- Research article
- Open Access
Energy balance during two days of continuous stationary cycling
© Stewart and Stewart; licensee BioMed Central Ltd. 2007
- Received: 21 August 2007
- Accepted: 31 October 2007
- Published: 31 October 2007
This study examined the capabilities of an ultraendurance athlete to self-regulate their diet during an attempt on the record for the longest period of stationary cycling. The attempt required the athlete to complete at least 20 km/hr, with a 15 minute break allowed every eight hours. Laboratory tests determined a heart rate-oxygen consumption regression equation enabling calculation of energy expenditure from heart rate during the attempt. Energy intake was determined by a non-weighed dietary record collected at the time of consumption. The athlete completed 46.7 hours, covering 1126 km, at a speed of 24 ± 1.6 km/hr. He expended 14486 kcal and consumed 11098 kcal resulting in an energy deficit (-3290 kcal) and a weight loss (-0.55 kg). The carbohydrate (42 ± 32 g/hr), water (422 ± 441 ml/hr), and sodium (306 ± 465 mg/hr) intake were all below current recommendations. The athlete was unable to self-regulate his diet or exercise intensity to prevent a negative energy balance.
- Respiratory Exchange Ratio
- Sweat Rate
- Submaximal Workload
- Record Attempt
- Cumulative Energy Intake
Ultraendurance athletes' are challenged in attempting to balance the high energy requirements of their sport with the high energy consumption required to compete successfully. When the energy intake exceeds 4500 kcal/d, the athlete will commonly have to ingest and digest food while actually competing . In order to meet these energy requirements while competing and prevent abdominal distress and diarrhoea, the athlete typically selects energy dense foods, gels and liquids . These types of foods allow gastric volumes to be kept to a comfortable level and dehydration to be prevented [2, 3]. An exercise-induced suppression of appetite, in combination with a nibbling eating pattern of continuous snacking, often leads to an insufficient energy intake during prolonged exercise . Disciplined eating by athletes plus appropriately prescribed diets by sports dietitians are required for the athlete to prevent a negative energy balance and its associated detrimental influence on prolonged endurance performance.
Few athletes have the discipline required to successfully self regulate their energy intake during ultraendurance exercise, but one previous casestudy occurred during the 1000 km running race from Sydney to Melbourne in Australia. Greek ultra marathoner, Yiannis Kouros', self regulated diet across the five days was almost entirely comprised of carbohydrate (95%). Energy dense Greek sweets and honey soaked biscuits were snacked on every 30 minutes, enabling Kouros to consume on average an amazing 11,074 kcal/d .
The purpose of this case study was to assess the capabilities of an experienced ultraendurance athlete to appropriately self regulate his energy intake during an attempt on the world record for the longest period of stationary cycling.
The subject was a 35 year old male amateur cyclist (height 172 cm; weight 72 kg) with previous experience in ultraendurance events. The subject gave informed consent to collect data during the record attempt.
The subject completed an intense program of endurance training spanning 6 months. He was provided with guidelines about the amounts and types of foods/fluids to consume throughout the world record attempt with specific emphasis on carbohydrate, sodium and fluid amounts. The subject was then responsible for planning and preparing the appropriate items for the ride. He began the attempt with access to ample sports drinks, protein bars and energy gels (Endura™).
Pre-record attempt laboratory testing
The athlete completed two cycle ergometer protocols a week prior to the record attempt. The first comprised four submaximal workloads, commencing at 0 W and increasing by 25 W every 2.5 minutes. This test was conducted to develop a relationship between heart rate and oxygen uptake (VO2) in order to estimate energy expenditure during the record attempt . The second cycle protocol was an incremental (30 W/min) test to exhaustion to determine aerobic capacity (VO2max), ventilatory threshold, and peak power.
All testing was undertaken on a cycle ergometer (Excalibur Sport, Lode, Gronigen, The Netherlands) with ventilation and expired gas collected and analysed every 15 seconds using a metabolic cart (Moxus, AEI Technologies, Pennsylvania, USA). Oxygen consumption (VO2), minute ventilation (VE), carbon dioxide production (VCO2), and respiratory exchange ratio (RER) were calculated. Before testing, the gas analysers were calibrated with a known gas mixture and room air. Heart rate was measured by telemetry (Polar Vantage XL, Kemple, Finland) and recorded every 15 seconds.
