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1Translational Biomedicine, School of Engineering and Physical Sciences, Heriot-Watt University Edinburgh; 2Centre for Integrated Systems Biology and Medicine, University Medical School, Nottingham, United Kingdom; 3CLINTECH Department, Section of Anesthesiology and Intensive Care, Karolinska University Hospital, Huddinge; 4Department of Laboratory Medicine, Division of Clinical Physiology, Karolinska Institutet, Karolinska University Hospital, Stockholm; 5The Wenner-Gren Institute, Arrhenius Laboratories, Stockholm University; and 6Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden
Submitted 6 November 2008 ; accepted in final form 2 February 2009
It has not been established which physiological processes contribute to endurance training-related changes (
) in aerobic performance. For example, the relationship between intramuscular metabolic responses at the intensity used during training and improved human functional capacity has not been examined in a longitudinal study. In the present study we hypothesized that improvements in aerobic capacity (
O2max) and metabolic control would combine equally to explain enhanced aerobic performance. Twenty-four sedentary males (24 ± 2 yr; 1.81 ± 0.08 m; 76.6 ± 11.3 kg) undertook supervised cycling training (45 min at 70% of pretraining
O2max) 4 times/wk for 6 wk. Performance was determined using a 15-min cycling time trial, and muscle biopsies were taken before and after a 10-min cycle at 70% of pretraining
O2max to quantify substrate metabolism. Substantial interindividual variability in training-induced adaptations was observed for most parameters, yet "low responders" for 
O2max were not consistently low responders for other variables. While
O2max and time trial performance were related at baseline (r2 = 0.80, P < 0.001), the change in
O2max was completely unrelated to the change in aerobic performance. The maximal parameters 
Emax and
Veqmax (
E/
O2max) accounted for 64% of the variance in 
O2max (P < 0.001), whereas
performance was related to changes in the submaximal parameters Veqsubmax (r2 = 0.33; P < 0.01), muscle
lactate (r2 = 0.32; P < 0.01), and
acetyl-carnitine (r2 = 0.29; P < 0.05). This study demonstrates that improvements in high-intensity aerobic performance in humans are not related to altered maximal oxygen transport capacity. Altered muscle metabolism may provide the link between training stimulus and improved performance, but metabolic parameters do not change in a manner that relates to aerobic capacity changes.
phosphocreatine; maximal oxygen uptake capacity; lactate; low responder
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