title: Maximal sustained levels of energy expenditure in humans during exercise.
abstract: Migrating birds have been able to sustain an energy expenditure (EE) that is five times their basal metabolic rate. Although humans can readily reach these levels, it is not yet clear what levels can be sustained for several days.
  
  
  OBJECTIVE
  The study's purposes were 1) to determine the upper limits of human EE and whether or not those levels can be sustained without inducing catabolism of body tissues and 2) to determine whether initial body weight is related to the levels that can be sustained.
  
  
  METHODS
  We compiled data on documented EE as measured by doubly labeled water during high levels of physical activity (minimum of five consecutive days). We calculated the physical activity level (PAL) of each individual studied (PAL = total EE / basal metabolic rate) from the published data. Correlations were run to examine the relationship between initial body weight and body weight lost with both total EE and PAL.
  
  
  RESULTS
  The uppermost limit of EE was a peak PAL of 6.94 that was sustained for 10 consecutive days of a 95-d race. Only two studies reported PALs above 5.0; however, significant decreases in body mass were found in each study (0.45-1.39 kg·wk(-1) of weight loss). To test whether initial weight affects the ability to sustain high PALs, we found a significant positive correlation between TEE and initial body weight (r = 0.46, P < 0.05) but no correlation between PAL and body weight (r = 0.27, not statistically significant).
  
  
  CONCLUSIONS
  Some elite humans are able to sustain PALs above 5.0 for a minimum of 10 d. Although significant decreases in body weight occur at this level, catabolism of body tissue may be preventable in situations with proper energy intake. Further, initial body weight does not seem to affect the sustainability of PALs.
authors: Department of Nutrition, Hospitality, and Retailing, Texas Tech University, Lubbock, TX 79409, USA. jamie.a.cooper@ttu.edu
authors: Jamie A
authors: JA
authors: Cooper
authors: David D
authors: DD
authors: Nguyen
authors: Brent C
authors: BC
authors: Ruby
authors: Dale A
authors: DA
authors: Schoeller