The VO2 and heart rate values obtained during the multiple submaximal workload test were averaged over the final minute of each of the four workloads and a linear regression was fitted to the data. Standard indicators for achieving VO2 max were applied to the incremental test to exhaustion: volitional fatigue; a plateau in oxygen consumption with increasing work rate; heart rate ≥ 90% of age predicted maximum; and a respiratory exchange ratio ≥ 1.15. Given that three of the preceding criteria were met, values for maximal oxygen consumption were determined by averaging the four highest consecutive 15 second values.
World record attempt
The previous world record stood at 77 hours and 15 minutes. The attempt required the athlete to complete at least 20 km per hour, with a 15 minute break off the bike allowed every eight hours. The record was attempted on a stationary cycle ergometer (Tempo, Giant, Australia). The distance covered and the speed maintained was calculated by a calibrated bike computer (VELO5, Cat Eye, Japan). Throughout the record attempt, the athlete's heart rate (s610i, Polar Electro Oy, Kempele, Finland) and blood pressure was monitored, and the self regulated fluid and food intake recorded. Heart rate was recorded every minute and energy expenditure calculated from the equation obtained from the laboratory submaximal workload test. Blood pressure was recorded every hour. Body mass was measured every eight hours and urine output was weighed throughout. The total energy, carbohydrate, protein, fat and sodium consumed by the athlete was analysed using a dietary software program (Foodworks Professional Version 4.00, Xyris Software, Australia).
Throughout the attempt the athlete was provided with verbal encouragement and physical assistance to continue eating and drinking and encouragement to continue cycling.
The subject's VO2 max from the incremental test was 60.3 ml/kg/min and he achieved a peak power of 315 W. The relationship between heart rate and VO2 determined with the multiple submaximal workloads was represented by the following equation (VO2 (ml/min) = 26.826 * heart rate – 1434.6, r2 = 0.9974). The energy expenditure measured in kcal was calculated by multiplying the estimated VO2 (in L/min) by 4.948. This conversion factor was calculated from the average non-protein respiratory quotient measured during the multiple submaximal workloads .
Cardiovascular and performance data during the record attempt
Heart Rate (bpm)
Blood Pressure (mmHg)
Eight hour (and 24 hour total) energy intake, derived from carbohydrate (CHO), fat and protein, and the calculated energy expenditure during the record attempt
Total EI (kcal)
Total EE (kcal)
0–24 hour total
24–48 hour total #
The major finding of this case study was that the athlete was unable to self regulate his energy intake or his exercise intensity to prevent an energy deficit situation.
In comparison to the direct measurement of energy expenditure by calorimetry the individually determined heart rate VO2 relationship method, employed in the present study, has been shown to be an acceptable measure of energy expenditure during low intensity exercise . As the energy intake was undertaken by a non-weighed dietary analysis, recorded at the time of consumption, it is possible that the food weights may have been underreported therefore underestimating the total energy intake . Undereating may also result in an energy deficit situation. However the quite remarkable agreement between the estimated energy deficit (3290 kcal) and that calculated from the reduced body mass (3286 kcal) indicates that, on this occasion, the methodologies employed provided an accurate representation of the energy deficit. An alternative explanation is that the methodologies over or underestimated by the same magnitude, which is unlikely given the methodologies for expenditure and intake generally over and underestimate, respectively .
The intensity of the ride was 20% higher than required to set the record, therefore unnecessarily increasing the energy expenditure. During the first 24 hour period the athlete's energy expenditure was 9975 kcal (41.8 MJ), less than the 17430 kcal (72.9 MJ) reported during the 2004 XXAlps ultraendurance cycle race  or the 23,280 kcal (97.3 MJ) during the 2003 Race Across America (RAAM) . These results, however, were estimated with a Polar S710 heart rate monitor that has been shown to overestimate energy expenditure by 38% compared with the individual relationship between heart rate and oxygen consumption . The energy expenditure during the first 24 hour period compares favourably against values reported during the Tour de France (24.7 – 38.4 MJ) [3, 13], cross-country skiing (25.4 – 34.9 MJ) , or Artic/Antarctic expeditions (23.6 – 32.4 MJ) [15, 16]. The highest recorded daily energy expenditure values were obtained during a trans-Antarctica crossing where for a period of nine days two trekkers averaged 10,564 and 11,634 kcal/d (44.2 and 48.7 MJ/d, respectively) , while the theoretical ceiling has been calculated to be 13,675 kcal/d (57.2 MJ/d) .
