175
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Figure 2 — Oxygen uptake (VO2) and speed or power (for the incline-based self-paced VO2max test [SPVinc]) response for all 3 protocols (and verifica-
tion stage) for a representative subject. Note that a VO2 plateau was achieved in all tests, yet the subject achieved a higher maximal VO2 in the SPVinc
(74 mL · kg–1 · min–1) than in the graded exercise test (GXT) and speed-based self-paced VO2max test (SPVsp).

Table 1  Peak Values for Physiological and Intensity this in the GXT. Furthermore, a Pearson product–moment coef-
Variables Recorded During All Protocols, Mean ± SD ficient correlation of VO2max (in the GXT) showed the SPVincline to
have the highest correlation (P < .01) (r = .90, P = .00), followed
Variable GXT SPVspeed SPVincline by SPVspeed (r = .78, P = .00).
HRmax (beats/min) 182 ± 9 180 ± 9 183 ± 7
VEmax (L/min) 172 ± 23.5 176.9 ± 24.7 181.1 ± 22.4*
Discussion
RERmax 1.13 ± 0.1 1.16 ± 0.1 1.16 ± 0.1
RPEmax 19 ± 1 20 ± 0* 20 ± 0*
This study aimed to test whether the SPV ideology could be
administered on a motorized treadmill as an alternative to more
Speed (km/h) 17.6 ± 1.2 19.0 ± 2.1* 15.1 ± 0.7 traditional testing methods. The primary finding of this study was
Incline (%) 3±0 3±0 11.0 ± 3.2* that the VO2max values produced in the SPVspeed were not signifi-
TTE (min) 11 ± 1 10 ± 0 10 ± 0 cantly different from those produced in the GXT, suggesting that
self-pacing, which better reflects exercise in actuality and sport,3
Abbreviations: GXT, graded exercise test; SPVspeed, speed-based self-paced test of can be simulated on a motorized treadmill. This suggests that the
maximal oxygen uptake (VO2max); SPVincline, incline-based self-paced VO2max test;
HR, heart rate; VE, minute ventilation; RER, respiratory-exchange ratio; RPE, rating SPVspeed is a suitable alternative to the GXT and may specifically
of perceived exertion; TTE, time to exhaustion. suit those more accustomed to pacing.
*Significant difference between either SPVspeed or SPVincline and GXT (P < .05). Notably, vVO2max values produced between the SPVspeed and
GXT were not significantly different; however, the SPVspeed did
produce significantly higher peak speed values than the GXT (19.3
± 1.7 vs 17.6 ± 1.2 km/h, respectively). This finding is in stark con-
SPVincline (26.3 ± 3.3 mL/min) (P = .026). Table 1 displays values trast to Mauger et al,5 who found that peak speeds in the SPV were
for secondary criteria. significantly lower than in the GXT. However, this is likely a result
LoA values (Figure 3) for VO2max compared between the SPVin- of the nonmotorized treadmill used in that study, producing lower
cline and the GXT, SPVspeed, and the GXT, and the 2 SPV protocols speeds due to higher belt friction.11 In the current study, the peak
were 6 ± 3, 8 ± 4, and 5 ± 3 mL · kg–1 · min–1, respectively. The speeds observed in SPVspeed may better reflect the finishing speeds
LoA data for the 2 SPV protocols compared respectively to the these runners achieve in athletic performance, where pacing is key,2
GXT show a bias toward participants with a lower VO2max tending and therefore may make this protocol more relevant for competitive
to achieve their highest value from the 3 tests in 1 of the 2 SPV athletes. The finding that vVO2max produced in the SPVspeed is simi-
protocols, while participants with a higher VO2max tended to achieve lar to that produced in the GXT is important, as vVO2max has been
176  Hogg, Hopker, and Mauger

during the SPV protocols to obtain a true VO2max; however, further


investigation is needed to explore these differences.
Chidnok et al10 suggested that the higher VO2max values found
in the study by Mauger and Sculthorpe7 may be protocol dependent
(as opposed to physiological limitations) due to the GXT test lasting
significantly longer than the SPV (13 vs 10 min). However, in the
current study (and that of Mauger et al5), there was no significant
difference in duration between the 3 protocols, suggesting that the
higher VO2 values are more likely to be the result of a physiological
difference than a function of test duration. Moreover, protocols of
longer duration have been suggested to underestimate VO2max,17
with many authors recommending a duration of 8 to 12 minutes,16,17
while Midgley et al18 have suggested that the 8- to 12-minute rec-
ommendation should not be considered a necessity.
It is notable that the majority of participants anecdotally
reported that they found the SPVincline the most challenging and
physically stressful, which is supported by the findings that in the
SPVincline, respiratory-exchange ratio (although not significant)
was consistently higher, while minute ventilation was significantly
higher (compared with the SPVspeed and GXT). However, while the
SPV requires the athlete to exercise at RPE 20, this requires some
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degree of motivation, and it should be acknowledged that a truly