Based on an estimated basal metabolic rate (BMR) for a 70 kg male of 1640 kcal/day , the first 24 hour period also represents an expenditure of 6.1 times BMR. Sedentary humans on a daily basis generally expend 1.7 times BMR, while during the 1984 Tour de France cyclists achieved 5.4 times BMR . The highest reported daily expenditure values, 6.7 times BMR, belong to lactating rodents . The results of the current study indicate that the athlete, while exercising at a low intensity (Table 1), did expend an incredible amount of energy over the course of the attempt. The result, however, is inflated in comparison to sustained daily expenditure values [13, 19] as the athlete exercised for all but 30 minutes of that 24 hour period.
The athlete averaged a fluid intake of 422 ml/h, nearly identical to the 417 ml/h recorded during a 24 hour road race in Britain , but substantially less than the 700 and 1300 ml/h averaged during the RAAM  and Tour de France , respectively. The fluid intake was also less than the 500–800 ml/h recommended for the cycling leg of Ironman triathlons  but considering the extended duration and lower intensity of the exercise the self-regulated fluid intake appeared to be appropriate to maintain euhdryation.
The total volume of fluid consumed, plus the water contained within food, was 13 litres greater than the volume of urine produced. This positive balance did not result in an increase in unexplained body mass as the intensity of exercise maintained has been shown to produce sweat at a rate of 233 ml/hour , and insensible water loss and faeces, while not measured, could have accounted for the unexplained 2.4 litres. Ultraendurance exercise has also been shown to increase total body water  and it is possible that the loss of water due to sweat may be less than estimated, as the rate of sweat production would have fluctuated with the changing climatic conditions particularly overnight.
The minimal sweat rate maintained throughout the attempt would also have enabled the athlete to reabsorb, within the sweat duct, the majority of the sodium secreted by the gland. In more humid and hot conditions, and in unacclimatised individuals, the increased risk of exercise associated hyponatremia  resulting from minimal sodium ingestion or excessive water intake, can result in complications that are potentially life-threatening . The American College of Sports Medicine therefore recommends sodium supplementation at a rate of 0.5–0.7 g/L (8.6–12 mmol/L) in their position stand on fluid replacement for events lasting more than one hour . In longer ultraendurance events the risk of hyponatremia is substantially increased and supplementation rates of up to 1.15 g/L (50 mmol/L) have been proposed for events lasting 24 hours [27, 28]. In the current case study the athletes sodium intake of 0.008 g/L (0.03 mmol/L) was significantly below the recommended levels and, regardless of his calculated sweat rate resulting in minimal sodium loss, may have resulted in the athlete suffering from hyponatremia as evidenced by the athlete's inability to stand, dizziness, and confused state upon retiring from the attempt.
The current recommendations for CHO supplementation during ultraendurance exercise range from 30 – 90 g/h [21, 27, 29]. The modality, running  compared with cycling , and the definition of ultraendurance, hours [21, 29] compared with days , could explain the substantial range prescribed. During the current study the athlete averaged only 42 g/h and consumed greater than the minimum recommended CHO dose only 52% of the time. CHO is essential in prolonged low intensity exercise in order to provide essential intermediaries (ie oxaloacetate and pyruvate) for fat oxidation. The levels of CHO intake, in the current study, may have resulted in depletion of endogenous stores and subsequent hypoglycaemia. Sufficient CHO intake is necessary to maintain exercise for prolonged periods without the onset of fatigue .
Despite being provided with appropriate guidelines, the athlete did not pre-plan or prepare his energy intake for the record attempt. He supplemented his intake of sports drinks, protein bars, and energy gels (Endura™) with impulse selections from nearby commercial food outlets. These impulse selections included fried rice, McDonalds™, and bacon and eggs. In any ultraendurance event, requiring the athlete to eat while competing, it would be strongly recommended that the athlete commence the event with all meals and fluids planned and prepared according to nutritional recommendations, likes and dislikes, and ability to store items to be consumed. Alternatives also need to be prepared for when food and flavour fatigue occurs, as is often the case during ultraendurance events (unpublished – personal observation). Poor planning and preparation, as well as other common factors such as gastrointestinal discomfort  and loss of appetite , may be reasons for the athlete failing to match his energy requirements.
It is unknown from the current data exactly why the athlete was unable to complete the record attempt. An energy deficit situation, and therefore loss of body mass, is common in ultraendurance events [6, 16, 20, 27, 31] and therefore cannot directly account for the failed attempt. The insufficient CHO intake may have contributed, as it has previously been correlated with poor performance  and associated with the onset of fatigue  in ultraendurance triathlon. Aside from the insufficient CHO intake, the lack of sleep and a compromised immune system due to an undisclosed viral complaint, could have potentially contributed to the failed attempt. It should be noted however that the athlete had had previous experience at ultraendurance races that involved sleep deprivation and his preparation for this event was similar.
The initial eight hour period particularly highlights the inadequacies of self-regulation with a lower than required total energy, and particularly CHO, intake, and an elevated energy expenditure. Overcoming such a large initial energy deficit, while the athlete is still competing, is difficult due to the limited digestive capacity of the gastrointestinal tract . The inability for the athlete to balance their own energy requirements reflects the importance of the role(s) played by the sports dietitian and exercise physiologist in planning and monitoring the energy intake and expenditure, respectively, for ultraendurance performance.
The authors would like to acknowledge the assistance of Jane Stockwell in the collection of data during the record attempt.
- Brouns F, Saris WH, Stroecken J, Beckers E, Thijssen R, Rehrer NJ, ten Hoor F: Eating, drinking, and cycling. A controlled Tour de France simulation study, Part II. Effect of diet manipulation. Int J Sports Med. 1989, 10 Suppl 1: S41-8.View ArticlePubMedGoogle Scholar
- Brouns F, Saris WH, Stroecken J, Beckers E, Thijssen R, Rehrer NJ, ten Hoor F: Eating, drinking, and cycling. A controlled Tour de France simulation study, Part I. Int J Sports Med. 1989, 10 Suppl 1: S32-40.View ArticlePubMedGoogle Scholar
- Saris WH, van Erp-Baart MA, Brouns F, Westerterp KR, ten Hoor F: Study on food intake and energy expenditure during extreme sustained exercise: the Tour de France. Int J Sports Med. 1989, 10 Suppl 1: S26-31.View ArticlePubMedGoogle Scholar
- King NA, Burley VJ, Blundell JE: Exercise-induced suppression of appetite: effects on food intake and implications for energy balance. Eur J Clin Nutr. 1994, 48: 715-724.PubMedGoogle Scholar
- Rontoyannis GP, Skoulis T, Pavlou KN: Energy balance in ultramarathon running. Am J Clinical Nutrition. 1989, 49: 976S-979.Google Scholar
- Bircher S, Enggist A, Jehle T, Knechtle B: Effects of an extreme endurance race on energy balance and body composition - a case study. Journal of Sports Science and Medicine. 2006, 5: 154-162.PubMed CentralPubMedGoogle Scholar
- Zuntz N: Ueber die Bedeutung der verschiedenen Nahrstoffe als Erzeuger der Muskelkraft. Pflugers Archiv European Journal of Physiology. 1901, 83: 557-571. 10.1007/BF01746509.View ArticleGoogle Scholar
- Spurr GB, Prentice AM, Murgatroyd PR, Goldberg GR, Reina JC, Christman NT: Energy expenditure from minute-by-minute heart-rate recording: comparison with indirect calorimetry. Am J Clinical Nutrition. 1988, 48: 552-559.Google Scholar
- Goris AHC, Westerterp KR: Underreporting of Habitual Food Intake Is Explained by Undereating in Highly Motivated Lean Women. J Nutr. 1999, 129: 878-882.PubMedGoogle Scholar
- Elia M: Energy expenditure in the whole body. Energy Metabolism: Tissue Determinants and Cellular Calories. Edited by: Kinney JMT. 1992, New York, Raven Press Ltd, 19-49.Google Scholar
- Seale JL: Energy expenditure measurements in relation to energy requirements. Am J Clinical Nutrition. 1995, 62: 1042S-1046.Google Scholar
- Knechtle B, Enggist A, Jehle T: Energy turnover at the Race Across AMerica (RAAM) - a case report. Int J Sports Med. 2005, 26: 499-503. 10.1055/s-2004-821136.View ArticlePubMedGoogle Scholar