maximal intensity in the final stage of the SPV may not always
be reached. It is therefore important that future research look to
investigate the perceptual responses of the SPV protocols compared
with the GXT. While the exact VO2 cost of ventilation cannot be
accurately elucidated from the current study, it is still considered
partly responsible for the rise in VO2 from VT to maximal intensi-
ties,26 with it being reported to account for around 18% to 23% of
Figure 3 — Level of agreement between maximal oxygen uptake (VO2max) the VO2 slow component.27 However, using ΔVO2/ΔVE data from
from each protocol for all 3 protocols, incline-based self-paced VO2max test Vella et al,25 estimates for the breathing cost of VO2 from the 3
(SPVinc) versus graded exercise test (GXT) (top panel), speed-based self- protocols can be accurately calculated. Our data suggest that a sig-
paced VO2max test (SPVsp) versus GXT (middle panel), and SPVsp versus nificantly higher breathing cost developed from the GXT than the 2
SPVinc (bottom panel). SPV protocols—therefore, the role of the oxygen cost of breathing
in relation to the SPV should be examined.
The SPVincline produced significantly higher VO2max values than
shown to convey valuable information when analyzing running per- both the SPVspeed and the GXT, which equates to 3% higher than the
formances over 1500 m up to the marathon,12 meaning the SPVspeed GXT. The minimal significant change in VO2 between trials has been
protocol could be used as a reliable predictor of both VO2max and suggested to be 2%,28 whereas improvements in the region of 3%
vVO2max, which could in turn then be used for performance analysis. to 5% and above have been accepted as an improvement in aerobic
In the study by Mauger and Sculthorpe,7 the higher VO2max capacity.4,29,30 This is in contrast to previous research where protocols
values achieved in the SPV were attributed to a significant increase with greater gradients were found to generally underestimate VO2max
in power output in the final stage, followed by a significant drop by compared with speed-based protocols.16,21 Kang et al21 suggest that
the end of the final stage. We note that this observation was similar this may be due to a combination of a greater incline coupled with
in the current study (see Figure 2), where participants tended to a low running speed, which may result in loss of efficiency and
achieve a spike in intensity (in the SPVincline) followed by a large premature muscle fatigue. In the current study, during the SPVincline,
decline during the second half of the final stage. However, during the participants still reached, on average, peak speeds of 15.1 ± 0.7 km/h
SPVspeed, participants tended to maintain high speeds until the end coupled with an incline of 11.0% ± 3.2%. However, the higher VO2max
of the test, perhaps suggesting they did not fully exert themselves values found in the SPVincline could be caused by the uphill running
at the start of the final stage. It is possible that due to their trained triggering an increase in lower-extremity muscle-volume activation15
status, it may be difficult to achieve the high speeds required to reach and ultimately increasing O2 delivery to the working muscles, which
maximal exertion on a treadmill, so further familiarization may be could then drive up VO2max. As a countermeasure to this, we used
required. This might explain why, in contrast to the SPVincline, the a 3% gradient in the GXT, and in support, McCole et al31 found
SPVspeed did not produce higher VO2max values than the GXT. The that VO2max was not significantly different in 2 protocols where the
majority of the participants achieved their highest incline early in the participants reached gradients of 8% and 14%, respectively.
second-to-last stage of the SPVincline (RPE 17), followed by a decline
going into the final stage. This is supported by the finding from
the LoA data that, in the more highly trained participants, VO2max
Practical Implications
tended to be higher in the GXT. Conversely, this was reversed for Due to the self-paced nature of the SPVspeed, this protocol may be
the lesser-trained participants, who tended to achieve their highest more suitable for seasoned athletes with the ability to reach high
VO2max in the SPV protocols. It could be inferred that this may be due speeds during a maximal test. This protocol better represents what
to the more-seasoned athletes not reaching intensities high enough the athletes would experience in a race. In addition, it makes it
Motorized Treadmill Self-Paced Test   177

easier to reach speeds that more aptly reflect the athletes’ ability and 14. Laursen PB, Jenkins DG. The scientific basis for high-inten-
fitness levels while also giving a more accurate reflection of their sity interval training. Sports Med. 2002;32(1):53–73. PubMed
finish sprint capabilities. Further research should aim to transfer the doi:10.2165/00007256-200232010-00003
self-paced protocol to a field setting and further investigate the impli- 15. Sloniger MA, Cureton KJ, Prior BM, Evans EM. Anaerobic capacity
cations of the self-paced protocol for athletes and coaches alike. and muscle activation during horizontal and uphill running. J Appl
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This study demonstrates that a motorized self-paced speed-based
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18. Midgley AW, Bentley D, Luttikholt H, McNaughton LR, Millet GP.
pace that athletes’ may experience during a competitive race. The
Challenging a dogma of exercise physiology: does an incremental
current findings show that self-paced exercise, to an extent, can be
exercise test for valid VO 2 max determination really need to last
achieved on a motorized treadmill and may even be more effective
between 8 and 12 minutes? Sports Med. 2008;38(6):441–447. PubMed
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doi:10.2165/00007256-200838060-00001
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