- Westerterp KR, Saris WH, van Es M, ten Hoor F: Use of the doubly labeled water technique in humans during heavy sustained exercise. J Appl Physiol. 1986, 61: 2162-2167.PubMedGoogle Scholar
- Sjodin AM, Andersson AB, Hogberg JM, Westerterp KR: Energy balance in cross-country skiers: a study using doubly labeled water. Med Sci Sports Exerc. 1994, 26: 720-724. 10.1249/00005768-199406000-00011.View ArticlePubMedGoogle Scholar
- Stroud MA: Nutrition and energy balance on the 'Footsteps of Scott' expedition 1984-86. Hum Nutr Appl Nutr. 1987, 41: 426-433.PubMedGoogle Scholar
- Stroud MA, Coward WA, Sawyer MB: Measurements of energy expenditure using isotope-labelled water (2H2(18)O) during an Arctic expedition. Eur J Appl Physiol Occup Physiol. 1993, 67: 375-379. 10.1007/BF00357638.View ArticlePubMedGoogle Scholar
- Stroud MA, Ritz P, Coward WA, Sawyer MB, Constantin-Teodos D, Greenhaff PL, Macdonald IA: Energy expenditure using isotope-labelled water (2H218O), exercise performance, skeletal muscle enzyme activities and plasma biochemical parameters in humans during 95 days of endurance exercise with inadequate energy intake. Eur J Appl Physiol Occup Physiol. 1997, 76: 243-252. 10.1007/s004210050243.View ArticlePubMedGoogle Scholar
- Davies CT, Thompson MW: Aerobic performance of female marathon and male ultramarathon athletes. Eur J Appl Physiol Occup Physiol. 1979, 41: 233-245. 10.1007/BF00429740.View ArticlePubMedGoogle Scholar
- Hammond KA, Diamond J: Maximal sustained energy budgets in humans and animals. Nature. 1997, 386: 457-462. 10.1038/386457a0.View ArticlePubMedGoogle Scholar
- White JA, Ward C, Nelson H: Ergogenic demands of a 24 hour cycling event. Br J Sports Med. 1984, 18: 165-171.PubMed CentralView ArticlePubMedGoogle Scholar
- Peters EM: Nutritional aspects in ultra-endurance exercise. Curr Opin Clin Nutr Metab Care. 2003, 6: 427-434. 10.1097/00075197-200307000-00012.PubMedGoogle Scholar
- Montain SJ, Latzka WA, Sawka MN: Control of thermoregulatory sweating is altered by hydration level and exercise intensity. J Appl Physiol. 1995, 79: 1434-1439.PubMedGoogle Scholar
- Williams ES, Ward MP, Milledge JS, Withey WR, Older MW, Forsling ML: Effect of the exercise of seven consecutive days hill-walking on fluid homeostasis. Clin Sci (Lond). 1979, 56: 305-316.View ArticleGoogle Scholar
- Noakes TD, Norman RJ, Buck RH, Godlonton J, Stevenson K, Pittaway D: The incidence of hyponatremia during prolonged ultraendurance exercise. Med Sci Sports Exerc. 1990, 22: 165-170.View ArticlePubMedGoogle Scholar
- Surgenor S, Uphold RE: Acute hyponatremia in ultra-endurance athletes. Am J Emerg Med. 1994, 12: 441-444. 10.1016/0735-6757(94)90057-4.View ArticlePubMedGoogle Scholar
- Convertino VA, Armstrong LE, Coyle EF, Mack GW, Sawka MN, Senay LC, Sherman WM: American College of Sports Medicine position stand. Exercise and fluid replacement. Med Sci Sports Exerc. 1996, 28: i-vii.View ArticlePubMedGoogle Scholar
- Rehrer NJ: Fluid and electrolyte balance in ultra-endurance sport. Sports Med. 2001, 31: 701-715. 10.2165/00007256-200131100-00001.View ArticlePubMedGoogle Scholar
- Maughan RJ: Fluid and electrolyte loss and replacement in exercise. J Sports Sci. 1991, 9 Spec No: 117-142.View ArticlePubMedGoogle Scholar
- Burke LM, Hawley JA: Carbohydrate and exercise. Curr Opin Clin Nutr Metab Care. 1999, 2: 515-520. 10.1097/00075197-199911000-00015.View ArticlePubMedGoogle Scholar
- Laursen PB, Rhodes EC: Factors affecting performance in an ultraendurance triathlon. Sports Med. 2001, 31: 195-209. 10.2165/00007256-200131030-00004.View ArticlePubMedGoogle Scholar
- Kimber NE, Ross JJ, Mason SL, Speedy DB: Energy balance during an ironman triathlon in male and female triathletes. Int J Sport Nutr Exerc Metab. 2002, 12: 47-62.PubMedGoogle Scholar
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